title: Gynaecological Endoscopic Surgical Education and Assessment. A diploma programme in gynaecological endoscopic surgery.
abstract: In recent years, training and education in endoscopic surgery has been critically reviewed. Clinicians, both surgeons as gynaecologist who perform endoscopic surgery without proper training of the specific psychomotor skills are at higher risk to increased patient morbidity and mortality. Although the apprentice-tutor model has long been a successful approach for training of surgeons, recently, clinicians have recognised that endoscopic surgery requires an important training phase outside the operating theatre. The Gynaecological Endoscopic Surgical Education and Assessment programme (GESEA), recognises the necessity of this structured approach and implements two separated stages in its learning strategy. In the first stage, a skill certificate on theoretical knowledge and specific practical psychomotor skills is acquired through a high stake exam; in the second stage, a clinical programme is completed to achieve surgical competence and receive the corresponding diploma. Three diplomas can be awarded: (a) the Bachelor in Endoscopy; (b) the Minimally Invasive Gynaecological Surgeon (MIGS); and (c) the Master level. The Master level is sub-divided into two separate diplomas: the Master in Laparoscopic Pelvic Surgery and the Master in Hysteroscopy. The complexity of modern surgery has increased the demands and challenges to surgical education and the quality control. This programme is based on the best available scientific evidence and it counteracts the problem of the traditional surgical apprentice tutor model. It is seen as a major step toward standardization of endoscopic surgical training in general.
authors.affiliation: Life Expert Centre, Schipvaartstraat 2 Bus 4, 3000 Leuven, Belgium; European Academy for Gynaecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium; European Society for Gynaecological Endoscopy, Diestsevest 43/0001, 3000 Leuven, Belgium; European Board and College of Obstetrics and Gynaecology, Brussels, Belgium. Electronic address: Rudi.Campo@lifeleuven.be.
authors.forename: Rudi
authors.initials: R
authors.lastname: Campo
authors.affiliation: Life Expert Centre, Schipvaartstraat 2 Bus 4, 3000 Leuven, Belgium; European Academy for Gynaecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium; European Society for Gynaecological Endoscopy, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Wattiez
authors.affiliation: European Academy for Gynaecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium; European Society for Gynaecological Endoscopy, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: Vasilis
authors.initials: V
authors.lastname: Tanos
authors.affiliation: European Society for Gynaecological Endoscopy, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: Attilio
authors.initials: A
authors.lastname: Di Spiezio Sardo
authors.affiliation: European Society for Gynaecological Endoscopy, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: Grigoris
authors.initials: G
authors.lastname: Grimbizis
authors.affiliation: European Academy for Gynaecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium; Department of Women's Health, University Hospital Tuebingen, Calwerstraat 7, 72077 Tuebingen, Germany.
authors.forename: Diethelm
authors.initials: D
authors.lastname: Wallwiener
authors.affiliation: European Society for Gynaecological Endoscopy, Diestsevest 43/0001, 3000 Leuven, Belgium; Department of Women's Health, University Hospital Tuebingen, Calwerstraat 7, 72077 Tuebingen, Germany.
authors.forename: Sara
authors.initials: S
authors.lastname: Brucker
authors.affiliation: European Academy for Gynaecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: Marco
authors.initials: M
authors.lastname: Puga
authors.affiliation: European Academy for Gynaecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: Roger
authors.initials: R
authors.lastname: Molinas
authors.affiliation: European Academy for Gynaecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium; European Society for Gynaecological Endoscopy, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: Peter
authors.initials: P
authors.lastname: O'Donovan
authors.affiliation: European Society for Gynaecological Endoscopy, Diestsevest 43/0001, 3000 Leuven, Belgium; Center for Surgical Technologies, Leuven, Belgium, University Hospitals Leuven, Leuven, Belgium. Electronic address: jan.deprest@uzleuven.be.
authors.forename: Jan
authors.initials: J
authors.lastname: Deprest
authors.affiliation: European Academy for Gynaecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium.
authors.forename: Yves
authors.initials: Y
authors.lastname: Van Belle
authors.affiliation: European Academy for Gynaecological Surgery, Diestsevest 43/0001, 3000 Leuven, Belgium; Center for Surgical Technologies, Leuven, Belgium, University Hospitals Leuven, Leuven, Belgium.
authors.forename: Ann
authors.initials: A
authors.lastname: Lissens
authors.affiliation: Pius-Hospital Oldenburg, Department of Gynecology, Obstetrics and Gynaecological Oncology, Carlvon Ossietzky University, Georgstraße 12, 26121 Oldenburg, Germany.
authors.forename: Anja
authors.initials: A
authors.lastname: Herrmann
authors.affiliation: European Board and College of Obstetrics and Gynaecology, Brussels, Belgium.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Tahir
authors.affiliation: European Board and College of Obstetrics and Gynaecology, Brussels, Belgium.
authors.forename: Chiara
authors.initials: C
authors.lastname: Benedetto
authors.affiliation: African Endoscopic Training Academy, Cape Town, South Africa.
authors.forename: Igno
authors.initials: I
authors.lastname: Siebert
authors.affiliation: International Centre for Endoscopic Surgery, Clermont-Ferrand, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Rabischong
authors.affiliation: European Society for Gynaecological Endoscopy, Diestsevest 43/0001, 3000 Leuven, Belgium; Pius-Hospital Oldenburg, Department of Gynecology, Obstetrics and Gynaecological Oncology, Carlvon Ossietzky University, Georgstraße 12, 26121 Oldenburg, Germany.
authors.forename: Rudy Leon
authors.initials: RL
authors.lastname: De Wilde
mesh_terms: D002983:Clinical Competence; D013509:Gynecologic Surgical Procedures / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy / Q000193:education*
keywords: Education; Endoscopic surgery; Hysteroscopy; Laparoscopy; Practical skills