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Lanner M, Nikolova T, Gutic B, Nikolova N, Pletnev A, Selcuk I, Vlachos DE, 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 MF, Karimbayli R, Gagua I, Andrade C, Pardal C, Dotlic J, Alvarez RM, Hruda M, Fruhauf F, Ekdahl L, Antonsen SL, Sukhin V, Eriksson AGZ, Gliozheni E, Delic R, Satanova A, Kovacevic N, Gristsenko L, Babloyan S, Zalewski K, Bharathan R. Subspecialty training in Europe: a report by the European Network of Young Gynaecological Oncologists. Int J Gynecol Cancer 2020; 31:575-584. [PMID: 33361458 DOI: 10.1136/ijgc-2020-002176] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 12/14/2020] [Accepted: 12/16/2020] [Indexed: 11/03/2022] Open
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.
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Affiliation(s)
- Maximilian Lanner
- Department of Obstetrics and Gynaecology, Kardinal Schwarzenberg Klinikum, Schwarzach im Pongau, Austria
| | - Tanja Nikolova
- Klinikum Mittelbaden, Academic Teaching Hospital of Heidelberg University, Baden-Baden, Germany
| | - Bojana Gutic
- Gynaecology Department, Vojvodina Institute of Oncology, Sremska Kamenica, Serbia
| | - Natasha Nikolova
- Department of Obstetrics and Gynaecology and Centre for Perinatal and Reproductive Medicine, University of Perugia, Perugia, Italy
| | - Andrei Pletnev
- Department of Gynaecological Oncology, N.N. Alexandrov National Cancer Centre of Belarus, Minsk, Belarus
| | - Ilker Selcuk
- Gynaecological Oncology, Maternity Hospital, Ankara City Hospital, Ankara, Turkey
| | - Dimitrios-Efthymios Vlachos
- First Department of Obstetrics and Gynaecology, National and Kapodistrian University of Athens, Athens, Greece
| | - Zoia Razumova
- Department of Women's and Children's Health, Division of Neonatology, Obstetrics and Gynaecology, Karolinska Institute, Stockholm, Sweden
| | - Nicolò Bizzarri
- UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, Fondazione Policlinico Universitario A Gemelli, IRCCS, Rome, Italy
| | - Charlampos Theofanakis
- Department of Gynaecological Oncology, General Hospital of Athens Alexandra, Athens, Attica, Greece
| | - Piotr Lepka
- Department of Oncology, Gynaecological Oncology Clinic, Wroclaw Medical University and 2nd Lower Silesian Oncology Centre, Wroclaw, Poland
| | - Ilker Kahramanoglu
- Department of Obstetrics and Gynaecology, Division of Gynaecological Oncology, Istanbul University Cerrrahpasa Medical Faculty, Istanbul, Turkey
| | - Sileny Han
- Gynaecological Oncology, KU Leuven University Hospitals Leuven, Leuven, Belgium
| | - Sara Nasser
- Department of Gynaecological Oncology, Gynaecology Clinic with Oncologic Surgery Centre, Charité Comprehensive Cancer Centre, Campus Virchow Klinikum, Berlin, Germany
| | - Szabolcs Molnar
- Department of Obstetrics and Gynaecology, University of Debrecen Faculty of Medicine, Debrecen, Hungary
| | - Delphine Hudry
- Department of Gynaecological Oncology, Centre Oscar Lambret, Lille, France
| | - Rosa Montero-Macías
- Gynaecologic and Breast Oncologic Surgery Department, European Hospital Group Georges-Pompidou, Paris, France
| | - Natascha de Lange
- Department of Gynaecological Oncology, Universitair Medisch Centrum Groningen, Groningen, Netherlands
| | - Ronalds Macuks
- Department of Obstetrics and Gynaecology, Riga Stradins University, Riga, Latvia
| | - Mir Fuad Hasanov
- Department of Obstetrics and Gynaecology, Medical Center-University of Freiburg, Freiburg, Baden-Württemberg, Germany
| | - Ramina Karimbayli
- Department of Oncogynaecology, The National Centre of Oncology, Baku, Azerbaijan
| | - Irina Gagua
- Department of Gynaecology, Research Institute of Clinical Medicine, Todua Clinic, Tbilisi, Georgia
| | - Claudia Andrade
- Department of Gynaecology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
| | - Catarina Pardal
- Department of Obstetrics and Gynaecology, Hospital de Braga, Braga, Portugal
| | - Jelena Dotlic
- Clinic of Obstetrics and Gynaecology, Clinical Centre of Serbia, University of Belgrade, Beograd, Serbia
| | - Rosa Maria Alvarez
- Department of Gynaecological Oncology and Breast Cancer, Santa Cristina University Hospital, Madrid, Spain
| | - Martin Hruda
- Department of Obstetrics and Gynaecology, 3rd Medical Faculty, Charles University and Faculty Hospital Kralovske Vinohrady, Prague, Czech Republic
| | - Filip Fruhauf
- Department of Obstetrics and Gynaecology, General University Hospital, Charles University, Prague, Czech Republic
| | - Linnea Ekdahl
- Department of Obstetrics and Gynaecology, Division of Gynaecologic Oncology, Skåne University Hospital Lund, Lund, Sweden
| | - Sofie Leisby Antonsen
- Gynaecological Department, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
| | - Vladyslav Sukhin
- Department for Gynaecological Oncology, Grigoriev Institute for medical Radiology and Oncology NAMS, Kharkov, Ukraine
| | - Ane Gerda Zahl Eriksson
- Department of Gynaecological Oncology, Division of Cancer Medicine, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway
| | - Elko Gliozheni
- Department of Obstetrics and Gynaecology, Maternity Koco Gliozheni Hospital, Tirana, Albania
| | - Ratko Delic
- Department of Obstetrics and Gynaecology, General Hospital Celje, Celje, Slovenia
| | - Alima Satanova
- Department of Gynaecological Oncology, Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan
| | - Nina Kovacevic
- Department of Gynaecological Oncology, Institute of Oncology Ljubljana, Ljubljana, Slovenia
| | - Liidia Gristsenko
- Department of Obstetrics and Gynaecology, The North Estonian Medical Centre, Tallinn, Estonia
| | - Suzanna Babloyan
- Department of Obstetrics and Gynaecology, Yerevan State Medical University, Yerevan, Armenia
| | - Kamil Zalewski
- Gynaecological Oncology, Świętokrzyskie Cancer Centre, Kielce, Poland
| | - Rasiah Bharathan
- Department of Gynaecological Oncology, Maidstone Hospital, Maidstone, Kent, UK
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