Structure and requirements

Structure of the certification process

The evaluation process of the ECRES programme is based on an assessment of the applicant in five independent specific domains of surgical professional competence. Each of these five domains has a recognised and documented educational or training value, with clearly defined stages for assessment.
These five domains are the basic structure of the ECRES certification programme and thus create a unique European frame of diplomas in endoscopic surgery with clearly defined borders between them.

Levels of certification and requirements


The ECRES, based on this competence structure, has been developed on two levels: 

  1. Primary Level in Reproductive Endoscopic Surgery (specific surgical skills not required)
    In order to achieve this diploma only psychomotor and not specific surgical skills are required. Candidates reaching this level will be certified to have the required theoretical knowledge and practical skills to enter an endoscopic OR training programme. 
  2. Master Level in Reproductive Endoscopic Surgery (specific surgical skills required)
    This diploma is unique and is awarded only by ESHRE. To reach this level, specific psychomotor and surgical skills are required. Candidates holding this diploma will be certified as able to practice endoscopic surgery independently within the field of reproductive medicine and will have the title of Master Reproductive Endoscopic Surgeon.


To apply for the Primary or Master level in Reproductive Endoscopic Surgery, applicants must be:

- an ESHRE member
- a registered clinician or a post graduate student in medicine