Minimal invasive surgery Syllabus

The Minimal Invasive Surgery (MIS) syllabus comprehensively describes “Knowledge” and “Knowledge and Skills” (= basis for an individual “Log-book”) mandatory for the qualification as F.E.B.S./MIS.

The syllabus is at this time not a complete curriculum that gives a structured educational plan but provides a crude orientation and a framework around which preparation for the qualification as F.E.B.S./MIS can be structured.

The syllabus should not be viewed as static but will be continuously revised and updated by the members of the committee. It is noted, that research and changes in medicine may lead to significant changes in theory and clinical practice and by that will influence the content of the syllabus. New topics will be introduced and obsolete topics may be deleted. The candidates are expected to update their level according to the recent surgical practice and scientific literature.

The MIS surgeon is an expert in performing various surgical interventions in the abdominal and thoracic cavity through minimal access. Due to the wide range of indications and procedures encompassed in this field, it is essential for the MIS specialist to undergo continuing medical education and technological training. Besides preoperative work-up and selection of patients the successful MIS procedure strongly depends on safely and optimally placed entry trocars to access the operative field.

In the major field of hernia surgery it is important to have knowledge in mesh types and structures as well as fixation devices.

Gallbladder removal in chronic and acute stages is a domain of MIS and should be safely achieved in >90% of unselected cases. Intraoperative access to radiologic examinations (cholangiography) or other imaging modalities such as laparoscopic ultrasound must be provided by the surgical team also in the acute situation.

The MIS surgeon and the team have to be trained in managing intraoperative bleeding situations and in rapid conversions to open surgery. Basic training facilities (black box, pelvi-trainer) have to be accessible in spezialized MIS units/departments.

For all the details on the expected knowledge, please download the following document: