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Original research
Subspecialty training in Europe: a report by the European Network of Young Gynaecological Oncologists
  1. Maximilian Lanner1,
  2. Tanja Nikolova2,
  3. Bojana Gutic3,
  4. Natasha Nikolova4,
  5. Andrei Pletnev5,
  6. Ilker Selcuk6,
  7. Dimitrios-Efthymios Vlachos7,
  8. Zoia Razumova8,
  9. Nicolò Bizzarri9,
  10. Charlampos Theofanakis10,
  11. Piotr Lepka11,
  12. Ilker Kahramanoglu12,
  13. Sileny Han13,
  14. Sara Nasser14,
  15. Szabolcs Molnar15,
  16. Delphine Hudry16,
  17. Rosa Montero-Macías17,
  18. Natascha de Lange18,
  19. Ronalds Macuks19,
  20. Mir Fuad Hasanov20,
  21. Ramina Karimbayli21,
  22. Irina Gagua22,
  23. Claudia Andrade23,
  24. Catarina Pardal24,
  25. Jelena Dotlic25,
  26. Rosa Maria Alvarez26,
  27. Martin Hruda27,
  28. Filip Fruhauf28,
  29. Linnea Ekdahl29,
  30. Sofie Leisby Antonsen30,
  31. Vladyslav Sukhin31,
  32. Ane Gerda Zahl Eriksson32,
  33. Elko Gliozheni33,
  34. Ratko Delic34,
  35. Alima Satanova35,
  36. Nina Kovacevic36,
  37. Liidia Gristsenko37,
  38. Suzanna Babloyan38,
  39. Kamil Zalewski39 and
  40. Rasiah Bharathan40
  1. 1Department of Obstetrics and Gynaecology, Kardinal Schwarzenberg Klinikum, Schwarzach im Pongau, Austria
  2. 2Klinikum Mittelbaden, Academic Teaching Hospital of Heidelberg University, Baden-Baden, Germany
  3. 3Gynaecology Department, Vojvodina Institute of Oncology, Sremska Kamenica, Serbia
  4. 4Department of Obstetrics and Gynaecology and Centre for Perinatal and Reproductive Medicine, University of Perugia, Perugia, Italy
  5. 5Department of Gynaecological Oncology, N.N. Alexandrov National Cancer Centre of Belarus, Minsk, Belarus
  6. 6Gynaecological Oncology, Maternity Hospital, Ankara City Hospital, Ankara, Turkey
  7. 7First Department of Obstetrics and Gynaecology, National and Kapodistrian University of Athens, Athens, Greece
  8. 8Department of Women's and Children's Health, Division of Neonatology, Obstetrics and Gynaecology, Karolinska Institute, Stockholm, Sweden
  9. 9UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, Fondazione Policlinico Universitario A Gemelli, IRCCS, Rome, Italy
  10. 10Department of Gynaecological Oncology, General Hospital of Athens Alexandra, Athens, Attica, Greece
  11. 11Department of Oncology, Gynaecological Oncology Clinic, Wroclaw Medical University and 2nd Lower Silesian Oncology Centre, Wroclaw, Poland
  12. 12Department of Obstetrics and Gynaecology, Division of Gynaecological Oncology, Istanbul University Cerrrahpasa Medical Faculty, Istanbul, Turkey
  13. 13Gynaecological Oncology, KU Leuven University Hospitals Leuven, Leuven, Belgium
  14. 14Department of Gynaecological Oncology, Gynaecology Clinic with Oncologic Surgery Centre, Charité Comprehensive Cancer Centre, Campus Virchow Klinikum, Berlin, Germany
  15. 15Department of Obstetrics and Gynaecology, University of Debrecen Faculty of Medicine, Debrecen, Hungary
  16. 16Department of Gynaecological Oncology, Centre Oscar Lambret, Lille, France
  17. 17Gynaecologic and Breast Oncologic Surgery Department, European Hospital Group Georges-Pompidou, Paris, France
  18. 18Department of Gynaecological Oncology, Universitair Medisch Centrum Groningen, Groningen, Netherlands
  19. 19Department of Obstetrics and Gynaecology, Riga Stradins University, Riga, Latvia
  20. 20Department of Obstetrics and Gynaecology, Medical Center-University of Freiburg, Freiburg, Baden-Württemberg, Germany
  21. 21Department of Oncogynaecology, The National Centre of Oncology, Baku, Azerbaijan
  22. 22Department of Gynaecology, Research Institute of Clinical Medicine, Todua Clinic, Tbilisi, Georgia
  23. 23Department of Gynaecology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
  24. 24Department of Obstetrics and Gynaecology, Hospital de Braga, Braga, Portugal
  25. 25Clinic of Obstetrics and Gynaecology, Clinical Centre of Serbia, University of Belgrade, Beograd, Serbia
  26. 26Department of Gynaecological Oncology and Breast Cancer, Santa Cristina University Hospital, Madrid, Spain
  27. 27Department of Obstetrics and Gynaecology, 3rd Medical Faculty, Charles University and Faculty Hospital Kralovske Vinohrady, Prague, Czech Republic
  28. 28Department of Obstetrics and Gynaecology, General University Hospital, Charles University, Prague, Czech Republic
  29. 29Department of Obstetrics and Gynaecology, Division of Gynaecologic Oncology, Skåne University Hospital Lund, Lund, Sweden
  30. 30Gynaecological Department, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
  31. 31Department for Gynaecological Oncology, Grigoriev Institute for medical Radiology and Oncology NAMS, Kharkov, Ukraine
  32. 32Department of Gynaecological Oncology, Division of Cancer Medicine, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway
  33. 33Department of Obstetrics and Gynaecology, Maternity Koco Gliozheni Hospital, Tirana, Albania
  34. 34Department of Obstetrics and Gynaecology, General Hospital Celje, Celje, Slovenia
  35. 35Department of Gynaecological Oncology, Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan
  36. 36Department of Gynaecological Oncology, Institute of Oncology Ljubljana, Ljubljana, Slovenia
  37. 37Department of Obstetrics and Gynaecology, The North Estonian Medical Centre, Tallinn, Estonia
  38. 38Department of Obstetrics and Gynaecology, Yerevan State Medical University, Yerevan, Armenia
  39. 39Gynaecological Oncology, Świętokrzyskie Cancer Centre, Kielce, Poland
  40. 40Department of Gynaecological Oncology, Maidstone Hospital, Maidstone, Kent, UK
  1. Correspondence to Dr Maximilian Lanner, Department of Obstetrics and Gynaecology, Kardinal Schwarzenberg Klinikum, Schwarzach im Pongau, Austria; lanner_maximilian{at}hotmail.com

Abstract

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 Fisher’s 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.

  • laparoscopes
  • gynecologic surgical procedures

Data availability statement

All data relevant to the study are included in the article or uploaded as supplementary information.

https://doi.org/10.1136/ijgc-2020-002176

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    Data availability statement

    All data relevant to the study are included in the article or uploaded as supplementary information.

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    Footnotes

    • Twitter @ilkerselcukmd, @agz_eriksson, @RasiahBharathan

    • Correction notice This article has been corrected since it was published Online First. Author name 'Nicolo Bizzari' has been updated to 'Nicolò Bizzarri' and his affiliation has been corrected to 'UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica Fondazione Policlinico Universitario A Gemelli, IRCCS, Rome, Italy'.

      Additionally, the provenance and peer review statement has been included.

    • Contributors ML, RB and KZ conceived the project plan. ML, RB and TN wrote the manuscript. TN and ML did the data analysis. Everyone of the co-authors collected data, revised and approved the final draft.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.