Royal Australasian College of Surgeons Activities Report · Royal Australasian College of Surgeons Activities Report ... Royal Australasian College of Surgeons 2013 Activities Report

Royal Australasian College of Surgeons

Activities ReportFor the period 1st January to 31st December 2013

Annual Activities Report January – December 2013© Royal Australasian College of SurgeonsEnquiries concerning this report and its reproduction should be directed to: [email protected]

FOREWORD TO ACTIVITIES REPORTThe Royal Australasian College of Surgeons is a bi-national organisation that administers training, examinations and fellowship

services for surgeons in Australia and New Zealand. Our organisation is the leading voice in championing high standards of

surgical practice, ethics and professional integrity in the surgical profession.

The College works in partnership with specialist surgical societies and associations to train medical doctors to become

surgeons, and deliver professional development activities to maintain the surgical skills and standards of our Fellows.

We also work with governments and other organisations to achieve the provision of a well-qualified, experienced workforce

in Australia and New Zealand.

The College now has more than 5,700 active Fellows, and 238 new Fellows were admitted into the College in 2013.

I am pleased to report that many of our Fellows were active members of the College community during 2013. They have

contributed valuable time and effort to instructing and assessing surgical Trainees in short courses and examinations,

being surgical supervisors as part of the Surgical Education Training program (SET), or volunteering in one of our many

international aid projects.

The 2013 Activities Report is a document provided for government departments of health, related agencies and the wider

community. The report details statistics on the College’s activities in education, assessment and the surgical workforce.

The data provided in the report is true and accurate as at December 2013.

Associate Professor Michael Hollands

President

Royal Australasian College of Surgeons

Royal Australasian College of Surgeons 2013 Activities Reporti

Table of ContentsList of Tables ii

List of Figures iv

Acronyms v

Introduction vi

Key Developments for 2013 vi

SECTION ONE: ACTIVITIES OF SKILLS TRAINING 1

Explanatory Notes 1

Data Summary 2

SECTION TWO: ACTIVITIES OF INTERNATIONAL MEDICAL GRADUATES 6

Explanatory Notes 6

Data Summary 6

SECTION THREE: ACTIVITIES OF SURGICAL EDUCATION & TRAINING 13

Explanatory Notes 13

Data Summary 13

SECTION FOUR: ACTIVITIES OF EXAMINATIONS 27


Data Summary 27

SECTION FIVE: WORKFORCE DISTRIBUTION 35


Data Summary 35

SECTION SIX: ACTIVITIES OF INTERNATIONAL PROJECTS 49


SECTION SEVEN: ACTIVITIES OF CONFERENCE AND EVENTS 53


SECTION EIGHT: ACTIVITIES OF VICTORIAN SKILLS AND EDUCATION CENTRE 55


APPENDIX 58

Definitions For Regional, Rural And RRMA Data 58

Royal Australasian College of Surgeons – The College of Surgeons of Australia and New Zealand ii

LIST OF TABLESSECTION ONE: ACTIVITIES OF SKILLS TRAINING

TABLE ST.1 Skills training course attendance by month and course 2TABLE ST.2 Skills training course attendance by location and course 3TABLE ST.3 ASSET faculty by location and specialty 4TABLE ST.4 CCrISP faculty by location and medical discipline 4TABLE ST.5 EMST faculty by location and medical discipline 4TABLE ST.6 CCrISP and EMST attendance by location and pass rate 5TABLE ST.7 CLEAR faculty by location, specialty and medical discipline 5

SECTION TWO: ACTIVITIES OF INTERNATIONAL MEDICAL GRADUATES

TABLE IMG.1 Specialist Assessment Pathway: International Medical Graduates specialist applications 7TABLE IMG.2 Specialist Assessment Pathway: International Medical Graduates specialist assessment outcomes 7TABLE IMG.3 Specialist Assessment Pathway: International Medical Graduate specialists under oversight/supervision 8TABLE IMG.4 Area of Need Pathway: International Medical Graduate specialist applications 9TABLE IMG.5 Area of Need Pathway: International Medical Graduate specialist assessment outcomes 9TABLE IMG.6 Area of Need Pathway: International Medical Graduate specialists under oversight or supervision 10TABLE IMG.7 Short Term Specified Training: International Medical Graduate specialist applications 10TABLE IMG.8 Number of International Medical Graduate specialists practicing in Australia 10TABLE IMG.9 International Medical Graduate specialist applications 11TABLE IMG.10 Interview outcomes for International Medical Graduate specialist applicants 11TABLE IMG.11 International Medical Graduate specialists participating in vocational assessment 12TABLE IMG.12 RACS review of recommendations for International Medical Graduate specialist applicants

at the request of the Medical Council of New Zealand 12

SECTION THREE: ACTIVITIES OF SURGICAL EDUCATION & TRAINING

TABLE SET.1 SET applications by specialty and applicant type 14TABLE SET.2 SET applications by specialty and location of residence 15TABLE SET.3 Individual SET applicants by number of applications and applicant type 16TABLE SET.4 SET applications outcome by specialty and applicant type 16TABLE SET.5 Successful SET application by specialty and location of residence 17TABLE SET.6 Active SET Trainees by status and training location 18TABLE SET.7 Inactive SET Trainees by status and training location 18TABLE SET.8 Active SET Trainees by status and specialty 19TABLE SET.9 Inactive SET Trainees by status and specialty 19TABLE SET.10 SET Trainees that exited the SET program, by specialty 20TABLE SET.11 SET Trainees that exited the SET program, by year of training 20TABLE SET.12 Active SET Trainees by age and location of training post 21TABLE SET.13 Active SET Trainees by age and specialty 21TABLE SET.14 Active SET Trainees by training year and training post location 22TABLE SET.15 Active Cardiothoracic SET Trainees by training year and training post location 22TABLE SET.16 Active General Surgery SET Trainees by training year and training post location 23TABLE SET.17 Active Neurosurgery SET Trainees by training year and training post location 23TABLE SET.18 Active Orthopaedic SET Trainees by training year and training post location 24TABLE SET.19 Active Otolaryngology SET Trainees by training year and training post location 24TABLE SET.20 Active Paediatric SET Trainees by training year and training post location 25TABLE SET.21 Active Plastic and Reconstructive SET Trainees by training year and training post location 25TABLE SET.22 Active Urology SET Trainees by training year and training post location 26TABLE SET.23 Active Vascular Surgery SET Trainees by training year and training post location 26

Royal Australasian College of Surgeons 2013 Activities Reportiii

SECTION FOUR: ACTIVITIES OF EXAMINATIONS

TABLE EXAM.1 Pass rate of individual attempts at Generic Surgical Science Examination by specialty and location 28TABLE EXAM.2 Pass rate of individual attempts at Specialty Specific Surgical Science Examination by specialty and location 29TABLE EXAM.3 Pass rate of individual attempts at Clinical Examination by specialty and location 30TABLE EXAM.4 Individual attempts and annual pass rate of Fellowship Examinations by specialty 31TABLE EXAM.5 Eventual Fellowship pass rate by specialty 31TABLE EXAM.6 Pass rate of SET Trainees individual attempts at Fellowship Examinations by specialty and location 32TABLE EXAM.7 Pass rate of International Medical Graduates individual attempts at Fellowship Examinations by specialty and location 33TABLE EXAM.8 SET Trainees cumulative attempts to pass Fellowship Exam by specialty. 34

SECTION FIVE: WORKFORCE DISTRIBUTION

TABLE WFD.1 Active and retired RACS Fellows by location and specialty 36TABLE WFD.2 Active RACS Fellows by location and specialty 37TABLE WFD.3 Active RACS Fellows by location and age 38TABLE WFD.4 Active Australian RACS Fellows by specialty and age 39TABLE WFD.5 Active New Zealand RACS Fellows by specialty and age 40TABLE WFD.6 Active Australian RACS Fellows by RRMA code and specialty 41TABLE WFD.7 Active Australian RACS Fellows by RRMA and location 41TABLE WFD.8 Active Australian RACS Fellows by RRMA and age group 41TABLE WFD.9 Active RACS Trainees obtaining RACS Fellowship in 2013 by location of residence and specialty 42TABLE WFD.10 Active International Medical Graduates obtaining RACS Fellowship in 2013 by location of residence and specialty 43TABLE WFD.11 Total number of SET Trainees and International Medical Graduates obtaining RACS Fellowship by specialty (2002 – 2013) 44TABLE WFD.12 Ratio of active Australian and New Zealand RACS Fellows per population by location 45TABLE WFD.13 Ratio of active Australian and New Zealand RACS Fellows per population aged 65 year or older by location 45TABLE WFD.14 Participation in RACS CPD program 2010 – 2012 by specialty 46TABLE WFD.15 Participation in RACS CPD program 2010 – 2012 by region 46TABLE WFD.16 Fellow participation in RACS and other CPD programs in 2012 47TABLE WFD.17 Participation in RACS CPD program in 2012, by program category 47TABLE WFD.18 Registrations in RACS MOPS program in 2013 47TABLE WFD.19 Professional Development participation by location and status 48TABLE WFD.20 Professional Development participation by specialty and status 48

SECTION SIX: ACTIVITIES OF INTERNATIONAL PROJECTS

TABLE INTP.1 International Projects clinical visits 51TABLE INTP.2 International Projects non-clinical visits 51TABLE INTP.3 International scholarship programs awarded to surgeons with hospital attachments in Australia,

New Zealand or South East Asia. 52TABLE INTP.4 International travel and educational grants – support for conference attendance 52SECTION SEVEN: ACTIVITIES OF CONFERENCE AND EVENTS

TABLE C&E.1 RACS Annual Scientific Congress attendance 2013 54

SECTION EIGHT: ACTIVITIES OF VICTORIAN SKILLS AND EDUCATION CENTRE

TABLE VSEC.1 Number of workshops held in the Skills Laboratory in 2013 56TABLE VSEC.2 Number of Skills Laboratory workshop participants in 2013 57

Royal Australasian College of Surgeons – The College of Surgeons of Australia and New Zealand iv

