PSM Training Pathway
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The ESSO Training Pathway in Peritoneal Surface Malignancies (PSM), organised in cooperation with the European School of Peritoneal Surface Oncology (ESPSO), offers hands-on training in laparoscopy, cytoreductive surgery, and HIPEC.
What's included
The ESSO Training Pathway in Peritoneal Surface Malignancies (PSM), organised in cooperation with the European School of Peritoneal Surface Oncology (ESPSO), offers hands-on training in laparoscopy, cytoreductive surgery, and HIPEC. These courses are supported by optional modules in Abdominal Surgical Techniques, Artificial Intelligence, and Fluorescence-Guided Surgery. The pathway is designed to build technical proficiency and multidisciplinary expertise in managing complex peritoneal disease. The pathway also includes a short observership, providing participants with hands-on exposure and real-world insights into the surgical treatment of PSM. It culminates in the EBSQ examination and the awarding of an ESSO Certificate of Competence, acknowledging the surgeon’s advanced knowledge and skills of evidence-based practice in the treatment of PSM.
In addition, candidates wishing to further extend their expertise may pursue a practical training fellowship in a ESPSO-approved unit. This advanced clinical fellowship, undertaken in the role of senior fellow over a period of 18 to 24 months, leads to the title of PSM School Fellow.
Related courses
Laparoscopy in the Treatment of PSM Hands-on Course
Level 1
Optional
Biennial
In person
This 2-day course is taking place every 2 years and explores the latest advancements in the minimally invasive management of peritoneal surface malignancies. Led by leading experts, it covers laparoscopic peritonectomy, laparoscopic HIPEC, PIPAC/ePIPAC, and emerging technologies such as immunofluorescence, augmented reality, robotics, and AI. Through lectures, case discussions, and hands-on cadaveric sessions, participants will gain practical experience and a comprehensive overview of laparoscopy’s role in staging, treatment, palliation, and research.
Management of HIPEC after CRS
Level 2
Mandatory
Annual
In person
This annual advanced course on HIPEC after cytoreductive surgery focuses on evidence-based decision-making in the management of primary and secondary peritoneal cancers. Through a multidisciplinary approach, it combines theoretical knowledge with hands-on training. Participants will perform cytoreductive procedures in small groups using advanced surgical tools, and engage in case discussions, video-based sessions, and expert-led lectures. Topics include treatment principles for peritoneal surface malignancies from colorectal, gastric, appendiceal, ovarian cancer, pseudomyxoma peritonei, and mesothelioma, along with future directions in PSM care.
Peritoneal Surface Malignancy
Level 2
Mandatory
Biennial
In person
Organised once every 2 years, this comprehensive advanced workshop explores the latest advances in the multimodal treatment of PSM. Led by international experts, it focuses on diagnosis, patient selection, and evidence-based interdisciplinary management. Participants will gain insights into high-level surgical techniques, the value of cytoreductive surgery across disease types, and strategies to reduce morbidity and improve outcomes. Topics also include ongoing studies, quality of life, and end-of-life care. The programme combines plenary lectures with multidisciplinary case discussions.
Abdominal Surgery – Surgical Technique Hands-on Course
Level 1
Optional
Annual
In person
Organised every year, this hands-on workshop focuses on the surgical anatomy of abdominal organs and vessels, integrating practical dissection with interactive discussions on management challenges. Using specially embalmed bodies, participants will apply oncological surgical techniques, learning key pearls and pitfalls for each organ. The course includes video sessions, plenary lectures, and a pre-course 3D surgical anatomy atlas to enhance anatomical knowledge and surgical skills. Objectives cover cardiovascular access to abdominal organs and advanced oncologic surgical techniques.
Artificial Intelligence in Healthcare
Level 1
Optional
Annual
In person
Artificial Intelligence (AI) is transforming healthcare, offering tools that enhance both clinical efficiency and patient care. In this hands-on workshop which is organised once per year, interested surgeons and radiologists will explore how AI works, learn to train models for real-world applications, and apply their medical expertise to develop practical solutions using clinical data, images, and reports.
Fluorescence-Guided Surgery
Level 1
Optional
Biennial
In person
Organised every 2 years, this course offers essential and advanced insights into fluorescence-guided surgery. It is focusing on tumour and lymphatic imaging, sentinel lymph node detection, visualization of vital structures (bile ducts, ureters, nerves), and tissue perfusion assessment. Participants will explore both standard and targeted imaging agents (e.g., antibody-, peptide-, nanobody-based) and gain practical experience in open, laparoscopic, and robotic settings.
Hands-on sessions using different fluorophores and imaging systems are complemented by plenary lectures on key topics, including lymphatic and tumour imaging, perfusion assessment, and intraoperative navigation of vital structures.
Related webinars
To complement your knowledge gained through the Training Pathway courses, ESSO recommends following optional webinars covering both specialty-specific and transversal topics. These webinars provide in-depth insights, may include interactive case discussions, and are designed to enhance clinical understanding and support continuous professional development.
Short-term observerships
To enhance their training, candidates in the PSM Training Pathway are invited to independently arrange a short-term observership at one of the European School of Peritoneal Surface Oncology (ESPSO)-approved units. Lasting 1 to 3 months, this self-organised observership can include access to operating theatres, outpatient consultations, MDT meetings, and research activities. Direct clinical involvement is not anticipated.
EBSQ examination recommendation
Each year, the European Union of Medical Specialists (UEMS) organises the European Board of Surgery Qualification (EBSQ) Examination in Surgical Oncology. As part of the ESSO PSM Training Pathway, candidates are invited to take the exam organised by the European Board of Surgery, Division of Surgical Oncology of the UEMS to complete their Training Pathway.
ESSO certificate
The ESSO Certificate of Competence is awarded upon successful completion of the full Training Pathway, including all mandatory courses, a short-term observership, and the EBSQ Examination. It recognises a surgeon’s advanced knowledge and skills in evidence-based surgical oncology within their chosen specialty.