Specialty Training · Minimally Invasive Surgery

Minimally Invasive Surgery

Covering laparoscopy, thoracoscopy, robotic surgery, and digestive endoscopy (EMR/ESD, ERCP) — minimal trauma, fast recovery, one of the most sought-after capabilities for Belt & Road countries.

How the three schools differ

For the same specialty, the three schools have different strengths and entry points — the basis for matching a training provider to your needs.

Shanghai Jiao Tong University School of Medicine

Ruijin Hospital's gastrointestinal MIS (Zheng Minhua's team, a pioneer of laparoscopic surgery in China), the Sixth People's Hospital minimally invasive orthopedics, and the Chest Hospital's minimally invasive thoracic surgery.

Fudan University Shanghai Medical College No.2 in general & MIS nationwide

Zhongshan Hospital ranks No.2 in general & MIS nationwide (Qin Xinyu and Sun Yihong's teams); Huashan Hospital minimally invasive neurosurgery — a high-level endoscopic and laparoscopic spectrum.

West China Medical Center, Sichuan University

West China Hospital has a complete MIS system, with laparoscopic and robotic surgery across major specialties — a key MIS training center in western China.

Training System

Tiered MIS / Endoscopy Training

Building on Chinese teaching resources and a standardized large-animal training platform, this program creates a closed-loop model: online theory + local simulation + hands-on practice in China + clinical implementation + official certification.

DimensionDescription
Three-tier progressionBeginner (Grade I–II procedures · fundamentals) → Intermediate (Grade II–III · independent operation) → Advanced (Grade III–IV · complex mastery + clinical teaching)
Five-stage ladderL0 theory → L1 dry simulation → L2 wet / ex-vivo → L3 large-animal live surgery → L4 clinical preceptorship → L5 certification & authorization
Three-site division of laborOnline: recorded theory and live surgical review; Home country: training at your own simulation center and post-return clinical case accumulation; In China: large-animal live surgery, observation, and standardized graduation assessment
Five-stage ladder

A six-layer training path from theory to certification

Each level must be passed before advancing; those who fail repeat training to protect practical capability and certificate value.

L0

Theory learning

General theory + specialty recordings + live review, LMS exam release

L1

Dry simulation

Simulator + OSATS 7-dimension scoring (laparoscopy max 35)

L2

Wet / ex-vivo

Ex-vivo tissue practice, GAGES 5-dimension (endoscopy max 25) + OSATS

L3

Large-animal live surgery

Full live-surgery workflow, OSATS ≥28–30 (higher live standard)

L4

Clinical preceptorship

Volume met + complication rate below benchmark + preceptor sign-off

L5

Certification & authorization

Three-tier certification · tiered authorization · certificate verification

11 MIS directions

Menu-style specialty selection

Core theory is a shared foundation across all directions; each direction only adds specialty modules.

GI endoscopy EMR/ESDPhase-1 priority
Biliopancreatic ERCPafter technical readiness
Image-guided interventionUltrasound/CT-guided
LaparoscopyHernia / biliary / GI
ENT endoscopy/microsurgeryPhase 2
Urological MISUreteroscopy / PCNL
Gynecological MISHysteroscopy/laparoscopy
ArthroscopyKnee/shoulder
VATS thoracicLobectomy
Anorectal MISPPH/TST
ICG fluorescence navigationFluorescence laparoscopy
Tiered training menu

Four standardized training packages

Adapts to different trainee baselines and career needs; supports segmented participation for working physicians, minimum 10 days per visit. Large-animal cases, observation duration, and clinical case volume are all adjustable.

Starter
Fundamentals: master diagnostic and basic therapeutic procedures
Large-animal cases4
Clinical observation2 days
Duration in China≈10 days
Core case volumeEMR/polyps ≥50
Intermediate
Competent to independently perform routine procedures
Large-animal cases6
Clinical observation4 days
Duration in China≈10 days
Core case volume+30 over starter
Advanced
Proficient in difficult, complex procedures
Large-animal cases8
Clinical observation6 days
Duration in China≈10 days
Core case volume+20 over intermediate
Master
Full proficiency with clinical teaching qualification
Large-animal cases12
Clinical observation6 days
Duration in China≈30 days (segmented)
Core case volume100+ cumulative
Assessment · Certification

Four-level assessment → three-tier certification

Entry leveling, individualized teaching, level-by-level assessment, and remediation for those who fail; certificates are issued only after passing all four assessments.

Assessment typeFormatPassing standard
Theory assessmentLMS randomized exam, anti-switch online testAdvanced procedures add complication-specific management
Simulation assessmentOSATS international scoring, device + expert scoring, full video recordMeet minimum operation score and completion for the tier; failure triggers remediation
Large-animal assessmentFull live-surgery procedure, dual-instructor independent scoringStandardized, no major errors, proper complication management; retake on failure
Clinical assessmentCase-volume verification, complication-rate statistics, preceptor signature, case archiveComplete tier surgery volume, complication rate below benchmark, granted operating privileges
Certification levelCertificate issuedEndorsement / sealEffect
BeginnerMIS Beginner Skills CertificateChinese training center + partner hospital joint sealcompetent as assistant / camera holder / diagnostic procedures
IntermediateAuthorization for Independent Standard ProceduresLead preceptor signature + training center official certificationgranted independent operating rights for routine MIS procedures
AdvancedAdvanced Techniques · Operator + Teacher Dual QualificationTraining center + university/society joint endorsementcomplex-procedure operating + teaching qualification
Certificate verification: every certificate has a unique number, verifiable off-site on the bilingual (RU/EN) official site; accompanied by trainee records, case counts, and preceptor-signed documents. Key certificates can be blockchain-notarized — fully traceable and unforgeable.
Scope of practice (important): this training issues a certificate of training completion only; it does not constitute or replace licensure in the host country. Whether a graduate may practice independently at home is determined by local regulations. Chinese experts provide hands-on teaching only within China; in other countries we provide observation guidance, simulation training, and remote case review only, and do not perform primary surgical procedures locally.
Core Advantages

Advantages of China's training system

Massive clinical case volume, complete tiered progression, large-animal live surgery, clinical observation, foreign-language friendly, credit mutual recognition, high cost-effectiveness.

Want to arrange training in Minimally Invasive Surgery?

We are not an intermediary introducing you to a university.
We operate an end-to-end clinical training system — standardized curricula, real hospital rotations, preceptor certification, assessment and evaluation, insurance and emergency response, and data reporting — all coordinated by us as a single responsible entity.

So when you contact us, don't ask "which school do you know?" Instead, tell us directly: what capability your physicians need to build, and what kind of training system your institution wants to establish.
Describe your focus area, your institution, and your cooperation intent by email, and we will give you a complete project proposal — not a list of schools.

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