To apply for certification as Fellow of the European Board of Surgery (F.E.B.S.) in the "transferable competency" General Surgery offered by the "European Board of Surgery" and the "Division of General Surgery" a candidate has to undergo a two-step quality validation process: Eligibility and Examination.
A candidate successfully passing the examination will be qualified as
"Fellow of the European Board of Surgery - F.E.B.S." General Surgery
The Fellowship of the UEMS is a significant high-level indication of professional competence and excellence. It basically reflects the ongoing important European standardisation, harmonisation and quality assurance process in medicine.
All details about the Eligibility process, application forms and precise information about the Examination are published on the homepage of the Section of Surgery of the UEMS: www.uemssurg.org.
Eligibility is a prerequisite for the Examination.
In addition Honorary Fellowship Diploma may be awarded to academic and/or senior surgeons in advanced position on invitation, on personal recommendation and on request at the discretion of the Division and Board.
To apply for Eligibility the candidate must fulfil the following requirements:
- Eligibility for the UEMS EBSQ General Surgery Examination is open to candidates trained anywhere in the world, provided that the Division of General Surgery, through its Eligibility Committee, is satisfied that the training and qualifications satisfy its standards for allowing the candidate to take its specialty Exit Examination and which would satisfy all the other Eligibility Criteria which follow.
- The candidate must be able to communicate in the English language. Examinations in the local national language(s) may be additionally provided at the discretion of the Division and Board.
- A national CCST is not a prerequisite.
- A minimum number of six post-graduate years in training (counting from the date of the primary degree to the closing date of application for the Examination, if there is a continuum) is required.
- A medical qualification document i.e. a document certifying that the candidate has successfully completed his/her undergraduate course and passed the relative final examinations e.g. a University graduation diploma, with the Country, Institution and Date clearly indicated, should be provided with the application.
- A National Authority registration certificate i.e. a document certifying that the candidate is registered as a practicing doctor with his National Authority (e.g. the General Medical Council in UK), needs to be submitted.
- Verified copies of photographic identification document (e.g. Passport or EU I.D. Card) should be made available.
- Documents which are not written in English should have a verified and certified English translation by an official Institution (e.g. Ministry for Foreign Affairs) presented.
- The Eligibility Committee reserves the right to seek verification of the documents presented in any way they consider appropriate.
- A candidate is not allowed to sit the UEMS EBSQ General Surgery examination more than a maximum of four attempts.
- It is the responsibility of the candidate to ensure they present themselves fit and prepared for the Examination, also from the perspective of professionalism and probity. Any changes or problems in this regard must be communicated to the Chairperson of the EBSQ Examination and also the Eligibility Committee. Failure to do so could result in the result of the Examination being declared null and void.
- The candidate must provide a defined LogBook countersigned by an independent expert on every page. The LogBook must include general information (surgeon, hospital) and for any item the type of procedure and patient initials or hospital admission number (no information that allows identification of the patients' names). The recommended LogBook template and the mandatory content of the LogBook (minimum: 1500 credit points) and eventual regulations and SOPs for numeric compensations are published by the Division on the website. A candidate's individual LogBook with comparable layout and structure may be accepted for the Eligibility process on the decision of the Eligibility Committee. It can be noted that Endoscopies involve the use of instruments to view body organs or cavities (i.e. it includes much more that laparoscopy e.g. Oesophago-gastro duodenoscopy, procto-sigmoidoscopy, colonoscopy, cysto-urethroscopy, ureteroscopy, laryngoscopy and many others), and that General procedures are surgical procedures that do not fall under the various organ systems (e.g. Excision biopsy of lumps and bumps, abdominal herniae operations, skin grafting, operations for ingrowing toe-nails etc.).
- The candidate must have a total of 25 credit points based on the following criteria:
- Participation at recognized international congress (4 points)
- Participation at recognized international congress and first authorship (8 points)
- Participation national congress (2 points)
- Participation at national congress and first authorship (4 points)
- Participation at relevant International Postgraduate Course (6 points)
- Publication (first authorship) in peer reviewed national surgical journal (8 points)
- Publication (first authorship) in peer reviewed international surgical journal (12 points)
- Candidates have to be recommended by two independent Referees. One of the Referees must be the candidate’s current training clinician, Head of Department or Clinical Director. The second could be from another country or from the candidate’s own country but endorsed by an expert from the UEMS-area.The referees need not be Fellows of the European Board. They have to be established, well known Consultants or Professors, who have had close and long-term contact with the applicant during the applicant’s training or work period.The recommendation letter should include an assurance that the information that has been submitted by the candidate is true and correct, that the applicant is of a sufficient standard and has the necessary experience to sit an Exit Examination in General Surgery. It needs to guarantee the applicants degree of professionalism (attitudes). Ideally, the Referees should comment on the following: Respect and compassion towards the sick; Respect towards colleagues and junior staff; Abidance by the values of honesty, confidentiality and altruism; Competence throughout their career; Care improvement through evaluation of its processes and outcomes; Participation in educational programmes; Care provision irrespective of age, gender, race, disability, religion, social or financial status; Best quality care delivery in a compassionate and caring way.
- Candidates are required to pay the fees for Eligibility (Euro 350,00) and if accepted, a further Euro 450,00 to cover the Examination to the EBSQ Administration Office (UEMS Division bank account data published on website). The Eligibility fee is intended to cover the costs associated with the processing of returned application forms by the central EBSQ office and are non-refundable.
- All payments must be effected by the required deadlines and there are no refunds for (Eligibility) candidates who are deemed ineligible to sit for the Board Examination or do not succeed in passing the Examination. In the event that a candidate has paid the Examination fee and does not attend the Examination there will be no refund.
- Date and location of the Board Examinations are published on the website. The Examination normally is conducted in cooperation with an international or national scientific meeting at the discretion of the Division.
- The Examination is typically a 2-day procedure and consists of an electronic MCQ (multiple choice question) test with at least 100 items, and an OSCE (objective structured clinical examination) circuit with 6 stations, each 10 minutes (morning second day). The thematical weighting of the MCQ questions is according to the relevant "Blueprint". The OSCE circuit consists in clinical pathways and typical cases. The focus is on structured short questions and answers on diagnosis, treatment and decision paths following everyday clinical surgical practice. MCQ and OSCE are weighted 50% each for the overall result. Standard setting of the passmark is the Cohen method, i.e. 60 % of the score of the 95th percentile.
- Applicants and candidates may request reconsideration of decisions regarding the requirements and rules of the EBS on individual credentials, admissibility to the examinations (Eligibility). These requests are referred to the EBS Credentials Committee for evaluation and decision.
- Appeals concerning the Examination can be made to the Board Credentials Committee.
- Reapplication is possible for Eligibility and/or Examination.
- A candidate successfully passing the Eligbility process and the Examination is awarded the title "Fellow of the European Board of Surgery (F.E.B.S.). The title F.E.B.S. determines, that the person successfully proved to have validated high-level knowledges and skills,that allow him/her to successfully cover the relevant field of qualification.
- The EBSQ General Surgery is regarded as a quality mark at the end of specialist training. Passing a European Board Examination does not give a right to practise in any UEMS country. Such rights are granted solely by the relevant National Authority. The Board Fellowship does not implicate automatic allowance to work independently and does not automatically enhance participation in national social security systems of the E.U. Recognition of Fellowship by the National Authorities is encouraged by the UEMS.Individual recognition of Fellowship as equivalent to national diploma is supported by the EBSQ committee and the number of countries officially adopting the Board qualification with subsequent legal validation and automatic mutual recognition in the EU is continuously rising.