LIST OF FIGURESSECTION FOUR: ACTIVITIES OF EXAMINATIONS

FIGURE EXAM.1 Overall annual pass rate of individual attempts at Generic Surgical Science Examination (2009 – 2013) 28FIGURE EXAM.2 Overall annual pass rate of individual attempts at Specialty Specific Surgical Science Examination (2009 – 2013) 29FIGURE EXAM.3 Overall annual pass rate of individual attempts at Clinical Examination (2009 – 2013) 30FIGURE EXAM.4 Overall annual pass rate of SET trainee individual attempts at Fellowship Examinations (2009 – 2013) 32FIGURE EXAM.5 International Medical Graduates annual pass rate of Fellowship Examinations (2009 – 2013) 33FIGURE EXAM.6 Annual overall percentage of SET Trainees that passed the Fellowship Examination on their first attempt (2009 – 2013) 34

SECTION FIVE: WORKFORCE DISTRIBUTION

FIGURE WFD.1 Total annual number of SET Trainees and International Medical Graduates obtaining RACS Fellowship (2003 – 2013) 44

SECTION SEVEN: ACTIVITIES OF CONFERENCE AND EVENTS

FIGURE C&E.1 Total number of attendees at RACS Annual Scientific Congress (2009 – 2013) 54

SECTION EIGHT: ACTIVITIES OF VICTORIAN SKILLS AND EDUCATION CENTRE

FIGURE VSEC.1 Surgical workshops held in the Skills Laboratory by specialty (either College or external workshop) 56FIGURE VSEC.2 Occupancy of the Skills Laboratory on a seven-day basis in 2013 56FIGURE VSEC.3 Total number of Skills Laboratory surgical workshop participants in 2013 by specialty 57FIGURE VSEC.4 Total number of Skills Laboratory workshop participants in 2013 by profession 58

Royal Australasian College of Surgeons 2013 Activities Reportv

ACRONYMS

~ Not available

ACT Australian Capital Territory

ANAT Anatomy exam

ASSET Australian and New Zealand Surgical Skills Education and Training

ATLASS Australia Timor Leste Program of Assistance for Specialist Services

ATLS Advanced Trauma Life Support

AUS Australia

CAR Cardiothoracic Surgery

CCrISP Care of the Critically Ill Surgical Patient

CLEAR Critical Literature Evaluation and Research

CPD Continuing Professional Development

EMST Early Management of Severe Trauma

ESC English-Speaking Country

GEN General Surgery

GP General Practitioner

GSSE Generic Surgical Science Examinations

HECS Health Education and Clinical Services

IDP International Development Program

IMG International Medical Graduate

INTP International Projects

MCNZ Medical Council of New Zealand

MOPS Maintenance of Professional Standards

N/A Not applicable

NEU Neurosurgery

No. Number

NSW New South Wales

NT Northern Territory

NZ New Zealand

OB & GYN Obstetrics and Gynaecology

OMX Oral and Maxillofacial Surgery

OPH Ophthalmology

ORT Orthopaedic Surgery

O/S Overseas

OPBS Orthopaedic Principles and Basic Science Examination

OSCE Objective Structured Clinical Examinations

OTO Otolaryngology – Head and Neck Surgery

PAE Paediatric Surgery

PATH Pathology exam

PGY Medical Graduate

PHY Physician

PIP Pacific Islands Projects

PLA Plastic and Reconstructive Surgery

PRSSP Plastic Surgical Science and Principles Exam

QLD Queensland

RRMA Rural, Remote and Metropolitan Areas

SA South Australia

SET Surgical Education Training

SSE Surgical Science Examination

ST Skills Training

STST Short Term Specified Training

TAS Tasmania

URO Urology Surgery

VAS Vascular Surgery

VIC Victoria

VSEC Victorian Skills and Education Centre

WA Western Australia

WFD Workforce Distribution

Royal Australasian College of Surgeons – The College of Surgeons of Australia and New Zealand vi

INTRODUCTIONThe January-December Activities Report outlines the developments and demographic data for the year 2013. As with previous reports, the purpose is to provide a comprehensive review of the College’s activities throughout the year.

This report details activity in the following eight sections:

• Section One: Activities Of Skills Training

• Section Two: Activities Of International Medical Graduates

• Section Three: Activities Of Surgical Education And Training

• Section Four: Activities Of Examinations

• Section Five: Activities Of Workforce Distribution

• Section Six: Activities Of International Projects

• Section Seven: Activities Of Conference And Events

• Section Eight: Activities Of Victorian Skills And Education Centre

Each section reviews the purpose of and key findings in the data. This is followed by the data in table and graphical format where possible. Each of the eight sections in this report and the data selected has been provided to facilitate a review of activities. All data presented is for the year 2013, unless otherwise stated.

KEY DEVELOPMENTS FOR 2013SET TraineesWhile the number of individual SET applicants remained steady, there was a small increase in the percentage of female applicants to the SET program, and made up almost one-third of individual SET applicants. The Activities Report has also included a new table in ‘Section 3: SET Training’ that documents the number of SET Trainees by training year that have exited the program (Table SET.11).

ExaminationsThe falling pass rates for the Specialty Specific and Fellowship Examination has been documented in previous Activities Reports. In 2013, the pass rates for most of the surgical examinations in the SET program have plateaued. The College is undertaking further research on potential contributing factors to the decreasing pass rates, developing additional resources for Trainees and supervisors and providing more information about the changes to the Fellowship Examination.

Surgical WorkforceThere are now more than 5700 active RACS Fellows, an increase of 3.3% compared to 2012. Almost 240 new Fellows were admitted into the College in 2013, and female Fellows made up 18% of the total number of new Fellows admitted in 2013.

The Activities Report has included a new table in ‘Section 5: Workforce Distribution’ that lists the RACS CPD program category Fellows are participating in (Table WFD.17). This table provides a snapshot at the type of work Fellows are primarily engaged in through the type of CPD program they participated in (eg, operative practice, clinical consulting, medico-legal CPD program category).

International ProjectsIn 2013 70 RACS Fellows volunteered in an international project clinical visit, and took part in more than 7000 consultations and almost 2000 operations or procedures. An important component of our international projects involves education of medical professions and health workforce capacity building activities. Thus, there is a new table in ‘Section 6: International Projects’ that provides further details on the type of non-clinical work done by this department (Table INTP.2).

1Royal Australasian College of Surgeons 2013 Activities Report

EXPLANATORY NOTESThe Skills Training Department provides the following short courses:

• Australian and New Zealand Surgical Skills Education and Training (ASSET)

• Care of the Critically Ill Surgical Patient (CCrISP)

• Critical Literature Evaluation and Research (CLEAR)

• Early Management of Severe Trauma (EMST)

• Training in Professional Skills (TIPS)

Some of these courses are a mandatory requirement of the Surgical Education and Training (SET) program. Doctors from a variety of medical disciplines are involved as both faculty and participants. These courses incorporate a mix of formative and summative assessment, with participants closely mentored and their performance appraised throughout the courses. Courses that incorporate summative assessment (pass or fail) also have an avenue for feedback to be given to SET surgical supervisors when required.

ASSETThe ASSET course provides an educational package of generic surgical skills with an emphasis on small group teaching, intensive hands-on practice of basic skills, individual tuition, personal feedback to participants and the performance of practical procedures. Although this course is not formally assessed, attendees are required to attend and interact in all components in order to successfully complete it. From 2013 ten surgical skillsbox on-line modules were introduced to the course program. Participants must complete all ten modules prior to attending the course.

CCrISPCCrISP is a requirement for all SET Trainees, who are given first preference to complete the course. The course focuses on developing simple skills for managing critically ill patients and promotes the co-ordination of multidisciplinary care where appropriate. The CCrISP course encourages doctors to adopt a system of assessment to avoid errors and omissions, and uses relevant clinical scenarios to reinforce the objectives. The participant is assessed by their contribution to the various sections throughout the course, as well as their performance in a 45-minute simulated patient scenario.

EMSTEMST is a requirement for all SET Trainees, who are given first preference to complete the course. EMST focuses on the management of injury victims in the first one to two hours post-accident, with emphasis on life-saving skills and systematic clinical approach. This course is assessed by contribution to the various sections, a 40-question multiple choice questionnaire paper, and a 15-minute simulated patient scenario.

CLEARCLEAR is a requirement for General, Urology and New Zealand Orthopaedic SET Trainees, who are given first preference to complete the course. It is designed to provide tools to undertake critical appraisal of surgical literature and to assist surgeons in the conduct of clinical trials, aiming to make the language and methodology relevant to surgeons and the day-to-day activities in their practice. There is no formal assessment for this course; participants are required to attend and interact in all components in order to achieve certification.

TIPSTIPS focuses on patient-centred communication and team-oriented non-technical skills in surgery. Through simulation, participants address issues and events that occur in the clinical and operating theatre environment that require skills in communication, teamwork, crisis resource management and leadership. TIPS is designed to be generic to all specialties of surgical training and relevant to Trainees who have already undertaken 2 to 3 years of their surgical training. There is no formal assessment for this course; participants are provided with direct feedback throughout the course and are required to attend all components to achieve certification. TIPS is not a requirement of the SET training program.

Faculty Skills courses are supported by a volunteer workforce of 1262 individual instructors represented across all disciplines of medicine and surgery, with 15% teaching on more than one program. Most of the skills course faculty are Fellows of the College, with the remaining faculty made up of emergency physicians, anaesthetists, intensivists, general practitioners, clinical epidemiologists and educators. The EMST and CCrISP faculty include instructors local to Fiji and Papua New Guinea where outreach courses are held.

SECTION ONE ACTIVITIES OF SKILLS TRAINING


2Royal Australasian College of Surgeons – The College of Surgeons of Australia and New Zealand

DATA SUMMARYGrowth in TIPS courseTraining in Professional Skills (TIPS) has experienced a growth from 4 to 7 courses and majority of faculty have taught on at least one other Skills Training course.

Decreased pass rate for EMST programThe 9th edition MCQ was introduced in 2013. The Advanced Trauma Life Support (ATLS) recognised very early on there was an issue with the pass rate of the new edition MCQ’s consistently seen across all ATLS countries including Australia. EMST then made the decision to revert to 8th edition MCQ’s for the remainder of the year. In recognition of this, it was confirmed at the International ATLS conference in October that the pass rate for the Edition 9 MCQ would be revised from 80% to 70%. The EMST Committee are working closely with ATLS on the edition 10 MCQ tests.

.

