{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T09:12:46Z","timestamp":1788772366129,"version":"build-2803163510"},"reference-count":47,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T00:00:00Z","timestamp":1788566400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin. Pract.","Clinics and Practice"],"abstract":"<jats:p>Background: Quality assurance (QA) is a cornerstone of safe and effective postgraduate training in gynecological laparoscopic surgery, where clinical outcomes depend on procedural complexity, equipment sophistication, and the coordinated competence of an entire surgical team. This article is a narrative review of the conceptual, professional, and regulatory foundations of QA in healthcare education, complemented by a structured synthesis of the collective teaching and clinical experience of the author group. It is not an empirical study, and the sections that follow present a conceptual mapping supported by expert perspective rather than original outcome data. Methods: Sources were identified through targeted searches of PubMed\/MEDLINE and Google Scholar, supplemented by hand-searching of policy and curriculum documents issued by professional bodies and by backward citation tracking, without date restriction. Approximately 480 records were screened at title and abstract level, 112 were assessed as full text, and 41 sources were retained against predefined inclusion and exclusion criteria, with five further sources added during peer review. In a second and separate step, the ten co-authors, who hold teaching and supervisory roles in gynecological laparoscopy across academic centers in Romania and Germany, each completed the same six-item written prompt on training provision, trainer development, trainee assessment, and institutional QA practice; responses were coded thematically by two authors independently and consolidated into explicit points of convergence and divergence. Results: We describe how QA principles, originally articulated in general quality-management and health-promotion literature, have been adapted by professional and regulatory bodies, including the European Board and College of Obstetrics and Gynecology (EBCOG), European Society for Gynecological Endoscopy (ESGE), American Society for Gastrointestinal Endoscopy (ASGE), and the UK General Medical Council, into concrete standards for training providers, trainers, and trainees. We outline the structures used to monitor and audit training quality, including Kirkpatrick\u2019s four-level evaluation model and periodic institutional review cycles, alongside documentation and certification pathways such as the Gynecological Endoscopic Surgical Education and Assessment (GESEA) program, with governance and financing as cross-cutting determinants of sustainability. The author synthesis converged on a consistent gap between documented standards and their routine enforcement and diverged on whether external review and formal certification should become mandatory. Conclusions: The conceptual architecture of QA in gynecological laparoscopy is coherent and broadly fit for purpose, but we identified no study linking the implementation of a specific QA standard to measurable gains in trainee competency or patient outcomes in this field. Proposals for harmonized, outcome-oriented, and where appropriate, mandatory external review should therefore be read as reasoned positions awaiting prospective evaluation rather than as evidence-based recommendations; generating that evidence, with the trainee\u2019s own perspective collected rather than inferred, is the principal task for future research.<\/jats:p>","DOI":"10.3390\/clinpract16090165","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T08:07:06Z","timestamp":1788768426000},"page":"165","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quality Assurance in Laparoscopic Gynecological Training: A Narrative Review of Standards with a Multicenter Expert Perspective on Pathways Toward Effective Education and Care"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9000-4731","authenticated-orcid":false,"given":"Vlad Iustin","family":"Tica","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Doctoral School, University Emergency County Hospital of Constan\u021ba, \u201cOvidius\u201d University of Constan\u021ba, Bd. Tomis 140, 900591 Constanta, Romania"},{"name":"Academy of Romanian Scientists, 3 Ilfov, 050044 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana","family":"Steriu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Doctoral School, University Emergency County Hospital of Constan\u021ba, \u201cOvidius\u201d University of Constan\u021ba, Bd. Tomis 140, 900591 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7600-0571","authenticated-orcid":false,"given":"Dragos","family":"Brezeanu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Doctoral School, University Emergency County Hospital of Constan\u021ba, \u201cOvidius\u201d University of Constan\u021ba, Bd. Tomis 140, 900591 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrei