Rolling admission · Istanbul · Delivered in English
Follow how a university endoscopy unit runs its gastroscopy and colonoscopy lists, from indication and sedation to structured reporting and follow-up, with no procedural role, on the lists scheduled during your dates.
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.
An endoscopy list is decided before it starts. Referrals are checked against the indication: symptoms with warning features, unexplained anaemia, bleeding, screening or surveillance after earlier findings, and the assessment of inflammatory bowel disease are common reasons, while many patients with uncomplicated symptoms are managed without an examination. The endoscopist and the referring clinician share that judgement, and consent is taken with the specific question in mind. Observers hear how each case earns its place on the list.
Quality is measured, not assumed. For colonoscopy, the standard of bowel preparation, a complete examination to the caecum with photographic record, and enough time spent inspecting on withdrawal all affect how many lesions are found, and units commonly audit their detection rates for that reason. Sedation is matched to the patient and the procedure, from light sedation to deeper sedation with anaesthetic support. Before any planned resection the team reviews anticoagulant and antiplatelet treatment and agrees what will be done if a lesion is larger than expected.
Treatment decisions follow what is seen. The size, shape and surface of a polyp guide the choice between simple snare removal, endoscopic mucosal resection, referral for advanced resection or surgery. In acute bleeding, resuscitation comes first, the timing of endoscopy follows the patient's risk, and the method used to stop the bleeding depends on the lesion found. Afterwards, histology and current guidelines set the surveillance interval, and the written report carries those decisions to the clinic. An observer who follows a list from the vetting of referrals to the final report sees how these decisions connect.
This page covers general diagnostic and therapeutic endoscopy: gastroscopy, colonoscopy, polypectomy and bleeding. ERCP and endoscopic ultrasound each have their own focus page, and the parent gastroenterology page also spans the clinics, the inpatient service and hepatology.
Graduate physicians and trainees in internal medicine, gastroenterology or surgery who want to see how an endoscopy unit is run; clinical-year students are eligible and usually find the indication and reporting steps the most accessible.
Gastroenterologists and internists with a specialist qualification who state endoscopy as their interest within the gastroenterology department; the department decides allocation, and endoscopy lists are followed alongside its clinic and inpatient work.
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 GI Endoscopy & Colonoscopy as your focus in your objectives; ATDERA reviews the file and prepares it for the Gastroenterology 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.
