PSGE offers three structured pathways to fellowship, ensuring comprehensive training in minimally invasive gynecologic surgery (MIGS).

1. Local Straight Fellowship
Train at PSGE-accredited institutions in the Philippines: 

• 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 the 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 the Reproductive Medicine Fellowship)
• St. Luke's Medical Center – Quezon City (SLMC-QC)  (as part of the Reproductive Medicine Fellowship)
• University of the Philippines - Philippine General Hospital (UP-PGH) (as part of the Reproductive Medicine Fellowship)

2. Overseas Training
Before commencing training abroad, candidates must notify PSGE for program recognition. 

A. Straight Fellowship:

• Chang Gung Memorial Hospital (CGMH), Taiwan 
• National University Hospital (NUH), Singapore 
• Kendang Kerbau (KK) Hospital, Singapore 

B. Cumulative Modular Training:

• Joseph Hospitals (formerly Joseph Nursing Home), Chennai, India 

3. Post-Residency Modular Training Program in Gynecologic Endoscopy (PRMTPGE)
Eligibility: Open only to those currently enrolled in the PRMTPGE program (as of 2023). New applicants must pursue Pathways 1or 2. 

Recognized Step 3 Interim Workshop Centers  (hospitals other than those listed below may apply as a center and will be approved on a case-to-case basis by the PSGE Training Committee):

• De Los Santos Medical Center 
• Southern Isabela Medical Center 
• Healthway Qualimed Hospital Santa Rosa 
• Davao Doctors Hospital 
• World Citi Medical Center 
• Chong Hua Hospital (Main and Mandaue) 

Additional Notes:

1. Introduction to Gynecologic Endoscopy (IGE) is mandatory for all pathways.
2. All training pathways are required to perform the following cases:
   
   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
   
   
3. All training pathways culminate in Step IV certification and are required to perform the following cases:
   
   Laparoscopy
   Five (5) Level 2 laparoscopy procedures as primary surgeon
   
   Hysteroscopy
   Five (5) level 2 hysteroscopy procedures as primary surgeon