TABLE ST.1 – Skills training course attendance by month and course

Course JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DECTotal 2013

Total 2012

% Change

12/13

CCrISP Instructor Course

Courses 0 0 0 1 0 0 0 0 1 0 0 0 2 2 0.0

Instructors 0 0 0 6 0 0 0 0 8 0 0 0 14 12 16.7

Participants 0 0 0 12 0 0 0 0 9 0 0 0 21 24 -12.5

CCrISPProvider Course

Courses 0 3 3 3 1 3 1 6 2 2 4 0 28 27 3.7

Instructors 0 37 44 39 13 37 13 72 27 27 52 0 361 314 15.0

Participants 0 47 48 48 16 47 16 95 32 32 64 0 445 453 -1.8

EMST Instructor Course

Courses 0 0 1 0 0 1 0 0 0 0 1 0 3 3 0.0

Instructors 0 0 7 0 0 8 0 0 0 0 9 0 24 24 0.0

Participants 0 0 15 0 0 16 0 0 0 0 16 0 47 46 2.2

EMST Refresher Course

Courses 0 0 1 1 0 0 0 1 1 1 1 0 6 6 0.0

Instructors 0 0 12 12 0 0 0 10 11 9 10 0 64 59 8.5

Participants 0 0 15 16 0 0 0 17 15 16 16 0 95 92 3.3

EMST ADF Course

Courses 0 0 1 0 1 0 0 1 0 0 1 0 4 4 0.0

Instructors 0 0 9 0 9 0 0 9 0 0 9 0 36 37 -2.7

Participants 0 0 16 0 14 0 0 15 0 0 16 0 61 64 -4.7

EMSTProviderCourse

Courses 0 7 6 4 10 5 5 8 7 8 6 0 66 66 0.0

Instructors 0 68 56 37 102 47 47 82 70 75 57 0 641 615 4.2

Participants 0 115 98 67 170 82 80 148 111 132 100 0 1103 1061 4.0

EMST Total Provider Courses(a)

Courses 0 7 7 4 11 5 5 9 7 8 7 0 70 79 -11.4

Instructors 0 68 65 37 111 47 47 91 70 75 66 0 677 735 -7.9

Participants 0 115 114 67 184 82 80 163 111 132 116 0 1164 1263 -7.8

ASSET

Courses 0 2 1 2 2 2 2 2 2 3 0 0 18 18 0.0

Instructors 0 43 21 40 40 32 46 35 33 66 0 0 356 374 -4.8

Participants 0 40 20 35 41 36 36 40 32 61 0 0 341 337 1.2

CLEAR

Courses 0 1 1 1 2 1 1 1 1 1 1 0 11 10 10.0

Instructors 0 5 5 4 7 4 3 4 5 3 4 0 44 44 0.0

Participants 0 32 30 31 59 30 33 31 30 28 30 0 334 307 8.8

TIPS

Courses 0 0 1 1 1 0 1 1 0 1 1 0 7 4 75.0

Instructors 0 0 8 5 6 0 10 11 0 12 9 0 61 38 60.5

Participants 0 0 12 16 11 0 14 12 0 12 12 0 89 51 74.5

Total All Courses

Courses 0 13 15 13 17 12 10 20 14 16 15 0 145 140 3.6

Instructors 0 153 162 143 177 128 119 223 154 192 150 0 1601 1517 5.5

Participants 0 234 254 225 311 211 179 358 229 281 254 0 2536 2435 4.1

(a) ‘EMST Total Provider Courses’ represents the sum of EMST ADF and EMST Provider courses.

Note: Number of instructors documented in this table is not the number of individual instructors, but the number of times any member of the faculty taught a course.


SECTION 1: ACTIVITIES OF SKILLS TRAINING

TABLE ST.2 – Skills training course attendance by location and course

Course ACT NSW NT QLD SA TAS VIC WAAUS

Total NZ O/STotal 2013

Total 2012

% Change

12/13

CCrISP Instructor Course

Courses 0 0 0 0 0 0 2 0 2 0 0 2 2 0.0

Instructors 2 1 0 2 3 1 3 1 13 1 0 14 12 16.7

Participants 1 5 1 6 2 0 3 0 18 3 0 21 24 -12.5

CCrISPProvider Course

Courses 0 6 0 4 3 0 7 2 22 5 1 28 27 3.7

Instructors 7 68 2 64 31 14 64 30 280 68 13 361 314 15.0

Participants 4 108 1 69 36 7 94 28 347 81 17 445 453 -1.8

EMST Instructor Course

Courses 0 0 0 0 0 0 3 0 3 0 0 3 3 0.0

Instructors 0 6 0 9 6 0 1 1 23 1 0 24 24 0.0

Participants 0 13 2 3 2 1 10 5 36 9 2 47 46 2.2

EMST Refresher Course

Courses 0 2 0 1 0 0 1 1 5 1 0 6 6 0.0

Instructors 0 21 1 9 5 1 9 9 55 9 0 64 59 8.5

Participants 1 27 3 15 7 0 16 6 75 20 0 95 92 3.3

EMST ADF Course

Courses 0 4 0 0 0 0 0 0 4 0 0 4 4 0.0

Instructors 1 14 0 9 2 1 8 0 35 1 0 36 37 -2.7

Participants 2 16 5 29 1 0 6 2 61 0 0 61 64 -4.7

EMST Provider Course

Courses 2 16 2 13 4 1 14 4 56 9 1 66 66 0.0

Instructors 12 159 26 117 57 27 105 51 554 80 7 641 615 4.2

Participants 18 269 16 233 87 19 226 71 939 143 21 1103 1061 4.0

EMST Total Provider Courses(a)

Courses 2 20 2 13 4 1 14 4 60 9 1 70 79 -11.4

Instructors 13 173 26 126 59 28 113 51 589 81 7 677 735 -7.9

Participants 20 285 21 262 88 19 232 73 1000 143 21 1164 1263 -7.8

ASSET

Courses 0 4 0 3 2 0 5 1 15 3 0 18 18 0.0

Instructors 7 86 0 58 36 16 91 14 308 47 1 356 374 -4.8

Participants 8 95 0 62 19 3 81 25 293 47 1 341 337 1.2

CLEAR

Courses 0 3 0 2 0 0 3 1 9 2 0 11 10 10.0

Instructors 0 25 0 1 0 10 3 0 39 5 0 44 44 0.0

Participants 4 75 1 58 24 4 80 25 271 63 0 334 307 8.8

TIPS

Courses 0 1 0 1 1 0 3 0 6 1 0 7 4 75.0

Instructors 0 14 0 5 7 0 23 4 53 8 0 61 38 60.5

Participants 3 16 3 10 10 3 21 2 68 21 0 89 51 74.5

Total All Courses

Courses 2 36 2 24 10 1 38 9 122 21 2 145 140 3.6

Instructors 29 394 29 274 147 70 307 110 1360 220 21 1601 1517 5.5

Participants 41 624 32 485 188 37 537 164 2108 387 41 2536 2435 4.1

(a) ‘EMST Total Provider Courses’ represents the sum of EMST ADF and EMST Provider courses.

Note: Number of instructors documented in this table is not the number of individual instructors, but the number of times any member of the faculty taught a course.



TABLE ST.3 – ASSET faculty by location and specialty

ACT NSW NT QLD SA TAS VIC WAAUS

Total NZ O/S

Total 2013

Total 2012

% Change

12/13

CAR 0 2 0 4 2 0 5 4 17 2 0 19 22 -13.6

GEN 1 52 0 31 22 8 51 7 172 35 1 208 214 -2.8

NEU 0 5 0 3 1 1 2 2 14 0 0 14 14 0.0

ORT 1 24 0 21 9 0 22 2 79 16 0 95 92 3.3

OTO 0 6 0 6 4 0 1 7 24 9 0 33 34 -2.9

PAE 0 4 0 1 2 1 2 2 12 3 0 15 17 -11.8

PLA 1 4 0 8 4 1 7 0 25 7 0 32 33 -3.0

URO 1 2 0 5 3 1 6 4 22 4 0 26 28 -7.1

VAS 0 5 0 3 2 2 9 3 24 1 1 26 27 -3.7

Sub Total 4 104 0 82 49 14 105 31 389 77 2 468 481 -2.7

IMG 0 0 0 0 0 0 0 0 0 0 0 0 3 0.0

SET 0 0 0 0 0 0 0 0 0 0 0 0 4 -100.0

OPH 0 1 0 0 0 0 0 0 1 0 0 1 1 0.0

Total 4 105 0 82 49 14 105 31 390 77 2 469 489 -4.1

TABLE ST.4 – CCrISP faculty by location and medical discipline


Total NZ O/S

Total 2013

Total 2012

% Change

12/13

Anaesthetists 0 8 0 3 2 1 5 3 22 23 3 48 35 37.1Emergency Medicine

3 1 0 5 3 0 2 2 16 2 0 18 15 20.0

General Practice 0 4 0 0 0 0 0 0 4 0 0 4 3 33.3

Intensive Care 1 8 0 2 1 1 3 2 18 1 1 20 20 0.0

Physician 0 0 0 0 2 0 0 0 2 1 0 3 2 50.0

Surgical 2 24 2 21 12 6 25 12 104 44 12 160 125 28.0

Total 6 45 2 31 20 8 35 19 166 71 16 253 200 26.5

TABLE ST.5 – EMST faculty by location and medical discipline


Total NZ O/S

Total 2013

Total 2012

% Change

12/13

Anaesthetists 1 26 1 10 4 3 13 4 62 10 3 75 64 17.2Emergency Medicine

4 41 4 23 13 6 25 20 136 20 0 156 146 6.8

General Practice 0 10 3 11 5 2 7 2 40 2 0 42 36 16.7

Intensive Care 0 6 1 14 5 2 8 3 39 2 1 42 38 10.5

Surgical 1 59 6 26 8 3 33 14 150 29 11 190 171 11.1

Total 6 142 15 84 35 16 86 43 427 63 15 505 455 11.0

SECTION 1: ACTIVITIES OF SKILLS TRAINING


TABLE ST.6 – CCrISP and EMST attendance by location and pass rate

Course ACT NSW NT QLD SA TAS VIC WAAUS

Total NZ OSTotal 2013

Total 2012

CCrISP

Sat 5 113 2 75 38 7 97 28 365 84 1 450 477

Pass 5 109 2 71 38 7 91 27 350 80 1 431 447

% Pass 100.0 96.5 100.0 94.7 100.0 100.0 93.8 96.4 95.9 95.2 100.0 95.8 93.7

EMST

Sat 21 330 26 283 97 20 260 83 1120 172 23 1315 1260

Pass 18 258 20 229 72 15 201 69 882 155 16 1053 1103

% Pass 85.7 78.2 76.9 80.9 74.2 75.0 77.3 83.1 78.8 90.1 69.6 80.1 87.5

TABLE ST.7 – CLEAR faculty by location, specialty and medical discipline



Total 2012

CAR 0 0 0 0 0 0 1 0 1 0 0 1 1

GEN 0 1 0 1 1 3 2 0 8 2 0 10 11

NEU 0 2 0 0 0 0 0 0 2 0 0 2 2

ORT 0 6 0 1 0 0 2 0 9 1 1 11 9

OTO 0 1 0 0 0 0 0 0 1 0 0 1 1

PAE 0 0 0 0 0 0 0 0 0 0 0 0 1

PLA 0 0 0 0 0 0 1 0 1 0 0 1 1

URO 0 1 0 0 0 0 2 0 3 0 0 3 3

VAS 0 1 0 0 0 0 0 0 1 0 0 1 1

Sub Total 0 12 0 2 1 3 8 0 26 3 1 30 30

CLE 0 0 0 0 0 0 0 0 0 0 0 0 3

OPH 0 0 0 0 0 0 0 0 0 0 0 0 0

OMX 0 0 0 0 0 0 0 0 0 0 0 0 0

PHY 0 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 12 0 2 1 3 8 0 26 3 1 30 33


