I was interested in your article 'One for the boys' (pages 26-27, 21 January) about NHS clinics for circumcision.

In the Jewish community, the very low level of complications has been favourably commented on even by doctors and surgeons opposed to circumcisions for non-medical reasons.

The Initiation Society of Great Britain was founded in 1745 to train and supervise Jewish circumcisors. (A Jewish circumcisor is known as a Mohel.) Students must be Jewish males who satisfy the religious ecclesiastical court of their adherence and loyalty to Orthodox Judaism. They must also be persons of integrity with a good approach to others.

A student has to learn all the laws about Jewish religious circumcision, on which there is a vast literature. He must also learn the theory and practice of the surgical procedure.

He will accompany an experienced Mohel to examine the infant and assess his fitness for the circumcision. He will observe how to explain the procedure to the sometimes anxious parents and the Mohel's preparation at the ceremony, including hygiene, the operation, and how to advise the parents or carers on looking after the baby. He will note how to deal with any queries, fears, or problems.

Little by little he will be allowed, under strict supervision, like a medical student or newly qualified doctor, to do some practical work until we are satisfied that he has sufficient experience to perform circumcision on his own, under full supervision. Having done several of these he will perform a full circumcision observed by two examiners, both Mohelim, who are also doctors. After passing, he will be questioned by the rabbinical court on the religious legal aspects. Having passed both tests he will receive the society's diploma.

We have placed autoclaves at the disposal of our members for thorough sterilisation of their instruments before use. Great stress is laid on hygiene, care and general surgical skill. The training period is variable, but is usually at least a year with further follow-up checks after qualifying.

Dr M Sifman

Medical officer

The Initiation Society of

Great Britain