Rebekah Fenton, MD, MPH
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rfentonmd.bsky.social
Rebekah Fenton, MD, MPH
@rfentonmd.bsky.social
Making Adolescent Medicine accessible to marginalized youth in Chicago. #MedSky Opinions my own.
Rfentonmd.com
@rfentonmd on TikTok & IG
Catching the end of this beautiful workshop “Seeking Solutions for Increasing Representation of Black Men in Academic Pediatrics Through a Life Course Framework”. So powerful to see a panel of Black men in Academic Peds sharing insights and facilitating conversations #PAS2025
April 28, 2025 at 1:20 AM
Wendy Grant, MD presenting her project about youth’s perspectives on a STI testing, prevention, and treatment video #PAS2025

Most teens had received info about STIs, but less than half were familiar with PrEP.

Teens loved the video and wanted privacy to view it and space to ask Qs
April 26, 2025 at 6:25 PM
Great summary slide for management of functional abdominal disorders, affirming a lot that I do already so glad to know I’m on the right track.
April 26, 2025 at 5:57 PM
Treatment requires a holistic approach.
- Sleep can make symptoms better
- Physical activity helps to get away from “flight or fight” response
- Social media and phone use associated with worse symptoms
- diet interventions may not be effective (more due to hypersensitivity).
April 26, 2025 at 5:49 PM
Make diagnosis of functional disorders as a positive diagnosis. Symptoms are REAL!

Don’t use the word “just” to explain the diagnosis and explain why further testing are not indicated.
April 26, 2025 at 5:49 PM
Important not to overtest. There is no test for confirming pain.

Families don’t hear what they say, they are looking at our reaction. When we order more tests, we are sending the message that families should worry.

Diagnosis needs a good history & physical exam. Not everyone needs testing.
April 26, 2025 at 5:39 PM
After inciting event end, the gut nerves are still hypersensitive. It can lead to central sensitization, leading to pain in other areas.

Pain leads to increased anxiety, which worsens pain (pic below).

Given role of stress in pain, interesting to note that consults for abd pain ⬇️ in summer.
April 26, 2025 at 5:35 PM
Now reviewing evaluation of fever of unknown origin. Love a stepwise approach.
Phase 1 is a general screen, phase 2 after 2 weeks of fever, and phase 3 if continued fever with systemic involvement. Here’s phase 1 recommendations. Later phases should involve consults to ID +/- other services
April 26, 2025 at 2:52 AM
Even for those who want 3 year training, the opportunity cost is HIGH. Our average pay is lower than gen peds and and that plus three years of fellowship salary means our lifetime earnings is significantly lower. We pursue this field bc of our passion, not pay. publications.aap.org/pediatrics/a...
December 5, 2024 at 4:53 PM
Adolescent Medicine is in blue with barely half of programs filled.

Did some data collection from the last 6 years. This year is the lowest # of applicants & highest # of available spots. The need is higher than current interest.

While I love the work I do, it’s not surprising to see this trend.
December 5, 2024 at 4:53 PM