Citation

Donaruma-Kwoh MM, Tran XG, Giardino AP. Clin. Pediatr. 2010; 49(8): 756-759.

Affiliation

Baylor College of Medicine, Houston, TX, USA.

Copyright

(Copyright © 2010, SAGE Publishing)

DOI

10.1177/0009922810365726

PMID

20522614

Abstract

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.

Language: en