A.","family":"Tica","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, University of Medicine and Pharmacy of Craiova, Craiova County Emergency Hospital, Str. Tabaci 1, 200534 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5631-9509","authenticated-orcid":false,"given":"Ana-Maria","family":"Brezeanu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Doctoral School, University Emergency County Hospital of Constan\u021ba, \u201cOvidius\u201d University of Constan\u021ba, Bd. Tomis 140, 900591 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Badiu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Doctoral School, University Emergency County Hospital of Constan\u021ba, \u201cOvidius\u201d University of Constan\u021ba, Bd. Tomis 140, 900591 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roxana","family":"Penciu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Doctoral School, University Emergency County Hospital of Constan\u021ba, \u201cOvidius\u201d University of Constan\u021ba, Bd. Tomis 140, 900591 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6372-3734","authenticated-orcid":false,"given":"Silvia","family":"Onuc","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Doctoral School, University Emergency County Hospital of Constan\u021ba, \u201cOvidius\u201d University of Constan\u021ba, Bd. Tomis 140, 900591 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina","family":"Tica","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Doctoral School, University Emergency County Hospital of Constan\u021ba, \u201cOvidius\u201d University of Constan\u021ba, Bd. Tomis 140, 900591 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya Sophie","family":"de Wilde","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Carl von Ossietzky University, Pius-Hospital, 26121 Oldenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"29.e1","DOI":"10.1016\/j.ajog.2022.01.031","article-title":"Gynecologic surgical skill acquisition through simulation with outcomes at the time of surgery: A systematic review and meta-analysis","volume":"227","author":"Orejuela","year":"2022","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1136\/flgastro-2011-100046","article-title":"Quality assurance in the endoscopy unit: The view of endoscopy personnel","volume":"3","author":"Kuipers","year":"2012","journal-title":"Frontline Gastroenterol."},{"key":"ref_3","unstructured":"Standing Committee on Training and Assessment (2018). European Training Requirements in Obstetrics and Gynaecology (UEMS Document 2018\/18), European Board and College of Obstetrics and Gynaecology (EBCOG)\/UEMS. Available online: https:\/\/ebcog.eu\/wp-content\/uploads\/2026\/06\/PACT-2026-linked-UEMS-logo-1.pdf."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Li, X., Li, G., and Yang, C. (2026). Effectiveness and implementation of simulation training in obstetric and gynecological surgery education: Systematic review and meta-analysis. Front. Med., 12.","DOI":"10.3389\/fmed.2025.1733201"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1097\/GCO.0000000000000963","article-title":"Advances in gynecologic simulation: Implementation, validity, and new resources","volume":"36","author":"Edmonds","year":"2024","journal-title":"Curr. Opin. Obstet. Gynecol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"188","DOI":"10.5731\/pdajpst.2020.011692","article-title":"ISO 9001:2015 versus ICH Q10-A comparison","volume":"75","author":"Aaberg","year":"2021","journal-title":"PDA J. Pharm. Sci. Technol."},{"key":"ref_7","unstructured":"\u00dcst\u00fcn, T.B., Chatterji, S., Mechbal, A., and Murray, C.J.L. (2002). Quality assurance in surveys: Standards, guidelines and procedures. Household Sample Surveys in Developing and Transition Countries, United Nations\/World Health Organization."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Ferreira, D.C., Vieira, I., Pedro, M.I., Caldas, P., and Varela, M. (2023). Patient Satisfaction with Healthcare Services and the Techniques Used for its Assessment: A Systematic Literature Review and a Bibliometric Analysis. Healthcare, 11.","DOI":"10.3390\/healthcare11050639"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"ASGE Endoscopy Unit Quality Indicator Taskforce, Day, L.W., Cohen, J., Greenwald, D., Petersen, B.T., Schlossberg, N.S., Vicari, J.J., Calderwood, A.H., Chapman, F.J., and Cohen, L.B. (2017). Quality indicators for gastrointestinal endoscopy units. VideoGIE, 2, 119\u2013140.","DOI":"10.1016\/j.vgie.2017.02.007"},{"key":"ref_10","first-page":"1","article-title":"Improving the training of the future gynaecologist: Development of a European curriculum in Obstetrics and Gynaecology (EBCOG-PACT)","volume":"10","author":"Goverde","year":"2018","journal-title":"Facts Views Vis. Obgyn"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1177\/014107680109400609","article-title":"An audit of audits: Are we completing the cycle?","volume":"94","author":"Gnanalingham","year":"2001","journal-title":"J. R. Soc. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1093\/heapro\/8.2.67","article-title":"Auditing health promotion: What are the vital signs of quality?","volume":"8","author":"Catford","year":"1993","journal-title":"Health Promot. Int."