Subspecialty training in Europe: A report by the European Network of Young Gynaecological Oncologists

Lanner M. Nikolova T. Gutic B. Nikolova N. Pletnev A. Selcuk I. Vlachos D.-E. Razumova Z. Bizzarri N. Theofanakis C. Lepka P. Kahramanoglu I. Han S. Nasser S. Molnar S. Hudry D. Montero-Macías R. De Lange N. MacUks R. Hasanov M.F. Karimbayli R. Gagua I. Andrade C. Pardal C. Dotlic J. Alvarez R.M. Hruda M. Fruhauf F. Ekdahl L. Antonsen S.L. Sukhin V. Eriksson A.G.Z. Gliozheni E. Delic R. Satanova A. Kovacevic N. Gristsenko L. Babloyan S. Zalewski K. Bharathan R.
1 April 2021 BMJ Publishing Group

International Journal of Gynecological Cancer
2021 #31 Issue 4 575 - 584 pp.

Background ESGO (European Society of Gynaecological Oncology) and partners are continually improving the developmental opportunities for gynaecological oncology fellows. The objectives of this survey were to evaluate the progress in the infrastructure of the training systems in Europe over the past decade. We also evaluated training and assessment techniques, the perceived relevance of ENYGO (European Network of Young Gynaecological Oncologists) initiatives, and unmet needs of trainees. Methodology National representatives of ENYGO from 39 countries were contacted with an electronic survey. A graduation in well/moderately/loosely-structured training systems was performed. Descriptive statistical analysis and frequency tables, as well as two-sided Fishers exact test, were used. Results National representatives from 33 countries answered our survey questionnaire, yielding a response rate of 85%. A national fellowship is offered in 22 countries (66.7%). A logbook to document progress during training is mandatory in 24 (72.7%) countries. A logbook of experience is only utilized in a minority of nations (18%) for assessment purposes. In 42.4% of countries, objective assessments are recognized. Trainees in most countries (22 (66.7%)) requested additional training in advanced laparoscopic surgery. 13 (39.4%) countries have a loosely-structured training system, 11 (33.3%) a moderately-structured training system, and 9 (27.3%) a well-structured training system. Conclusion Since the last publication in 2011, ENYGO was able to implement new activities, workshops, and online education to support training of gynaecological oncology fellows, which were all rated by the respondents as highly useful. This survey also reveals the limitations in establishing more accredited centers, centralized cancer care, and the lack of laparoscopic training.

