Surgeon of Excellence in Minimally Invasive Gynecology

The Surgeon of Excellence in Minimally Invasive Gynecology (SOEMIG) program offers leading minimally invasive gynecologic surgeons around the world the opportunity to showcase their excellence and earn individual certification without requiring that they partner with a hospital. The SOEMIG program is ideal for surgeons who:

  • Perform surgeries at multiple hospitals
  • Desire an individual designation separate from or in addition to their hospital’s designation
  • Want to earn certification now but their hospital is not ready to move forward

The SOEMIG program has two distinct differences from the Center of Excellence in Minimally Invasive Gynecology (COEMIG) program:

  • Designees will receive a unique seal and certificate that they can use to promote their Surgeon of Excellence status.
  • There is no hospital co-certification requirement. The hospital is not required to pay program fees or meet the COEMIG requirements. However, the hospital must be willing to participate in the inspection (whether virtual or onsite) that is conducted to verify the surgeon’s compliance with the SOEMIG requirements.

The SOEMIG program is an excellent way for patients to identify world-class minimally invasive surgeons who hold themselves to a higher standard.

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Program Requirements

1: Surgical Experience

The applicant has served as the primary surgeon for at least 125 minimally invasive gynecology procedures in their lifetime, and performs at least 50 procedures annually.

Procedures performed at any facility may be used toward volume. Surgeons must have served as the primary surgeon for a procedure to qualify. If the surgeon’s role as primary surgeon has been properly documented, procedures performed during fellowship or residency may qualify. Cases in which the surgeon served as co-surgeon or assisting surgeon do not qualify.

Each procedure used for volume must be thoroughly documented to enable a medical chart review.

Volume waivers may be approved in some circumstances.

Procedures that do not qualify include:

  • Bilateral tubal ligation/salpingectomy performed for sterilization
  • Diagnostic laparoscopy
  • Diagnostic hysteroscopy
  • Dilation & curettage

2: Equipment and Instruments

The applicant performs minimally invasive gynecology in a facility that has a full line of equipment and surgical instruments to provide appropriate perioperative care for their patients. The applicant’s facility has documented training for appropriate staff in the safe operation of this equipment.

3: Surgeon Dedication

The applicant spends a significant portion of their effort in the field of minimally invasive gynecology and has active, full privileges in minimally invasive gynecology at the facility participating in their inspection.

The applicant is board-certified or an active candidate for board certification in minimally invasive gynecology by the highest certifying authority available.

The applicant completes at least 24 hours of continuing medical education (CME) focused on abdominal and/or pelvic minimally invasive surgery every three years. Only American Medical Association Physician’s Recognition Award Category 1 Credits or similar credits from a CME accrediting body outside the United States or three national or international meetings qualify.

4: Clinical Pathways and Standardized Operating Procedures

The applicant formally develops and implements clinical pathways that facilitate the standardization of perioperative care for minimally invasive gynecology procedures. The following pathways are required:

  1. Anesthesia, including monitoring and airway management
  2. Perioperative care, including monitoring, pain management and airway management
  3. Deep vein thrombosis (DVT) prevention and management
  4. Instructions for identification, evaluation and management of early warning signs of complications
  5. Preoperative patient preparation, evaluation, patient education, consent and plan of action for discharge that includes follow-up and any necessary patient education
  6. Evaluation and plan of action for patients at high risk for malignancy, including when a malignancy is detected
  7. Counseling for patients undergoing sterilization, including hysterectomy (if not previously sterilized)
  8. Fluid management in hysteroscopy (if applicable, a fluid management system is required for all hysteroscopic procedures)

The first three pathways will be deemed satisfied if the facility undergoing the site inspection has accreditation from The Joint Commission (formerly known as JCAHO), DNV-GL or an equivalent healthcare organization approved by SRC.

Each applicant surgeon performs each surgical procedure in a standardized manner as allowed by variations in operative circumstances.

Each applicant surgeon uses a template for operative note dictation that ensures proper collection of data for surgical procedures.

5: Surgical Team and Support Staff

The applicant has nurses and/or physician extenders who provide education and care to patients. The applicant performs minimally invasive gynecology in a facility that has an operative team trained to care for minimally invasive gynecology patients.

The applicant ensures appropriate staff are provided with ongoing, regularly scheduled staff education in-services to ensure they have a basic understanding of minimally invasive gynecology and the appropriate management of the minimally invasive gynecology patient. In-service topics must include:

  • Signs and symptoms of common postoperative complications
  • Equipment and surgical instruments
  • Clinical pathways

6: Patient Education

The applicant must provide all minimally invasive gynecology patients with comprehensive preoperative patient education.

The applicant must also have a process for obtaining informed surgical consent and selecting procedures that are most appropriate for each patient’s condition.

7: Continuous Quality Assessment

The applicant must collect prospective outcomes data on all patients who undergo minimally invasive gynecology procedures in SRC’s Outcomes Database (or a similar qualifying database) in a manner consistent with applicable patient privacy and confidentiality regulations. This de-identified data must be available to SRC for initial and renewal inspections or upon request.

Program Fees

Initial Fees

Application Fee: $1,650 USD

  • Discounts may be available for surgeons that participate in multiple accreditation programs. Contact SRC for details.
  • Upon payment of application fees, applicants achieve Provisional Status and gain access to SRC’s Outcomes Database at no additional charge.

Site Inspection Fees

Virtual Site Inspection: $925 USD

  • If the virtual inspection concludes that an onsite inspection is required, an onsite inspection will be required and additional fees will be charged.
  • Renewal inspections are required every three years to ensure ongoing program compliance.

Recurring Fees

Annual Fee: $1,650 USD

  • Annual participation fees will be billed one year after applicants achieve Provisional Status and each year thereafter.

Fees are subject to change without notice and are not refundable. Payment of required fees does not guarantee accreditation.