ACTIVITIES OF INTERNATIONAL MEDICAL GRADUATESSECTION TWO

EXPLANATORY NOTES – AustraliaThe processes for assessing the suitability of International Medical Graduates (IMGs) for practice as surgeons in Australia are in accordance with the principles outlined in the following publications:

• RACS – Specialist Assessment of International Medical Graduates in Australia policy http://www.surgeons.org/media/18786171/2013-10-12_pol_eta-img-oo6_specialist_assessment_of_ international _medical_graduates_

in_australia.pdf

• Australian Medical Council (AMC) – Specialist Assessment Pathway http://www.amc.org.au/index.php/ass/apo/spp/spfr

• AMC – Area of Need Specialist Pathway http://www.amc.org.au/index.php/ass/apo/spp/aonsp

• Medical Board of Australia – Guidelines on the Specialist Assessment Pathways http://www.medicalboard.gov.au/Registration/International-Medical-Graduates/Specialist-Pathway. aspx

International Medical Graduates – Period of Clinical AssessmentThe process related to the period of clinical assessment for IMGs is outlined in the ‘Clinical Assessment of International Medical Graduates in Australia policy’. This is available on the RACS website.

International Medical Graduates Short-term Specified Training Program Short-term training programs in Australia allow IMGs the opportunity to undertake a short-term specified training (STST) program not available in their country of training with the objective of improving their professional skills and experience. Within the surgical specialty, an IMG approved to undertake an STST position/program can develop surgical skills and experience through a work based surgical program provided by the hospital. This program replaced the old Occupational Training Program (OTV) in June 2009.

EXPLANATORY NOTES – New ZealandIn New Zealand, the College acts as an agent of, and provides recommendations to, the Medical Council of New Zealand (MCNZ). The provision of preliminary advice, interviews and reviews occurs only in response to requests from the MCNZ.

The MCNZ has statutory responsibility for the standard set for registration and requests that the College advise whether an IMG’s training, qualifications and experience are comparable to, or as good as, those of locally trained doctors registered in the same vocational branch of surgery.

A recommendation on the IMG’s suitability for the vocational registration pathway, and whether they should be under MCNZ approved supervision while they adjust to working in the New Zealand health environment or under College approved assessment to ensure the IMG is at the required standard, is provided to the MCNZ. The MCNZ considers these recommendations and determines the type of medical registration that will be offered to the IMG and any restrictions or conditions that may be placed on that registration. The MCNZ advises the College and the IMG of its decision.

If the IMG is required to undertake a College approved vocational assessment, the College is asked to approve the post and the supervisor(s) and the supervisor’s reports are sent to the College and to the MCNZ. Once all assessment requirements have been completed by the IMG, the College recommends to the MCNZ whether the IMG should be approved for inclusion on the vocational register in the relevant specialty, or not.

Admission to Fellowship of the Royal Australasian College of Surgeons is a decision of the College and this decision is not part of the vocational registration assessments for the MCNZ. IMGs who have obtained vocational registration in New Zealand may apply to the College for admission to Fellowship, and the information from the vocational registration process may be considered by the College in reaching its decision on that application.

DATA SUMMARYThere was a slight decrease in the number of Australian IMG applications compared to 2012, where 88 IMGs had applied through the Specialist Assessment Pathway. The number of IMG applications to the Medical Council of New Zealand remained steady.

There were 165 practising IMGs in Australia with a valid assessment in 2013. This classification pertains to the IMGs who are undertaking a specialist pathway, or who are in the process of completing their clinical assessment or have completed, and are required to complete their Fellowship Examination and/or any other requirements stipulated in their Final Recommendation.

SECTION 2: ACTIVITIES OF INTERNATIONAL MEDICAL GRADUATES


AustraliaTABLE IMG.1 – Specialist Assessment Pathway: International Medical Graduates specialist applications

Language

Application status ESC ESC & Others Non ESCTotal 2013

Completed ≤12 weeks 8 9 15 32

>12 weeks 8 13 10 31

In Progress≤12 weeks 0 7 6 13

>12 weeks 0 1 2 3

Total 16 30 33 79

Note: ESC is for English speaking country. ESC & Others is for applicants from a non-English speaking country who have completed subsequent training in an English speaking country. Non ESC is used to identify applicants from a non-English speaking country who have not yet completed subsequent training in an English speaking country.

TABLE IMG.2 – Specialist Assessment Pathway: International Medical Graduates specialist assessment outcomes

Application assessment outcome by language

Assessment result ESC ESC & Others Non ESCTotal2013

Substantially comparable 4 6 1 11

Partially comparable 8 9 12 29

Not comparable 1 1 5 7

In progress 3 14 15 32

Total 16 30 33 79

Applications incomplete as at 31/12/2013 1 5 7 13

Applications activated in 2013 15 25 26 66

Total processed 16 30 33 79

Application assessment outcome by specialty

Assessment result CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

Substantially comparable 2 8 0 0 0 1 0 0 0 11

Partially comparable 2 7 3 12 1 0 1 0 3 29

Not comparable 1 2 0 2 1 0 1 0 0 7

In progress 4 13 1 4 3 0 0 6 1 32

Total 9 30 4 18 5 1 2 6 4 79

Applications incomplete as at 31/12/2013 3 6 0 2 0 0 0 1 1 13

Applications activated in 2013 6 24 4 16 5 1 2 5 3 66

Total processed 9 30 4 18 5 1 2 6 4 79


ACTIVITIES OF INTERNATIONAL MEDICAL GRADUATESSECTION TWO

TABLE IMG.3 – Specialist Assessment Pathway: International Medical Graduate specialists under oversight/supervision

Clinical assessment – specialty

Applicant status CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

Currently under oversight ≤12 months 1 3 0 0 0 1 1 1 0 7

≤24 months 1 4 0 0 0 1 1 0 0 7

Currently under supervision ≤12 months 1 0 0 1 1 0 0 0 1 4

≤24 months 2 14 5 15 4 3 3 2 1 49

Completed oversight/supervision 1 7 1 6 5 0 2 0 0 22

Total 6 28 6 22 10 5 7 3 2 89

Clinical assessment – location of residence

Applicant status ACT NSW NT QLD SA TAS VIC WA NZTotal 2013

Currently under oversight ≤12 months 0 2 0 0 2 0 0 2 1 7

≤24 months 0 2 0 1 2 0 1 1 0 7

Currently under supervision ≤12 months 0 2 0 0 0 0 1 1 0 4

≤24 months 1 15 2 7 8 0 9 7 0 49


Total 1 24 3 15 14 1 15 14 2 89



TABLE IMG.4 – Area of Need Pathway: International Medical Graduate specialist applications

Applications – by language

Application status and time taken to process ESC ESC & Others Non ESC

Total 2013

Completed≤8 weeks 2 1 3 6

>8 weeks 5 1 0 6

In Progress≤8 weeks 0 2 1 3

>8 weeks 0 0 0 0

Total Applications 7 4 4 15

TABLE IMG.5 – Area of Need Pathway: International Medical Graduate specialist assessment outcomes

Application assessment outcome – by language

Assessment result ESC ESC & Others Non ESCTotal 2013

Substantially comparable 0 0 0 0

Partially comparable 1 1 3 5

Not comparable 6 1 0 7

In progress 0 2 1 3

Total 7 4 4 15

Applications incomplete as at 31/12/2013 1 0 0 1

Applications activated in 2013 6 4 4 14

Total processed 7 4 4 15

Application assessment outcome – by specialty

Assessment result CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

Substantially comparable 0 3 0 0 4 0 0 0 0 7

Partially comparable 0 1 0 2 2 0 0 0 0 5

Not comparable 0 0 0 0 0 0 0 0 0 0

In progress 0 1 0 1 0 0 1 0 0 3

Total 0 5 0 3 6 0 1 0 0 15

Applications incomplete at 31/12/2013 0 1 0 0 0 0 0 0 0 1

Applications activated in 2013 0 4 0 3 6 0 1 0 0 14

Total processed 0 5 0 3 6 0 1 0 0 15

SECTION TWO ACTIVITIES OF INTERNATIONAL MEDICAL GRADUATES


TABLE IMG.6 – Area of Need Pathway: International Medical Graduate Specialists under oversight or supervision

Clinical assessment – by specialty

Supervision/oversight period CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

Currently under oversight≤12 months 0 0 0 0 0 0 0 0 0 0

≤24 months 0 6 0 0 7 1 1 0 2 17

Currently under supervision≤12 months 0 0 0 2 0 0 0 0 0 2

≤24 months 0 6 0 3 5 0 0 0 0 14


Total 0 16 0 8 14 1 2 0 2 43

Clinical assessment – location of residence

Oversight/supervision period ACT NSW NT QLD SA TAS VIC WATotal 2013

Currently under oversight≤12 months 0 0 0 0 0 0 0 0 0

≤24 months 0 1 1 8 1 0 5 1 17

Currently under supervision≤12 months 0 0 0 1 0 0 1 0 2

≤24 months 0 2 1 3 0 1 3 4 14

Completed oversight/supervision 0 1 0 4 0 1 2 2 10

Total 0 4 2 16 1 2 11 7 43

TABLE IMG.7 – Short Term Specified Training: International Medical Graduate specialist applications

