Rolling admission · Istanbul · Delivered in English
Robotic Gynaecological Surgery Observership robotic cases followed from theatre, not from the console
For doctors who want to understand when a gynaecology department chooses the robot and how the theatre team works around it, followed from the theatre floor at a university teaching and research hospital in Istanbul where robotic cases are scheduled.
What can an observer follow in Robotic Gynaecological Surgery?
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.
Robotic gynaecological cases where scheduled, followed from the theatre floor and its monitors as a non-sterile observer, alongside the department's conventional laparoscopic lists.
The choice between robotic, conventional laparoscopic and open approaches, as it is discussed in clinic and when lists are planned.
Patient positioning and pressure-area protection for steep head-down tilt, agreed with the anaesthetist before the robotic system reaches the table.
Port placement and docking, and how the theatre layout, cables and staff positions are arranged around the robotic system.
Communication between the console surgeon, the patient-side surgeon, the theatre nurse and the anaesthetist during instrument exchanges and critical steps.
The team briefing and, where the team holds one, the debrief, including the agreed plan for rapid undocking or conversion.
Recovery on the gynaecology ward round, compared with laparoscopic and open cases on the same service.
How is a gynaecological case chosen for the robotic approach?
The robot is a way of delivering minimally invasive surgery, not a separate operation. The decision usually lies between conventional laparoscopy, robotic surgery and open surgery, and it turns on the patient and the pathology: body habitus, previous abdominal surgery and adhesions, uterine size, the need for fine dissection or suturing deep in the pelvis, and whether the patient can tolerate prolonged steep head-down tilt and pneumoperitoneum. Availability of the system and of theatre time also shapes which cases are listed robotically. Observers can follow how these factors are weighed in clinic and at list planning, and why a similar patient may be booked for a different approach.
Much of what distinguishes a robotic list happens before any incision and away from the console. The patient is secured against slipping in steep head-down tilt, ports are sited to avoid instrument collisions, and the system is docked in a planned orientation, after which changes to the patient's position are limited. The anaesthetist has restricted access to the patient once the system is in place, so ventilation, airway and pressure-area plans are agreed in advance. Teams also agree how the system would be undocked quickly if conversion became necessary. This preparation is where an observer on the theatre floor can follow the work most closely.
During the case the console surgeon sits away from the sterile field, so the operation depends on explicit communication with the patient-side surgeon and the theatre nurse for instrument exchanges, suction, uterine manipulation and specimen retrieval. Observers watch from the theatre floor and the shared monitors, which display the console surgeon's view. Afterwards, the ward round allows recovery after robotic, laparoscopic and open procedures to be compared on the same service. Disease-specific decisions, such as the extent of endometriosis excision or of cancer staging, belong to the Endometriosis Surgery and Gynaecological Oncology focus pages.
How this page differs
This page isolates the robotic modality — selection, set-up, docking and team workflow — rather than any single disease, which the broader gynaecological surgery page cannot do. Disease-specific depth sits on the Endometriosis Surgery and Gynaecological Oncology pages, and ATDERA's dated courses are separate programmes with their own faculty and fees.
Who applies, and which route fits?
Clinical Observership
Clinical-year students and graduate physicians aiming for obstetrics and gynaecology who are curious about when the robot is chosen over conventional laparoscopy and how a robotic theatre team is organised.
Clinical Fellowship
Obstetrician-gynaecologists with a specialist qualification who name robotic surgery as their interest; the attachment remains with the gynaecological surgery department, which allocates robotic lists over 12–24 months where its schedule allows.
What an observer does not do
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.
No console time, simulator access or dry-laboratory exercises in either route, including the fellowship.
Robotic cases are not on every list; their number and type during your dates cannot be promised.
You stay outside the sterile field and take no part in docking, instrument handling or the operation itself.
The certificate documents attendance only; it is not a robotic credential and records no cases, console hours or assessed competence.
The two routes at a glance
The two routes side by side
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
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
Before you apply
The programme is delivered in English and every applicant evidences their level with an official document.
Fees and terms are confirmed in writing after the eligibility review; they are not published on this page.
Apply three to six months ahead: departments accept only one or two observers at a time and files are reviewed in order.
State your focus in the objectives of your application. Allocation follows the department's lists during your dates.
What do candidates ask about Robotic Gynaecological Surgery?
Does observation include console time?
No. Neither the observership nor the fellowship includes console time, simulator access or any role at the patient's side. You follow robotic cases where they are scheduled during your dates from the theatre floor and its monitors, as a non-sterile observer, and can discuss the case with the team at the moments they indicate. The fellowship lengthens the period of observation; it does not change its scope. If you need console or simulator experience, that has to come from a separate course with its own provider.
How does this differ from a short robotic surgery course?
A short robotic course typically centres on the system itself: simulator modules, dry- or wet-laboratory exercises and platform instruction over a few days. This observership works the other way round. It offers no time on the system, but places you in a working gynaecology department, where you follow how patients are selected for the robot, how the theatre is prepared, how the team communicates during the case and how patients recover afterwards. ATDERA's own dated courses are separate programmes with their own faculty and fees; neither replaces the other.
Which gynaecological procedures are done robotically at the host department?
The department's published scope lists laparoscopic hysterectomy, myomectomy and adnexal surgery, with robotic cases where scheduled; it does not say which procedures are listed robotically at any given time. That depends on the patients, the surgeons and the availability of the system during your dates. State your interest in robotic surgery in your objectives, and ATDERA asks the department during the review what robotic activity is expected in your window. A two- or four-week placement is more likely than a single week to overlap with robotic lists.
Should I choose this focus or the endometriosis or oncology focus?
Choose by the question you want answered. If it is how the robot changes theatre set-up, team roles and patient selection across different conditions, state robotic surgery as your focus. If it is how a particular disease is assessed, planned and followed up, whatever the approach, the Endometriosis Surgery or Gynaecological Oncology focus fits better. All three sit in the same gynaecological surgery department, so you can name a primary and a secondary interest in your objectives; allocation follows the department's lists.
How should I prepare for a robotic gynaecology placement?
Revise pelvic anatomy as it appears through a laparoscope — the course of the ureter, the uterine vessels and the avascular pelvic spaces — together with the physiology of pneumoperitoneum and steep head-down tilt. Knowing the steps of a total laparoscopic hysterectomy makes the robotic version easier to follow, because the anatomy and sequence are shared while the instruments and ergonomics differ. In your objectives, say what you want to understand, such as patient selection or team communication, so the department can match its lists where the schedule allows.
Apply for an observership with Robotic Gynaecological Surgery as your focus
One online application for both routes. State Robotic Gynaecological 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.
Five short steps: your details, education, programme choice, documents and declaration.
A personal link by email, so you can leave and return where you stopped — for 60 days.
Documents are uploaded in step 4; you need nothing to hand to begin.
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.
Ready to apply?
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.