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Recommendations to Improve Neonatal Circumcision Training.
Rosen, Jennifer; Rosoklija, Ilina; Walton, Ryan F; Matoka, Derek J; Seager, Catherine M; Maizels, Max; Holl, Jane L; Johnson, Emilie K.
Afiliación
  • Rosen J; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
  • Rosoklija I; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
  • Walton RF; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
  • Matoka DJ; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
  • Seager CM; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
  • Maizels M; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
  • Holl JL; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
  • Johnson EK; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Hosp Pediatr ; 14(6): e249-e253, 2024 Jun 01.
Article en En | MEDLINE | ID: mdl-38808411
ABSTRACT

BACKGROUND:

Although multiple specialties perform neonatal circumcision (NC), overall NC proceduralist availability is limited. The approach to training new practitioners varies. This study aims to describe NC training experiences, current practices, and make suggestions for future improvements.

METHODS:

Perinatal physicians across 11 hospitals in a large Midwestern United States city who perform NC or who conduct newborn examinations and provide circumcision counseling were recruited for semistructured interviews about NC care. Interviews were transcribed; training-related comments underwent inductive and deductive qualitative coding. Themes related to circumcision training and recommendations for improving the experience of future circumcision learners were summarized.

RESULTS:

Twenty-three physicians (10 family medicine, 8 pediatrics, and 5 obstetrics; 78% currently perform circumcision) participated. All participants conducted newborn examinations and provided circumcision counseling, but only 21/23 were trained to perform circumcision. Several themes related to training emerged (1) personal training experience, (2) training others to perform circumcision, and (3) current training needs and barriers. Most reported learning in residency by a "see one, do one, teach one" approach with minimal formal didactic or structured training. Compared with their personal experience, participants noted a shift toward more direct supervision and preprocedure preparation for current trainees. However, most reported that circumcision learning continues to be "hands-on." Participants desired a more structured approach for future trainees.

CONCLUSIONS:

Perinatal physicians noted a shift in the current NC training to a more hands-on approach than they experienced personally. Development of a structured NC curriculum was recommended to improve training.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Circuncisión Masculina Límite: Female / Humans / Male / Newborn País/Región como asunto: America do norte Idioma: En Revista: Hosp Pediatr Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Circuncisión Masculina Límite: Female / Humans / Male / Newborn País/Región como asunto: America do norte Idioma: En Revista: Hosp Pediatr Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos