Do Pediatric Chief Residents Recognize Details of Prepubertal Male Genital Anatomy

作者：Donaruma Kwoh Marcella M; Tran Xuan G; Giardino Angelo P^*

来源：Clinical Pediatrics, 2010, 49(8): 756-759.

DOI：10.1177/0009922810365726

• Resident education/training and genitalia
• male

This study evaluates how well pediatric chief residents can label anatomic structures, recognize circumcision, and discern abnormal anatomy on three photographs of male pre-pubertal genitalia. Additionally, this study explored aspects of pediatric training in sexual abuse and clinical practice issues regarding routine genital examination of a male patient. We asked respondents to identify anatomic structures, recognize circumcision, and assign a Tanner stage to pre-pubertal male genitalia and to recognize an abnormal finding. 92.7% of chief residents were able to correctly identify basic structures on the photo of a circumcised pre-pubertal male. Only 22% correctly recognized the abnormal example as hypospadias. Basic recognition of anatomic structures and circumcision did not achieve 100% accuracy, while an abnormal condition was missed by the majority of respondents. These data suggest a need to address education about the male genital exam in greater detail during pediatric residency training.

• 出版日期2010-8