From
StayCurrentMD
Validation of an anorectal malformation trainer - Can a high-fidelity model simulate real life?
hosted by Dr. Paul McClure
Chapter 1 of 3 · Fundamentals
The Low-Volume Problem in PSARP Training
Expert statements on this page
No expert statements were drawn from this page.
Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
1 min · Published May 2026
Video
Rectal Prolapse Repair Following a Posterior Sagittal Anorectoplasty
4 min · Published Jan 2025
Video
How I Do It Levitt PSARP
7 min · Published Sep 2016
Podcast
Colorectal Quiz Episode 14: ARM Newborn Part 3
10 min · Published Jun 2021
Video
Posterior Rectal Advancement Anoplasty (PRAA) in a male with an anorectal malformation and rectoperineal fistula
9 min · Published Mar 2026
Video
Colorectal Quiz: Episode 41 - Perineal Hypospadias
Marc Levitt · 17 min · Published Nov 2024
Video
Complications and Long-Term Outcomes of Patients With Cloacal Malformation After Bowel Neovagina...
1 min · Published Jun 2026
Video
Safety and utility of long-acting steroid injection for management of post-operative stricture...
1 min · Published Jun 2026
Video
Association Between Social Determinants of Health and Choice of Urinary Reconstruction in Children
1 min · Published Jun 2026
Video
The Perineal Body Preserving PSARP (PPP)
11 min · Published Jun 2026
Video
Update Course Rewind 2025: Botox for Hirschsprung’s: Where, When, and Why
1 min · Published May 2026
Video
Update Course Rewind 2025: Hirschsprung’s Pull-Through: Why Family Training May Save Lives
2 min · Published May 2026
Video
Intestinal Atresia Types Explained: Grossfeld Classification for Pediatric Surgery
1 min · Published Sep 2026
Video
Derivation and validation of the Pediatric Community-Acquired Pneumonia Severity (PedCAPS) score: A prospective cohort study
50 s · Published Sep 2026
Video
FETO for Late-Diagnosed Severe Congenital Diaphragmatic Hernia (CDH) at Cincinnati Children's with Dr. Beth Rymeski
4 min · Published Sep 2026
Video
Severe Congenital Diaphragmatic Hernia (CDH) Case: FETO Management & Unexpected Findings with Dr. Beth Rymeski
3 min · Published Sep 2026
Video
Fetoscopic Endoluminal Tracheal Occlusion (FETO) Procedure: Step-by-Step Guide with Dr. Beth Rymeski
4 min · Published Sep 2026
Video
Choledochal Cyst Types Explained: Pediatric Surgery Fundamentals
1 min · Published Sep 2026
What the experts said
The average American pediatric surgery fellow performs just 15 posterior sagittal anorectoplasties during their entire training
Recertifying surgeons are averaging only 2 PSARPs per year
Nearly 30% of recertifying surgeons are doing no PSARPs at all
Technical precision in PSARP directly impacts continence outcomes
The PSARP simulator was developed by a team of researchers at Boston Children's, Cincinnati Children's, and Nationwide Children's Hospitals
The simulator validation study was published in the Journal of Pediatric Surgery
The simulator replicates the full anatomy of a recto vestibular and ectal malformation, including a fistula, the sphincter complex, vagina, and rectum, with realistic haptics
27 surgeons (11 experts and 16 novices) performed a complete PSARP on the model at an international surgery meeting
Sessions were independently scored by 3 blinded colorectal surgeons
The model demonstrated face, content and discriminate construct validity
Participants rated the anatomy and haptics as highly realistic
Experienced colorectal surgeons confirmed the simulator's value as a teaching tool
The simulator reliably differentiated experts from novices on every single step of the procedure
Boston Children's Hospital has integrated the simulator into their fellowship curriculum
A male rectal urethral fistula version of the simulator is in development