This evolving case allows learners to develop skills in the assessment, treatment, and management of youth transitioning from the pediatric to the adult medical home with an emphasis on the role of the multidisciplinary team. This case provides an opportunity for learners to explore challenges common to the clinical management of patients during this transitional time while also providing exposure to current trends and evidence in transition and the medical home. The case introduces learners to aspects of program development and allows learners to identify opportunities for advocacy and leadership.

While this case was written for learners in a multidisciplinary adolescent health fellowship program, the case can be used with residents, fellows, interns, or students from a variety of backgrounds (nursing, social work, psychology, nutrition, and medicine) who will be involved in the assessment or management of adolescents who are transitioning into adulthood. A case-based approach was taken to highlight the need for multidisciplinary care for adolescents through a rich case-based discussion.