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A Novel Approach to Increased Fidelity for Neonatal Circumcision


Abstract

Neonatal male circumcision is a procedure commonly performed in the United States (US), on roughly 50% of newborn males. Pediatricians are one of several specialists performing this procedure; the Accreditation Council for Graduate Medical Education (ACGME), which accredits residency programs in the US, states that pediatric trainees "should receive real and/or simulated training when [neonatal circumcision is] important for a resident’s post-residency position".2 Due to competition among specialties and local practices, pediatric residents may have little clinical exposure to circumcision, necessitating simulated experiences. However, there is currently only one pediatric circumcision model on the market. An existing Lifeform Neonatal Circumcision Trainer sold by eNASCO was trialed by several practicing physicians using the Gomco Circumcision Clamp. It was useful to demonstrate procedural steps but lacked haptic feel and ability to simulate adhesiolysis or foreskin stretching. We substituted the manufacturer’s foreskin with a balloon tip over the model prosthetic to address these issues.

Poster
non-peer-reviewed

A Novel Approach to Increased Fidelity for Neonatal Circumcision


Author Information

Wendy L. Van Ittersum Corresponding Author

Diagnostic Referral Group, Akron Children's Hospital

LaDonne O'Connell

Simulation, Akron Children's Hospital


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  • Author Information
    Wendy L. Van Ittersum

    Diagnostic Referral Group, Akron Children's Hospital

    LaDonne O'Connell Corresponding Author

    Simulation, Akron Children's Hospital

    Poster Information
    Meeting

    IPSSW2017 – 9th International Pediatric Simulation Symposia and Workshops June 01, 2017 - June 03, 2017

    Publication history

    Received by Cureus: May 18, 2017
    Published: June 01, 2017

    License

    This is an open access poster distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Neonatal male circumcision is a procedure commonly performed in the United States (US), on roughly 50% of newborn males. Pediatricians are one of several specialists performing this procedure; the Accreditation Council for Graduate Medical Education (ACGME), which accredits residency programs in the US, states that pediatric trainees "should receive real and/or simulated training when [neonatal circumcision is] important for a resident’s post-residency position".2 Due to competition among specialties and local practices, pediatric residents may have little clinical exposure to circumcision, necessitating simulated experiences. However, there is currently only one pediatric circumcision model on the market. An existing Lifeform Neonatal Circumcision Trainer sold by eNASCO was trialed by several practicing physicians using the Gomco Circumcision Clamp. It was useful to demonstrate procedural steps but lacked haptic feel and ability to simulate adhesiolysis or foreskin stretching. We substituted the manufacturer’s foreskin with a balloon tip over the model prosthetic to address these issues.

Wendy L. Van Ittersum

Diagnostic Referral Group, Akron Children's Hospital

For correspondence:
wvanittersum@chmca.org

LaDonne O'Connell

Simulation, Akron Children's Hospital

Wendy L. Van Ittersum

Diagnostic Referral Group, Akron Children's Hospital

For correspondence:
wvanittersum@chmca.org

LaDonne O'Connell

Simulation, Akron Children's Hospital

Wendy L. Van Ittersum

Diagnostic Referral Group, Akron Children's Hospital

For correspondence:
wvanittersum@chmca.org

LaDonne O'Connell

Simulation, Akron Children's Hospital

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