Oh.My.God. MDs training for circs with cocktail wiener & surgical glove

[Quirky]

No, I'm not kidding. And this is supposed to be progress?????

http://tinyurl.com/2jpcyf

Neonatal circumcision is one of the most common procedures performed by family physicians and is a recommended procedure for resident training. Few models or simulators exist. A model of neonatal genitalia was constructed using a cocktail wiener covered by a surgical glove finger. A competency checklist was used to review the steps of the procedure. Posttest/pretest-posttest assessment found significant improvement in knowledge and comfort in three groups of learners. Ninety percent of participants were deemed competent in all 15 areas of the checklist. The easily replicable model was felt to reasonably model the neonatal genitalia for circumcision training.

[carriebft]

It's no UA VIOLATION wonder they suck at this so much. They obviously come away with no understanding that the foreskin is fused to the glands. Perhaps this also contributes forced retraction- I mean, it's SUPPOSE to be like a glove over a cocktail weiner, right? :

[baybee]

It's all so disgusting it's hard to believe. I wonder about the 10% who can't do it properly according to the checklist---I bet they are let loose on babies anyway. I guess I would prefer that they simulated something rather than working out their incompetence on a live baby, tho. What I have heard is that the usual method is to "see one, do one."

[bdavis337]

SO did they glue the glove to the hotdog then, like with superglue or gorilla glue or something, and then "practice"? What happened if they mutilated the hotdog, or tore the glove into little bitty pieces?

I wonder how they practice other major medical procedures...............

[A&A]

Originally Posted by bdavis337

I wonder how they practice other major medical procedures...............

No doubt.

[LavenderMae]

Yikes!!!!!!!!!!!!

[Bm31]

And somebody's got to be the first to hand their child over to these people at some point.... :Puke

[eepster]

Originally Posted by bdavis337

I wonder how they practice other major medical procedures...............

There is actually a company that makes imitation body parts for medical students to work on. It was featured on the Travel Channel show Made In America.

I guess they don't make neonate intact penises. That or it's just so much cheaper to pop a cocktail weener in a glove.

[baybee]

When I teach midwives how to do injections, we inject into a grapefruit many times before going on to humans. This helps get the dartlike action of the wrist down.

We use chicken breasts to practise suturing techniques, we get cows blood to measure what a hemmorhage looks like.

They actually sell plastic arms with veins to learn how to do IVs. I know a whole team of women who let medical students do pelvic exams on them (for money) in order to educate them and make sure no other woman is traumatized by a beginner's pelvic.

[~Kira~]

No words for this one.... just a big heaving sigh of disgust.






- Kira

[Nathan1097]

All I can say is Oh.My.Goodness.

[Nathan1097]

Then there's this one:

A model for teaching newborn circumcision.Erickson SS.
Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, USA. [e-mail]

BACKGROUND: Hundreds of residents are trained to perform neonatal circumcision every year. This article describes the construction and use of a model designed to introduce trainees to neonatal circumcision using the Gomco technique. TECHNIQUE: A circumcision model was constructed using a clipboard, a pacifier, examination gloves, a rubber band, a syringe, tape, surgical towels, and a circumcision kit containing a 1.3 Gomco clamp, hemostats, surgical scissors, and a scalpel blade. DISCUSSION: With each trainee using a separate model, one instructor was able to guide four interns through three simulations each during a 1-hour orientation session.

PMID: 10912987 [PubMed - indexed for MEDLINE]