Application assessment outcome – by specialty

RACS decision CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

Approved 12 34 10 84 13 5 21 12 9 200

Denied 0 0 0 0 0 0 0 0 0 0

Pending 0 1 1 2 0 1 2 1 1 9

Total 12 35 11 86 13 6 23 13 10 209

RACS decision Application assessment outcome – by location


Total O/STotal 2013

Approved 0 68 0 31 39 0 39 22 199 1 200

Denied 0 0 0 0 0 0 0 0 0 0 0

Pending 0 2 0 1 2 0 1 3 9 0 9

Total 0 70 0 32 41 0 40 25 208 1 209

TABLE IMG.8 – Number of International Medical Graduate specialists practicing in Australia

Total No. of IMGs

Total number of IMGs practicing in Australia with valid assessment in 2013 165



New ZealandTABLE IMG.9 – International Medical Graduate specialist applications

Preliminary advice to the MCNZ following documentation review CAR GEN NEU ORT OTO PAE PLA URO VAS

Total 2013

Likely to be suitable for vocational pathway 1 1 2 2 1 1 0 0 0 8

Unlikely to be suitable for vocational pathway 0 0 0 0 0 0 0 1 0 1

Unable to determine suitability by documentation only 0 0 0 0 0 1 1 0 0 2

Preliminary advice requests not yet completed 0 0 0 0 2 0 0 0 0 2

Total 1 1 2 2 3 2 1 1 0 13

TABLE IMG.10 – Interview outcomes for International Medical Graduate specialist applicants

Advice to MCNZ following interview CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

Vocational Pathway – Supervision (MCNZ approved) 0 2 2 2 3 0 0 0 0 9

Vocational Pathway – Supervised assessment (College Approved)

0 1 0 1 0 1 0 0 1 4

Not suitable for vocational pathway 0 0 0 0 0 0 0 0 0 0

Total 0 3 2 3 3 1 0 0 1 13

Applications yet to achieve interview completion CAR GEN NEU ORT OTO PAE PLA URO VAS

Total 2013

Application withdrawn prior to interview 0 0 0 0 0 0 0 0 0 0

Applicant awaiting interview 0 0 0 0 0 0 0 0 0 0

Interview process incomplete 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 0 0 0 0 0

SECTION TWO ACTIVITIES OF INTERNATIONAL MEDICAL GRADUATES


TABLE IMG.11 – International Medical Graduate specialists participating in vocational assessment

IMGs under College approved vocational assessment in 2013 CAR GEN NEU ORT OTO PAE PLA URO VAS

Total 2013

For full scope registration 0 4 1 0 0 1 1 1 1 9

For restricted scope registration 0 0 0 0 0 0 0 0 0 0

Total 0 4 1 0 0 1 1 1 1 9

College approved vocational assessments completed in 2013 CAR GEN NEU ORT OTO PAE PLA URO VAS

Total 2013

To satisfactory standard 0 1 1 0 0 1 1 0 1 5

Not to satisfactory standard 0 0 0 0 0 0 0 0 0 0

Withdrawn from program 0 0 0 0 0 0 0 0 0 0

Total 0 1 1 0 0 1 1 0 1 5

TABLE IMG.12 – RACS review of recommendations for International Medical Graduate specialist applicants at the request of the Medical Council of New Zealand

RACS recommendation after review CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

Recommendation altered 0 0 0 0 0 0 0 0 0 0

Recommendation not altered 0 1 0 1 0 0 0 0 0 2

In progress 0 0 0 0 0 0 0 0 0 0

Total 0 1 0 1 0 0 0 0 0 2

MCNZ decision of RACS review CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

RACS review accepted by MCNZ 0 1 0 1 0 0 0 0 0 2

RACS review not accepted by MCNZ 0 0 0 0 0 0 0 0 0 0

In progress 0 0 0 0 0 0 0 0 0 0

Total 0 1 0 1 0 0 0 0 0 2


ACTIVITIES OF SURGICAL EDUCATION & TRAININGSECTION THREE

EXPLANATORY NOTESThe 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

The number of appointments made in any year is dependent on the number of Trainees finishing the program and the consequent number of vacant accredited posts. The College does not control the number of posts available but accredits posts nominated by jurisdictions.

As part of the ongoing evaluation of the SET program some specialties have begun to move away from the standard description of Trainees being in a specified year of SET. Some specialties group years of training into an ‘early’, ‘intermediate’ and ‘advanced’ construct. This report adopts a SET Year structure that is standardised and may not reflect the terminology some specialties use.

DATA SUMMARYSET ApplicationsThe report shows that the number of applications remains consistent. Excluding 31 deferred Trainees included in the 2012 total in Table SET.5, there were 250 successful offers in 2013 compared to 296 in 2012, a decrease of 15.5%. The interest in surgery remains strong amongst medical graduates and the College continues to receive many more applications than there are available places. In each specialty there are doctors who, while meeting the standard for appointment, could not be offered a place in the SET program due to insufficient trainee posts.

SET TraineesPlease note that there has been a change in the treatment of the ‘Fellowship Pending’ and ‘Eligible in Process’ Trainees. In 2012 they were listed separately, however this year they have been incorporated as `Active’ Trainees and this accounts for the apparent increase in trainee numbers.


ACTIVITIES OF SURGICAL EDUCATION & TRAININGSECTION THREE

TABLE SET.1 – SET applications by specialty and applicant type

SET IMGNON IMG /

Trainee FellowTotal 2013

Total 2012

% Change 12/13

CAR

Male 5 1 19 0 25 33 -24.2

Female 0 0 9 0 9 9 0.0

Total 5 1 28 0 34 42 -19.0

GEN

Male 0 0 293 0 293 307 -4.6

Female 0 0 170 0 170 160 6.3

Total 0 0 463 0 463 467 -0.9

NEU

Male 2 0 35 0 37 38 -2.6

Female 0 0 17 0 17 10 70.0

Total 2 0 52 0 54 48 12.5

ORT

Male 0 1 175 0 176 169 4.1

Female 0 0 32 0 32 34 -5.9

Total 0 1 207 0 208 203 2.5

OTO

Male 10 0 65 0 75 68 10.3

Female 6 0 41 0 47 34 38.2

Total 16 0 106 0 122 102 19.6

PAE

Male 1 0 8 0 9 13 -30.8

Female 1 0 11 0 12 10 20.0

Total 2 0 19 0 21 23 -8.7

PLA

Male 9 0 51 0 60 69 -13.0

Female 8 0 38 0 46 38 21.1

Total 17 0 89 0 106 107 -0.9

URO

Male 7 0 57 0 64 70 -8.6

Female 3 0 17 0 20 28 -28.6

Total 10 0 74 0 84 98 -14.3

VAS

Male 1 0 46 0 47 51 -7.8

Female 1 0 10 0 11 19 -42.1

Total 2 0 56 0 58 70 -17.1

Total

Male 35 2 749 0 786 818 -3.9

Female 19 0 345 0 364 342 6.4

Total 54 2 1094 0 1150 1160 -0.9

SECTION 3: ACTIVITIES OF SURGICAL EDUCATION & TRAINING


TABLE SET.2 – SET applications by specialty and location of residence



Total 2012

% Change 12/13

CAR

Male 0 5 0 3 2 0 6 3 19 6 0 25 33 -24.2

Female 0 1 0 4 0 0 4 0 9 0 0 9 9 0.0

Total 0 6 0 7 2 0 10 3 28 6 0 34 42 -19.0

GEN

Male 6 78 3 63 22 2 61 23 258 35 0 293 307 -4.6

Female 4 46 0 32 8 2 44 15 151 19 0 170 160 6.3

Total 10 124 3 95 30 4 105 38 409 54 0 463 467 -0.9

NEU

Male 1 17 0 4 1 0 5 3 31 6 0 37 38 -2.6

Female 0 5 0 5 0 1 6 0 17 0 0 17 10 70.0

Total 1 22 0 9 1 1 11 3 48 6 0 54 48 12.5

ORT

Male 3 54 0 36 7 5 31 11 147 29 0 176 169 4.1

Female 1 8 0 7 1 1 8 3 29 3 0 32 34 -5.9

Total 4 62 0 43 8 6 39 14 176 32 0 208 203 2.5

OTO

Male 2 24 1 13 4 1 16 6 67 7 1 75 68 10.3

Female 0 16 0 12 4 0 5 1 38 8 1 47 34 38.2

Total 2 40 1 25 8 1 21 7 105 15 2 122 102 19.6

PAE

Male 0 5 0 0 0 0 0 3 8 1 0 9 13 -30.8

Female 0 2 0 2 1 1 1 3 10 2 0 12 10 20.0

Total 0 7 0 2 1 1 1 6 18 3 0 21 23 -8.7

PLA

Male 1 16 0 5 3 1 23 6 55 5 0 60 69 -13.0

Female 0 10 1 8 3 1 13 3 39 7 0 46 38 21.1

Total 1 26 1 13 6 2 36 9 94 12 0 106 107 -0.9

URO

Male 1 17 1 14 2 1 13 5 54 10 0 64 70 -8.6

Female 2 2 0 2 0 0 10 2 18 2 0 20 28 -28.6

Total 3 19 1 16 2 1 23 7 72 12 0 84 98 -14.3

VAS

Male 1 12 1 10 5 0 6 7 42 5 0 47 51 -7.8

Female 0 2 0 0 0 0 7 1 10 1 0 11 19 -42.1

Total 1 14 1 10 5 0 13 8 52 6 0 58 70 -17.1

Total

Male 15 228 6 148 46 10 161 67 681 104 1 786 818 -3.9

Female 7 92 1 72 17 6 98 28 321 42 1 364 342 6.4

Total 22 320 7 220 63 16 259 95 1002 146 2 1150 1160 -0.9

SECTION THREE ACTIVITIES OF SURGICAL EDUCATION & TRAINING


TABLE SET.3 – Individual SET applicants by number of applications and applicant type

