title: Credentialing for transvaginal mesh placement--a case for "added qualification" in competency. Consensus of the 2nd IUGA Grafts Roundtable: optimizing safety and appropriateness of graft use in transvaginal pelvic reconstructive surgery.
abstract: OBJECTIVE
  A process of added qualification of transvaginal mesh (TVM) placement is desirable.
  
  
  METHODS
  Through a physician-led partnership of specialty societies, centers of excellence, and industry, a core curriculum encompassing mesh/graft biology, technical skills, and safety can be coupled with current educational endeavors instructing surgeons in the use of TVM. A posttest process can verify a knowledge-based competency in mesh/graft safety. An auditing process after implementation would be optimal.
  
  
  RESULTS
  We recommend implementation of a five-step process in order to accomplish these goals.
  
  
  CONCLUSIONS
  It is hoped through these efforts, the ultimate goal of patient safety may be reached.
authors.affiliation: Department of Urology, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, Room 547, New Orleans, LA 70112, USA. cwinte@lsuhsc.edu
authors.forename: J Christian
authors.initials: JC
authors.lastname: Winters
authors.forename: Bernard
authors.initials: B
authors.lastname: Jacquetin
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Castro
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D003406:Credentialing / Q000592:standards*; D004502:Education, Medical, Continuing / Q000592:standards; D005260:Female; D006801:Humans; D061214:Patient Safety; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D013526:Surgical Mesh / Q000009:adverse effects*