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Gynecologic Oncology Training Systems in Europe: A Report From the European Network of Young Gynaecological Oncologists
  1. Murat Gultekin, MD*,
  2. Polat Dursun, MD,
  3. Boris Vranes, MD,
  4. Rene Laky, MD§,
  5. Michaela Bossart, MD,
  6. Jacek P. Grabowski, MD, PhD,
  7. Jurgen M. J. Piek, MD, PhD#,
  8. Ranjit Manchanda, MRCOG**,
  9. Christoph Grimm, MD††,
  10. Kastriot Dallaku, MD‡‡,
  11. Syuzanna Babloyan, MD, PhD§§,
  12. Anna Moisei, MD, PhD∥∥,
  13. Toon Van Gorp, MD¶¶,
  14. Isabelle Cadron, MD##,
  15. Peter Markov, MD***,
  16. Ana Micevska, MD†††,
  17. Michael Halaska, MD, PhD‡‡‡,
  18. Karina Dahl Steffensen, MD, PhD§§§,
  19. Liidia Gristsenko, MD∥∥∥,
  20. Ritva Nissi, MD, PhD¶¶¶,
  21. Eric Lambaudie, MD###,
  22. Zaza Tsitsishvili, MD****,
  23. Dimitrios Haidopoulos, MD††††,
  24. Dimitrios Tsolakidis, MD, PhD‡‡‡‡,
  25. Zoltan Novak, MD, PhD§§§§§§,
  26. Michele Peiretti, MD§§§§,
  27. Gauhar Dunenova, MD∥∥∥∥,
  28. Ronalds Macuks, MD¶¶¶¶,
  29. Thea E. Hetland, MD####,
  30. Trond M. Michelsen, MD, PhD*****,
  31. Filipe C. Martins, MD†††††,
  32. Patriciu Achimas-Cadariu, MD, PhD‡‡‡‡‡,
  33. Elena A. Ulrikh, MD, PhD§§§§§,
  34. Peter Uharcek, MD∥∥∥∥∥,
  35. Sladjana Malic, MD¶¶¶¶¶,
  36. Dejan Ognjenovic, MD#####,
  37. Ignacio Zapardiel, MD, PhD******,
  38. Silke Johann, MD††††††,
  39. Vladyslav S. Sukhin, MD, PhD‡‡‡‡‡‡ and
  40. Ranjit Manchanda, MRCOG**
  1. *Turkish Ministry of Health,
  2. Department of Obstetrics and Gynaecology,Baskent University Hospitals, Ankara, Turkey;
  3. Gynecology and Obstetrics University Clinic, Clinical Center of Serbia, Belgrade, Serbia;
  4. §Gynaekologie und Geburtshilfe Verbund Krages Burgenland, Oberwart/Oberpullendorf/Guessing, Austria;
  5. Department of Obstetrics and Gynaecology, Freiburg University Hospital Center, Freiburg,
  6. Department of Gynecology and Gynecological Oncology, Kliniken-Essen-Mitte, Essen, Germany, and Department of Oncology, Division of Gynecology, Poznan University of Medical Sciences, Poznan, Poland;
  7. #Center Gynaecologic Oncology Amsterdam, VU University Medical Center, Amsterdam, the Netherlands;
  8. **EGA Institute for Women's Health, University College London, London, UK;
  9. ††Department of Gynaecology and Gynaecological Oncology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria;
  10. ‡‡Obstetric Gynaecology University Hospital Koço Gliozheni, Tirana, Albania;
  11. §§1st Department of Obstetrics and Gynecology, "Erebouni" MC, Yerevan State Medical University after M. Heratsi, Yerevan, Armenia;
  12. ∥∥Oncological Department, Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus;
  13. ¶¶Division of Gynaecological Oncology, MUMC+ and GROW-School for Oncology and Developmental Biology, Maastricht, the Netherlands;
  14. ##Division of Gynaecological Oncology, Department of Obstetrics and Gynaecology, Katholieke Universiteit Leuven, Leuven, Belgium;
  15. ***Department of Gynecologic Surgery, Maichin Dom University Hospital, Sofia, Bulgaria;
  16. †††University Hospital of Gynecology and Obstetrics, Skopje, Macedonia;
  17. ‡‡‡Charles University, Praha, Czech Republic;
  18. §§§Department of Clinical Oncology and Radiotherapy, Vejle Hospital, Vejle, Denmark;
  19. ∥∥∥Department of Woman's Diseases, North Estonian Regional Hospital, Surgery Clinic, Oncology Centre, Talinn, Estonia;
  20. ¶¶¶Department of Obstetrics and Gynecology, Oulu University Hospital, Oulu, Finland;
  21. ###Department of Oncologic Surgery, Paoli Calmettes Institute, Marseille, France;
  22. ****Tbilisi Cancer Center, Tbilisi, Georgia;
  23. ††††1st Department of Obstetrics and Gynecology, Gynecologic Oncology Unit, Alexandra Hospital, Athens,
  24. ‡‡‡‡Aristotle University of Thessaloniki, Thessaloniki, Greece;
  25. §§§§§§Department of Obstetrics and Gynaecology, University of Szeged, Szeged, Hungary;
  26. §§§§Division of Gynecologic Oncology, Unit of Preventive Gynecology, European Institute of Oncology, Milan, Italy;
  27. ∥∥∥∥Department of Gynaecological Oncology, Almaty Oncological Clinic, Almaty, Kazakhstan;
  28. ¶¶¶¶Department of Gynecology and Obstetrics, Riga Stradins University, Riga, Latvia;
  29. ####Department of Gynaecological Oncology, The Norwegian Radium Hospital,
  30. *****Women and Children's Division, Oslo University Hospital, Oslo, Norway;
  31. †††††Department of Obstetrics and Gynaecology, Coimbra University Hospitals, Coimbra, Portugal;
  32. ‡‡‡‡‡Institute of Oncology "Prof Dr Ion Chiricuta" Cluj-Napoca, Cluj-Napoca, Romania;
  33. §§§§§St-Petersburg N. N. Petrov Research Institute, St Petersburg, Russia;
  34. ∥∥∥∥∥Department of Obstetrics and Gynaecology, Faculty Hospital Nitra, Nitra, Slovakia;
  35. ¶¶¶¶¶Department of Obstetrics and Gynaecology, University Medical Centre, Ljubljana, Slovenia;
  36. #####Department of Gynecology and Gynecology Oncology, Ptuj Teaching Hospital, Ptuj, Slovenia;
  37. ******Gynaecology Department, Santa Cristina University Hospital, Madrid, Spain;
  38. ††††††Department of Gynaecology and Obstetrics, Cantonal Hospital Schaffhausen, Schaffhausen, Switzerland; and
  39. ‡‡‡‡‡‡Department of Gynaecological Oncology, Grigoriev Institute of Medical Radiology NAMS of Ukraine, Kharkov, Ukraine.
  1. Address correspondence and reprint requests to Murat Gultekin, MD, T. C. Sağlık Bakanlıgi Kanserle Savas Dairesi, İIkiz Sokak 4/1 06000 Sıhhiye, Ankara, Turkey. E-mail: mrtgultekin{at}