No. of applications SET SET Deferred IMG

NON IMG / Trainee Fellow

Total 2013

Total 2012

% Change

12/13

1

Male 125 5 2 396 0 528 534 -1.1

Female 52 8 0 180 0 240 208 15.4

Total 177 13 2 576 0 768 742 3.5

2

Male 40 1 0 62 0 103 129 -20.2

Female 20 3 0 34 0 57 58 -1.7

Total 60 4 0 96 0 160 187 -14.4

3

Male 1 0 0 6 0 7 8 -12.5

Female 1 0 0 1 0 2 12 -83.3

Total 2 0 0 7 0 9 20 -55.0

≥4

Male 3 0 0 4 0 7 5 40.0

Female 1 0 0 0 0 1 0 –

Total 4 0 0 4 0 8 5 60.0

Total

Male 169 6 2 468 0 645 676 -4.6

Female 74 11 0 215 0 300 278 7.9

Total 243 17 2 683 0 945 954 -0.9

TABLE SET.4 – SET applications outcome by specialty and applicant type

Offers Unsuccessful Waiting List Withdrawn Ineligible Declined

Specialty No. % No. % No. % No. % No. % No. %Total 2013

CAR 6 17.6 28 82.4 0 0.0 0 0.0 0 0.0 0 0.0 34

GEN 127 27.4 323 69.8 0 0.0 13 2.8 0 0.0 0 0.0 463

NEU 7 13.0 46 85.2 0 0.0 1 1.9 0 0.0 0 0.0 54

ORT 46 22.1 162 77.9 0 0.0 0 0.0 0 0.0 0 0.0 208

OTO 24 19.7 95 77.9 0 0.0 3 2.5 0 0.0 0 0.0 122

PAE 6 28.6 15 71.4 0 0.0 0 0.0 0 0.0 0 0.0 21

PLA 16 15.1 88 83.0 0 0.0 2 1.9 0 0.0 0 0.0 106

URO 21 25.0 63 75.0 0 0.0 0 0.0 0 0.0 0 0.0 84

VAS 15 25.9 43 74.1 0 0.0 0 0.0 0 0.0 0 0.0 58

Total 268 23.3 863 75.0 0 0.0 19 1.7 0 0.0 0 0.0 1150

Applicant type

SET/Fellow 19 35.2 33 61.1 0 0.0 2 3.7 0 0.0 0 0.0 54

IMG 0 0.0 2 100.0 0 0.0 0 0.0 0 0.0 0 0.0 2

Non IMG / Trainee 249 22.8 828 75.7 0 0.0 17 1.6 0 0.0 0 0.0 1094

Total 268 23.3 863 75.0 0 0.0 19 1.7 0 0.0 0 0.0 1150



TABLE SET.5 – Successful SET application by specialty and location of residence



Total 2012

CAR

Male 0 0 0 1 0 0 1 0 2 1 0 3 10

Female 0 0 0 1 0 0 2 0 3 0 0 3 2

Total 0 0 0 2 0 0 3 0 5 1 0 6 12

GEN

Male 2 23 0 13 5 0 19 6 68 9 0 77 103

Female 1 8 0 11 0 1 15 1 37 4 0 41 66

Total 3 31 0 24 5 1 34 7 105 13 0 118 169

NEU

Male 0 2 0 1 0 0 1 0 4 1 0 5 6

Female 0 1 0 0 0 0 1 0 2 0 0 2 3

Total 0 3 0 1 0 0 2 0 6 1 0 7 9

ORT

Male 0 13 0 7 0 1 8 0 29 8 0 37 48

Female 0 1 0 3 1 0 1 0 6 1 0 7 3

Total 0 14 0 10 1 1 9 0 35 9 0 44 51

OTO

Male 0 6 0 3 1 0 3 0 13 0 0 13 16

Female 0 1 0 3 0 0 2 0 6 2 0 8 4

Total 0 7 0 6 1 0 5 0 19 2 0 21 20

PAE

Male 0 3 0 0 0 0 0 0 3 0 0 3 6

Female 0 2 0 1 0 0 0 0 3 0 0 3 4

Total 0 5 0 1 0 0 0 0 6 0 0 6 10

PLA

Male 0 3 0 1 2 0 1 1 8 1 0 9 12

Female 0 1 0 2 0 0 1 0 4 2 0 6 7

Total 0 4 0 3 2 0 2 1 12 3 0 15 19

URO

Male 0 2 1 3 0 0 4 2 12 2 0 14 13

Female 1 1 0 0 0 0 1 1 4 1 0 5 7

Total 1 3 1 3 0 0 5 3 16 3 0 19 20

VAS

Male 0 3 0 2 1 0 2 2 10 1 0 11 13

Female 0 0 0 0 0 0 0 3 3 0 0 3 3

Total 0 3 0 2 1 0 2 5 13 1 0 14 16

Total

Male 2 55 1 31 9 1 39 11 149 23 0 172 227

Female 2 15 0 21 1 1 23 5 68 10 0 78 99

Total 4 70 1 52 10 2 62 16 217 33 0 250 326



TABLE SET.6 – Active SET Trainees by status and training location

Trainee status ACT NSW NT QLD SA TAS VIC WAAUS


Total 2012

% Change

12/13

Clinical

Male 7 250 3 142 57 4 212 70 745 140 4 889 736

Female 4 114 1 42 19 0 77 17 274 49 1 324 277

Total 11 364 4 184 76 4 289 87 1019 189 5 1213 1013 19.7

Accredited Research

Male 0 2 0 2 2 0 1 1 8 0 0 8 10

Female 0 1 0 0 1 0 0 0 2 0 0 2 1

Total 0 3 0 2 3 0 1 1 10 0 0 10 11 -9.1

Part Time

Male 0 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 2 0 2 0 0 2 0 6 0 0 6 0

Total 0 2 0 2 0 0 2 0 6 0 0 6 0 –

Probationary

Male 0 1 0 3 1 0 3 0 8 1 0 9 14

Female 0 1 0 0 0 0 1 0 2 0 0 2 6

Total 0 2 0 3 1 0 4 0 10 1 0 11 20 -45.0

Exam Pending

Male 0 14 0 5 2 0 7 4 32 4 2 38 30

Female 0 10 0 3 1 0 3 0 17 0 1 18 12

Total 0 24 0 8 3 0 10 4 49 4 3 56 42 33.3

Total

Male 7 267 3 152 62 4 223 75 793 145 6 944 790

Female 4 128 1 47 21 0 83 17 301 49 2 352 296

Total 11 395 4 199 83 4 306 92 1094 194 8 1296 1086 19.3

TABLE SET.7 – Inactive SET Trainees by status and training location

Trainee status ACT NSW NT QLD SA TAS VIC WAAUS


Total 2012

% Change

12/13

Interruption to training

Male 0 13 0 0 3 0 18 0 34 5 1 40 49

Female 0 10 0 4 3 0 11 2 30 6 0 36 28

Total 0 23 0 4 6 0 29 2 64 11 1 76 77 -1.3

Deferred

Male 0 6 0 0 1 0 4 3 14 2 1 17 17

Female 0 2 0 2 1 0 1 0 6 0 0 6 13

Total 0 8 0 2 2 0 5 3 20 2 1 23 30 -23.3

Suspended

Male 0 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 0 0 0 0 0 0 0 0 –

Total

Male 0 19 0 0 4 0 22 3 48 7 2 57 66

Female 0 12 0 6 4 0 12 2 36 6 0 42 41

Total 0 31 0 6 8 0 34 5 84 13 2 99 107 -7.5



TABLE SET.8 – Active SET Trainees by status and specialty

Trainee status CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

Total 2012

% Change

12/13

Clinical

Male 31 304 36 248 57 13 61 101 38 889 736

Female 6 160 15 25 31 16 29 32 10 324 277

Total 37 464 51 273 88 29 90 133 48 1213 1013 19.7

Accredited Research

Male 2 1 5 0 0 0 0 0 0 8 10

Female 0 0 2 0 0 0 0 0 0 2 1

Total 2 1 7 0 0 0 0 0 0 10 11 -9.1

Part Time

Male 0 0 0 0 0 0 0 0 0 0 0

Female 0 6 0 0 0 0 0 0 0 6 0

Total 0 6 0 0 0 0 0 0 0 6 0 –

Probationary

Male 1 4 3 0 0 0 1 0 0 9 14

Female 0 0 0 0 0 0 2 0 0 2 6

Total 1 4 3 0 0 0 3 0 0 11 20 -45.0

Exam Pending

Male 3 28 0 2 1 0 4 0 0 38 30

Female 0 13 0 0 0 2 3 0 0 18 12

Total 3 41 0 2 1 2 7 0 0 56 42 33.3

Total

Male 37 337 44 250 58 13 66 101 38 944 790

Female 6 179 17 25 31 18 34 32 10 352 296

Total 43 516 61 275 89 31 100 133 48 1296 1086 19.3

TABLE SET.9 – Inactive SET Trainees by status and specialty

Trainee status CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

Total 2012

% Change

12/13

Approved Interruption to training

Male 2 20 3 2 6 0 2 3 2 40 49

Female 0 22 0 0 4 0 6 2 2 36 28

Total 2 42 3 2 10 0 8 5 4 76 77 -1.3

Deferred

Male 1 11 0 1 3 1 0 0 0 17 17

Female 0 4 0 0 0 0 0 1 1 6 13

Total 1 15 0 1 3 1 0 1 1 23 30 -23.3

SuspendedMale 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 0 0 0 0 0 0 –

Total

Male 3 31 3 3 9 1 2 3 2 57 66

Female 0 26 0 0 4 0 6 3 3 42 41

Total 3 57 3 3 13 1 8 6 5 99 107 -7.5



TABLE SET.10 – SET Trainees that exited the SET program, by specialty

Specialty Terminated from SET Withdrawn from SET Other reason Total

CAR 2 0 0 (a) 2

GEN 31 9 0 (b)40

NEU 1 2 0 (c)3

ORT 2 1 0 3

OTO 0 0 0 0

PAE 0 0 0 0

PLA 1 1 0 2

URO 0 1 0 1

VAS 3 0 0 (d)3

Total 40 14 0 54

(a) 2 of the exiting Trainees were included as active SET Trainees in tables SET.6 and SET.8 (b) 29 of the exiting Trainees were included as active SET Trainees in tables SET.6 and SET.8 (c) 1 of the exiting trainee was included as an active SET trainee in tables SET.6 and SET.8 (d) 2 of the exiting Trainees were included as active SET Trainees in tables SET.6 and SET.8

