PSGE recognizes locally accredited fellowship programs in:

• Quirino Memorial Medical Center (QMMC) 
• Southern Philippines Medical Center (SPMC) 
• Vicente Sotto Memorial Medical Center (VSMMC)/Chong Hua Hospital (CHH) Consortium
• East Avenue Medical Center (EAMC) (as part of Minimally Invasive Advanced Gynecologic Surgery Fellowship)
• Far Eastern University – Dr. Nicanor Reyes Medical Foundation(FEU-NRMF)/Jose R. Reyes Memorial Medical Center Consortium (JRRMMC) Consortium  (as part of Reproductive Medicine Fellowship)
• St. Luke's Medical Center – Quezon City (SLMC-QC)  (as part of Reproductive Medicine Fellowship)
• University of the Philippines - Philippine General Hospital (UP-PGH) (as part of Reproductive Medicine Fellowship)

Completion and Credentialing Requirements
Upon completing the fellowship program requirements, graduates must proceed to Step IV: Proctored Practice in Gynecologic Endoscopy (PPGE) to qualify for PSGE credentialing.

Fellowship Training Case Requirements
Laparoscopy
Thirteen (13) Level 2 laparoscopy procedures as assistant
Thirteen (13) Level 2 laparoscopy procedures as primary surgeon

Hysteroscopy
Twelve (12) level 2 hysteroscopy procedures as assistant
Twelve (12) level2 hysteroscopy procedures as primary surgeon

Breakdown of Cases:

Laparoscopy  Cases as Assistant
(Performed with a PSGE Fellow as the Primary Surgeon )

Procedure	Required number of cases
Cystectomy (including paratubal cyst >10cm)	5
Adhesiolysis	2
Salpingostomy/Salpingectomy for any valid indication except sterilization	4
Salpingo-oophorectomy  (ovary and/or fallopian tube must be diseased)	1
Any of the following: Opportunistic salpingectomy Salpingectomy for sterilization	1
TOTAL	13

Laparoscopy Cases as Primary Surgeon
(Assisted by a PSGE Fellow)

Procedure	Required number of cases
Cystectomy (including paratubal cyst >10cm)	5
Adhesiolysis	2
Salpingostomy/Salpingectomy for any valid indication except sterilization	4
Salpingo-oophorectomy  (ovary and/or fallopian tube must be diseased)	1
Any of the following: Opportunistic salpingectomy Salpingectomy for sterilization	1
TOTAL	13

Hysteroscopy Cases as Assistant
(Performed with a PSGE Fellow as the Primary Surgeon)

Procedure (all hysteroscopy cases using resectoscope or shaver, excluding use of micro-scissors/forceps)	Required number of cases
Polypectomy (Polyp size > 1.5 cm)	5
Myomectomy Type 0-1	5
Any of the following: Endometrial ablation Focal endometrial resection Global endometrial resection (with previous benign endometrial biopsy)	1
Any of the following: Septum resection IUA adhesiolysis	1
TOTAL	12

Hysteroscopy Cases as Primary Surgeon
(Assisted by a PSGE Fellow)

Procedure (all hysteroscopy cases using resectoscope or shaver, excluding use of micro-scissors/forceps)	Required number of cases
Polypectomy (Polyp size > 1.5 cm)	5
Myomectomy Type 0-1	5
Any of the following: Endometrial ablation Focal endometrial resection Global endometrial resection (with previous benign endometrial biopsy)	1
Any of the following: Septum resection IUA adhesiolysis	1
TOTAL	12

Step IV: Proctored Practice in Gynecologic Endoscopy (PPGE)
Step IV/PPGE is the final step, where the trainee performs the operations as the primary surgeon with the assistance of a PSGE Fellow. This step may be conducted in any licensed hospital in the Philippines. All local fellowship trainees must complete Step IV to qualify for credentialing.

For certification, a maximum of 20% of cases performed since 2012 may be accepted. However, at least 80% must be completed within the past five years, in accordance with Board Resolution 2021-6.
NOTE:

• Graduates of the MIGS fellowship program are required to be assisted by a PSGE Fellow.
• Graduates of the RM fellowship program who are not yet FPRSM must also be assisted by a PSGE Fellow.
• PSRM Fellows who graduated after 2017 do not require assistance from a PSGE Fellow.

