Learning inguinal hernia repair? A survey of current practice and of preferred methods of surgical residents
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ORIGINAL ARTICLE
Learning inguinal hernia repair? A survey of current practice and of preferred methods of surgical residents T. Nazari1 · M. E. W. Dankbaar2,3 · D. L. Sanders4 · M. C. J. Anderegg5 · T. Wiggers6 · M. P. Simons7 Received: 23 March 2020 / Accepted: 16 July 2020 © The Author(s) 2020
Abstract Purpose During surgical residency, many learning methods are available to learn an inguinal hernia repair (IHR). This study aimed to investigate which learning methods are most commonly used and which are perceived as most important by surgical residents for open and endoscopic IHR. Methods European general surgery residents were invited to participate in a 9-item web-based survey that inquired which of the learning methods were used (checking one or more of 13 options) and what their perceived importance was on a 5-point Likert scale (1 = completely not important to 5 = very important). Results In total, 323 residents participated. The five most commonly used learning methods for open and endoscopic IHR were apprenticeship style learning in the operation room (OR) (98% and 96%, respectively), textbooks (67% and 49%, respectively), lectures (50% and 44%, respectively), video-demonstrations (53% and 66%, respectively) and journal articles (54% and 54%, respectively). The three most important learning methods for the open and endoscopic IHR were participation in the OR [5.00 (5.00–5.00) and 5.00 (5.00–5.00), respectively], video-demonstrations [4.00 (4.00–5.00) and 4.00 (4.00–5.00), respectively], and hands-on hernia courses [4.00 (4.00–5.00) and 4.00 (4.00–5.00), respectively]. Conclusion This study demonstrated a discrepancy between learning methods that are currently used by surgical residents to learn the open and endoscopic IHR and preferred learning methods. There is a need for more emphasis on practising before entering the OR. This would support surgical residents’ training by first observing, then practising and finally performing the surgery in the OR. Keywords Surgical education · Liechtenstein · Open inguinal hernia repair · Endoscopic inguinal hernia repair
Introduction Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10029-020-02270-y) contains supplementary material, which is available to authorized users. * T. Nazari [email protected] 1
Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands
2
The Institute of Medical Education Research Rotterdam (iMERR), Rotterdam, The Netherlands
3
Department of Education, Erasmus University Medical Center, Rotterdam, The Netherlands
4
North Devon District Hospital, Barnstaple, UK
5
Department of Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands
6
Incision Academy, Amsterdam, The Netherlands
7
Department of Surgery, OLVG, Amsterdam, The Netherlands
Inguinal hernia repair (IHR) is one of the first surgical procedures that surgical residents learn during their training [1], as it is a relatively simple surgical procedure to fam
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