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1093\/heapro\/12.3.215","article-title":"Developing quality assurance standards for health promotion practice in the UK","volume":"12","author":"Speller","year":"1997","journal-title":"Health Promot. Int."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Endalamaw, A., Khatri, R.B., Mengistu, T.S., Erku, D., Wolka, E., Zewdie, A., and Assefa, Y. (2024). A Scoping Review of Continuous Quality Improvement in Healthcare System: Conceptualization, Models and Tools, Barriers and Facilitators, and Impact. BMC Health Serv. Res., 24.","DOI":"10.1186\/s12913-024-10828-0"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1016\/j.jmig.2019.04.018","article-title":"Essentials in Minimally Invasive Gynecology Manual Skills Pilot Validation Trial","volume":"27","author":"Munro","year":"2020","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1155\/2011\/608283","article-title":"Development and implementation of a comprehensive quality assurance program at a community endoscopy facility","volume":"25","author":"Hilsden","year":"2011","journal-title":"Can. J. Gastroenterol."},{"key":"ref_17","first-page":"191","article-title":"Peer review and quality control in health education","volume":"2","author":"Green","year":"1978","journal-title":"Health Values Achiev. High Level Wellness"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"204.e1","DOI":"10.1016\/j.ajog.2016.04.037","article-title":"Validating a standardized laparoscopy curriculum for gynecology residents: A randomized controlled trial","volume":"215","author":"Shore","year":"2016","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_19","unstructured":"World Federation for Medical Education (2023). WFME Global Standards for Quality Improvement: Postgraduate Medical Education, 2023 Revision, World Federation for Medical Education (WFME). Available online: https:\/\/wfme.org\/standards\/pgme\/."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e20190010000010","DOI":"10.1590\/s0102-865020190010000010","article-title":"The role of laparoscopy in the propaedeutics of gynecological diagnosis","volume":"34","author":"Argentino","year":"2019","journal-title":"Acta Cir. Bras."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Al-Omary, H., Soltani, A., Stewart, D., and Nazar, Z. (2024). Implementing learning into practice from continuous professional development activities: A scoping review of health professionals\u2019 views and experiences. BMC Med. Educ., 24.","DOI":"10.1186\/s12909-024-06016-7"},{"key":"ref_22","first-page":"Doc69","article-title":"Competency-Based Postgraduate Medical Education: Past, Present and Future","volume":"34","year":"2017","journal-title":"GMS J. Med. Educ."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1016\/S1701-2163(16)30076-7","article-title":"Competency-Based Medical Education: Developing a Framework for Obstetrics and Gynaecology","volume":"37","author":"Caccia","year":"2015","journal-title":"J. Obstet. Gynaecol. Can."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"5335","DOI":"10.1007\/s00464-023-10022-z","article-title":"The Entrustable Professional Activities of Laparoscopic Surgery: Moving toward an Integrated Training Model","volume":"37","author":"Wagner","year":"2023","journal-title":"Surg. Endosc."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.4103\/0253-7613.193312","article-title":"Competency-Based Medical Education: An Overview and Application in Pharmacology","volume":"48","author":"Shah","year":"2016","journal-title":"Indian J. Pharmacol."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Tica, V.I., Tica, A.A., and De Wilde, R.L. (2022). The future in standards of care for gynecologic laparoscopic surgery to improve training and education. J. Clin. Med., 11.","DOI":"10.3390\/jcm11082192"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"4054","DOI":"10.1007\/s00464-023-09969-w","article-title":"Video-based learning of coping strategies for common errors improves laparoscopy training: A randomized study","volume":"37","author":"Lang","year":"2023","journal-title":"Surg. Endosc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.gie.2018.10.037","article-title":"Endoscopic simulators. Technology Status Evaluation Report","volume":"90","author":"Goodman","year":"2019","journal-title":"Gastrointest. Endosc."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1111\/j.1471-0528.2007.01298.x","article-title":"Virtual reality simulation training can improve technical skills during laparoscopic salpingectomy for ectopic pregnancy","volume":"114","author":"Hart","year":"2007","journal-title":"BJOG"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Martire, F.G., Ianes, I., Costantini, E., Zupi, E., and Lazzeri, L. (2026). Abdominal Wall Elevation for Pneumoperitoneum in Laparoscopic Gynecologic Surgery: A Retrospective Comparative Study of Experienced and Trainee Surgeons. J. Minim. Invasive Gynecol., in press.","DOI":"10.1016\/j.jmig.2026.04.012"},{"key":"ref_31","unstructured":"General Medical Council (2015). Promoting Excellence: Standards for Medical Education and Training, General Medical Council. Updated 2016."