EBSQ Examinations

HPB Surgery
EBSQ Examinations

Next EBSQ Examination

DatesPlaceApplication Deadline
9th of June 2023Lyon, FranceApplications not yet open

Applications for the examinations in 2023 have not yet opened. We will update this page as soon as we have any more information regarding the exam.

We advise potential applicants to read thoroughly this page and the documents which can be downloaded from this page.

We kindly encourage applicants to submit their documents and payment as early as possible, once applications are open.

Please note that you have to submit all the required documents and paid the Eligibility fee before the deadline date. The further payment of the Examination fee may be possible after the deadline date within 2 weeks from the notification of your eligibility (sent by email).

All candidates, including new candidates and those who postponed or failed previously must apply through this website!

Standards & requirement for EBSQ examination

The Fellowship of the European Board of Surgery in HPB Surgery) is obtained on passing Part I (Eligibility) and Part II (Examination) of the European Board of Surgery Qualification examination.

Eligibility assessment

This year the Eligibility test is done in two parts.

  • First part of the Eligibility assessment process :

Applicants must fill out all fields of the application and pay the Eligibility fee in order to pass the first part of the Eligibility assessment. The payment of the Eligibility fee is a mandatory step for your application to be taken into account by the Eligibility Board.

  • Second part of the Eligibility assessment process :

Those who are successful will receive a Medbook code to create an account on the www.Medbook.com platform. They will have to enter all the requested information and to inform their URL Medbook profile on their EBSQ application form, so that the Eligibility Board can consult it and proceed to the second and final part of the Eligibility assessment.

The applicant will be informed of the acceptance or rejection of his/her application in due time.

Candidates who pass the second part of the Eligibility assessment process will be asked to pay the Examination fee (600 euros) to finalise their registration for the EBSQ examination. The payment of the Examination fee is a mandatory step for your application to be finalized and taken into account by the Examination Board.

Eligibility criteria

To apply to the EBSQ examination in HPB surgery, a candidate must fulfil the following requirements for eligibility:

  1. The applicant must have completed surgical training and :
    1. either is a board certified surgeon in a UEMS member or associate member country, and has accomplished the HPB surgical training in one of UEMS member countries
    2. or is a board certified surgeon from outside of European Union countries, but has obtained a temporary license in a UEMS member or associate member country and has accomplished the two years HPB surgical training in a UEMS member or associate member countries.
  2. The applicant must have a minimum of 2 years of training in HPB Surgery after surgery board certification. The training can be obtained in separate parts as long as these are contained within a 4 years period.
  3. The candidate must have produced at least two peer reviewed paper as a first or second or senior author in the field of HPB Surgery.

The candidate must have a total of 20 credit points (CPs), as per the Credit Points document.

The candidate must have performed at least 50 major HPB procedures independent of a kind. As an example of major HPB procedure, major liver resections mean 3 or more segments of liver. The details of required HPB procedures are indicated in the Logbook requirements document.

Supporting information & documents to submit along with the exam application

As support to their application, the applicant should produce the following documents, the first is to be downloaded  from this website (template hereunder) and filled out :

For the first part of the Eligibility assessment :

  • Proof of Training in HPB Surgery in a European Center
  • 2 letters of recommendation from trainers (HPB training performed in Europe) 
  • A completed updated CV
  • Certificate of national board certification in surgery
  • Application Form duly completed and signed (download the template hereunder)
  • A scan of your ID card or passport with your photo and your name in Latin letters

For the second part of the Eligibility assessment :

  • The URL link of your MEDBOOK profile (codes will be provided to the 20 first applicants ounce they have submitted the previous documents and passed the first part of the Eligibility assessment)

Documents to download

Examination organisation and rules

The Examination is held once or twice a year and takes place over a single day.

Examinations in HPB are only offered in English

The written exam (multiple choice questions) takes place at the same examination centre and on the same day as the oral exam. Candidates should bring their own laptop, as the examination is conducted on the UEMS online examination platform. The fact that a candidate does not have a laptop should not prevent them from taking the exam, we will ensure that a laptop is provided.

The oral exam consists of 3 consecutives 30 minutes sessions. Each session consists of two or three clinical cases discussions. Clinical cases are presented in a digital format with patient’s history and imaging.

