Minimal Invasive Surgery (MIS) is a "transferable competency" which requires the acquisition of "Knowledge" in basic clinical sciences and operative skills as well as specialised "Knowledge and Skills" in managing congenital and acquired diseases and injuries of most organ systems, which are treated by operative and other interventions.
The "transferable competency" MIS covers acute and non-acute diseases and injuries and acute and elective procedures in patients of all ages.
It provides for the operative and non-operative management, i.e. prevention, diagnosis, evaluation, decision making, treatment, intensive care and rehabilitation of patients with pathological processes that affect these organs including the management of pain.
It also involves the necessary knowledge and expertise leading to referral to specialised centers when this is indicated and possible, and where this is not possible because of time or geographical considerations, to possess the multi-specialty skills to carry out these interventions safely.
Minimal Invasive Surgery (MIS) cooperates with other surgical and medical specialties, e.g. anesthesia and intensive care, emergency surgery, gastroenterology, general surgery, internal medicine, radiology, neurology, pediatrics, oncology, obstetrics and gynecology, urology and others in the management of patients.
The surgeon must have acquired and must maintain specialised "Knowledge and Skills" (precisely defined in an additional catalogue) relating to the diagnosis, preoperative, operative and postoperative management in the following areas of primary responsibility:
The focus is on diagnosis and treatment, which comprises all non-instrumental and instrumental techniques including flexible endoscopy, radiology, sonography, computer tomography and magnetic resonance imaging.
The MIS surgeon must be capable of employing endoscopic techniques both for diagnostic and therapeutic purposes and must have the opportunity to gain knowledge and experience in evolving technological methods.
The MIS surgeon must be also capable of interpreting all types of surgery-related radiological examinations.
The MIS surgical activity covers the pre-, peri- and postoperative period including the principles of enhanced recovery and follow-up of patients. The specialty also includes individual and general preventive activities, rehabilitation, palliation and management of pain, especially in oncologic patients.
Minimal Invasive Surgery (MIS) is often performed in specialised centers, especially in oncological cases. When transferral is not possible because of time or geographical considerations, the MIS surgeon should possess the multi-specialty knowledge and skills to carry out these interventions safely.
Additionally, MIS surgeons are expected to have a knowledge of anatomy, physiology and biochemistry which enable them to understand the effects of common surgical disease and injuries upon the normal structure and function of the various systems of the body. They are expected to have a knowledge of cell biology which enable them to understand normal and disordered function of tissues and organs. They should have an understanding of the pathogenesis of the common correctable congenital abnormalities. They are expected to know the actions and toxic effects of drugs commonly used in perioperative and intraoperative care and in the management of critically ill surgical patients. They must also have an understanding of general pathology including the principles of immunology and microbiology in relation to surgical practice.
The MIS surgeon should have certified knowledge in basic technology of the used instruments, especially insufflation devices, monitors, cameras and light sources, ultrasound- and other energy-driven instruments and stapling and fixation devices.
The MIS surgeon must be trained in the economics of health care, in the assessment of research methods and scientific publications and be given the option of research in a clinical and relevant field of further training in another related specialty.