You have now completed your family medicine training and joined a local family practice clinic 6 months ago. Julie, a 37 year old female patient attends for her routine preventive health visit and PAP test, and tells you that her 12-year old daughter has come home from school with a consent form for some vaccinations at school. The accompanying information details a schedule for multiple vaccinations at school over the next 2 years, which upsets her daughter as she is somewhat fearful of needles! One of the vaccinations is called Gardasil. Julie understands that Gardasil can prevent cervical cancer but that this has something to do with a sexually transmitted disease. She has never known anyone with cervical cancer or a sexually transmitted infection, and doesn't believe that her daughter has much chance of developing either. She doesn't think that her daughter is likely to become sexually active for several years and doesn't see the value in her being vaccinated at this time. Moreover, she feels uncomfortable discussing STI's with her pre-adolescent daughter, and feels talking about a possible future cancer will frighten her. However, as a newcomer to Canada from East Asia 6 years ago, she trusts the Canadian health care system and does not want to jeopardize her daughter's health. She values your opinion. She wonders if her daughter could make this decision for herself in a few years when she is an adult and has become sexually active.