@DrLouiseWan Sure. Our training tools must be adopted using more video, simulators, cadavers. Still there must be some real cases left to get and keep skills.
@DrLouiseWan@IJGConline Its a difficult task how to organize health care regionally. Usually in low resourced countries the incidence is high so there can be more sites.
@GabrielleVanRam@DrFMartinelli@IJGConline Complexity. How high quality can be achieved and maintained in surgery, diagnostics, pathology, genetics, chemo, palliative and supportive care, psychology, sexuology, etc if a team is small?
@IJGConline Next step is to establish the esgo institutional accreditation. Not only for the quality of the surgery but for the complex management of cervical patients.
@Baselrefky@IJGConline Oncology is a complex specialty, the quality of the surgery is only one segment. Institutions should be accredited, and surgeons trained there.
@DrFMartinelli@GabrielleVanRam@IJGConline Exactly. It is the aim. The volume alone does not guarantee the quality. However, without certain minimal volume the quality cannot be achieved.
@IJGConline They are not. One or two indicators are not suficient to audit a quality. Esgo developed a set of QI. Authors believe that their combination can give a comprehensive picture.
See this article from @Cancerworldeso on the special multidisciplinary session on #OvarianCancer that took place at #ESGO2019Athens.🗞
Expectations in ovarian cancer: foreseeing the next year - https://t.co/luAJQRiqFd