title: Systematic training model for teaching, development and training of instructors in inguinal hernia treatment using the Lichtenstein technique. Hernia campaign 2014 & 2015.
abstract: to evaluate the method of training and continuing education of 18 surgeons in 2014, and 28 surgeons in 2015, in the Holy Homes of Ribeirao Preto, Araraquara, Franca and San Carlos of São Paulo, in the performance of Lichtenstein inguinal herniorrhaphy, tutored by the Faculty of Medical Sciences of the São Paulo Holy Home and the organization HERNIA HELP - "Hernia Repair for the Underserved".
  the training was tutored and systematized through an active methodology of teaching and learning, aiming to offer competence, skills and attitudes, measured by a previously validated Qualification Form, qualifying leaders in trainees' improvement.
  in 2014 the outcomes were: the difficulty of the case, direction, incision, dissection, mesh preparation, mesh cutting, mesh setting, closing, instruments, respect to tissues, flow, time and motion, and performance, all presented change in the general rating (p=0.000002); there was greater confidence in the execution of the procedure in 80% of trainees, considered "very valuable" in 93.3% of the interventions. In 2015, 28 surgeons were trained by ten surgeons previously qualified in 2014. The nerve identification rate, a relevant time the Lichtenstein technique, was 95.5% for the Iliohypogastric, 98.5% for the ilioinguinal and 89.4% for the genital branch of the genitofemoral nerve.
  the applied teaching method is possible, reproducible, reliable and valid. The joint efforts offer enormous opportunity of directed education, reaching underserved populations, revealing the great teacher-student social responsibility.
  avaliar resultados do método de treinamento e educação continuada de 18 cirurgiões, em 2014, e 28 cirurgiões, em 2015, nas Santas Casas de Ribeirão Preto, Araraquara, Franca e São Carlos do Estado de São Paulo, na realização da Herniorrafia Inguinal à Lichtenstein, tutorados pela Faculdade de Ciências Médicas da Santa Casa de São Paulo e pela organização HERNIA HELP - "Hernia Repair for the Underserved".
  treinamento tutorado e sistematizado, através de metodologia ativa de ensino e aprendizagem, visando a oferecer competência, habilidade e atitudes, auferidas por um Formulário de Qualificação previamente validado, qualificando líderes no aperfeiçoamento de treinandos.
  em 2014, os desfechos foram: dificuldade do caso, direção, incisão, dissecção, preparo da tela, corte da tela, fixação da tela, fechamento, instrumentos, respeito aos tecidos, fluxo, tempo e movimento e desempenho, apresentaram mudança na Classificação Geral (p=0,000002); houve maior confiança na execução do procedimento em 80% dos treinandos, sendo considerado "Muito Valioso" em 93,3% das participações. Em 2015, os 28 cirurgiões foram treinados por dez cirurgiões previamente qualificados em 2014. A taxa de identificação dos nervos, tempo relevante da técnica de Lichtenstein, foi 95,5 % para o ílio-hipogástrico, 98,5% para o ilioinguinal e 89,4% para o ramo genital do nervo genitofemoral.
  o método de ensino aplicado é possível, reprodutível, confiável e válido. Os mutirões oferecem a enorme oportunidade do ensino, dirigido, atingindo populações carentes, revelando a grande responsabilidade social docente-discente.
authors.affiliation: Department of Surgery, Faculty of Medical Sciences of the Holy Home, São Paulo, SP, Brazil.
authors.forename: Carlos José
authors.initials: CJ
authors.lastname: Lazzarini-Mendes
authors.affiliation: Department of Surgery, Faculty of Medical Sciences of the Holy Home, São Paulo, SP, Brazil.
authors.forename: Adhemar Monteiro
authors.initials: AM
authors.lastname: Pacheco
authors.affiliation: Department of Surgery, Faculty of Medical Sciences of the Holy Home, São Paulo, SP, Brazil.
authors.forename: Bárbara Bozzoli
authors.initials: BB
authors.lastname: Destro
authors.affiliation: Department of Surgery, Faculty of Medical Sciences of the Holy Home, São Paulo, SP, Brazil.
authors.forename: Caroline
authors.initials: C
authors.lastname: Tamaro
authors.affiliation: Department of Surgery, Faculty of Medical Sciences of the Holy Home, São Paulo, SP, Brazil.
authors.forename: Fábio Antonio Del Picchia DE Araújo
authors.initials: FA
authors.lastname: Nogueira
authors.affiliation: Clinical Surgery, Lichtenstein Amid Hernia Clinic at UCLA, Santa Monica, CA, USA.
authors.forename: David
authors.initials: D
authors.lastname: Chen
authors.affiliation: Department of Surgery, Academic Teaching Hospital of the University of Hamburg, Wilhelmsburger Groß-Sand Hospital, Hamburg, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Reinpold
authors.affiliation: Department of Surgery, Faculty of Medical Sciences of the Holy Home, São Paulo, SP, Brazil.
authors.forename: Vitor
authors.initials: V
authors.lastname: Bruscagin
authors.affiliation: Department of Surgery, Faculty of Medical Sciences of the Holy Home, São Paulo, SP, Brazil.
authors.forename: Sergio
authors.initials: S
authors.lastname: Roll
authors.affiliation: Department of Surgery, Faculty of Medical Sciences of the Holy Home, São Paulo, SP, Brazil.
authors.forename: Rodrigo Altenfelder
authors.initials: RA
authors.lastname: Silva
mesh_terms: D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000193:education* / Q000379:methods*; D006801:Humans; D017145:Models, Educational; D000070260:Teacher Training; D013997:Time Factors