ESDE-MIE fellowship: a descriptive analysis of the first experiences

Author:

Talavera-Urquijo Eider1ORCID,Gantxegi Amaia2,Garbarino Giovanni M3,Capovilla Giovanni45,van Boxel Gijs I6,Grimminger Peter P78ORCID,Luyer Misha D9,Markar Sheraz R101112ORCID,Svendsen Lars B13,van Hillegersberg Richard14

Affiliation:

1. Department of Surgery, University Hospital of Donostia , Donostia-San Sebastián , Spain

2. Department of Surgery, Vall d´Hebron Hospital Universitari , Barcelona , Spain

3. Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Gastrointestinal Surgery Unit, Sant’Andrea University Hospital , Rome , Italy

4. Department of Surgical , Oncological and Gastroenterological Sciences, , Padova , Italy

5. Università di Padova , Oncological and Gastroenterological Sciences, , Padova , Italy

6. Department of Upper GI Surgery, Portsmouth Hospitals University , Portsmouth , UK

7. Department of General , Visceral and Transplant Surgery, , Mainz , Germany

8. University Medical Center Mainz , Visceral and Transplant Surgery, , Mainz , Germany

9. Department of Surgery, Catharina Hospital , Eindhoven , the Netherlands

10. Department of Molecular Medicine and Surgery , Karolinska Institutet, , Stockholm , Sweden

11. Karolinska University Hospital , Karolinska Institutet, , Stockholm , Sweden

12. Nuffield Department of Surgery, University of Oxford , Oxford , UK

13. Department of Surgery and Transplantation, Copenhagen University Hospital , Rigshospitalet , Denmark

14. Department of Surgery, University Medical Center Utrecht , Utrecht , the Netherlands

Abstract

Summary Esophageal resection is a high-risk and technically demanding procedure, with a long proficiency-gain curve. The European Society Diseases of the Esophagus (ESDE)-Minimally Invasive Esophagectomy (MIE) training program was launched in 2018 for European surgeons willing to train and to begin a career undertaking MIE. The aim of this study was to evaluate the first experience of the ESDE-MIE fellowship and relate this to the initially predetermined core principles and objectives of the program. Between October 2021 and May 2022, the participating fellows, in collaboration with the ESDE Educational Committee, initiated a survey to assess the outcome and experience of these fellowships. Data from each individual fellowship were analysed and reported in a descriptive manner. Between 2018 and 2022, in total, five fellows have completed the ESDE-MIE fellowship program. Despite the COVID-19 outbreak just the year after its launch, predetermined clinical and research goals were achieved in all cases. Each of the fellows were able to assist in a median of 40 (IQR 27–69) MIE and/or Robot assisted (RA)MIE procedures, of a total median of 115 (IQR 83–123) attended Upper GI cases. After the fellowship, MIE has been fully adopted by the fellows who returned to their home institutions as Upper GI surgeons. The fellowship was concluded by the European Union of Medical Specialists (UEMS) Multidisciplinary Joint Committee (MJC) certification in Upper GI Surgery, which was successfully obtained by all who took part. Based on the experience of the first five fellows, the ESDE-MIE training fellowship meets with the expected needs even despite the COVID-19 outbreak in 2019. Furthermore, these fellows have returned home and integrated MIE into their independent surgical practice, affirming the ability of this program to train the next generation of MIE surgeons, even in the most challenging of circumstances.

Publisher

Oxford University Press (OUP)

Subject

Gastroenterology,General Medicine

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