1. Surgical Training in Europe
European Board of Surgery
Core surgical curriculum for Basic Exam
(after 2 years of training)

2. European Board of Surgery
UEMS Statutes:
XI.3 Standing Committee on Quality Management in Specialist
Practice
Its aim is to ensure high standards and guidelines of quality of care provided to patients, and to determine the fitness of European medical specialists’ working environments.
Its functions are the harmonisation of quality management standards and guidelines; their implementation; and the certification of medical specialist practice and/or hospitals (clinical practice).

3. European Board of Surgery
1. EBSQ Specialists of high qualification 2. «Regular» surgeons ?

4. European Board of Surgery
Format
Location
Timing
Lecture (l)
National (nat)
1. year
2nd year
Course (c)
Hospital (hosp)
1. KNOWLEDGE FOR CLINICAL SETTING
Pre- and periopertive care
Consent l
hosp
Risk assesment and scoring systems for the surgical patient
nat
Principles of local and general anesthesia c
Hemosthasis, coagulopathy, anticoagulants, blood products, thrombo-embolic prevention

5. European Board of Surgery
Format
Location
Timing
Lecture (l)
National (nat)
1. year
2nd year
Course (c)
Hospital (hosp)
Post-operative management and critical care
Pain relief l
hosp
Fluid balance and homeostasis, electrolyte balance
Basic life support
nat
Managment trauma-bay
Fracture management, repositioning of luxation
Care of the terminally ill patient
Principles of organ donation

6. European Board of Surgery
Format
Location
Timing
Lecture (l)
National (nat)
1. year
2nd year
Course (c)
Hospital (hosp)
Management of coexisting medical morbidity
Cardiovascular (heart failure, arrythmia, angor, acute mediacal infarction) l
nat
Pulmonary (COPD exacerbation, decompensated asthma, atelectasis, pneumonia, pneumothorax)
Digestive (nutrition, post-operative ileus)
Neurologic (stroke, transient schemic event, acute confusion, positioning damage, alcohol withdrawal, delirium)
Infectious (SSI, antibiotica managment)
Urinary (acute renal failure, urinary catheter)
Endocrine (diabetes, thyroid, parathyroid)

7. European Board of Surgery
Format
Location
Timing
Lecture (l)
National (nat)
1. year
2nd year
Course (c)
Hospital (hosp)
Surgical techniques and technology
Use of diathermia, laser and other devices c
nat
Use of stapling devices, multifunctional tools,..
Principles of day surgery l
hosp
Diagnostic techniques
Principles of diagnostic and interventional radiology, radiation

8. European Board of Surgery
Format
Location
Timing
Lecture (l)
National (nat)
1. year
2nd year
Course (c)
Hospital (hosp)
Naming oneself and others
Coping with crisis and mortality l
nat
Time management
hosp
Principles behind team work

9. European Board of Surgery
Format
Location
Timing
Lecture (l)
National (nat)
1. year
2nd year
Course (c)
Hospital (hosp)
Management and legal issues
Ethics and medical negligence l
nat
Legal aspects of prescriptions
Research (ethical issues, informed consent,…)
Reading and Interpretation of literature
nat, hosp
Understanding the certification of death and administrative arrangements
hosp

10. European Board of Surgery
Format
Location
Timing
Lecture (l)
National (nat)
1. year
2nd year
Course (c)
Hospital (hosp)
2. CLINICAL PROCESS
Daily workflow l
hosp
Record keeping, daily notes
Conducting a visit with nursing staff
Prescription of medications
Presenting at MDT meetings
Writing / dictating an operative note
Certificats, insurrance issues
CIRS, morbidity and mortality conference
Verbal and written communication with general practitioners
......

11. European Board of Surgery
Format
Location
Timing
Lecture (l)
National (nat)
1. year
2nd year
Course (c)
Hospital (hosp)
3. GENERIC TECHNICAL / OPERATIVE SKILLS
Patient positioning and safe handling c
hosp
Disinfection and draping the patient
Suturing in its various forms and materials used, wound closure
Wound management
Splinting, Plastering
nat
External fixation
Positioning of pleuracath, thoracic drainage
Urinary catheter, cystofix
Central venous access

12. European Board of Surgery
Format
Location
Timing
Lecture (l)
National (nat)
1. year
2nd year
Course (c)
Hospital (hosp)
Operative access (abdomen, thorax, extermities,…….) c
hosp
Expertise in the surgical discipline of that unit (i.e. understanding the indications for operations performed, not being required to be competent in them idepently)
l, c
ATLS course
ATLS
Radioprotective course
nat
Basic laparoscopic/minimal invasive skills course
hosp, nat
Simulators
nat, company
Basic endosonography
Vascular anastomosis
Intestinal anastomois
other anastomosis (urology, hand,…..)

13. European Board of Surgery
Discussion