Chapter 1: General Provisions

Article 1 (Purpose)

These regulations aim to establish guidelines for the effective operation and management of the KOMISS Fellowship Program.

Article 2 (Definition)

The "KOMISS Fellowship Program" educates and trains medical professionals in endoscopic spine surgery.

Chapter 2: Program Operation

Article 3 (Selection of Operating Institutions)

1. KOMISS prioritizes selecting hospitals actively receiving foreign visitors.
2. Selected institutions sign a formal contract with KOMISS to operate the program.

Article 4 (Recruitment and Selection of Participants)

1. Participants can apply through the KOMISS website.
2. Selection criteria consider experience, education, and other qualifications in endoscopic spine surgery.

Article 5 (Education and Training)

1. Training periods are divided into short-term (less than 3 months) and long-term (more than 3 months).
2. All participants receive practical education through observation and participation in surgeries at designated training centers.

Chapter 3: Finance and Management

Article 6 (Participation Fee)

1. Training centers may set recommended participation fees; KOMISS charges separate administrative fees.

Article 7 (Program Support)

1. KOMISS may provide financial or other resources to support program operation.

Article 8 (Program Evaluation and Certification)

1. Participants are evaluated at the end of the program, and those who successfully complete the program receive a certificate from KOMISS.

Chapter 4: Supervision and Improvement

Article 9 (Supervision)

1. KOMISS regularly reviews and evaluates the operation of all training centers.

Article 10 (Improvement Measures)

1. Improvement measures are implemented as needed to enhance the effectiveness and quality of the program.

Chapter 5: Support and Role of KOMISS

Article 11 (Support from KOMISS)

1. KOMISS provides necessary administrative support for the fellowship program's operation.
2. KOMISS collects regular feedback to improve the education process.

Article 12 (Role of KOMISS)

1. KOMISS oversees the overall operation and management of the program, coordinating between training centers and participants.
2. Issues official certificates upon completion of the fellowship.
3. Evaluates the performance of participating institutions and individuals, conducts certifications, and recertifications.
4. Promotes the fellowship program and recruits outstanding participants through academic conferences and workshops.

Chapter 6: Fellowship Operating Committee

Article 13 (Composition of the Operating Committee)

1. The committee consists of one chairman, one vice-chairman, and at least five members.
2. The chairman is appointed by the president of the society; members are appointed by the chairman in consultation with the president.
3. The term of office for members is two years and can be renewed.
4. The committee holds regular meetings quarterly and can convene special meetings as necessary.

Article 14 (Roles and Responsibilities of the Operating Committee)

1. Establish policies and operational plans for the Fellowship Program.
2. Review and certify the qualifications of operating institutions.
3. Establish selection and evaluation criteria for fellows.
4. Develop and improve the educational program.
5. Manage budgets and devise financial support measures.
6. Address other matters for the smooth operation of the Fellowship Program.

Chapter 7: Qualifications of Fellowship Operating Institutions

Hospital

1. Must have at least one operating room equipped with endoscopic spine surgery and C-arm equipment.
2. Must have CT or MRI equipment for post-treatment follow-up.
3. Must perform an average of 50 or more major endoscopic spine surgeries annually.
4. Must have at least two full members of KOMISS.
5. Must regularly conduct continuing education and equipment maintenance

Individual

1. Must be a full member of the society with extensive knowledge and experience in endoscopic spine surgery.
2. Must have performed major endoscopic spine surgeries in the last five years.
3. Must have published SCI-grade papers or papers in major academic journals recognized by the society.
4. Must participate in regular continuing education.

Chapter 8: Selection and Education Process of Fellows

Article 16 (Selection and Education Process of Fellows)

1. Fellows are selected through public recruitment by the society, and applicants apply through the society's website.
2. The applications are reviewed by each institution, and the approval status and visit schedule are individually adjusted.
3. Selected fellows receive education at KOMISS-certified institutions in short-term (<3 months) or long-term (more than 3 months) courses.
4. The education process includes theoretical education and practice, and certificates are issued upon completion of each course after evaluation.
5. Education fees are generally charged, following the hospital's policy, with a recommendation of 100 USD per day (500 USD per week, 500,000 KRW) for short-term courses, and each fellow must pay a management fee of 100,000 KRW to the society.

Article 17 (Obligations of Operating Institutions)

1. Conduct the fellows' education program diligently and provide necessary educational materials and opportunities.
2. Collaborate with the society to resolve issues that arise during the education process.
3. Submit evaluation results of fellows to the society after the completion of the education process.
4. Regularly conduct continuing education and equipment maintenance to maintain a high-quality education environment.

Chapter 9: Implementation and Amendment

Article 18 (Implementation and Amendment)

These regulations are effective from the date of approval by the Society's Executive Board and can be amended by a resolution of the Operating Committee and approval of the Executive Board as necessary.

KOMISS Endoscopic Surgery Fellowship Learning Objectives

Uniportal Procedures

1. Lumbar Transforaminal Decompression

• Describe key anatomical structures.
• Describe step-by-step surgical procedure.
• Explain anatomical landmarks and relationships.
• Discuss the endpoint of surgery.

2. Lumbar Interlaminar Decompression

• Describe key anatomical structures.
• Describe step-by-step surgical procedure.
• Explain surgical tips and tricks to avoid complications.
• Discuss the endpoint of surgery.

3. Cervical Foraminotomy

• Describe key anatomical structures.
• Describe step-by-step surgical procedure.
• Explain anatomical landmarks and relationships.
• Discuss the endpoint of surgery.

4. Thoracic Transforaminal Decompression

• Describe key anatomical structures.
• Describe step-by-step surgical procedure.
• Explain surgical tips and tricks to avoid complications.
• Discuss the endpoint of surgery.

5. Thoracic Interlaminar Decompression

• Describe key anatomical structures.
• Describe step-by-step surgical procedure.
• Explain surgical tips and tricks to avoid complications.
• Discuss the endpoint of surgery.

6. Lumbar Interbody Fusion

• Describe key anatomical structures.
• Describe step-by-step surgical procedure.
• Explain surgical tips and tricks to avoid complications.
• Discuss the endpoint of surgery.

Biportal Procedures

1. Lumbar Interlaminar Decompression

• Describe key anatomical structures.
• Describe surgical procedures step-by-step.
• Explain surgical tips to avoid complications.
• Discuss the endpoint of surgery.

2. Lumbar Foraminal Decompression

• Describe key anatomical structures.
• Describe surgical procedures step-by-step.
• Explain surgical tips to avoid complications.
• Discuss the endpoint of surgery.

3. Thoracic Interlaminar Decompression

• Describe key anatomical structures.
• Describe surgical procedures step-by-step.
• Explain surgical tips to avoid complications.
• Discuss the endpoint of surgery.

4. Cervical Foraminotomy

• Describe key anatomical structures.
• Describe surgical procedures step-by-step.
• Explain surgical tips to avoid complications.
• Discuss the endpoint of surgery.

5. Lumbar Interbody Fusion

• Describe key anatomical structures.
• Describe surgical procedures step-by-step.
• Explain surgical tips to avoid complications.
• Discuss the endpoint of surgery.