Endoscopy & Endosurgery

Postgraduate Certificate

Endoscopy as an aid to diagnosis coupled with endosurgery as an alternative to more conventional surgical treatments are rapidly growing areas of veterinary practice.

This programme will provide you with a thorough grounding in both theory and hands-on skills needed to start introducing endoscopy into practice.

This programme can only be booked as a full programme and not individual modules.

Endoscopy and Endosurgery is currently not listed as a designated Advanced Practitioner Status subject so it is not possible to apply for Advanced Practitioner Status with the RCVS.

Your learning options:

  • Extend your knowledge and skills in a specific area, by choosing a single or paired module of your interest
  • Complete the one-year programme (all modules) and achieve the General Practitioner Certificate (GPCert) and attain 40 academic credits at Masters Level
  • Continue on to a Postgraduate Certificate (PgC) that combines the GPCert clinical studies with reflective practice (the Advanced Practitioner Module is 20 academic credits at Masters Level 7.) The PgC is 60 academic credits

All delegates will receive a subscription to Harper Adam’s online e-library providing access to 1,000s of scientific articles and abstracts.

Our online learning management system: Moodle – Provides access to course notes, discussion forums and other study resources, including surgical videos and webinars.

A dedicated Programme Tutor will support every individual during their programme to ensure a rewarding and successful learning journey.

This programme is kindly sponsored by:

Introduction to Endoscopy and Endosurgery: Instrumentation

Module Information

This module will cover the history of endoscopy and the development of instrumentation to current day including current applications of endoscopy and minimally invasive surgery in human and veterinary surgery. The structure, function and care of the rigid and flexible endoscope will be covered in detail together with advice on suitable instrumentation for different situations in general practice. Accessory instrumentation will also be discussed in detail and available for use in a dry lab environment. Special attention will be given to the use of electrosurgery and electrosurgical equipment in Minimally Invasive Surgery (MIS) as this is an important means of haemostasis and requires special care in this field. Finally advice on incorporating endoscopy into general practice will enable you to realise a realistic return on your investment.

Key Learning Objectives:

  • Review the history and current applications of endoscopy in human surgery and relate this to current veterinary practice
  • Endoscopic instrumentation including rigid and flexible endoscopes
  • Discuss the application of accessory instrumentation and electrosurgery for rigid and flexible endoscopy
  • Learn how to incorporate endoscopy into a veterinary practice
  • Become familiar with how to clean and care for the equipment
  • Understand the use and application of electrosurgery to minimally invasive technique

When

Where

Speaker

25 Mar 2019 (9:30-17:00) Swindon Philip Lhermette

Flexible Endoscopy: Basic Techniques and Lower Gastrointestinal Tract

Module Information

By using a mixture of didactic, video-based and hands-on practical teaching, this module will cover the techniques of using and caring for flexible endoscopes based on an understanding of their construction and capabilities. Instruction in diagnostic lower gastrointestinal flexible endoscopy will cover patient preparation and endoscopic techniques using a model. The module will enhance your abilities to recognise abnormalities and obtain diagnostic samples.

Key learning objectives:

  • Discuss the indications for lower gastrointestinal endoscopy
  • Understand the possible complications of lower gastrointestinal endoscopy
  • Review patient preparation and general endoscopic technique
  • Appreciate the normal endoscopic appearance of ileum, colon, caecum and rectum
  • Practise techniques using anatomical models

When

Where

Speaker

26 Mar 2019 (9:00-16:30) Swindon Ed Hall

Flexible Endoscopy: Upper Gastrointestinal Tract

Module Information

By using a mixture of didactic, video-based and hands-on practical teaching, this course will cover the techniques for diagnostic upper gastrointestinal flexible endoscopy, using anatomical models, and will cover patient preparation and endoscopic techniques. The module will enhance your abilities to intubate the duodenum and to recognise abnormalities in the upper GI tract and to obtain diagnostic samples.

Key learning objectives:

  • Discuss the indications for upper gastrointestinal endoscopy
  • Revise the possible complications of upper gastrointestinal endoscopy
  • Understand patient preparation and general endoscopic technique
  • Appreciate the normal endoscopic appearance of oesophagus, stomach and duodenum
  • Review biopsy techniques
  • Practise techniques using anatomical models

When

Where

Speaker

25 Apr 2019 (9:30-17:00) Swindon Ed Hall

Flexible Endoscopy: Respiratory Tract and Therapeutic Techniques

Module Information

By using a mixture of didactic, video-based and hands-on practical teaching, this module will cover the techniques of using flexible end, with practice in models. It will cover patient preparation and endoscopic techniques. The module will enhance your abilities to recognise abnormalities and obtain diagnostic samples. Therapeutic uses of endoscopy, including removal of foreign bodies and placement of feeding tubes will also be demonstrated.

