Identification of adolescent and adult patients receiving pediatric urologic care and establishment of a dedicated transition clinic

Many young adult patients with chronic urologic conditions continue to receive care from pediatric urologists well into adulthood. We hope that our clinic might serve as a model for augmentation of urologic transition services at other institutions. We anticipate a future report evaluating our clinic's impact on long-term follow up, clinical outcomes, and patient satisfaction.Table. The University of Virginia Urology Transition ClinicClinic design and objectives
- Clinic is held monthly
- Appointments are blocked for one hour
- Joint visits are attended by pediatric and adult urology faculty
- Psychosocial issues and logistical barriers are addressed
- Sexual health and reproduction is emphasized
- Multidisciplinary input is sought when appropriate
- Progress through clinic is tailored based on condition, cognitive capacity, strengths, limitations and social situationPediatric provider obligations
- Accurately assess readiness for transition on an individual basis
- Thoughtfully prepare patient expectations
- Offer joint visits and/or coordinated care until comfort with adult team is assured
- Assure satisfaction and engagement with the adult-care team
- Offer continued availability or additional consultation should these goals not be met