Surgical trainees with an interest in endocrine surgery are recommended to work in surgical departments with a recognized interest in this specialty in order to ensure that appropriate clinical exposure can be secured. Therefore, fellowships in endocrine surgery should only be available in centers where multidisciplinary approaches to complex endocrine cases can offer the trainees the best chance for learning a comprehensive management of endocrine surgical diseases.

Following the fellowship in endocrine surgery, the trainee should aim to obtain a formal certification of qualification through a national and/or the European examination as provided by the DES.