TABLE 2

Overview for the Clinician

Before encounter 
 Assess the patient’s fertility and sexual function risk and/or implications 
 Develop a framework for counseling by using an interdisciplinary approach when possible 
During the initial encounter 
 Assess what the parents and child have been told and what interventions (if any) have been offered 
 Consider cultural factors, ethical issues, and other special circumstances that may impact communication 
 Plan initial talking points for both the parents and patient on the basis of age or developmental stage 
Ongoing care 
 Plan future talking points for both the parents and patient on the basis of age or developmental stage 
Before encounter 
 Assess the patient’s fertility and sexual function risk and/or implications 
 Develop a framework for counseling by using an interdisciplinary approach when possible 
During the initial encounter 
 Assess what the parents and child have been told and what interventions (if any) have been offered 
 Consider cultural factors, ethical issues, and other special circumstances that may impact communication 
 Plan initial talking points for both the parents and patient on the basis of age or developmental stage 
Ongoing care 
 Plan future talking points for both the parents and patient on the basis of age or developmental stage 
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