Rolling admission · Istanbul · Delivered in English
Why hysteroscopy is chosen, how sessions run and how findings are reviewed, followed in the gynaecological surgery department of a university teaching and research hospital in Istanbul. This is a clinical placement, not a simulation course.
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.
Hysteroscopy answers questions about the uterine cavity that imaging can only suggest. Common indications include abnormal uterine bleeding, postmenopausal bleeding with a thickened endometrium, suspected polyps or submucosal fibroids, and cavity abnormalities found during a fertility work-up. Much of the educational value lies before the procedure: deciding whether ultrasound or saline infusion sonography has already answered the question, whether an endometrial biopsy alone is enough, and whether a lesion is suitable for hysteroscopic removal at all. Observers follow this reasoning as indications are reviewed with the team.
Many services divide hysteroscopy between an outpatient setting, where diagnostic and smaller operative procedures are done without general anaesthesia, and theatre, where larger fibroids, septa and adhesions are managed under anaesthesia. The choice depends on lesion size and type, the patient's tolerance and preference, and her comorbidities. At the host department, operative hysteroscopy for fibroids, polyps and uterine anomalies is part of the theatre scope; whether office sessions run during your dates can be confirmed only after review. Either way, the choice of setting is itself a decision worth following.
In theatre, the work is shaped by the limits of the uterine cavity. Fibroid classification by depth predicts whether removal can be completed in one session. Fluid balance is monitored throughout, because absorption of distension medium can cause serious complications, and teams agree in advance when they will stop. Perforation risk, cervical preparation and the choice between energy-based resection and mechanical tissue removal are discussed case by case. Afterwards, histology and follow-up close the loop. Observers watch from the monitor as non-sterile observers; this route includes no simulator, model or instrument time.
Inside the department the gynaecological surgery page describes, this page follows one endoscopic workflow within the uterine cavity, while laparoscopic and robotic work sits on the Robotic Gynaecological Surgery and Endometriosis Surgery pages. It is a clinical placement, separate from ATDERA's dated GESEA Level 1 simulation programme, and hysteroscopy in the fertility work-up is also part of the reproductive medicine route.
For clinical-year students and graduate physicians preparing for obstetrics and gynaecology who want to understand hysteroscopic indications, settings and decision points before specialty training.
Obstetrician-gynaecologists with a specialist qualification who want sustained exposure to hysteroscopic case selection and review over 12–24 months, naming hysteroscopy as their interest within the gynaecological surgery department's wider 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 Hysteroscopy 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.
