Residency training in neonatal circumcision: a pilot study and needs assessment

Area of Science:

• Medical Education
• Surgical Training
• Neonatal Care

Background:

• Neonatal circumcision is a common procedure with variable resident training.
• Obstetric-gynecology residents are expected to master this skill.
• Current training methods may not adequately prepare residents for all aspects of the procedure.

Purpose of the Study:

• To assess the needs of obstetric-gynecology residency programs regarding neonatal circumcision training.
• To evaluate resident competency in identifying contraindications for neonatal circumcision.
• To identify areas for improvement in the curriculum for neonatal circumcision.

Main Methods:

• An online self-assessment survey was distributed to obstetric-gynecology residents.
• Residents were shown images of neonatal penises to assess their ability to identify circumcision candidates.
• The survey evaluated comfort levels with both performing the procedure and identifying contraindications.

Main Results:

• A majority of surveyed residents planned to perform neonatal circumcisions but lacked formal training.
• Residents demonstrated low confidence in evaluating contraindications, with none correctly identifying all cases.
• Practical experience was preferred for learning, followed by online modules.

Conclusions:

• Residents exhibit technical confidence but struggle with the clinical judgment required for neonatal circumcision.
• There is a clear need for enhanced curriculum development and standardized training in neonatal circumcision evaluation.
• Formalized training is essential to ensure safe and appropriate patient selection for neonatal circumcision.