Pathways GESEA Educational Programme

Acquire your GESEA MIGS Diploma

Minimal Invasive Gynaecological Surgeon (MIGS)

The GESEA MIGS Pathway allows you to acquire your  GESEA Diploma for ESGE Minimal Invasive Gynaecological Surgeon (MIGS):

Level 1 Certificate
The first step is to get your GESEA Level 1 Certificate proving your general endoscopic knowledge and acquirement of basic endoscopic psychomotor skills to get ready to start training in the Operating Room

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Level 2 MIGS Certificate
The second step is to successfully complete the GESEA Level 2 MIGS exam and be awarded the GESEA Level 2 MIGS Certificate. This certificate indicates that you have mastered the knowledge and more advanced psychomotor skills as needed to start performing basic endoscopic procedures in the Operating Room.

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MIGS Diploma
Finally, when you have the necessary surgical experience and related competence, you may apply for the GESEA MIGS Diploma as issued by the ESGE. The GESEA MIGS Diploma is a video-based expert-reviewed diploma where surgical skills are evaluated by performing a select number of laparoscopic and hysteroscopic procedures.

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Additional step (not obligatory) is to obtain Robotics certification and diploma after finalising level 2 certification.

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GESEA Level 1 Certificate

Your entry point into the Operating Room

Prerequisites for GESEA Level 1 Certification

  • GESEA Level 1 E-Learning Certificate of Completion

    When applying for a level 1 certification, submit your Certificate of Completion together with your application or bring it with you at the certification session.

Knowledge Acquisition
Sign up for the GESEA Level 1 e-learning on ESGE Academy and complete the theoretical tutorials and quizzes of level 1. You will be awarded with a certificate of completion.
Practical Skill Training
Develop your practical skills by exercising with the GESEA Training Tools at your centre, in one of the Accredited GESEA Training or Diploma Centres, or during the ESGE Annual Congress and other national congresses where GESEA is present.
Certification
Take the GESEA Level 1 exam at an accredited GESEA Diploma Centre or during an official GESEA Event. The certification session consists of:

(1) a theoretical exam, TESTT1*, which contains 50 multiple choice questions on instrumentation, OR organisation, anatomy, different endoscopic techniques and complication management

(2) three practical exams, LASTT1, SUTT1 and HYSTT1.

**Please be aware that not all of the multiple choice questions in TESTT1 are included in the content of the preparatory tutorials on ESGE Academy. TESTT1 also contains additional questions in line with the expected knowledge level for surgeons participating in Level 1 of the GESEA Educational Programme.

GESEA Level 2 MIGS Certificate

Start performing basic endoscopic procedures

To view GESEA Level 2 ECRES, please click here

Prerequisites for Level 2 GESEA MIGS Certification

  • GESEA Level 1 Certificate

    First acquire the GESEA Level 1 Certificate before you can apply for the next level. Provide your certificate as proof that you have completed the first level upon registration for a second level certification session.

    You can apply for a bypass if you meet the following criteria:

    • Must provide a letter signed by head of department, confirming applicant has experience in major surgeries in both laparoscopy and hysteroscopy
    • Must provide proof of attendance at a recognised suturing workshop

    Note that you still need to complete the GESEA Level 1 eLearning on ESGE Academy.

  • GESEA Level 2 MIGS E-Learning Certificate of Completion

    When applying for a Level 2 MIGS Certification, submit your Certificate of Completion together with your application or bring it with you at the certification session.

Knowledge Acquisition
Complete the theoretical tutorials and quizzes of GESEA Level 2 MIGS e-learning on ESGE Academy.
Practical Skill Training
Develop your practical skills by exercising with the GESEA Training Tools at your centre, in one of the GESEA Training or Diploma Centres, or during the ESGE Annual Congress and other national congresses where GESEA is present.
Certification
Take the GESEA Level 2 MIGS exam at an accredited GESEA Diploma Centre or during an official GESEA Event or at the ESGE Annual congress. The certification session consists of:

(1) a theoretical exam, TESTT2*, which contains 50 multiple choice questions on instrumentation, OR organisation, anatomy, different endoscopic techniques and complication management

(2) three practical exams, LASTT2, SUTT2 and HYSTT2.

**Please be aware that not all of the multiple choice questions in TESTT2 are included in the content of the preparatory tutorials on ESGE Academy. TESTT2 also contains additional questions in line with the expected knowledge level for surgeons participating in Level 2 of the GESEA Educational Programme.

GESEA MIGS Diploma

Validate your surgical competence

Prerequisites for GESEA MIGS Diploma

  • MIGS Certificate

    You have acquired the MIGS Certificate.

