Royal Australasian College of Surgeons · At this stage of the calendar year, ... Non English Speaking Country has been used to identify applications from a Non ... Royal Australasian
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For the period: 1 January 2009 to 31st August 2009
The Activities Report is a document provided for the community which details statistics on the College’s activities in education assessment and the surgical workforce. Education figures provided include details on Basic Surgical Trainees and Surgical Education and Training, examinations and placement. Activities of new, active and retired Fellows are also described.
This, and other Activities Reports, are available at the website of the
Royal Australasian College of Surgeons: www.surgeons.org
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January – August 2009 Interim Activities Report Royal Australasian College of Surgeons
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CONTENTS INTRODUCTION.................................................................................................................. 3 KEY DEVELOPMENTS JANUARY TO AUGUST 2009 ....................................................................................3
GLOSSARY ................................................................................................................................................4 SECTION ONE: ACTIVITIES OF BASIC SURGICAL TRAINEES ................................ 5 ITEM: BST.1: ALL BST TRAINEES BY LOCATION AND YEAR OF TRAINING ..............................................6
ITEM: BST.2 - ALL BST TRAINEES BY LOCATION AND GENDER...............................................................7
SECTION THREE: ACTIVITIES OF INTERNATIONAL MEDICAL GRADUATES 8 ITEM: IMG.1 - APPLICATIONS FOR INTERNATIONAL MEDICAL GRADUATE SPECIALIST, AND/OR AREA OF
NEED ASSESSMENT, AUSTRALIA...............................................................................................................9
SECTION FOUR: ACTIVITIES OF SURIGICAL EDUCATION AND TRAINING ... 10 ITEM SET.1: SET APPLICATIONS BY TYPE AND SPECIALTY....................................................................11
ITEM SET.2 - SET APPLICATIONS BY LOCATION AND SPECIALTY ..........................................................12
ITEM SET.8 - ACTIVE SETS BY LOCATION OF TRAINING POST AND YEAR OF TRAINING........................13
ITEM SET.9 - FEMALE ACTIVE SETS BY LOCATION AND SPECIALTY......................................................14
SECTION FIVE: ACTIVITIES OF EXAMINATIONS .................................................... 15 ITEM EXAM.1 - CLINICAL EXAMINATION - CANDIDATES WHO PASSED THE EXAM BY LOCATION AND
THE EXAM BY LOCATION AND SPECIALTY ..............................................................................................18
SECTION SIX: WORKFORCE DISTRIBUTION ............................................................ 19 ITEM: WFD.1: ACTIVE AND RETIRED FELLOWS BY LOCATION AND SPECIALTY .....................................20
ITEM: WFD.2 ACTIVE FELLOWS BY LOCATION AND SPECIALTY.............................................................21
ITEM: WFD.3: FEMALE ACTIVE FELLOWS BY LOCATION AND SPECIALTY .............................................22
ITEM: WFD.4: ACTIVE FELLOWS BY LOCATION AND AGE......................................................................23
ITEM: WFD.5 - ACTIVE FELLOWS BY SPECIALTY AND AGE ....................................................................24
ITEM: WFD.6 - AUSTRALIAN ACTIVE FELLOWS BY RRMA* CODE AND SPECIALTY .............................25
ITEM: WFD.7: AUSTRALIAN ACTIVE FELLOWS BY RRMA* AND ...........................................................25
ITEM: WFD.8: AUSTRALIAN ACTIVE FELLOWS BY RRMA* AND AGE....................................................26
APPENDIX A: DEFINITIONS FOR REGIONAL, RURAL AND RRMA DATA ......... 27
**Rural, Remote & Metropolitan Area (RRMA) classifications are based on postcode (refer to Appendix A)
January – August 2009 Interim Activities Report Royal Australasian College of Surgeons
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Royal Australasian College of Surgeons Interim Activities Report
For the period: 1 January 2009 – 31 August 2009
INTRODUCTION This Interim Activities Report outlines data for the period 1 January to 31 August
2009. As with previous interim reports, the purpose is to provide a snapshot of the
College’s activities in the eight months of 2009, and is not meant to be taken as
articles of full data.
At this stage of the calendar year, numerous data sets are incomplete and their
listing has been omitted to avoid providing readers with inaccurate trends. For
instance, Section Two has been excluded as there are numerous Skills Training
classes held throughout the year with repeat sessions that can be taken at any time
of the year. Therefore, whether attendance is small, average, or high in any one
period of time, does not reflect an accurate account of this activity until the full
calendar year data is provided for review. College activities are segmented as
follows:
SECTION ONE: Activities of Basic Surgical Trainees
SECTION THREE: Activities of International Medical Graduates
SECTION FOUR: Activities of Surgical Education and Training
SECTION FIVE: Activities of Examinations
SECTION SIX: Workforce Distribution
Format Each of the 5 sections in this report and the data selected has been provided as
being useful for a snapshot review of activities. Consequently, there are fewer
explanatory notes than is the case for the end of year report.