Key learning objectives:

  • Discuss the indications for respiratory tract endoscopy
  • Be aware of the possible complications of respiratory tract endoscopy
  • Review patient preparation and general endoscopic technique for examination of upper and lower respiratory tracts
  • Understand normal endoscopic appearance of nasal cavity, larynx, trachea and bronchi
  • Consider sample collection techniques
  • Improve your abilities in foreign body retrieval and feeding tube placement techniques
  • Practise techniques using anatomical models

When

Where

Speaker

26 Apr 2019 (9:00-16:30) Swindon Ed Hall

Rigid Endoscopy: Basic Principles of Rhinoscopy and other 'Oscopies'

Module Information

The basic technique for efficient rhinoscopic examination of the nasopharynx, nose and para-nasal sinuses will be discussed in detail along with biopsy techniques and common nasal pathology including neoplasia. Laser debulking of nasal masses will be discussed and diagnosis and treatment of nasal aspergillosis using a minimally invasive technique will also be covered. Endoscopic examination of pharyngeal stick injuries and other traumatic wounds and fistulas will also be discussed. There will be ample opportunity to practise these techniques in a wet-lab environment.

Key learning objectives:

  • Understand the range of rigid endoscopic equipment available for examination of the upper respiratory tract
  • Perform a thorough endoscopic examination of the upper respiratory tract using a rigid endoscope
  • Examine the frontal sinuses
  • Recognise common nasal pathology and treat nasal aspergillosis
  • Discuss other ‘oscopies’ including exploration of stick injuries and fistulae
  • Practise the above techniques in a wet-lab environment

When

Where

Speaker

4 Jun 2019 (9:30-17:00) Swindon Philip Lhermette

Rigid Endoscopy: Otoendoscopy, Urethrocystoscopy and Vaginoscopy

Module Information

The module will cover basic video-otoscopy techniques including the examination of the external ear canal and tympanic bulla. The technique of myringotomy will be discussed in detail together with collection of diagnostic samples from the ear. Examination of the lower urinary tract of the bitch and queen will be covered in detail including instrumentation and technique. Diagnosis and treatment of common pathology including paramesonephric remnants, ectopic ureters, urinary sphincter mechanism incontinence and transitional cell carcinoma will also be covered and there will be ample opportunity to practise these techniques in a wet lab environment.

Key learning objectives:

  • Discuss the indications for otoendoscopy, urethrocystoscopy and vaginoscopy
  • Understand the possible complications of the above examinations
  • Review patient preparation and general endoscopic techniques for the above examinations in male and female dogs and cats
  • Familiarise yourself with the normal endoscopic appearance of the ear, vagina, urethra and bladder
  • Learn biopsy and sampling techniques as well as the treatment of some common conditions
  • Practise techniques in a wet-lab environment

When

Where

Speaker

5 Jun 2019 (9:00-16:30) Swindon Philip Lhermette

Rigid Endoscopy: Laparoscopy

Module Information

The module will cover the basic approach and principles of laparoscopy in the dog and cat. Basic laparoscopic procedures will be covered and several laparoscopic procedures will be covered in detail including liver, pancreas and other organ biopsy techniques, full thickness bowel biopsy, laparoscopic gastropexy and GI foreign body removal, jejunostomy tube placement and cryptorchidectomy. Laparoscopic assisted cystoscopy will also be covered and there will be ample opportunity to practise laparoscopic techniques and instrument handling in a dry and wet-lab environment.

Key learning objectives:

  • Discuss the indications for laparoscopy
  • Understand the possible complications of laparoscopy
  • Review patient preparation and general endoscopic technique for laparoscopy
  • Become familiar with normal endoscopic appearance of the abdominal cavity and its organs
  • Consolidate your organ biopsy techniques
  • Practise techniques in a wet-lab environment

When

Where

Speaker

4 Jul 2019 (9:30-17:00) Swindon Philip Lhermette

Rigid Endoscopy: Ovariectomy and Ovariohysterectomy

Module Information

Minimally invasive surgery has transformed the way surgical procedures have been performed over the past twenty years and many veterinary clinics are now performing many or all of their bitch spays laparoscopically. The benefits are self-evident and the procedure is well received, indeed sought out, by clients. Many clinics already own flexible endoscopy equipment and thus have much of the basic equipment necessary for rigid endoscopy and laparoscopy. Additional equipment and training is required to perform laparoscopy and this expense must be justified.

Most surgeons starting laparoscopy would consider the bitch spay as the core procedure and main reason for investing in the equipment. It is a routine procedure that is done on an almost daily basis and will therefore provide a return on investment as well as providing sufficient practise in technique to enable surgeons to do other, more advanced techniques and expand their repertoire.