  • ESGE Membership

    You are a member of the ESGE, either individually or through one of its corporate member societies. If you are not yet, become a member now.

Surgical Competence

To apply for your GESEA MIGS Diploma:

You have to acquire the necessary surgical competence both in laparoscopy and in hysteroscopy.

You must provide your documented testimony of surgical clinical practice curriculum a maximum period of 5 years together with supporting documentation to diploma@esge.org.
The next step is to submit the schedule of your first procedure stating the date when you will perform the actual procedure, you cannot use existing recorded video material. There are five different procedures to schedule with a total cost of 500 euro. As soon as you have scheduled your first procedure, you have entered the MIGS Diploma programme.
After you have performed a procedure, you have 48 hours to submit the video of the procedure through the GESEA Diploma Video submission system and the report of the anaesthesiologist to diploma@esge.org. For each procedure, you have to make a separate submission.

When the ESGE has received all your recorded procedures, they will be expert-reviewed and rated. Apply now for your GESEA MIGS Diploma through the ESGE website.

Acquire your GESEA Robotics Diploma (Optional)

Validate your surgical competence

The GESEA Robotics Pathway allows you to acquire your Diploma of Gynaecological Robotics Surgeon.

For more details, click the button below

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GESEA Level 3 Expert Level Oncology Diploma

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Prerequisites for Level 3 Expert Level Oncology

  • GESEA MIGS Diploma

    You have acquired the GESEA MIGS Diploma or ESGO Fellowship Certificate

  • or

  • Peer Reviewed Laparoscopic Hysterectomy or ESGO Fellowship Certificate

  • Achievement of necessary surgical competence

Provide documented testimony

You must provide your documented testimony of surgical clinical practice curriculum covering the 5 years after completion of specialty training (upload here)

Expert review of Surgical Procedure

Prerequisites;

GESEA MIGS Diploma or Expert review of Laparoscopic Hysterectomy certificate or ESGO Fellowship Certificate (upload here)

Surgical Procedure Steps

To attain Peer Reviewed Laparoscopic Hysterectomy certificate complete the following steps:

  • Submit the schedule of your Laparoscopic Hysterectomy stating the date when you will perform the actual procedure, you cannot use existing recorded video material.

  • Submit your Laparoscopic Hysterectomy video here following the criteria below:

    • Laparoscopic Hysterectomy

    The surgeon is expected to perform a total laparoscopic hysterectomy of own choosing.

    The procedure will be evaluated by 2 international expert reviewers on 4 steps of the hysterectomy: Dissection of the broad ligament and the IP ligament, Bladder Dissection, Colpotomy, Laparoscopic vaginal suture.

    For these 4 steps, a specific evaluation scale is used by the reviewers: the H-OSATS scale (Knight S et al. PLoS One. 2018. 2;13(1): e0190580.)

    For recommendations on the technical aspects of a laparoscopic hysterectomy, please consult with attention the article Surgical steps of total laparoscopic hysterectomy as published in Facts, Views and Vision in ObGyn, the journal of the ESGE.

    Video examples for these 4 steps are also available in this section.

GESEA Expert Level 3 Oncology eLearning module

Purchase the GESEA Expert Level Oncology eLearning module and complete the module (certificate of completion once all lectures are viewed)

Apply for an Observership

Apply for an Observership at an accredited ESGO centre

  • Period of attachment 4 weeks (within one year) and minimum one week per centre

  • For applicant working in an existing centre, 2 weeks must be in a different centre*

Cost vary for different centres, check at the time of application. Please note that the programme fee does not include any additional costs related to the observership, such as hospital administrative fees, travel, accommodation, or meals.

Provide certificate of completion of observership (upload here)

Submit Procedural Videos

Submit Procedural Videos for Expert Peer Review

Submit the schedule of the following procedures:

Stating the date when you will perform the actual procedure, you cannot use existing recorded video material.

Submit your video procedures here

Fee for GESEA Expert Level 3 Oncology Diploma

Payment Module Total Amount €1200,00*
Criteria to enter (*Laparoscopic Hysterectomy)
Access to the GESEA Expert Level 3 - Oncology eLearning 1st Payment €200,00
Application for an Observership 2nd Payment €200,00
Completion of Observership 3rd Payment €200,00
Submission of video 4th Payment €400,00

*Laparoscopic Hysterectomy Expert Review
€200,00

Please note that the programme fee does not include any additional costs related to the observership, such as hospital administrative fees, travel, accommodation, or meals.