Image courtesy of fruity monkey under a Creative Commons license: CC BY.
Welcome to the Neonatal Circumcision I education module. The purpose of this unit is for residents to learn the performance of neonatal circumcision with penile nerve block. FMB residents are expected to review this unit in preparation prior to actually performing one during their FMB rotation and to periodically review it during the rotation for reinforcement of correct technique and avoidance of common potential mistakes.
View the Neonatal Circumcision I module.
More senior residents may want to refresh their knowledge and skill in neonatal circumcision or penile nerve block analgesia, especially after a long hiatus of not performing one. You may wish to refer to Neonatal Circumcision II unit.
Learning Objectives
After completing both units, you should be able to achieve the following objectives:
Knowledge:
Unit I
- To know the indications and contraindications to neonatal circumcision with penile nerve block analgesia
- To know the risks and potential benefits of the procedure
Unit II
- To understand a correct procedure to perform penile nerve block analgesia and adjunctive measures for pain control
- To understand a correct and safe method for performing neonatal circumcision with a Gomco clamp
- To understand the common mistakes made in neonatal circumcision and how to avoid them
- To know how to counsel the parents in proper postoperative care of the circumcised penis
Skills:
Unit I
- To select the appropriate points to highlight when explaining potential benefits and risks of neonatal circumcision to parents as part of the consenting process
Unit II
- To properly organize the steps required to correctly perform a penile nerve block analgesia
- To properly organize the steps required to correctly perform a neonatal circumcision with a Gomco clamp
- To apply knowledge of penile nerve block analgesia and neonatal circumcision to a clinical scenario
Attitudes and Professionalism:
Unit I
- To appreciate the importance of properly consenting parents prior to performing neonatal circumcision
Unit II
- To demonstrate confidence in applying knowledge of penile nerve block analgesia and neonatal circumcision to a clinical skills application
- To appreciate the subtle details in correctly performing penile nerve block analgesia and neonatal circumcision
- To appreciate the potential problems in performing a neonatal circumcision
About the Creators
Ricardo R. Bartelme
Dr. Bartelme is a graduate of the U-M Medical School and completed his family medicine residency at the University of California-San Diego, where he also served as chief resident. He has a special interest in alternative natural medicine and family-centered obstetrics. He speaks English and Spanish. more...
Image courtesy of fruity monkey under a Creative Commons license: CC BY.
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Background |
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Indications and Contraindications |
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Informed Consent & Documents |
Ricardo R. Bartelme
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