LOG IN >
JOIN US >
Contact Us
About ESCP
Executive Report & Messages
Council & Committees
Honorary Members
National Areas
Journal
AGM & Minutes
Affiliates
Constitution & Rules
Global Reach
ESCP History
Conference & Events
ESCP Thessaloniki 25-27 September 2024
Upcoming ESCP Educational Events
Events Listing
Past Conferences
Education & Training
Education Committee
Current Activities
Fellowship and Training Opportunities
European School of Coloproctology
Masterclass Programme
TAMIS Course
Virtual Operating Room
Resource Library
EBSQ Examinations
Badging of educational events
Research
Research Committee
Research Agenda
International Trials Map
Cohort Studies and Audits
Paper of the Month
Case Reports
Badging of research activity
Guidelines
Guidelines Committee
Current ESCP Projects
Published ESCP Guidelines and Collaborative Projects
Processes and Methods
COVID-19 Recommendations
Mesh in Pelvis Guidance Survey
Guidelines Webinar: Mesh in Pelvis
News
Latest News
Event News
Education News
Opportunities
Focus on…
Colorectal Cutting Edge
News Archive
Y-ESCP
Y-ESCP Committee
Y-ESCP Podcast
Global Reach
Global Reach Committee
About Global Reach
Global Reach Webinars
Members
Membership Committee
Join ESCP
Membership Benefits
Member Log In
Resource Library
Log In
Join Us
Contact Us
Sitemap
Print
ESCP Robotic Surgery Fellowship Application
Name
*
Email
*
Work Address
*
Contact Number
*
Do you have access to robotic platform at your current job/training position?
*
Yes
No
Will you have access to robotic surgery platform following completion of ESCP robotic surgery fellowship?
*
Yes
No
Is your department or training programme lead aware of your application for this fellowship?
*
Yes
No
Have you looked at Work Visa and local medical council registration requirements for your potential host centres for the fellowship?
*
Yes
No
Are you currently in a formal robotic surgery training programme or have applied for one?
*
Yes
No
Do you hold medical licence for practice or registration to work in any other country in addition to your current country of practice?
*
Yes
No
How many hours of robotic simulated training you have completed?
*
How old are you?
*
< 35 years
35-40 years
> 40 years
For how long you have been ESCP member?
*
for 12 months
12-24 months
24-36 months
36-48 months
> 48 months
Are you member of ESCP committees or young ESCP?
*
Yes
No
How long ago you graduated from medical school?
*
8 years
8-12 years
12-15 years
>15 years
Which country you studied in for your medical degree?
*
Eastern Europe
Western Europe
Central Europe
Outside EU
Which country you are practising in currently?
*
Eastern Europe
Western Europe
Central Europe
Outside EU
Have to passed ESBQ examination?
*
Yes
No
Which year you have attended ESCP annual conference? (Can select all 5)
2013
2014
2015
2016
2017
2018
2019
2020
2021
How much time you have spent in colorectal surgery practice during and after completion of residency training?
*
< 6 years
6-10 years
10-15 years
> 15 years
How many publications you had in the past 5 years in peer reviewed journals (exclude case reports and abstracts)?
*
0
1
2
3
4
5
How many publications you had in the past 5 years in peer reviewed journals in the field of coloproctology (exclude case reports and abstracts)?
*
0
1
2
3
4
5
How many national/international poster presentations you had in the past 5 years?
*
0
1
2
3
4
5
>5
How many national/international oral presentations you had in the past 5 years?
*
0
1
2
3
4
5
>5
Have you participated in ESCP snapshot audit ? (Select all options if applicable)
None
2015
2016
2017
2018
2019
2020
2021
Have you been awarded a fellowship by ESCP in the past? (Select all options if applicable)
Pre-conference placement
KSCP travelling fellowship
JSCP travelling fellowship
ASCRS travelling fellowship
Observership
3 months fellowship
6 months fellowship
Open right hemicolectomy:
Assisted
*
< 10
10-20
>20
Supervised trainer scrubbed
*
< 10
10-20
>20
Independent
*
< 10
10-20
>20
Open segmental resection:
Assisted
*
< 10
>10, 20
>20
Supervised trainer scrubbed
*
< 10
>10, 20
>20
Independent
*
< 10
>10, 20
>20
Open anterior resection:
Assisted
*
< 10
>10, 20
>20
Supervised trainer scrubbed
*
< 10
>10, 20
>20
Independent
*
< 10
>10, 20
>20
Emergency laparotomy:
Supervised trainer scrubbed
*
< 20
>20, 100
>100
Independent
*
< 50
>50, 100
>100
Laparoscopic appendicectomy:
Supervised trainer scrubbed
*
< 20
>20, 50
>50
Independent
*
< 50
>50, 100
>100
Laparoscopic cholecystectomy:
Supervised trainer scrubbed
*
< 20
>20, 50
>50
Independent
*
< 50
>50, 100
>100
Laparscopic right hemicolectomy:
Assisted
*
< 10
>10, 20
>20
Supervised trainer scrubbed
*
< 10
>10, 20
>20
Independent
*
< 10
>10, 20
>20
Laparoscopic anterior resection/ left colonic resection:
Assisted
*
< 10
>10, 20
>20
Supervised trainer scrubbed
*
< 10
>10, 20
>20
Independent
*
< 10
>10, 20
>20
Haemorrhoid Surgery:
Supervised trainer scrubbed
*
< 10
>10, 20
>20
Independent
*
< 10
>10, 20
>20
Fistula surgery:
Supervised trainer scrubbed
*
< 10
>10, 20
>20
Independent
*
< 10
>10, 20
>20
Robotic assisted laparoscopic anterior resection/ left colonic resection:
Assisted
*
None
< 10
>10, 20
Supervised trainer scrubbed
*
None
< 10
>10, 20
Independent
*
None
< 10
>10, 20
>20
Do you have any formal Research Qualifications?
*
None
PhD
Doctorate in Medicine (MD)
Number of research grants secured in the past 5 years as main applicant and co-applicant?
*
0
1
2
3
4
5
Have you won any international awards for your work, presentations or research?
*
Yes
No
Have you attended any courses / workshops for the robotic surgery in coloproctology?
*
Yes
No
Have you completed a required simulated training on the robotic surgery console?
*
Yes
No
Captcha
*
Submit
ESCP Affiliates
Copyright © 2024 European Society of Coloprotology | All rights reserved | Company No. SC 205553
×
Log In
Remember Me
Forgot your password?
×
Cookie Control
This site uses cookies to store information on your computer.
Read more...
I am happy with this