Case Requirements:

• Completion of 5 Level 2 procedures for Laparoscopy
• Completion of 5 Level 2 procedures for Hysteroscopy

Note: Bundling of cases for a single patient is not permitted in Step IV

Breakdown of Cases:

Step IV: Laparoscopy Cases as Primary Surgeon

Procedure	Required number of cases
Cystectomy (for any benign ovarian tumor)	2
Salpingostomy/Salpingectomy (any of the following):   Ectopic pregnancy or Hydrosalpinx > 5 cm or Paratubal cyst > 10 cm   NOTE: For emergency ectopic pregnancy cases, the trainee may perform the procedure without direct supervision of a PSGE fellow, provided that the following conditions are met: The PSGE fellow must be promptly informed Approval must be secured from the hospital administration A raw video recording of the procedure must be submitted for review	2
Salpingo-oophorectomy (ovary must be diseased)	1
TOTAL	5

 

Procedure (all hysteroscopy cases using resectoscope or shaver, excluding use of micro-scissors/forceps)	Required number of cases
Polypectomy (Polyp size > 1.5 cm)	2
Myomectomy Type 0-1	2
Any of the following: Endometrial ablation Focal endometrial resection Global endometrial resection (with previous benign endometrial biopsy) Septum resection IUA adhesiolysis	1
TOTAL	5

Step IV: Hysteroscopy Cases as Primary Surgeon

PSGE Credentialing Process: Local Straight Fellowship

1. Submission Requirements

            Application Documents:

• Application Letter
• Application Form
• Three (3) Recommendation Letters
• Table of contents 

            Professional Certifications:

• Certified true copy of POGS Fellow Certificate
• Original POGS Certificate of good standing
• PSRM Certificate as Fellow (if applicable)
• PSGE Certification confirming 2 years of good standing

            Training Credentials:

• Certificate of IGE Program or Step I
• Certificate of Completion of Fellowship Training of at least 24 months
• Case Log Requirements:
  • Tabulation of required cases performed as assist and as primary surgeon using the prescribed PSGE Case Log forms
  • Photocopies of histopathological results
  • Photocopies of Operating Room Record or Surgical Memorandum that clearly demonstrate:
    • The candidate's name as Assistant and as Surgeon
    • The name and signature of the PSGE Fellow who performed and assisted, respectively
    • Surgical Technique

                        For institutions with strict policies on Data Privacy submit:

• Certificate signed by the Department Chair specifying the PSGE-required procedures in which the candidate assisted and performed as surgeon
• Histopathological results authenticated by the Records Section/Department Chair

            Step IV Procedures:

• Case Log Requirements:
  • Tabulation of required cases performed as surgeon using the prescribed PSGE Case Log forms
  • Photocopies of histopathological results
  • Photocopies of Operating Room Record or Surgical Memorandum that clearly demonstrate:
    • The candidate's name as Surgeon
    • The name and signature of the PSGE Fellow who assisted
    • Surgical Technique

                        For institutions with strict policies on Data Privacy submit:

• Certificate signed by the Department Chair specifying the PSGE-required procedures performed by the candidate as a surgeon
• Histopathological results authenticated by the Records Section/Department Chair

Continuing Professional Education (CPE) Log
Application fee: ₱5,000.00
NOTE: All requirements should be submitted by January 31 of the year of application.
B. Written Examination:

• The written examination will be held on the last Saturday of March of the same year.
• Applicants must pass the written exam to qualify for the practical examination.
• After two unsuccessful attempts, candidates are required to submit 5 new Level 2 cases of Laparoscopy and/or Hysterosopy performed as the primary surgeon, in compliance with Step IV requirements.

C. Practical Examination:

• Candidates who pass the written examination will proceed to the practical examination, scheduled on or before June 30 of the same year.
• The candidate should submit 2 cases of laparoscopy and/or hysteroscopy for practical examination.
• The practical examination will only be scheduled only after (at least) 1 of the 2 submitted cases has been approved by the Credentialing Committee.
• Candidates are allowed two retakes within 5 years.
• After each failure, candidates are required to submit 5 new Level 2 cases of Laparoscopy and/or Hysterosopy performed as the primary surgeon, in compliance with Step IV requirements.

D. Video Presentation:

• Successful candidates must present a 5-minute video of a laparoscopy or hysteroscopy case performed or a completed research paper during the PSGE Annual Congress.