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 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 10Administering pain medication ✓ ✓ ✓ ✓ ✓ ✓ ✓ 7Early pregnancy ultrasounds ✓ ✓ ✓* ✓ ✓ ✓ ✓ 7Picking an intravenous line ✓ ✓ ✓ ✓ ✓ ✓ 6Intra-uterine insemination ✓ ✓ ✓ ✓ ✓ ✓ 6Ultrasound during ovarian stimulation

✓ ✓ ✓* ✓ ✓ 5

PAP-smear ✓* ✓* ✓ ✓ 4

HSG, HyCoSy or Gel/Saline/water/oil scan

✓ ✓ ✓ 3

Diagnostic gynecological ultrasound ✓ ✓ 2Embryo transfer ✓ ✓ 2Endometrium biopsy ✓ 1Hysteroscopy ✓ 1Oocyte retrieval ✓ 1Testicular sperm extraction ✓ 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 ✓ ✓ ✓ ✓* ✓ ✓ ✓ ✓ 8Communicating pregnancy test results

✓ ✓ ✓ ✓* ✓ ✓ ✓ ✓ 8

Information in anticipation of start of IVF

✓ ✓ ✓ ✓* ✓ ✓ ✓ 7

Establishing anamnesis ✓ ✓ ✓ ✓ ✓ 5Consult to discuss finished IVF-cycles

✓ ✓ ✓ ✓ ✓ 5

Information in anticipation of start of IUI

✓ ✓ ✓ ✓ 4

Consult at the end of diagnostic phase

✓ ✓ 2

Consult to discuss finished IUI-cycles ✓ ✓ 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

eline.dancet@kuleuven.be