Key Developments January to August 2009 The growth of the Fellowship body continues strongly seeing an increase of 3%
compared to this time last year with the greatest increase seen in the specialty of
vascular surgery (8%). Numbers of female Fellows continues to grow with an overall
increase of 10%, with the greatest increase, also seen in the specialty of vascular
surgery (22%).
January – August 2009 Interim Activities Report Royal Australasian College of Surgeons
January – August 2009 Interim Activities Report Royal Australasian College of Surgeons
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SECTION THREE: ACTIVITIES OF INTERNATIONAL MEDICAL GRADUATES
Item: IMG.1 - Applications for International Medical Graduate Specialist, and/or Area of Need Assessment, Australia
Areas of Need
ESC* ESC** & Others
Non ESC***Only TOTAL
Activated 6 2 1 9
Completed 4 1 1 6
In Progress 2 1 0 3
Completion Time
Less than 8 weeks 1 0 1 2
More than 8 weeks 3 1 0 4
Specialist Assessment
Activated 17 9 24 50
Completed 9 7 19 35
In Progress 8 2 5 15
Completion Time Less than 12
weeks 8 6 13 27
More than 12 weeks 1 1 6 8
Assessment Outcomes Specialist Assessment & Area of Need
Not Comparable 0 2 6 8
Partially Comparable 8 6 11 25
Substantially Comparable 5 0 3 8
Clinical Assessment in
Progress Clinical Practice Under Oversight/Supervision
Undertaking/completed period of assessment
of clinical practice specified
1 0 3 4
NOTES: *ESC: English-speaking Country. ** The category 'Non-ESC & Others' has been used to identify applicants from a Non-English Speaking Country that have completed subsequent training in an English Speaking Country.*** Non English Speaking Country has been used to identify applications from a Non-English speaking country that have not completed subsequent training in an English Speaking Country
January – August 2009 Interim Activities Report Royal Australasian College of Surgeons
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SECTION FOUR: ACTIVITIES OF SURIGICAL EDUCATION AND TRAINING
EXPLANATORY NOTES The College is accredited to conduct surgical training in nine specialties. The
following specialties conduct bi-national training programs:
• Cardiothoracic Surgery
• Neurosurgery
• Paediatric Surgery
• Urology Surgery; and
• Vascular Surgery
Separate programs are conducted in Australia and New Zealand for the following
specialties:
• General Surgery
• Orthopaedic Surgery
• Otolaryngology, Head and Neck Surgery; and
• Plastic and Reconstructive Surgery
General Surgery and Orthopaedic Surgery remain the largest training specialties
within the College. All specialties have experienced ongoing growth as a result of
additional posts accredited for training.
Surgery remains an attractive career path for doctors, as evidenced by the large field
of applicants for the training programs in the nine specialties.
SECTION FOUR: ACTIVITIES OF SURIGICAL EDUCATION AND TRAINING
Item SET.1: SET Applications by Type and Specialty
Type &
Specialty BST
2 BST
3 BST
4 SST SET Deferred IMG Person Fellow
Total Jan -
August 2009
CAR 0 3 1 7 0 1 28 1 41
GEN 0 16 7 2 0 1 313 0 339
NEU 0 0 3 2 0 0 60 1 66
OHN 0 4 2 19 0 0 91 0 116
ORT 0 21 13 0 0 0 180 1 215
PAE 0 2 1 2 0 0 21 0 26
PLA 0 8 5 32 0 0 82 1 128
URO 1 2 1 22 0 0 88 0 114
VAS 0 3 5 7 0 0 48 0 63
Total 1 59 38 93 0 2 911 4 1108
Figure: SET.1 - SET Applications by Type and SpecialtyRACS Jan to August 2009 Acitivities Report
0
50
100
150
200
250
300
350
CAR GEN NEU OHN ORT PAE PLA URO VAS
BST 2 BST 3 BST 4 SST SET Deferred IMG Person Fellow
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SECTION FOUR: ACTIVITIES OF SURIGICAL EDUCATION AND TRAINING
Item SET.2 - SET Applications by Location and Specialty
Location &
