Pain relief for neonatal circumcision: a follow-up of residency training practices.
OBJECTIVE
To assess current training practices regarding the provision of effective analgesia for routine newborn circumcision.


METHODS
All family practice (FP), obstetric and gynecologic (OB/GYN), and pediatric (PED) residency program directors in the United States received a mailed survey in 2003 (N = 940).


RESULTS
Survey responses were received from 86% (811/940) of the programs (FP 88%, OB/GYN 82%, and PED 87%). Eighty-two percent (669/811) of all programs surveyed taught circumcision (FP 95%, OB/GYN 89%, and PED 49%). Of programs that taught circumcision, 97% (648/669) taught the administration of an anesthetic, either locally or topically. This proportion is significantly higher than that reported in 1998 (71%, 374/527; P < .001). However, of these same programs that taught circumcision, the anesthetic techniques were used frequently or always in only 84%.


CONCLUSIONS
The percentage of training programs that teach effective analgesia for neonatal circumcision increased dramatically since the time of the previous data collection. Despite this improvement in teaching practices, some training programs may not consistently use effective analgesia for neonatal circumcision.
Yawman
Daniel
D
Department of Pediatrics, University of Rochester, School of Medicine and Dentistry and Golisano Children's Hospital at Strong, Rochester, NY 14621-3095, USA. Daniel_yawman@urmc.Rochester.edu
Howard
Cynthia R
CR
Auinger
Peggy
P
Garfunkel
Lynn C
LC
Allan
Marjorie
M
Weitzman
Michael
M
D000328:Adult; D000698:Analgesia; D002944:Circumcision, Male / Q000009:adverse effects / Q000193:education*; D005194:Family Practice / Q000193:education*; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007396:Internship and Residency; D009774:Obstetrics / Q000193:education*; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control*; D010372:Pediatrics / Q000193:education*; D014481:United States