Chardeskay Posted February 1, 2016 Share Posted February 1, 2016 Does anyone know or have experience with not participating in /witnessing circumcision as a pa student? Link to comment Share on other sites More sharing options...
Timon Posted February 1, 2016 Share Posted February 1, 2016 I was a PA student on my 4th month of rotations when my son was born.. They didn't let me observe even though I requested due to a blanket policy that prevented anyone from watching as they had someone that vasovagaled and was injured nearly 10 years earlier. I explained I was a PA-S2 and just finished a month of CT Sx.. Still didn't let me watch my own son.. Interestingly enough, the midwife turned to me just as we were getting ready to deliver and asked if I wanted to catch... I thought that was pretty cool of her.. As a student, my peds rotation did not have any hospital rounds. Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted February 1, 2016 Moderator Share Posted February 1, 2016 As in, you don't want to participate? Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted February 1, 2016 Administrator Share Posted February 1, 2016 I only had the opportunity to see one throughout my whole clinical rotation. I didn't conduct a poll of my peers. If you have a philosophical objection to circumcision, you will want to be sure you can fully engage with the arguments in favor of it, which are well-documented at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684945/. Link to comment Share on other sites More sharing options...
Chardeskay Posted February 1, 2016 Author Share Posted February 1, 2016 That is correct, I don't want to have to witness or perform one. And I do understand the arguments for it. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted February 1, 2016 Administrator Share Posted February 1, 2016 I don't think you have to worry about performing any. Witnessing? That will really depend on two things: 1) how many are done in your family medicine or peds rotation, and 2) how your preceptor feels about your objections. I know I consciously avoided any ortho surgery in PA school rotations because I knew I was going to have to have a joint replacement procedure done and really didn't want to know in gory detail what they would end up doing to me while I was out. Wasn't a problem, as my program had more general surgery slots than ortho, and slotted me into one of those just fine. Link to comment Share on other sites More sharing options...
loliz Posted February 2, 2016 Share Posted February 2, 2016 The arguments for or against may be better understood once witnessed. Link to comment Share on other sites More sharing options...
katieo Posted March 5, 2018 Share Posted March 5, 2018 On 2/1/2016 at 4:05 AM, Chardeskay said: That is correct, I don't want to have to witness or perform one. And I do understand the arguments for it. I’m worried about this too ;( Link to comment Share on other sites More sharing options...
lkth487 Posted March 5, 2018 Share Posted March 5, 2018 Just ask. I do a lot of them and if someone doesn't want to be involved, that's not a big deal. I usually do let the PA students and the med students do them if they are interested, but there's no pressure. It's faster for me to do it rather than explain it step by step or supervise someone else. I don't think anyone will mind if you have objections to it. I haven't had that happen yet, but I wouldn't care. Trust me, there's plenty of work I can give you instead. As in, go resp check the entire floor. Or go do abdominal exam on all the BMT kids. For the record, I won't be circumcising my own kid, but I support other people if they want that for their child, and I don't have an objection to doing them (other than the fact that it gets tedious after a while). Link to comment Share on other sites More sharing options...
Colorado Posted March 5, 2018 Share Posted March 5, 2018 Ditto above, just ask. I saw a few dozen circumcisions using various techniques while on my obgyn rotation and one on my newborn nursery rotation. The hospital had very strict rules that students of any kind were not allowed to perform the procedure (residents could). I know the benefits of circumcision but prior to clinical year felt that i personally would not have my potential child circed. After the first couple I witnessed I realized that I had a stronger opposition to circ than I realized and on my next rotation, newborn nursery, I did not observe more than one. I explained to my preceptor my personal opposition to it and furthermore explained that I was aware of the benefits and had witnessed the procedure multiple times before....also that I would happily explain the benefits to my patients and honor their decision. So, I did other tasks in the meantime. It' not a huge deal. Plenty of providers, including peds and obgyn and neonatologists don't perform them but you should always have a contact of someone to refer patients to for it. Link to comment Share on other sites More sharing options...
lkth487 Posted March 7, 2018 Share Posted March 7, 2018 Yeah almost always there'll be someone in the peds or ob/gyn dept. who is willing to do it. You can also refer to urology outpatient but ideally you'd get it done in the newborn period. Link to comment Share on other sites More sharing options...
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