Fellowship of the European Board of Surgery in the specialty of Minimally Invasive Surgery (F.E.B.S./MIS): a continuous evaluation.
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Authors
Poljo, Adisa
Klasen, Jennifer M
Curtis, Nathan J
Soltes, Marek
Francis, Nader K
Popa, Dorin
Bjelovic, Milos
Andrejevic, Predrag
Müller, Beat P
Nickel, Felix
Issue Date
2025-09-19
Type
Journal Article
Language
en
Keywords
Board certification , Examination , Minimally invasive surgery , Surgical education
Alternative Title
Abstract
Background: Minimally Invasive Surgery (MIS) has become the standard approach for many procedures, driving rapid changes in training pathways and challenging traditional assessment and accreditation methods. To address this, the European Union of Medical Specialists (UEMS), in collaboration with the European Association for Endoscopic Surgery (EAES), established a working group in 2015 to develop a MIS-specific board fellowship exam (Fellow of European Board of Surgery in Minimally Invasive Surgery (F.E.B.S./MIS)). This rigorous, multi-modality examination assesses surgeons' knowledge and skills to ensure high-quality independent practice. This study provides an overview of the exam's development, structure, and quality assurance, with a focus on participant evaluation.
Methods: Eligibility followed UEMS criteria, including certified MIS training, case logbook documentation, and English proficiency. The exam comprised a 100-item multiple-choice test (MCQ) and an objective structured clinical examination (OSCE) with clinical scenarios and validated technical skill tasks. Participants completed evaluation questionnaires on exam experience. Data were analyzed using descriptive statistics, linear regression, and independent-samples t-tests to examine associations between experience, performance, and total scores.
Results: Between 2018 and 2024, 119 participants from 28 countries undertook the exam in seven European countries. Most were experienced attending surgeons, with pass rates of 61-88%. Higher credit scores were linked to passing, though not directly correlated, indicating experience alone did not ensure success. Fellowships were considered as the optimal exam time, with motivations including certification and knowledge updates. Feedback was highly positive, especially for oral case-based stations, and nearly all recommended the exam. Suggested improvements included streamlining the application process, enhancing practical training opportunities, offering flexible dates, and enabling exams in candidates' home countries or languages.
Conclusion: The UEMS/EAES MIS Board exam is firmly established as a specialized certification for MIS and has been well received by participants. Nevertheless, its broader influence and professional recognition still require systematic assessment.
Description
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Citation
Poljo, A. et al. (2025) 'Fellowship of the European Board of Surgery in the specialty of Minimally Invasive Surgery (F.E.B.S./MIS): a continuous evaluation', Surgical Endoscopy Available At: https://doi.org/10.1007/s00464-025-12204-3
Publisher
Springer Nature
License
© 2025. The Author(s).
Journal
Surgical endoscopy
Volume
Issue
PubMed ID
ISSN
1432-2218