Examiners will ask specific questions based on patient’s data, surgical technique, controversies and available clinical trials on the subject.

The exam includes the questions from the following areas:

  • HPB anatomy
  • HPB Physiology
  • Medical aspects (non-technical skills)
  • Liver
  • Pancreas
  • Bile Duct
  • Portal Hypertension
  • HPB Minimally Invasive Surgery

The examination can be repeated up to 3 times in 3 years in case of failure (ie: maximum 3 attempts in total).

Pass mark

The “pass mark” of the written exam is different every year. It is calculated before the exam using international standard-setting procedure (Anghoff Scoring) and depends on complexity of the questions. Calculated values are usually (not always) between 68-70%. Percentiles based system (Cohen) is not used.

A candidate successfully passing the examination will be qualified as: Fellow of the European Board of Surgery in HPB Surery (F.E.B.S. HPB Surg) and is provided with the relevant certificate. The Fellowship of the UEMS is a significant high-level indication of professional competence and excellence. It basically reflects the ongoing important European standardisation, harmonisation and quality assurance process in medicine.

Examination fees

The global fee for the EBSQ examination in HPB surgery is of 850 euros, divided as follows:
– Eligibility fee of 250 euros (non refundable if the candidate is not eligible), and
– Examination fee of 600 euros.

The Eligibility fee is to be paid when the candidate applies, before the Eligibility assessment process.

The Examination fee is to be paid once the eligibility of the candidate has been confirmed. The payment of the Examination fee finalises and completes the registration of the candidate for the examination.

Cancellation & refund policy

Candidates who fail the exam may resit (within 2 years) without undergoing a further Eligibility fee but will have to pay the examination fee (€ 600) each time they resit.

Cancellation/Postponement up to 30 days before the exam- Exam fees (if paid) postponed to next sitting + an admin charge of 90 euro.

Cancellation/Postponement less than 30 days before the exam – Exam fees not transferred to the next exam. If candidate was deemed eligible then they will pay the full exam fee + 90 euro admin fee. They will not have to pay the eligibility fee again if they have been assessed eligible.

Reasonable cancellations within 30 days of the exam will be considered on a case by case basis. Supporting documentation may be required.

For those who have been assessed eligible, you may postpone for up to 24 months. After 24 months you must go through the eligibility assessment again.

All fees paid are non-refundable. The exam fee may be transferred to another exam sitting if more than 30 days notice is given.

Recommended readings (as of July 2022)

Pancreatic Cancer Textbook (endorsed by E-AHPBA): https://link.springer.com/book/10.1007/978-3-030-53786-9

The Impact of Neoadjuvant Treatment on Survival in Patients Undergoing Pancreatoduodenectomy With Concomitant Portomesenteric Venous Resection: An International Multicenter Analysis. Annals of Surgery, Volume 274, Number 5, November 2021

Evaluation of Adjuvant Chemotherapy in Patients With Resected Pancreatic Cancer After Neoadjuvant FOLFIRINOX Treatment. JAMA Oncology, September 10, 2020

Systematic review and meta-analysis of risk factors of postoperative pancreatic fistula after distal pancreatectomy in the era of 2016 International Study Group pancreatic fistula definition. HPB, February 2021, https://doi.org/10.1016/j.hpb.2021.02.015

E-AHPBA Post Graduate Gold Seal Liver Course – Zurich 2021

Modern therapeutic approaches for the treatment of malignant liver tumours. Nat Rev Gastroenterol Hepatol. 2020 Dec;17(12):755-772. doi: 10.1038/s41575-020-0314-8. Epub 2020 Jul 17. PMID: 32681074.

Proposal of a New Comprehensive Notation for Hepatectomy: The “New World” Terminology. Ann Surg. 2021 Jul 1;274(1):1-3. doi: 10.1097/SLA.0000000000004808. PMID: 33630445.

Perihilar Cholangiocarcinoma – Novel Benchmark Values for Surgical and Oncological Outcomes From 24 Expert Centers. Ann Surg. 2021 Nov 1;274(5):780-788. doi: 10.1097/SLA.0000000000005103. PMID: 34334638.The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg. 2013 Jul;258(1):1-7. doi: 10.1097/SLA.0b013e318296c732. PMID: 23728278.