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Recommendations to Improve Neonatal Circumcision Training.

Jennifer Rosen^1,2, Ilina Rosoklija¹, Ryan F Walton¹

¹Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.

Hospital Pediatrics

|May 29, 2024

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Neonatal circumcision (NC) training for physicians varies, with most learning through hands-on experience. Participants desire a more structured approach and curriculum to improve future practitioner training.

Area of Science:

Medical Education
Neonatal Care
Surgical Training

Background:

Neonatal circumcision (NC) is performed by multiple specialties, but proceduralist availability is limited.
Current training approaches for NC practitioners are inconsistent.
There is a need to understand and improve NC training experiences.

Purpose of the Study:

To describe the training experiences of physicians performing neonatal circumcision.
To outline current NC practices and identify challenges.
To propose recommendations for enhancing future NC training.

Main Methods:

Semistructured interviews were conducted with perinatal physicians across 11 hospitals.
Physicians performing NC or providing counseling were recruited.

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Interview transcripts were qualitatively coded to identify themes in circumcision training.

Main Results:

Twenty-three physicians participated; 78% currently perform NC.
Most physicians learned NC via a "see one, do one, teach one" model with limited formal training.
Current trainees receive more supervision, but training remains largely hands-on.
Participants expressed a need for more structured training and a formal curriculum.

Conclusions:

Physicians perceive a shift towards more hands-on NC training compared to their own experiences.
Developing a structured neonatal circumcision curriculum is recommended to enhance training quality and consistency.