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"5988","DOI":"10.1097\/MS9.0000000000002518","article-title":"Curriculum and program evaluation in medical education: A short systematic literature review","volume":"86","author":"Ullah","year":"2024","journal-title":"Ann. Med. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e095777","DOI":"10.1136\/bmjopen-2024-095777","article-title":"What laparoscopic skills are necessary for the certificate of completion of training? A prospective nationwide cross-sectional survey of obstetrics and gynaecology and general surgery trainees and consultants in the UK","volume":"15","author":"Khan","year":"2025","journal-title":"BMJ Open"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/S0301-2115(02)00402-5","article-title":"EBCOG hospital visiting, a step forward in the quality assessment of training in obstetrics and gynaecology","volume":"106","author":"Wladimiroff","year":"2003","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Hardie, P., O\u2019Donovan, R., Jarvis, S., and Redmond, C. (2022). Key Tips to Providing a Psychologically Safe Learning Environment in the Clinical Setting. BMC Med. Educ., 22.","DOI":"10.1186\/s12909-022-03892-9"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.4102\/safp.v62i1.5166","article-title":"Creating a Learning Environment in Your Practice or Facility","volume":"62","author":"Mash","year":"2020","journal-title":"S. Afr. Fam. Pract."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Geerts, J.M. (2024). Maximizing the Impact and ROI of Leadership Development: A Theory- and Evidence-Informed Framework. Behav. Sci., 14.","DOI":"10.3390\/bs14100955"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Zamiri, M., and Esmaeili, A. (2024). Strategies, Methods, and Supports for Developing Skills within Learning Communities: A Systematic Review of the Literature. Adm. Sci., 14.","DOI":"10.3390\/admsci14090231"},{"key":"ref_39","unstructured":"General Medical Council (2017). Excellence by Design: Standards for Postgraduate Curricula, General Medical Council."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1923","DOI":"10.1016\/S0140-6736(10)61854-5","article-title":"Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world","volume":"376","author":"Frenk","year":"2010","journal-title":"Lancet"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/S0140-6736(15)60160-X","article-title":"Global Surgery 2030: Evidence and solutions for achieving health, welfare, and economic development","volume":"386","author":"Meara","year":"2015","journal-title":"Lancet"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1097\/SLA.0000000000002693","article-title":"Artificial intelligence in surgery: Promises and perils","volume":"268","author":"Hashimoto","year":"2018","journal-title":"Ann. Surg."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Caballero, D., S\u00e1nchez-Margallo, J.A., P\u00e9rez-Salazar, M.J., and S\u00e1nchez-Margallo, F.M. (2025). Applications of Artificial Intelligence in Minimally Invasive Surgery Training: A Scoping Review. Surgeries, 6.","DOI":"10.3390\/surgeries6010007"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e58966","DOI":"10.2196\/58966","article-title":"Transforming Surgical Training with AI Techniques for Training, Assessment, and Evaluation: Scoping Review","volume":"27","author":"Noguez","year":"2025","journal-title":"J. Med. Internet Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1097\/SLA.0000000000004351","article-title":"Artificial intelligence for surgical safety: Automatic assessment of the critical view of safety in laparoscopic cholecystectomy using deep learning","volume":"275","author":"Mascagni","year":"2022","journal-title":"Ann. Surg."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1111\/tct.12302","article-title":"Virtual patient activity patterns for clinical learning","volume":"12","author":"Ellaway","year":"2015","journal-title":"Clin. Teach."},{"key":"ref_47","unstructured":"Standing Committee on Training and Assessment (2026). European Training Requirements for the Specialty of Obstetrics and Gynaecology (UEMS Document 2026\/11), UEMS Section of Obstetrics and Gynaecology\/European Board and College of Obstetrics and Gynaecology (EBCOG). Available online: https:\/\/www.uems.eu\/european-training-requirements."}],"container-title":["Clinics and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-7283\/16\/9\/165\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T09:05:18Z","timestamp":1788771918000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-7283\/16\/9\/165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,5]]},"references-count":47,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["clinpract16090165"],"URL":"https:\/\/doi.org\/10.3390\/clinpract16090165","relation":{},"ISSN":["2039-7283"],"issn-type":[{"value":"2039-7283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,5]]}}}