Rolling admission · Istanbul · Delivered in English
Follow endometriosis from the multidisciplinary clinic and imaging review to theatre and follow-up, within the gynaecological surgery department of a university teaching and research hospital in Istanbul, as the department's calendar allows.
What you see depends on the department's clinical calendar during your placement; the list below describes the department's usual scope, not a guaranteed programme.
Endometriosis is managed as a chronic condition, and surgery is one option among several. The opening question is what the patient wants treated — pain, subfertility or both — because the answer changes the plan. Hormonal treatment controls symptoms for many women; surgery is weighed when symptoms persist despite it, when fertility is the priority, or when an endometrioma or deep disease threatens organ function, as in ureteric obstruction. Observers in the endometriosis clinic can follow how these goals are clarified with the patient and how the team explains what surgery can, and cannot, be expected to change.
Planning depends on mapping the disease before theatre. Transvaginal ultrasound by an experienced operator and, where needed, MRI describe ovarian endometriomas and deep nodules in the uterosacral ligaments, rectovaginal septum, bowel and bladder, and classification systems such as #Enzian give the team a shared language. The map determines who needs to be in theatre: a gynaecologist alone for peritoneal and ovarian disease, or colorectal and urology surgeons when the bowel or ureter is involved. Whether such joint cases are scheduled during a given placement can be confirmed only after review.
Surgical decisions continue in theatre and after it. With an endometrioma, the team balances complete excision against preserving ovarian reserve, particularly before fertility treatment. With bowel disease, the choice between shaving, discoid excision and segmental resection carries different risks, which is why it is discussed and consented in advance. After surgery, the ward round and follow-up cover recovery, hormonal suppression to reduce recurrence and referral for fertility care where relevant. Observers follow this sequence across clinic, theatre and ward; the robotic modality itself is covered on its own focus page.
Where the gynaecological surgery page surveys the whole department, this page follows one disease from clinic to follow-up. It is not a page about hysteroscopy or about the robotic modality, which has its own Robotic Gynaecological Surgery page, and functional prolapse and continence problems belong to the Urogynaecology & Pelvic Floor Surgery page.
A good match for clinical-year students and graduate physicians heading for obstetrics and gynaecology who want to see why endometriosis care is multidisciplinary and how a surgical decision is reached.
For obstetrician-gynaecologists with a specialist qualification who want 12–24 months following endometriosis patients across clinic, theatre and follow-up, with endometriosis stated as their interest and allocation decided by the gynaecological surgery department.
Both routes are strictly observational: observers attend theatre and clinic without patient contact, do not scrub or assist, and are not assessed on any procedure.
| Clinical Observership | Clinical Fellowship | |
|---|---|---|
| Duration | 1, 2 or 4 weeks (extension possible on request) | 12 to 24 months, agreed with the host department |
| Who it is for | Medical students in clinical years and graduate physicians from outside Turkey | Recognised specialists and family physicians seeking advanced exposure beyond standard specialty training |
| Format | Full-time, strictly observational — outpatient clinics, operating theatre, ward rounds, case discussions | Extended observational attachment to one department: daily practice, service structure and specific techniques |
| Certificate | Certificate of attendance issued by the host hospital and signed by its Medical Director | Certificate on completion issued under the accreditation of the affiliated university school of medicine |
| Start | Rotations typically begin on a Monday; dates are agreed individually | Start date planned around the date you request and the department's capacity |
One online application for both routes. State Endometriosis Surgery as your focus in your objectives; ATDERA reviews the file and prepares it for the Gynaecological Surgery department, then replies with next steps, typically within two working days.
Already started? The application page picks up where you left off.
ATDERA Global Limited (Companies House No. 17173428, registered in England and Wales) coordinates this programme for a university teaching hospital in Istanbul. ATDERA is not a hospital and does not provide clinical care; admission decisions and certificates are the host hospital's.
One online application covers both routes and all twenty-one specialties — details, programme choice and documents in five short steps. ATDERA reviews the file and replies with next steps, typically within two working days.