Key learning objectives:

  • Review the instrumentation necessary for sterilisation surgeries
  • Understand the techniques and possible complications of laparoscopic sterilisation procedures
  • Consider the choice between ovariohysterectomy / ovariectomy and the benefits of a minimally invasive approach
  • Revise the use of electrosurgery devices for haemostasis and cutting
  • Discuss the economics of incorporating laparoscopic spays into private practice
  • Practise the above techniques in a wet-lab environment

When

Where

Speaker

5 Jul 2019 (9:00-16:30) Swindon Philip Lhermette

Arthroscopy I

Module Information

Key learning objectives:

  • Consider the instrumentation necessary for arthroscopic procedures
  • Discuss common joint pathology
  • Understand the indications for arthroscopy
  • Review patient preparation and the creation of portals for approaching the elbow, shoulder and stifle joints
  • Practise the above techniques in a wet-lab environment

When

Where

Speaker

25 Sep 2018 (9:30-17:00) Swindon Hannes Bergmann
24 Sep 2019 (9:30-17:00) Swindon Hannes Bergmann

Arthroscopy II

Module Information

Key learning objectives:

  • Perform an arthroscopic examination of the elbow, shoulder and stifle joints
  • Complete some simple arthroscopic surgery of the elbow and shoulder
  • Understand the possible complications of the above procedures
  • Practise the above techniques in a wet-lab environment

When

Where

Speaker

26 Sep 2018 (9:00-16:30) Swindon Hannes Bergmann
25 Sep 2019 (9:00-16:30) Swindon Hannes Bergmann

Rigid Endoscopy: Thoracoscopy

Module Information

Exploratory thoracotomy is rarely performed in practice due to patient morbidity and mortality. However, thoracoscopy provides better surgical exposure, a magnified well illuminated image and greatly decreased morbidity and mortality making exploratory thoracoscopy a useful diagnostic and therapeutic tool for the general practitioner. The indications for thoracoscopy will be discussed and the basic principles and approach to the thoracoscopic examination of the chest will be covered. The benefits of the paraxiphoid transdiaphragmatic approach and the intercostal approach will be compared in relation to some common surgical procedures. Biopsy techniques and pericardectomy will be covered in some detail and other thoracoscopic procedures will be reviewed. Instrument handling techniques will be practised in a dry lab environment before practicing actual procedures in a wet lab.

Key learning objectives:

  • Review the instrumentation necessary for thoracoscopy procedures
  • Describe the indications for diagnostic thoracoscopy
  • Revise the approaches to the thoracic cavity – telescope portals
  • Understand the techniques for an exploratory thoracoscopy, lung and lymph node biopsies and pericardectomy
  • Consider the possible complications of thoracoscopy
  • Practise some of the above techniques in a wet-lab environment

When

Where

Speaker

16 Oct 2018 (9:30-17:00) Swindon Philip Lhermette
15 Oct 2019 (9:30-17:00) Swindon Philip Lhermette

An Introduction to Laser Endosurgery

Module Information

Lasers are becoming more common in first opinion veterinary practice and diode lasers in particular lend themselves extremely well to minimally invasive procedures as the laser light is delivered via a flexible fibre that can be passed down the instrument channel of the endoscope. This enables the surgeon to resect tissue, de-bulk tumours and provide haemostasis with extreme precision.

The module will include discussion of the types of laser equipment available as well as the techniques and application of lasers in endoscopy including the treatment of GI, nasal and bladder tumours and for the resection of ectopic ureters. There will be several lasers available for practise of these techniques in the wet lab.

Key Learning Objectives:

  • Review the equipment available for laser surgery in animals
  • Discuss the use of lasers in conjunction with endoscopy
  • Understand how to perform laser de-bulking of tumours in the GI tract, nose and bladder plus resection of ectopic ureters
  • Consider the possible complications of laser surgery
  • Practise some of the above techniques in a wet-lab environment

When

Where

Speaker

17 Oct 2018 (9:00-16:30) Swindon Philip Lhermette
16 Oct 2019 (9:00-16:30) Swindon Philip Lhermette

Endoscopy & Endosurgery Pricing

Pricing Table
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Payment Terms & Conditions

  1. A non-refundable initial payment of £924.00 is due on registration in order to secure the booking. This can be paid by credit card or bank transfer.
  2. Initial payment to be made within 30 days of the commencement of the first module in order to be eligible for the discounted rate.
  3. Direct debit plans are administered and collected on our behalf by Animal Healthcare Limited.
  4. Individual and paired module pricing does not include the exam fees payable to ESVPS and Harper Adams University.
  5. Please contact us for pricing relating to corporate veterinary groups and multiple booking discounts.

Registration Information

  1. Applications are accepted on a first-come, first served basis.
  2. Where all available places are full, applicants will be offered first refusal for the next available date.
  3. Improve International reserves the right to close the intake early if the number of applications received exceeds the number of available places.
  4. In order to secure a place you must pay an initial payment – details of which can be found above.
  5. Confirmation and enrolment details will then be sent to applicants once we have received a completed application form.

Register your interest

Interested in a programme? Simply click the button, fill out the short form and we’ll be in touch shortly.

Route to a PgC

Route to PgC - Clinical

ABOUT IMPROVE

Improve International was established in 1998 by a group of veterinary surgeons from across the UK. We run Continuous Professional Development training for veterinary professionals to help develop the skills and knowledge required in practice. Our programmes utilise a combination of review lectures, case-based discussion and, where applicable, hands-on practical sessions. We are an international organisation with offices in the UK and Portugal.

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01793 759159

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