Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Neonatal circumcision and pain relief: current training practices

C R Howard1, F M Howard, L C Garfunkel

  • 1Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York 14621, USA.

Pediatrics
|March 14, 1998
PubMed
Summary

Neonatal circumcision training varies significantly across US residency programs, with many failing to adequately teach pain relief techniques. Improved instruction in anesthesia and analgesia is crucial for this common procedure.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impact of anthracyclines in genomic high-risk, node-negative, HR-positive/HER2-negative breast cancer.

Annals of oncology : official journal of the European Society for Medical Oncology·2025
Same author

Editorial: Evidenced based medical care of hospitalized children with local adaptations in low-resource settings.

Frontiers in pediatrics·2023
Same author

Risk behavioral survey in the sample of Slovak adolescents.

Bratislavske lekarske listy·2019
Same author

Lentiviral hepatitis B pseudotype entry requires sodium taurocholate co-transporting polypeptide and additional hepatocyte-specific factors.

The Journal of general virology·2015
Same author

Midwakh/dokha tobacco use in the Middle East: much to learn.

Tobacco control·2014
Same author

Viral hepatitis: diagnosis, treatment and prevention.

Immunology today·2014

Area of Science:

  • Medical Education
  • Pediatric Surgery
  • Pain Management

Background:

  • Neonatal circumcision is a common procedure in the United States.
  • Concerns exist regarding the adequacy of pain management during neonatal circumcision.
  • Residency training programs dictate current practices and future physician competency.

Purpose of the Study:

  • To assess the current curriculum and practices for neonatal circumcision and its associated anesthesia/analgesia in US residency programs.
  • To identify variations in training across pediatric, family practice, and obstetrics/gynecology specialties.
  • To evaluate the integration of pain relief techniques into circumcision training.

Main Methods:

  • A national survey of accredited pediatric, family practice, and obstetrics/gynecology residency program directors was conducted.

Related Experiment Videos

  • The survey utilized a forced-response, short-answer format distributed via mail.
  • A response rate of 74% (680/914) was achieved, with specific rates for each specialty.

    • Main Results:

    • Pediatric and obstetrics residents were less likely to be taught circumcision compared to family practice residents.
    • Training programs where community physicians perform circumcisions reported higher rates of teaching the procedure.
    • A significant percentage (26%) of programs teaching circumcision did not provide instruction in anesthesia/analgesia, with notable regional and specialty variations.

    Conclusions:

    • There is considerable inconsistency in residency training standards for neonatal circumcision and pain management across specialties in the US.
    • Current training in pain relief for neonatal circumcision is insufficient, despite evidence of pain and available effective methods.
    • Residency curricula must be updated to consistently include comprehensive instruction in anesthesia and analgesia for neonatal circumcision.