Specialty ACT NSW NT QLD SA TAS VIC WA AUST NZ O/S
Total Jan -
August 2009
CAR 0 11 0 5 1 0 12 3 32 9 0 41
GEN 5 104 2 62 15 4 82 18 292 47 0 339
NEU 2 23 0 7 3 3 16 5 59 7 0 66
OHN 1 33 0 26 8 2 25 6 101 15 0 116
ORT 5 49 1 47 18 4 48 11 183 32 0 215
PAE 0 9 0 4 2 0 3 2 20 5 1 26
PLS 1 39 0 20 5 5 36 6 112 16 0 128
URO 0 29 0 26 6 2 30 6 99 15 0 114
VAS 0 21 0 10 4 0 11 7 53 10 0 63
Total 14 318 3 207 62 20 263 64 951 156 1 1108
Figure: SET.2 - SET Applications by Location and SpecialtyRACS Jan - August 2009 Activities Report
0
20
40
60
80
100
120
ACT NSW NT QLD SA TAS VIC WA NZ O/SCAR GEN NEU OHN ORT PAE PLS URO VAS
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SECTION FOUR: ACTIVITIES OF SURIGICAL EDUCATION AND TRAINING
Item SET.8 - Active SETs by Location of Training Post and Year of Training
Location &
Year of Training
ACT NSW NT QLD SA TAS VIC WA AUST NZ O/S Total Jan -
August 2009
Year 1 4 75 1 47 16 3 66 24 236 54 3 293
Year 2 8 96 5 52 21 7 91 23 303 56 3 362
Year 3 4 83 1 39 21 4 50 19 221 34 2 257
Year 4 1 57 0 32 9 1 55 16 171 28 2 201
Year 5 2 39 0 6 7 1 23 6 84 19 0 103
Year 6 0 8 0 1 1 0 8 1 19 0 1 20
Total 19 358 7 177 75 16 293 89 1034 191 11 1236
Figure: SET.8 - Active SETs by Location of Training Post and Year of Training
RACS Jan to August 2009 Activities Report
0
20
40
60
80
100
120
ACT NSW NT QLD SA TAS VIC WA NZ O/SYear 1 Year 2 Year 3 Year 4 Year 5 Year 6
January – August 2009 Interim Activities Report Royal Australasian College of Surgeons
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SECTION FOUR: ACTIVITIES OF SURIGICAL EDUCATION AND TRAINING
Item SET.9 - Female Active SETs by Location and Specialty
Location &
Specialty ACT NSW NT QLD SA TAS VIC WA AUST NZ O/S
Total Jan -
August 2009
Year 1 2 13 0 11 3 1 22 6 58 15 2 75
Year 2 0 27 0 15 3 1 30 4 80 14 2 96
Year 3 1 23 0 11 5 1 12 6 59 11 1 71
Year 4 0 10 0 5 2 0 12 2 31 7 1 39
Year 5 0 5 0 1 3 0 6 3 18 3 0 21
Year 6 0 0 0 1 0 0 1 0 2 0 0 2
Total 3 78 0 44 16 3 83 21 248 50 6 304
Figure: SET.9 - Female Active SETs by Location and SpecialtyRACS Jan to August 2009 Activities Report
0
5
10
15
20
25
30
35
ACT NSW NT QLD SA TAS VIC WA NZ O/S
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6
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January – August 2009 Interim Activities Report Royal Australasian College of Surgeons
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SECTION FIVE: ACTIVITIES OF EXAMINATIONS
EXPLANATORY NOTES
Examinations Activities
Location - State and/or Country reflected in these reports refer to the candidate’s
mailing address. This is not necessarily the State where the candidate has
undertaken all of their training or oversight.
Fellowship Examinations
Numbers reflected in the Fellowship Examination report are representative of the
exams held in Australia, New Zealand and Hong Kong in May/June 2009.
For more detail on the Fellowship Exam pass rate, please refer to the end of year
Activities Report. Candidate numbers comprise both Trainees and IMGs.
Surgical Science Examination
The 'Surgical Science Examination' (SSE) was run for the first time in October 2008.
This exam replaces the Basic Science Examination (BSE) in a revised format aligned
with the SET program.
The SSE exam comprises two generic papers and one specialty specific paper for
Cardiothoracic Surgery, General Surgery, Neurosurgery, Otolaryngology - Head and
Neck Surgery. Urology Surgery and Vascular Surgery
Specialty specific examinations will remain in their current format for Orthopaedic
Surgery, Paediatric Surgery and Plastic and Reconstructive Surgery.
Coverage of Data
Included in this report are the SSE and Clinical examinations run in February and
June 2009.
