10 steps to follow in order to obtain the ECRES certificate(s)


Step 1: Obtain ECRES WebSurg certificate 

This is available on the IRCAD website: www.winnersproject.com. All candidates must attain the ECRES WebSurg for the Primary level in Reproductive Endoscopic Surgery. 


Step 2: Registration on ESHRE website for the Primary level Certificate in Reproductive Endoscopic Surgery 
Online registration (including submission of ECRES WebSurg certificate) and payment of the registration fee to sit for the Primary Level in RES certification tests.

The evaluation of the psychomotor skills is performed by the European Academy of Gynaecological Surgery (EAGS) through the following validated tests:

  • LAST+T Laparoscopic Assessment of Skills in Training and Testing 
  • HYST+T II Hysteroscopic Assessment of Skills in Training and Testing 
  • SUT+T II assessment in laparoscopic suturing 

IMPORTANT NOTE: Gynaecologists with a limited experience on endoscopic surgery will find HYST+T II and SUT+T II extremely difficult. They are strongly advised to go through the GESEA programme and the WebSurg Bachelor level to become familiar with the training programme. Exercising on LAST+T, HYST+T II and SUT+T II prior to testing will enable a successful result. 
Theoretical tests:

  • TEST+T1 Notion of instrumentation and hardware, operating room organisation, anatomy and complications
  • TEST+T2 Elementary notions reproductive medicine


Step 3: Submission to ESHRE Central Office of logbook surgical practice curriculum (Electronic)
Surgical experience and training will be evaluated through the submission of a surgical practice curriculum signed by the applicant and by the Director of the department or the Scientific Director of the hospital.
You need to have been exposed to (as a witness) 50 hysteroscopies (25 diagnostic and 25 operative) and 50 laparoscopies (20 diagnostic and 30 operative).


Step 4: Release of the Certification Primary level in Reproductive Endoscopic Surgery
Step 5: Registration on ESHRE website for the Master Level in Reproductive Endoscopic Surgery 
Online registration and payment of the registration fee for the Master Level in RES. The online registrations for the exam are available until 31 May 2016 (23h59 CET) or until the maximum number of participants has been reached. This year it will not be possible to register onsite.


Step 6: Submission to ESHRE Central Office of real time surgical practice
You will be given access to the Master level electronic platform to submit your real time surgical practice. You need to have performed (as first surgeon) 50 hysteroscopies (25 diagnostic and 25 operative) and 50 laparoscopies (20 diagnostic and 30 operative). Each candidate should submit 15 unedited videos with the following numbers of surgical procedures: 5 hysteroscopies (2 diagnostic and 3 operative) and 10 laparoscopies (3 diagnostic laparoscopies and/or trans vaginal hydrolaparoscopies and 7 operative laparoscopies).


Step 7: Evaluation of surgical experience 
Candidates' surgical skills will be evaluated after submission of unedited videos of operations to ESHRE Central Office. Five videos will be evaluated by ECRES tutors (after blind selection by the Central Office) using predefined criteria for assessment. On-site evaluation of blindly selected candidates could also be done, if needed. 


Step 8: Final theoretical exam
Theoretical knowledge of the candidates will be tested through theoretical examinations arranged by ESHRE (at the Annual meeting).


Step 9: Release of the Certification Master Level in Reproductive Endoscopic Surgery
After passing the final theoretical exam the Certification will be released.


Step 10: Continuing Medical Education 
CME can be gained through a professional CV (European format) with training curriculum, certified attendance at ESHRE congresses or SIG reproductive surgery courses, publications and continuing surgical activity description.