Surgeon of Excellence in Hernia Surgery

The Surgeon of Excellence in Hernia Surgery (SOEHS) program offers leading surgeons around the world the opportunity to earn an individual certification without requiring that they partner with a hospital. The SOEHS program is ideal for surgeons who:

  • Perform surgeries at multiple hospitals
  • Desire an individual designation separate from or in addition to their hospital’s designation
  • Want to earn certification now, but their hospital is not ready to move forward

The SOEHS program is an excellent way for patients to identify world-class hernia surgeons who hold themselves to a higher standard.

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Program Requirements

1: Surgical Experience

The applicant has served as the primary surgeon for at least 125 hernia surgery procedures in their lifetime, and performs at least 75 procedures annually.

Procedures performed at any facility may be used toward volume. Surgeons must have served as the primary surgeon for a procedure to qualify. If the surgeon’s role as primary surgeon has been properly documented, procedures performed during fellowship or residency may qualify. Cases in which the surgeon served as co-surgeon or assisting surgeon do not qualify.

Each procedure used for volume must be thoroughly documented to enable a medical chart review.

Volume waivers may be approved in some circumstances.

Qualifying Procedures
The abdominal wall hernia surgery procedures, whether open or laparoscopic, that qualify toward facility and surgeon volumes include, but are not limited to, the following:

  • Epigastric
  • Femoral (left/right)
  • Flank
  • Incisional
  • Inguinal (left/right, direct/indirect)
  • Lumbar
  • Umbilical
  • Stomal

2: Equipment and Instruments

The applicant performs hernia surgery in a facility that has a full line of equipment and surgical instruments to provide appropriate perioperative care for their patients. The applicant’s facility has documented training for appropriate staff in the safe operation of this equipment.

3: Surgeon Dedication

The applicant spends a significant portion of their effort in the field of hernia surgery and has active, full privileges in hernia surgery at the facility participating in their inspection.

The applicant is board-certified or an active candidate for board certification in hernia surgery by the highest certifying authority available.

The applicant completes at least 12 hours of continuing medical education (CME) focused on hernia surgery every three years. Only American Medical Association Physician’s Recognition Award Category 1 Credits or similar credits from a CME accrediting body outside the United States or three national or international meetings qualify.

4: Clinical Pathways and Standardized Operating Procedures

The applicant formally develops and implements clinical pathways that facilitate the standardization of perioperative care for hernia surgery procedures. The following pathways are required:

  • Anesthesia, including monitoring and airway management
  • Perioperative care, including monitoring, pain management and airway management
  • Deep vein thrombosis (DVT) prevention and management
  • Antibiotic administration and management
  • Smoking cessation education and support
  • Instructions for identification, evaluation and management of early warning signs of complications.
  • Preoperative patient preparation, evaluation, patient education, consent and plan of action for discharge that includes follow-up and any necessary patient education

The first five pathways will be deemed satisfied if the facility has accreditation from The Joint Commission (formerly known as JCAHO), DNV-GL or an equivalent healthcare organization approved by SRC.

Each applicant surgeon performs each surgical procedure in a standardized manner as allowed by variations in operative circumstances.

Each applicant surgeon uses a template for operative note dictation that ensures proper collection of data for surgical procedures.

5: Surgical Team and Support Staff

The applicant has nurses and/or physician extenders who provide education and care to patients. The applicant performs hernia surgery in a facility that has an operative team trained to care for hernia surgery patients.

The applicant ensures appropriate staff are provided with ongoing, regularly scheduled staff education in-services to ensure they have a basic understanding of hernia surgery and the appropriate management of the hernia surgery patient. In-service topics must include:

  • Signs and symptoms of common postoperative complications
  • Equipment and surgical instruments
  • Clinical pathways

6: Patient Education

The applicant must provide all hernia surgery patients with comprehensive preoperative patient education.

The applicant must also have a process for obtaining informed surgical consent and selecting procedures that are most appropriate for each patient’s condition.

7: Continuous Quality Assessment

The applicant must collect prospective outcomes data on all patients who undergo hernia surgery procedures in SRC’s Outcomes Database (or a similar qualifying database) in a manner consistent with applicable patient privacy and confidentiality regulations. This de-identified data must be available to SRC for initial and renewal inspections or upon request.

Program Fees

Initial Fees

Application Fee: $1,650 USD

  • Discounts may be available for surgeons that participate in multiple accreditation programs. Contact SRC for details.
  • Upon payment of application fees, applicants achieve Provisional Status and gain access to SRC’s Outcomes Database at no additional charge.

Site Inspection Fees

Virtual Site Inspection: $925 USD

  • If the virtual inspection concludes that an onsite inspection is required, an onsite inspection will be required and additional fees will be charged.
  • Renewal inspections are required every three years to ensure ongoing program compliance.

Recurring Fees

Annual Fee: $1,650 USD

  • Annual participation fees will be billed one year after applicants achieve Provisional Status and each year thereafter.
  • Fees are subject to change without notice and are not refundable. Payment of required fees does not guarantee accreditation.