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SECTION FIVE: ACTIVITIES OF EXAMINATIONS
Item Exam.1 - Clinical Examination - Candidates who passed the Exam by Location and Specialty
Location, Type &
Specialty Outcomes
ACT NSW NT QLD SA TAS VIC WA AUST NZ O/STotal Jan -
August 2009
Total Sitting 2 44 0 27 11 0 29 9 122 14 0 136
Passed 2 34 0 26 10 0 24 9 105 11 0 116
% 100% 77% ~ 96% 91% ~ 83% 100% 86% 79% ~ 85%
Candidates who Passed by Specialty
Sitting 0 1 0 0 2 0 1 1 5 2 0 7 BST
Passed 0 1 0 0 2 0 1 1 5 1 0 6
Sitting 0 1 0 1 0 0 0 0 2 0 0 2 CAR
Passed 0 1 0 1 0 0 0 0 2 0 0 2
Sitting 1 29 0 16 8 0 17 3 74 8 0 82 GEN
Passed 1 20 0 15 7 0 14 3 60 6 0 66
Sitting 0 3 0 1 0 0 1 0 5 1 0 6 NEU
Passed 0 2 0 1 0 0 0 0 3 1 0 4
Sitting 0 4 0 2 0 0 2 1 9 0 0 9 OHN
Passed 0 4 0 2 0 0 1 1 8 0 0 8
Sitting 1 3 0 3 0 0 3 0 10 1 0 11 ORT
Passed 1 3 0 3 0 0 3 0 10 1 0 11
Sitting 0 0 0 0 0 0 0 0 0 0 0 0 PAE
Passed 0 0 0 0 0 0 0 0 0 0 0 0
Sitting 0 0 0 1 0 0 0 0 1 0 0 1 PLS
Passed 0 0 0 1 0 0 0 0 1 0 0 1
Sitting 0 2 0 1 1 0 3 3 10 1 0 11 URO
Passed 0 2 0 1 1 0 3 3 10 1 0 11
Sitting 0 1 0 2 0 0 2 1 6 1 0 7 Vas
Passed 0 1 0 2 0 0 2 1 6 1 0 7
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SECTION FIVE: ACTIVITIES OF EXAMINATIONS
Item Exam.2 - Surgical Science Examination (Generic) - Candidates who passed the Exam by Location and Specialty
Location, Type & Specialty Outcomes
ACT NSW NT QLD SA TAS VIC WA AUST NZ O/STotal Jan -
August 2009
Total Sitting 1 42 0 28 6 0 31 5 113 13 0 126
Passed 1 32 0 24 4 0 27 5 93 13 0 106
% 100% 76% ~ 86% 67% ~ 87% 100% 82% 100 ~ 84%
Candidates who Passed by Specialty
Sitting 0 1 0 0 0 0 1 0 2 0 0 2 BST
Passed 0 1 0 0 0 0 0 0 1 0 0 1
Sitting 0 1 0 1 0 0 1 0 3 0 0 3 CAR
Passed 0 1 0 1 0 0 1 0 3 0 0 3
Sitting 1 26 0 19 6 0 18 1 71 8 0 79 GEN
Passed 1 19 0 16 4 0 17 1 58 8 0 66
Sitting 0 4 0 1 0 0 1 0 6 1 0 7 NEU
Passed 0 3 0 1 0 0 1 0 5 1 0 6
Sitting 0 3 0 2 0 0 3 0 8 1 0 9 OHN
Passed 0 3 0 2 0 0 2 0 7 1 0 8
Sitting 0 4 0 3 0 0 2 0 9 1 0 10 ORT
Passed 0 3 0 2 0 0 1 0 6 1 0 7
Sitting 0 0 0 0 0 0 0 0 0 0 0 0 PAE
Passed 0 0 0 0 0 0 0 0 0 0 0 0
Sitting 0 0 0 0 0 0 0 0 0 0 0 0 PLS
Passed 0 0 0 0 0 0 0 0 0 0 0 0
Sitting 0 2 0 0 0 0 3 2 7 1 0 8 URO
Passed 0 1 0 0 0 0 3 2 6 1 0 7
Sitting 0 1 0 2 0 0 2 2 7 1 0 8 Vas
Passed 0 1 0 2 0 0 2 2 7 1 0 8
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SECTION FIVE: ACTIVITIES OF EXAMINATIONS
Item Exam.3 - Surgical Science Examination (Specialty Specific) Candidates who passed the Exam by Location and Specialty
Location, Type &
Specialty Outcomes
ACT NSW NT QLD SA TAS VIC WA AUST NZ O/S Total Jan -
August 2009
Total Sitting 1 46 0 27 9 0 33 7 123 13 0 136
Passed 1 30 0 20 7 0 21 6 85 10 0 95
% 100% 65% ~ 74% 75% ~ 64% 86% 69% 77% ~ 70%
Candidates who Passed by Specialty
Sitting 0 0 0 0 0 0 0 0 0 0 0 0 BST
Passed 0 0 0 0 0 0 0 0 0 0 0 0
Sitting 0 0 0 0 0 0 1 0 1 0 0 1 CAR
Passed 0 0 0 0 0 0 1 0 1 0 0 1
Sitting 1 35 0 20 8 0 22 3 89 10 0 99 GEN
Passed 1 24 0 14 6 0 14 2 61 7 0 68
Sitting 0 5 0 2 0 0 2 0 9 1 0 10 NEU
Passed 0 3 0 1 0 0 1 0 5 1 0 6
Sitting 0 3 0 2 0 0 3 0 8 0 0 8 OHN
Passed 0 1 0 2 0 0 0 0 3 0 0 3
Sitting 0 0 0 0 0 0 0 0 0 0 0 0 ORT
Passed 0 0 0 0 0 0 0 0 0 0 0 0
Sitting 0 0 0 0 0 0 0 0 0 0 0 0 PAE
Passed 0 0 0 0 0 0 0 0 0 0 0 0
Sitting 0 0 0 0 0 0 0 0 0 0 0 0 PLS
Passed 0 0 0 0 0 0 0 0 0 0 0 0
Sitting 0 2 0 1 1 0 3 2 9 1 0 10 URO
