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Related Experiment Video

Updated: Sep 12, 2025

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CIRCumcision learning experience using simulation: A pilot learning platform for safe neonatal circumcision training

Joana Dos Santos1, Abdulrahman Alsabban1,2, Max Maizels3

  • 1Division of Urology, Department of Surgery, The Hospital for Sick Children, Toronto, ON, Canada.

Frontiers in Urology
|August 8, 2025
PubMed
Summary

A new neonatal circumcision training program, CIRCLES, demonstrated effectiveness in improving practitioner skills and confidence through simulation. This pilot study suggests formal training can reduce complications and enhance patient safety in neonatal circumcision procedures.

Keywords:
circumcision trainingeducationneonatal circumcisionnewbornsafevirtual learning

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Neonatal Care

Background:

  • No formal training exists for neonatal circumcision, potentially leading to complications like bleeding and injury.
  • A structured training platform is needed to improve practitioner skills and patient safety.

Purpose of the Study:

  • To evaluate the effectiveness of a pilot neonatal circumcision training platform (CIRCLES).
  • To assess the feasibility of both virtual and in-person training modalities.

Main Methods:

  • The CIRCLES program integrates online learning, simulation practice, and clinical performance assessment.
  • Participants completed pre- and post-knowledge tests, self-efficacy surveys, and skill assessments.
  • Face validity was established by achieving an 80% knowledge test pass rate and >75% independent performance.

Main Results:

  • Knowledge scores significantly increased post-training (p=0.011).
  • All participants achieved >75% independent performance in simulation and clinical settings.
  • Self-efficacy scores improved, though bleeding management requires further attention.

Conclusions:

  • The pilot CIRCLES training program demonstrates face validity for both virtual and in-person neonatal circumcision training.
  • The platform shows promise for reducing adverse outcomes through formal, structured education.
  • Future plans include expanding the program to more trainees and established practitioners.