Objective: The objectives of the study were to highlight some of the differences in training systems and opportunities for training in gynecologic oncology across Europe and to draw attention to steps that can be taken to improve training prospects and experiences of European trainees in gynecologic oncology.

Methods: The European Network of Young Gynaecological Oncologists national representatives from 34 countries were asked to review and summarize the training system in their countries of origin and fulfill a mini-questionnaire evaluating different aspects of training. We report analysis of outcomes of the mini-questionnaire and subsequent discussion at the European Network of Young Gynaecological Oncologists national representatives Asian Pacific Organization for Cancer Prevention meeting in Istanbul (April 2010).

Results: Training fellowships in gynecologic oncology are offered by 18 countries (53%). The median duration of training is 2.5 years (interquartile range, 2.0-3.0 years). Chemotherapy administration is part of training in 70.5% (24/34) countries. Most of the countries (26/34) do not have a dedicated national gynecologic-oncology journal. All trainees reported some or good access to training in advanced laparoscopic surgical techniques, whereas 41% indicated no access, and 59% some access to training opportunities in robotic surgery. European countries were grouped into 3 different categories on the basis of available training opportunities in gynecologic oncology: well-structured, moderately structured, and loosely structured training systems.

Conclusions: There is a need for further harmonization and standardization of training programs and structures in gynecologic oncology across Europe. This is of particular relevance for loosely structured countries that lag behind the moderately structured and well-structured ones.

  • ESGO
  • Training
  • Gynecologic oncology
  • Training systems
  • European Network of Young Gynaecological Oncologists

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  • Drs Gultekin, Dursun, Vranes, Laky, Bossart, Grabowski, Piek, and Manchanda on behalf of the national representatives of European Network of Young Gynaecological Oncologists (ENYGO).

  • The authors declare that there are no conflicts of interest.