Difficulties and Problematic Steps in Teaching the Onstep Technique for Inguinal Hernia Repair, Results from a Focus Group Interview

Table 1

Interview guide.

Theme	Main question	Helping questions?
Opening	Tell me about the experience of training others in the Onstep technique	[An opening question to start the interview]
Instructions of others	What are your experiences when instructing/teaching the Onstep technique?	How do you organize your training sessions?; How is the atmosphere/do you seek a certain atmosphere?; What setup works well, do you or would you like to add something?; Group dynamics, that is who could/should be trained together?
Compared to other techniques?	What are the main differences when you are instructing/teaching this technique?	Can anything from Lichtenstein be helpful?; Anything from laparoscopy?
Which surgeons	Who should be taught this technique?	What prerequisites are preferred? That is: Experience, knowledge?
	Who could/should teach/train others?	Who can easily/hardly transfer from supervised training to self-training?; Experience with other types of groin hernia surgery?
Proficiency	When is your student ready for unsupervised procedures?	What are the indicators for proficiency? (For yourself, for your students)?; How could a tool be helpful?; What is your experience with feedback? (Forms, structured feedback, focus on certain steps)?
Closure		Something else we need to add?