TABLE SET.11 – SET Trainees that exited the SET program, by year of training

SET training year Terminated from SET Withdrawn from SET Other reason Total

Year 1 3 9 0 (e)12

Year 2 29 1 0 (f)30

Year 3 2 1 0 (g)3

Year 4 4 1 0 (h)5

Year 5 1 2 0 3

Year 6+ 1 0 0 1

Total 40 14 0 54

(e) 2 of the exiting Trainees were included as active SET Trainees in tables SET.6 and SET.8 (f) 29 of the exiting Trainees were included as active SET Trainees in tables SET.6 and SET.8 (g) 1 exiting trainee was included as an active SET trainee in tables SET.6 and SET.8 (h) 2 of the exiting Trainees were included as active SET Trainees in tables SET.6 and SET.8



TABLE SET.12 – Active SET Trainees by age and location of training post

Age group ACT NSW NT QLD SA TAS VIC WAAUS


<35

Male 4 178 1 83 43 4 161 43 517 103 0 620

Female 4 90 0 32 11 0 66 12 215 36 1 252

Total 8 268 1 115 54 4 227 55 732 139 1 872

35 – 39

Male 2 66 2 52 12 0 47 24 205 30 4 239

Female 0 30 0 12 8 0 15 3 68 12 1 81

Total 2 96 2 64 20 0 62 27 273 42 5 320

40 – 44

Male 1 16 0 12 5 0 9 8 51 9 2 62

Female 0 4 0 2 2 0 0 1 9 1 0 10

Total 1 20 0 14 7 0 9 9 60 10 2 72

45 – 49

Male 0 3 0 1 2 0 4 0 10 3 0 13

Female 0 2 1 0 0 0 1 1 5 0 0 5

Total 0 5 1 1 2 0 5 1 15 3 0 18

50 – 54

Male 0 3 0 3 0 0 0 0 6 0 0 6

Female 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 3 0 3 0 0 0 0 6 0 0 6

55 – 70+

Male 0 1 0 0 0 0 0 0 1 0 0 1

Female 0 1 0 0 0 0 0 0 1 0 0 1

Total 0 2 0 0 0 0 0 0 2 0 0 2

Unknown

Male 0 0 0 1 0 0 2 0 3 0 0 3

Female 0 1 0 1 0 0 1 0 3 0 0 3

Total 0 1 0 2 0 0 3 0 6 0 0 6

Total

Male 7 267 3 152 62 4 223 75 793 145 6 944

Female 4 128 1 47 21 0 83 17 301 49 2 352

Total 11 395 4 199 83 4 306 92 1094 194 8 1296

TABLE SET.13 – Active SET Trainees by age and specialty

Age group CAR GEN NEU ORT OTO PAE PLA URO VASTotal 2013

<35

Male 24 222 27 163 39 9 37 69 30 620

Female 6 128 11 17 23 14 17 28 8 252

Total 30 350 38 180 62 23 54 97 38 872

35 – 39

Male 8 78 13 73 14 4 19 24 6 239

Female 0 40 6 7 7 3 14 3 1 81

Total 8 118 19 80 21 7 33 27 7 320

40 – 44

Male 2 26 3 10 5 0 9 7 0 62

Female 0 5 0 1 0 1 2 1 0 10

Total 2 31 3 11 5 1 11 8 0 72

45 – 49

Male 2 6 1 2 0 0 1 0 1 13

Female 0 4 0 0 0 0 1 0 0 5

Total 2 10 1 2 0 0 2 0 1 18

50 – 54

Male 1 3 0 1 0 0 0 0 1 6

Female 0 0 0 0 0 0 0 0 0 0

Total 1 3 0 1 0 0 0 0 1 6

55+

Male 0 1 0 0 0 0 0 0 0 1

Female 0 1 0 0 0 0 0 0 0 1

Total 0 2 0 0 0 0 0 0 0 2

Unknown

Male 0 1 0 1 0 0 0 1 0 3

Female 0 1 0 0 1 0 0 0 1 3

Total 0 2 0 1 1 0 0 1 1 6

Total

Male 37 337 44 250 58 13 66 101 38 944

Female 6 179 17 25 31 18 34 32 10 352

Total 43 516 61 275 89 31 100 133 48 1296



TABLE SET.14 – Active SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 3 56 1 33 13 3 42 22 173 25 0 198 188

Female 2 36 0 13 6 0 16 3 76 8 0 84 92

Total 5 92 1 46 19 3 58 25 249 33 0 282 280 0.7

Year 2

Male 1 57 0 25 12 0 46 10 151 31 0 182 201

Female 1 27 1 12 7 0 19 5 72 12 0 84 61

Total 2 84 1 37 19 0 65 15 223 43 0 266 262 1.5

Year 3

Male 2 57 0 31 10 1 34 12 147 33 0 180 167

Female 0 19 0 7 2 0 13 3 44 10 0 54 53

Total 2 76 0 38 12 1 47 15 191 43 0 234 220 6.4

Year 4

Male 0 45 0 27 14 0 47 12 145 29 0 174 149

Female 1 15 0 0 2 0 14 2 34 14 0 48 54

Total 1 60 0 27 16 0 61 14 179 43 0 222 203 9.4

Year 5

Male 1 32 1 24 6 0 34 13 111 19 4 134 69

Female 0 15 0 9 3 0 16 3 46 5 0 51 33

Total 1 47 1 33 9 0 50 16 157 24 4 185 102 81.4

Year 6+

Male 0 20 1 12 7 0 20 6 66 8 2 76 16

Female 0 16 0 6 1 0 5 1 29 0 2 31 3

Total 0 36 1 18 8 0 25 7 95 8 4 107 19 463.2

Total

Male 7 267 3 152 62 4 223 75 793 145 6 944 790

Female 4 128 1 47 21 0 83 17 301 49 2 352 296

Total 11 395 4 199 83 4 306 92 1094 194 8 1296 1086 19.3

TABLE SET.15 – Active Cardiothoracic SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 0 3 0 2 0 1 2 1 9 1 0 10 6

Female 0 0 0 0 0 0 2 0 2 0 0 2 0

Total 0 3 0 2 0 1 4 1 11 1 0 12 6 100.0

Year 2

Male 0 1 0 0 1 0 3 0 5 1 0 6 7

Female 0 0 0 0 0 0 0 0 0 0 0 0 3

Total 0 1 0 0 1 0 3 0 5 1 0 6 10 -40.0

Year 3

Male 0 4 0 0 0 0 2 0 6 0 0 6 2

Female 0 0 0 0 0 0 0 0 0 2 0 2 1

Total 0 4 0 0 0 0 2 0 6 2 0 8 3 166.7

Year 4

Male 0 1 0 0 0 0 1 0 2 0 0 2 4

Female 0 1 0 0 0 0 0 0 1 0 0 1 1

Total 0 2 0 0 0 0 1 0 3 0 0 3 5 -40.0

Year 5

Male 0 2 0 1 0 0 0 0 3 1 0 4 3

Female 0 0 0 1 0 0 0 0 1 0 0 1 0

Total 0 2 0 2 0 0 0 0 4 1 0 5 3 66.7

Year 6+

Male 0 2 0 1 2 0 3 0 8 0 1 9 7

Female 0 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 2 0 1 2 0 3 0 8 0 1 9 7 28.6

Total

Male 0 13 0 4 3 1 11 1 33 3 1 37 29

Female 0 1 0 1 0 0 2 0 4 2 0 6 5

Total 0 14 0 5 3 1 13 1 37 5 1 43 34 26.5



TABLE SET.16 – Active General Surgery SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 1 23 0 14 2 0 19 7 66 9 0 75 73

Female 0 29 0 9 3 0 7 1 49 4 0 53 48

Total 1 52 0 23 5 0 26 8 115 13 0 128 121 5.8

Year 2

Male 1 17 0 9 3 0 21 3 54 14 0 68 80

Female 0 15 1 5 3 0 13 3 40 4 0 44 35

Total 1 32 1 14 6 0 34 6 94 18 0 112 115 -2.6

Year 3

Male 1 24 0 9 2 0 9 7 52 12 0 64 47

Female 0 9 0 4 1 0 7 1 22 5 0 27 22

Total 1 33 0 13 3 0 16 8 74 17 0 91 69 31.9

Year 4

Male 0 14 0 8 3 0 13 2 40 10 0 50 42

Female 0 7 0 0 0 0 8 0 15 5 0 20 19

Total 0 21 0 8 3 0 21 2 55 15 0 70 61 14.8

Year 5

Male 0 9 1 10 2 0 10 2 34 5 0 39 32

Female 0 6 0 2 2 0 7 1 18 1 0 19 18

Total 0 15 1 12 4 0 17 3 52 6 0 58 50 16.0

Year 6+

Male 0 12 1 6 4 0 10 5 38 3 0 41 3

Female 0 10 0 2 1 0 2 1 16 0 0 16 0

Total 0 22 1 8 5 0 12 6 54 3 0 57 3 1800.0

Total

Male 3 99 2 56 16 0 82 26 284 53 0 337 277

Female 0 76 1 22 10 0 44 7 160 19 0 179 142

Total 3 175 3 78 26 0 126 33 444 72 0 516 419 23.2

TABLE SET.17 – Active Neurosurgery SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 0 1 0 0 2 2 0 1 6 0 0 6 5

Female 1 0 0 2 0 0 0 0 3 0 0 3 5

Total 1 1 0 2 2 2 0 1 9 0 0 9 10 -10.0

Year 2

Male 0 4 0 0 1 0 0 0 5 0 0 5 7

Female 1 2 0 0 0 0 0 0 3 2 0 5 3

Total 1 6 0 0 1 0 0 0 8 2 0 10 10 0.0

Year 3

Male 0 2 0 1 1 1 1 0 6 1 0 7 12

Female 0 2 0 0 0 0 0 0 2 0 0 2 1

Total 0 4 0 1 1 1 1 0 8 1 0 9 13 -30.8

Year 4

Male 0 3 0 3 2 0 5 1 14 0 0 14 5

Female 0 0 0 0 1 0 0 0 1 0 0 1 3

Total 0 3 0 3 3 0 5 1 15 0 0 15 8 87.5

Year 5

Male 0 2 0 0 0 0 3 1 6 0 0 6 5

Female 0 0 0 1 0 0 1 1 3 0 0 3 3

Total 0 2 0 1 0 0 4 2 9 0 0 9 8 12.5

Year 6+

Male 0 0 0 3 0 0 2 0 5 1 0 6 3

Female 0 3 0 0 0 0 0 0 3 0 0 3 1

Total 0 3 0 3 0 0 2 0 8 1 0 9 4 125.0

Total

Male 0 12 0 7 6 3 11 3 42 2 0 44 37

Female 2 7 0 3 1 0 1 1 15 2 0 17 16

Total 2 19 0 10 7 3 12 4 57 4 0 61 53 15.1



TABLE SET.18 – Active Orthopaedic SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 1 12 0 8 4 0 9 7 41 8 0 49 54

