Certification Sub-specialty Centre

Urology has become more advanced, diversified and technically demanding. Over the years urology has branched into several sub-specialties. Not all urological disorders can be successfully treated in one medical institution and with the wide range of various techniques not available or taught in every department. The emergence of sub-specialised medical centres certified by a regulatory body like the EBU has become important.

The fast and extensive development within different urological fields also increases the need of good training centres. An EBU certified sub-specialty centre is ready to share of its knowledge in a number of ways, including fellowship programmes and/or short-term visits. The applicant can rely on the EBU quality mark.

Criteria and requirements
An EBU certified sub-specialty centre is a high-volume centre, which practices a multidisciplinary approach to the treatment of one of the listed urological disorders:

  • Andrology
  • BPH
  • Cancer: Renal, Penile, Prostate, Testicular, Urothelial
  • Female Urology and Incontinence
  • Neuro-urology
  • Stone disease

  • Transplantation

Centres situated in UEMS/EBU member countries are eligible for certification.

UEMS/EBU Member Countries
Armenia, Austria, Belgium, Croatia, Czech Republic, Denmark, Estonia, Finland, France, Georgia, Germany, Greece, Hungary, Ireland, Israel, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey, United Kingdom.

An EBU Sub-specialty centre meets the following criteria.

1. General criteria

  • The centre is disorder-oriented and works in line with the EAU guidelines.
  • If more than one treatment modality is relevant for a certain disorder, in each individual case, the most relevant methods are available.
  • The organisation consists of all relevant disciplines needed to guarantee a multidisciplinary approach.

2. Institutional organisation

  • The centre has a working relationship with a university.
  • The unit has a clear infrastructure including all necessary clinical specialists and well-established teamwork. There should be at least two consultants who are experts, and a dedicated staff in the sub-specialty.
  • All relevant treatment modalities within the sub-specialty should be available.
  • The centre has an adequate number of cases to maintain a high level of results and to pursue research and clinical studies on the specific topic. Moreover, the centre provides care to an adequate number and variety of patients for it to offer a comprehensive and practical training in the given specialty.
  • The centre has a well-structured patient’s pathway.
  • The centre has a quality management system and keeps disease register documentation of performance.
  • The centre is part of a national and international collaboration network.
  • The centre is research-driven and has an operating budget.

3. Facilities and resources

  • The centre is equipped with all adequate technical equipment and has updated routines that enables it to be thoroughly capable in offering relevant developments in the sub-specialty.
    Moreover, the centre must have ready access to supporting specialties and other resources needed to run its operations in a modern and professional manner. 
  • If there are several relevant treatment modalities for a certain kind of disease or diagnose, all these modalities are available at the centre. The centre must have good knowledge of all relevant treatment modalities and a functioning collaboration with specialists within the same hospital/institute where these needed modalities are available, for example interventional radiologists or oncologists etc. 
  • The organisation should provide professional support for scientific work, such as library facilities including internet access to medical journals, medical statistics and, if relevant, laboratory facilities should be available.

4. Performance

  • Results achieved by the centre are on par with other international high-volume institutions.
  • The centre presents a high level of treatment results, in all different relevant treatment modalities.
  • The centre keeps record of treatment results, including success rates, failures and complications (in line with the EBU application form).
  • The centre has a good system for follow-up and an established mechanism of learning from all experience.

5. Research and clinical studies

  • The centre stays updated on national and international research carried out within the sub-specialty. Not only does the centre take a dynamic role in the international debate regarding the sub-specialty, it also perform its own research / studies.
  • The centre is a trial centre and if relevant, the centre has permission for bio-banking.
  • The centre has adequate research funding.

6. Sharing of knowledge, teaching and training

  • The centre is ready to share their knowledge and expertise. 
  • The centre publishes and presents its own results. 
  • The centre is involved in national and international meetings and courses. 
  • The centre has resources and a strategic plan to offer post-graduate teaching, a fellowship programme and/or short-term visits of a special proficiency, which cannot be attained at a standard urological department. 
  • A fellowship programme is 6-24 months, a short-term visit is 4-12 weeks. 
  • If a fellowship programme or short-term visit includes surgical training or development of other types of manual skills, it offers an adequate hands-on training. When needed, the host centre also extends assistance to the applicant in obtaining the certificates required to perform hands-on training. For a fellowship or short-term visit that also includes practical training of operative skills, no more than one fellow or short-term visitor per supervising consultant should be accepted at the same time. 
  • If the centre trains urology residents, there is no more than one resident and one fellow or short-term visitor for every supervising consultant. It should be noted that hands-on training on operative skills is not mandatory for a fellowship programme or short-term visit, however, it must be clear to the applicant if that is the case or not. 
  • The fellowship or short-term visit programme is described according to the EBU template.

Credits
The completion of a fellowship programme/short term visit is rewarded with credits. Additional credits are granted when the fellowship programme/short term visit is completed at an EBU certified centre.   

  • EBU certified centre: 1 per week; maximum 50 credits (category 2).
  • Non-EBU certified centre: maximum 25 credits (category 3).

Administration fee
The fee of EUR 1.000,00 is payable by bank transfer 4 weeks after the date of invoice. The application is processed when the payment has been received.

Application
The applicant submits the online application which includes templates for: 

  • Description fellowship programme/short-term visit.
  • Curriculum Vitae of 2 sub-specialised consultants.
  • Publication list with up to 25 publications published in peer-reviewed journals in the last 10 years.

Click here to access the EBU online application system. Sign up and select the option "Sub-specialty Certification".

Evaluation
A peer review committee consisting of 3 experts in the respective sub-specialty field performs an individual single-blinded evaluation. This objective evaluation is based on the EBU scoring system.

Certification
When there is a consensus amongst the peer reviewers that the certification criteria are met, the application is approved. The title EBU-certified centre is then granted for a period of five years. The EBU issues a Certificate of Accreditation. The centre's details are published on the EBU website.