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ESHRE Certification for nurses and midwivesEline Dancet
RM,. Msc, PhD
Postdoctoral fellow Research Foundadtion Flanders
Helen KendrewBath fertility
Sara SomersGent University
• Aims• Story• Steering Committee• Online application• Logbook• Preparing for the exam• Taking the exam• Experiences
Aims
Aims
• Validate skills and experience establish status for nurses and midwives
• Set high professional standards increase quality of provided healthcare
Story
Story
• Already an exam for embryologists
• Working Group Steering Committee: • midwives• nurses • physician & embryologists as advisors
• Differences with embryology certification• no automatic pass for the ’greys’ • only one level• for life, no proof of continuous education/research output
Steering Committee
Steering Committee
Online application
Online application
MEET CRITERIA
• Having a nursing of midwifery degree
• Official translation of your degree to English
• 3 years of clinical experience in reproductive medicine
• Being an ESHRE member
COMPLETE A LOGBOOK
APPLY FOR EXAM
Logbook
Helen KendrewBath fertility
Which tasks are in the logbook?
Methods:
• Opinion leaders of nurses or midwives
• Ten European countries
• Questionnaire on current level of responsibility for• paramedical procedures • Information, communication & support
Dancet EAF, De Vries T, D’Hooghe TM. ICM Meeting Toronto 2017
Tasks performed by at least some nurses and/or midwives working independently per country
Country BE DK FI FR NO NL SE SI UA UK Total
Paramedical procedures (n=14)Vena-punction âś“ âś“ âś“ âś“ âś“ âś“ âś“ âś“ âś“ âś“ 10Administering pain medication âś“ âś“ âś“ âś“ âś“ âś“ âś“ 7Early pregnancy ultrasounds âś“ âś“ âś“* âś“ âś“ âś“ âś“ 7Picking an intravenous line âś“ âś“ âś“ âś“ âś“ âś“ 6Intra-uterine insemination âś“ âś“ âś“ âś“ âś“ âś“ 6Ultrasound during ovarian stimulation
âś“ âś“ âś“* âś“ âś“ 5
PAP-smear âś“* âś“* âś“ âś“ 4
HSG, HyCoSy or Gel/Saline/water/oil scan
âś“ âś“ âś“ 3
Diagnostic gynecological ultrasound âś“ âś“ 2Embryo transfer âś“ âś“ 2Endometrium biopsy âś“ 1Hysteroscopy âś“ 1Oocyte retrieval âś“ 1Testicular sperm extraction âś“ 1
WIDE RANGE OF PARAMEDICAL
TASKS
Dancet EAF, De Vries T, D’Hooghe TM. ICM Meeting Toronto 2017
Tasks performed by at least some nurses and/or midwives working independently per country
Country BE DK FI FR NO NL SE SI UA UK Total
Information, communication, support (n=8)
Individual/couple consult for support âś“ âś“ âś“ âś“* âś“ âś“ âś“ âś“ 8Communicating pregnancy test results
âś“ âś“ âś“ âś“* âś“ âś“ âś“ âś“ 8
Information in anticipation of start of IVF
âś“ âś“ âś“ âś“* âś“ âś“ âś“ 7
Establishing anamnesis âś“ âś“ âś“ âś“ âś“ 5Consult to discuss finished IVF-cycles
âś“ âś“ âś“ âś“ âś“ 5
Information in anticipation of start of IUI
âś“ âś“ âś“ âś“ 4
Consult at the end of diagnostic phase
âś“ âś“ 2
Consult to discuss finished IUI-cycles âś“ âś“ 2*Applies only to midwives and not to nurses
WIDE RANGE OF OTHER TASKS
Dancet EAF, De Vries T, D’Hooghe TM. ICM Meeting Toronto 2017
Logbook
• 8 groups of 4-11 activities
• Each activity: 2 or 5 times
• Depending on activity: o Performedo Observedo Exceptionally: Presentation
• Confirmed by supervisor of own clinic
• TWO ETHICAL CASESo 10 point formato Max 500 words
• Hand-in feedback hand-in approval
Logbook
1. Diagnostic consults (n=9*2)e.g. Premature Ovarian Insufficiency diagnostic consults2. Information consults (n=8*2/5)e.g. Providing information in anticipation of the start of IVF/ICSI-treatment3. Treatment consults (n=6*2/5)e.g. Consultation to discuss completed PGD/PGS cycles4. Diagnostic interventions (n=11*2/5)e.g. Testicular sperm extraction (including TESE, TESA, PESA, MESA) 5. Therapeutic interventions (n=4*5)e.g. Embryo transfer 6. Laboratory procedures (n=8*2)e.g. Embryo cryopreservation (slow or vitrification)7. Intra-treatment (telephone) patient communication (n=5*5)e.g. Communicating the results of fertility treatments (pregnant?) 8. Psychosocial support (n=4*5)e.g. Individual/group consultation specialized psychosocial consultation
Preparing for the exam
Preparing for the exam: General
• Curriculum• 14 Themes with subheadings
• Literature list
Study buddy
• ESHRE Campus Work Shop, Italy, November 2018
Clothes hangers for when you start studying
Preparing for the examCurruculum
A. Physiology of spontaneous conception
B. Epidemiology of infertility
C. Female reproduction
D. Male reproduction
E. Clinical fertility treatments
F. Lab Medical Assisted Reproduction (MAR)-procedures
G. Embryology
H. Genetics
I. Early pregnancy
J. Quality of care
K. Psychosocial wellbeing of and support for patients
L. Lifestyle, age and infertility
M. Research
N. Safety of fertility treatment
Preparing for the examLiterature list
• Four bookso Clinical Gynecologic endocrinology and infertility (8th edition).
Speroff L, Class RH, Kase NG; Lippincott Williams & Wilkins; Philadelphia, USA (part of 12 chapters)
o In Vitro-Fertilization (3rd edition, 2011). Elder Kay, Dale B; Cambridge University Press; Cambridge, UK (part of 11 chapters)
o Essentials of Nursing Research (8th edition, 2014) Denise Polit& Cheryl Tatano Beck (part of 7 chapters)
o Practical Gynecological Ultrasound (2nd edition, 2013) Jane Bates (part of 2 chapters)
• Nine online documents (e.g. ESHRE endometriosis guideline: summary)
• Twenty-three peer-reviewed publications
Preparing for the examStudy buddy
Taking the exam
Taking the exam (1)
Format
• 100 questions
• Multiple choice (n=4; no guess correction)
• All 14 topics from curriculum
Requirements for passing the exam
• At least 66/100
• About 70% passing rate
Taking the exam (2)
EXAMPLES OF QUESTIONS• https://www.eshre.eu/Accreditation-and-Certification/Nurses-Midwives-
Certification/Rules-and-requirements.aspx
• More complex (watch words in bold): • Which statement is FALSE? Which is INCORRECT?• Which statement is CORRECT? What is TRUE?• NOT in question
all of the above none of the above
Experience
Sara SomersGent University
Clara Pardos TorrentsSpain
Valerie Blanchet & Julia GonnotFrance
Sara Somers & Marieke Van KerckhoveBelgium
Questions?
LOGBOOK? EXAM? EXPERIENCE?
Helen Eline Sara
Thank you