Lorenz R, Stechemesser B, Reinpold W, Fortelny R, Mayer F, Schröder W, Köckerling F
3 + Surgeons, Klosterstrasse 34/35, 13581, Berlin, Germany.
Hernia Center Cologne, PAN-Hospital, Zeppelinstrasse 1, 50667, Cologne, Germany.
Hernia. 2017 Apr;21(2):153-162. doi: 10.1007/s10029-016-1566-7. Epub 2016 Dec 28.
The increasingly more complex nature of hernia surgery means that training programs for young surgeons must now meet ever more stringent requirements. There is a growing demand for improved structuring and standardization of education and training in hernia surgery.
In 2011, the concept of a Hernia School was developed in Germany and has been gradually implemented ever since. That concept comprises the following series of interrelated, tiered course elements: Hernie kompakt (Hernia compact), Hernie konkret (Hernia concrete), and Hernie complex (Hernia complex). All three course elements make provision for structured clinical training based on guest visits to approved hernia centers. The Hernia compact basic course imparts knowledge of anatomy working with fresh cadavers. Hernia surgery procedures can also be conducted using unfixed specimens. Knowledge of abdominal wall ultrasound diagnostics is also imparted and hernia surgery procedures simulated on pelvic trainers. In all three course elements, lectures are delivered by experts across the entire field of hernia surgery using evidence-based practices from the literature.
To date, eight Hernie kompakt (Hernia compact) courses have been conducted, in each case with up to 55 participants, and with a total of 390 participants. On evaluating the course, over 95% of participants expressed the view that the Hernia compact course content improved hernia surgery training. Following that positive feedback, the more advanced Hernie konkret (Hernia concrete) and Hernie complex (Hernia complex) course elements were introduced in 2016.
The experiences gained to date since the introduction of a Hernia School-a standardized curriculum concept for continuing training in hernia surgery-has been evaluated by participants as an improvement on hitherto hernia surgery training.
疝气手术的性质日益复杂，这意味着年轻外科医生的培训项目现在必须满足越来越严格的要求。对疝气手术教育和培训的结构优化及标准化的需求日益增长。
2011年，德国提出了疝气学校的概念，此后逐步实施。该概念包括以下一系列相互关联、分层次的课程元素：疝气紧凑课程（Hernie kompakt）、疝气具体课程（Hernie konkret）和疝气复杂课程（Hernie complex）。所有这三个课程元素都规定了基于对经批准的疝气中心进行参观访问的结构化临床培训。疝气紧凑基础课程通过使用新鲜尸体传授解剖学知识。也可以使用未固定的标本进行疝气手术操作。还会传授腹壁超声诊断知识，并在骨盆训练器上模拟疝气手术操作。在所有这三个课程元素中，疝气手术整个领域的专家会依据文献中的循证实践进行授课。
迄今为止，已举办了八门疝气紧凑课程，每次课程最多有55名参与者，总共有390名参与者。在对课程进行评估时，超过95%的参与者认为疝气紧凑课程内容改进了疝气手术培训。基于这一积极反馈，2016年引入了更高级的疝气具体课程和疝气复杂课程元素。
自引入疝气学校（一种用于疝气手术继续培训的标准化课程概念）以来迄今所获得的经验，参与者认为其改进了以往的疝气手术培训。