Passed 0 2 0 1 1 0 3 2 9 1 0 10
Sitting 0 1 0 2 0 0 2 2 7 1 0 8 Vas
Passed 0 0 0 2 0 0 2 2 6 1 0 7
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SECTION SIX: WORKFORCE DISTRIBUTION
EXPLANATORY NOTES
Augmenting the workforce by addressing workforce skills
Recertification
The College Council requires all Fellows involved in any form of medicine,
surgery or medico legal services to participate in the College’s Continuing
Professional Development (CPD) Program (Recertification). This triennial
program aims to advance the individual surgeon’s surgical knowledge and skills
for the benefit of the patient and to provide tangible evidence of participation and
compliance with the CPD Program by the award of the Certificate of Continuing
Professional Development. Recertification demonstrates maintenance of surgical
standards by individual surgeons in Australia and New Zealand.
Professional Development In order to facilitate the maintenance of surgical competence of Fellows, the
College provides a number of professional development activities that specifically
address the skills and knowledge required in each of the College surgical
competencies. The number of courses offered, and participation rates have
increased over the last few years, particularly in 2007 with the introduction of the
Supervisor and Trainer Course (SAT SET).
External Funding Submissions
The College made submission to the Commonwealth for funding for training and
professional development of the rural surgical workforce in June 2008. At the
time of this report we have not received any substantive advice from the
Commonwealth despite numerous requests. The College continues to make
submissions to support training and development and stands ready to assist the
Commonwealth achieve its objectives in this field.
Library and Website Services
Fellows and trainees have free access to an extensive range of on-line journals,
texts and databases. This is supplemented by a literature search and journal
acquisition service. The College also maintains a comprehensive website which
includes information about the services and resources available to support
surgeons.
SECTION SIX: WORKFORCE DISTRIBUTION In all Workforce Distribution (WFD) tables the last known address is used when the
current address is unknown (~52 Fellows). Regionality is based on mailing postcode
and country. An Active Fellow is a Fellow involved in medicine, surgery, medico-legal
work and other specialist non-procedural and non-clinical work such as surgical
administration and academia.
Item: WFD.1: Active and Retired Fellows by Location and Specialty
Location &
Specialty ACT NSW NT QLD SA TAS VIC WA AUST NZ O/S
Cobram Shire (Vic); Cardwell Shire, Whitsunday Shire (Qld); Barossa, Pinnaroo (SA); Moora Shire, York Shire (WA); George Town, Ross (Tas);
Coomalie, Litchfield (NT))
< 10,000
Remote centres Rem 1 (e.g. Broome, Kalgoorlie/Boulder, Alice Springs)
25,000 – 99,999
Other remote centres Rem 2 (e.g. Bourke, Orbost, Quilpie, Coober Pedy, Shark Bay, King Island,
Gove)
10,000 – 24,999
Source: Rural, Remote and Metropolitan Area (RRMA) classification developed by the Commonwealth Departments of Primary Industries and Energy and Health and Family Services (DPIE & DHFS 1994).
January – August 2009 Interim Activities Report Royal Australasian College of Surgeons