gynecologic surgical procedures , laparoscopes

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Department of Obstetrics and Gynaecology, Kardinal Schwarzenberg Klinikum, Schwarzach im Pongau, Austria
Klinikum Mittelbaden, Academic Teaching Hospital of Heidelberg University, Baden-Baden, Germany
Gynaecology Department, Vojvodina Institute of Oncology, Sremska Kamenica, Serbia
Department of Obstetrics and Gynaecology, Centre for Perinatal and Reproductive Medicine, University of Perugia, Perugia, Italy
Department of Gynaecological Oncology, N.N. Alexandrov National Cancer Centre of Belarus, Minsk, Belarus
Gynaecological Oncology, Maternity Hospital, Ankara City Hospital, Ankara, Turkey
First Department of Obstetrics and Gynaecology, National and Kapodistrian University of Athens, Athens, Greece
Department of Womens and Childrens Health, Division of Neonatology, Obstetrics and Gynaecology, Karolinska Institute, Stockholm, Sweden
Uoc Ginecologia Oncologica, Dipartimento per la Salute della Donna e Del Bambino e della Salute Pubblica, Fondazione Policlinico Universitario A Gemelli, Irccs, Rome, Italy
Department of Gynaecological Oncology, General Hospital of Athens Alexandra, Athens, Attica, Greece
Department of Oncology, Gynaecological Oncology Clinic, Wroclaw Medical University, 2nd Lower Silesian Oncology Centre, Wroclaw, Poland
Department of Obstetrics and Gynaecology, Division of Gynaecological Oncology, Istanbul University, Cerrrahpasa Medical Faculty, Istanbul, Turkey
Gynaecological Oncology, Ku Leuven University Hospitals Leuven, Leuven, Belgium
Department of Gynaecological Oncology, Gynaecology Clinic with Oncologic Surgery Centre, Charité Comprehensive Cancer Centre, Campus Virchow Klinikum, Berlin, Germany
Department of Obstetrics and Gynaecology, University of Debrecen, Faculty of Medicine, Debrecen, Hungary
Department of Gynaecological Oncology, Centre Oscar Lambret, Lille, France
Gynaecologic and Breast Oncologic Surgery Department, European Hospital Group Georges-Pompidou, Paris, France
Department of Gynaecological Oncology, Universitair Medisch Centrum Groningen, Groningen, Netherlands
Department of Obstetrics and Gynaecology, Riga Stradins University, Riga, Latvia
Department of Obstetrics and Gynaecology, Medical Center-University of Freiburg, Freiburg, Baden-Württemberg, Germany
Department of Oncogynaecology, The National Centre of Oncology, Baku, Azerbaijan
Department of Gynaecology, Research Institute of Clinical Medicine, Todua Clinic, Tbilisi, Georgia
Department of Gynaecology, Centro Hospitalar e Universitário de Coimbra Epe, Coimbra, Portugal
Department of Obstetrics and Gynaecology, Hospital de Braga, Braga, Portugal
Clinic of Obstetrics and Gynaecology, Clinical Centre of Serbia, University of Belgrade, Beograd, Serbia
Department of Gynaecological Oncology and Breast Cancer, Santa Cristina University Hospital, Madrid, Spain
Department of Obstetrics and Gynaecology, 3rd Medical Faculty, Charles University, Faculty Hospital Kralovske Vinohrady, Prague, Czech Republic
Department of Obstetrics and Gynaecology, General University Hospital, Charles University, Prague, Czech Republic
Department of Obstetrics and Gynaecology, Division of Gynaecologic Oncology, Skåne University Hospital Lund, Lund, Sweden
Gynaecological Department, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
Department for Gynaecological Oncology, Grigoriev Institute for Medical Radiology and Oncology Nams, Kharkov, Ukraine
Department of Gynaecological Oncology, Division of Cancer Medicine, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway
Department of Obstetrics and Gynaecology, Maternity Koco Gliozheni Hospital, Tirana, Albania
Department of Obstetrics and Gynaecology, General Hospital Celje, Celje, Slovenia
Department of Gynaecological Oncology, Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan
Department of Gynaecological Oncology, Institute of Oncology Ljubljana, Ljubljana, Slovenia
Department of Obstetrics and Gynaecology, The North Estonian Medical Centre, Tallinn, Estonia
Department of Obstetrics and Gynaecology, Yerevan State Medical University, Yerevan, Armenia
Gynaecological Oncology, Świȩtokrzyskie Cancer Centre, Kielce, Poland
Department of Gynaecological Oncology, Maidstone Hospital, Maidstone, Kent, United Kingdom

Department of Obstetrics and Gynaecology
Klinikum Mittelbaden
Gynaecology Department
Department of Obstetrics and Gynaecology
Department of Gynaecological Oncology
Gynaecological Oncology
First Department of Obstetrics and Gynaecology
Department of Womens and Childrens Health
Uoc Ginecologia Oncologica
Department of Gynaecological Oncology
Department of Oncology
Department of Obstetrics and Gynaecology
Gynaecological Oncology
Department of Gynaecological Oncology
Department of Obstetrics and Gynaecology
Department of Gynaecological Oncology
Gynaecologic and Breast Oncologic Surgery Department
Department of Gynaecological Oncology
Department of Obstetrics and Gynaecology
Department of Obstetrics and Gynaecology
Department of Oncogynaecology
Department of Gynaecology
Department of Gynaecology
Department of Obstetrics and Gynaecology
Clinic of Obstetrics and Gynaecology
Department of Gynaecological Oncology and Breast Cancer
Department of Obstetrics and Gynaecology
Department of Obstetrics and Gynaecology
Department of Obstetrics and Gynaecology
Gynaecological Department
Department for Gynaecological Oncology
Department of Gynaecological Oncology
Department of Obstetrics and Gynaecology
Department of Obstetrics and Gynaecology
Department of Gynaecological Oncology
Department of Gynaecological Oncology
Department of Obstetrics and Gynaecology
Department of Obstetrics and Gynaecology
Gynaecological Oncology
Department of Gynaecological Oncology

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