SUMMARY Testing for sexually transmitted infections (STIs) in children presents a number of problems for the practitioner that are not usually faced when testing adults for the same infections. The identification of an STI in a child can have, in addition to medical implications, serious legal implications. The presence of an STI is often used to support the presence or allegations of sexual abuse, and conversely, the identification of an STI in a child will prompt an investigation of possible abuse. The purpose of this paper is to review the epidemiology of child sexual abuse, including the epidemiology of major STIs including N eisseria gonorrhoeae, C hlamydia trachomatis, syphilis, herpes simplex virus (HSV), Trichomonas vaginalis, and human papillomavirus, and the current recommendations for diagnostic testing in this population.

As burnout is an issue facing our profession, developing and nurturing a greater purpose which promotes a sense of gratitude and purpose in medicine is important for physician wellness and resilience.  We often develop our sense of purpose through the internalization of values and ideas of people we have met in life.  Mentors play an important role in helping us realize and develop our skills and talents, which may not have been readily apparent to us. In this essay, I, as a physician pursuing dermatology, describe my experiences and what I’ve learned from inspirational teachers and mentors in my education and training that helped me realize the gifts and talents I have to offer the world as a dermatologist.  Then, my mentors describe how a specific experience or hobby has helped them develop a greater sense of purpose and gratitude in their careers.  These are a few of the infinite possibilities which can nurture a sense of gratitude and purpose in our lives, and our goal is for others to reflect on and to expand on these possibilities and share them with colleagues.