To be a Board Certified Endopeel  MD, you need to take minimum a 3 days practical workshop with the Inventors Dr.Alain Tenenbaum & Sir Mauro Tiziani .

You need to practise Endopeel to stay Board Certified . We have the same system as for flying pilots who need to have enough hours to keep their flying license.

The certification or recertification has to be renewed each year.                                                                                                                                               

A medical background is important . Physicians need to know their limits and some indications cannot be done by any practicioner.

Deontology between colleagues is a must.

Each physician should have a code of ethics  .