Female 0 1 0 0 1 0 0 0 2 1 0 3 5

Total 1 13 0 8 5 0 9 7 43 9 0 52 59 -11.9

Year 2

Male 0 20 0 9 4 0 10 3 46 8 0 54 54

Female 0 1 0 2 0 0 2 0 5 2 0 7 4

Total 0 21 0 11 4 0 12 3 51 10 0 61 58 5.2

Year 3

Male 0 14 0 9 5 0 13 3 44 10 0 54 54

Female 0 2 0 2 0 0 1 0 5 0 0 5 5

Total 0 16 0 11 5 0 14 3 49 10 0 59 59 0.0

Year 4

Male 0 15 0 10 4 0 7 7 43 12 0 55 46

Female 0 2 0 0 0 0 2 0 4 1 0 5 6

Total 0 17 0 10 4 0 9 7 47 13 0 60 52 15.4

Year 5

Male 1 13 0 3 2 0 5 6 30 7 0 37 10

Female 0 1 0 1 0 0 2 0 4 1 0 5 0

Total 1 14 0 4 2 0 7 6 34 8 0 42 10 320.0

Year 6+

Male 0 0 0 0 0 0 0 1 1 0 0 1 0

Female 0 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 0 0 1 1 0 0 1 0 –

Total

Male 2 74 0 39 19 0 44 27 205 45 0 250 218

Female 0 7 0 5 1 0 7 0 20 5 0 25 20

Total 2 81 0 44 20 0 51 27 225 50 0 275 238 15.5

TABLE SET.19 – Active Otolaryngology SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 1 3 0 3 0 0 3 2 12 1 0 13 12

Female 0 0 0 0 0 0 3 1 4 1 0 5 8

Total 1 3 0 3 0 0 6 3 16 2 0 18 20 -10.0

Year 2

Male 0 2 0 2 1 0 1 1 7 4 0 11 10

Female 0 2 0 0 2 0 2 0 6 0 0 6 1

Total 0 4 0 2 3 0 3 1 13 4 0 17 11 54.5

Year 3

Male 1 2 0 0 1 0 1 1 6 3 0 9 13

Female 0 0 0 0 0 0 0 0 0 1 0 1 8

Total 1 2 0 0 1 0 1 1 6 4 0 10 21 -52.4

Year 4

Male 0 5 0 1 2 0 4 0 12 1 0 13 9

Female 1 1 0 0 1 0 0 1 4 4 0 8 10

Total 1 6 0 1 3 0 4 1 16 5 0 21 19 10.5

Year 5

Male 0 1 0 1 0 0 4 1 7 2 1 10 6

Female 0 5 0 1 1 0 2 0 9 0 0 9 3

Total 0 6 0 2 1 0 6 1 16 2 1 19 9 111.1

Year 6+

Male 0 1 0 1 0 0 0 0 2 0 0 2 0

Female 0 1 0 1 0 0 0 0 2 0 0 2 1

Total 0 2 0 2 0 0 0 0 4 0 0 4 1 300.0

Total

Male 2 14 0 8 4 0 13 5 46 11 1 58 50

Female 1 9 0 2 4 0 7 2 25 6 0 31 31

Total 3 23 0 10 8 0 20 7 71 17 1 89 81 9.9



TABLE SET.20 – Active Paediatric SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 0 0 1 1 1 0 0 1 4 1 0 5 1

Female 0 0 0 2 0 0 1 0 3 0 0 3 4

Total 0 0 1 3 1 0 1 1 7 1 0 8 5 60.0

Year 2

Male 0 1 0 0 0 0 0 0 1 0 0 1 1

Female 3 0 0 0 0 0 1 0 4 0 0 4 5

Total 3 1 0 0 0 0 1 0 5 0 0 5 6 -16.7

Year 3

Male 0 0 0 1 0 0 0 0 1 0 0 1 3

Female 3 0 0 0 0 0 1 0 4 1 0 5 2

Total 3 0 0 1 0 0 1 0 5 1 0 6 5 20.0

Year 4

Male 0 1 0 0 0 0 3 0 4 0 0 4 1

Female 1 0 0 0 0 0 0 0 1 1 0 2 3

Total 1 1 0 0 0 0 3 0 5 1 0 6 4 50.0

Year 5

Male 0 0 0 0 0 0 1 0 1 0 0 1 0

Female 0 2 0 0 0 0 1 0 3 0 0 3 1

Total 0 2 0 0 0 0 2 0 4 0 0 4 1 300.0

Year 6+

Male 0 0 0 0 0 0 1 0 1 0 0 1 1

Female 0 0 0 1 0 0 0 0 1 0 0 1 0

Total 0 0 0 1 0 0 1 0 2 0 0 2 1 100.0

Total

Male 0 2 1 2 1 0 5 1 12 1 0 13 7

Female 7 2 0 3 0 0 4 0 16 2 0 18 15

Total 7 4 1 5 1 0 9 1 28 3 0 31 22 40.9

TABLE SET.21 – Active Plastic and Reconstructive SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 0 5 0 2 1 0 2 2 12 1 0 13 14

Female 0 3 0 0 1 0 1 0 5 2 0 7 10

Total 0 8 0 2 2 0 3 2 17 3 0 20 24 -16.7

Year 2

Male 0 2 0 2 1 0 5 2 12 1 0 13 15

Female 0 1 0 2 2 0 0 1 6 3 0 9 4

Total 0 3 0 4 3 0 5 3 18 4 0 22 19 15.8

Year 3

Male 0 6 0 2 0 0 3 1 12 1 0 13 15

Female 0 1 0 0 1 0 3 1 6 0 0 6 7

Total 0 7 0 2 1 0 6 2 18 1 0 19 22 -13.6

Year 4

Male 0 2 0 2 1 0 3 2 10 4 0 14 7

Female 0 0 0 0 0 0 1 1 2 3 0 5 4

Total 0 2 0 2 1 0 4 3 12 7 0 19 11 72.7

Year 5

Male 0 0 0 1 0 0 4 0 5 1 1 7 3

Female 0 0 0 1 0 0 1 0 2 1 0 3 3

Total 0 0 0 2 0 0 5 0 7 2 1 10 6 66.7

Year 6+

Male 0 3 0 0 0 0 0 0 3 2 1 6 1

Female 0 1 0 1 0 0 1 0 3 0 1 4 1

Total 0 4 0 1 0 0 1 0 6 2 2 10 2 400.0

Total

Male 0 18 0 9 3 0 17 7 54 10 2 66 55

Female 0 6 0 4 4 0 7 3 24 9 1 34 29

Total 0 24 0 13 7 0 24 10 78 19 3 100 84 19.0



TABLE SET.22 – Active Urology SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 0 5 0 1 1 0 5 0 12 3 0 15 19

Female 0 3 0 0 1 0 1 1 6 0 0 6 9

Total 0 8 0 1 2 0 6 1 18 3 0 21 28 -25.0

Year 2

Male 0 10 0 3 1 0 5 1 20 1 0 21 18

Female 0 2 0 3 0 0 1 1 7 1 0 8 4

Total 0 12 0 6 1 0 6 2 27 2 0 29 22 31.8

Year 3

Male 0 3 0 8 0 0 4 0 15 3 0 18 17

Female 0 1 0 0 0 0 1 1 3 1 0 4 6

Total 0 4 0 8 0 0 5 1 18 4 0 22 23 -4.3

Year 4

Male 0 4 0 3 2 0 6 0 15 2 0 17 19

Female 0 2 0 0 0 0 3 0 5 0 0 5 5

Total 0 6 0 3 2 0 9 0 20 2 0 22 24 -8.3

Year 5

Male 0 4 0 5 1 0 3 3 16 2 2 20 12

Female 0 0 0 1 0 0 2 1 4 1 0 5 3

Total 0 4 0 6 1 0 5 4 20 3 2 25 15 66.7

Year 6+

Male 0 2 0 1 1 0 4 0 8 2 0 10 1

Female 0 1 0 1 0 0 1 0 3 0 1 4 0

Total 0 3 0 2 1 0 5 0 11 2 1 14 1 1300.0

Total

Male 0 28 0 21 6 0 27 4 86 13 2 101 86

Female 0 9 0 5 1 0 9 4 28 3 1 32 27

Total 0 37 0 26 7 0 36 8 114 16 3 133 113 17.7

TABLE SET.23 – Active Vascular Surgery SET Trainees by training year and training post location



Total 2012

% Change

12/13

Year 1

Male 0 4 0 2 2 0 2 1 11 1 0 12 4

Female 1 0 0 0 0 0 1 0 2 0 0 2 3

Total 1 4 0 2 2 0 3 1 13 1 0 14 7 100.0

Year 2

Male 0 0 0 0 0 0 1 0 1 2 0 3 9

Female 0 1 0 0 0 0 0 0 1 0 0 1 2

Total 0 1 0 0 0 0 1 0 2 2 0 4 11 -63.6

Year 3

Male 0 2 0 1 1 0 1 0 5 3 0 8 4

Female 0 1 0 1 0 0 0 0 2 0 0 2 1

Total 0 3 0 2 1 0 1 0 7 3 0 10 5 100.0

Year 4

Male 0 0 0 0 0 0 5 0 5 0 0 5 13

Female 0 1 0 0 0 0 0 0 1 0 0 1 3

Total 0 1 0 0 0 0 5 0 6 0 0 6 16 -62.5

Year 5

Male 0 1 0 3 1 0 4 0 9 1 0 10 1

Female 0 1 0 1 0 0 0 0 2 1 0 3 2

Total 0 2 0 4 1 0 4 0 11 2 0 13 3 333.3

Year 6+

Male 0 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 1 0 1 0 0 1 0

Total 0 0 0 0 0 0 1 0 1 0 0 1 0 –

Total

Male 0 7 0 6 4 0 13 1 31 7 0 38 31

Female 1 4 0 2 0 0 2 0 9 1 0 10 11

Total 1 11 0 8 4 0 15 1 40 8 0 48 42 14.3


EXPLANATORY NOTESLocation – State and/or country reflected in these reports refer to the candidate’s mailing address. This is not necessarily the location where the candidate has undertaken all of their training or oversight.

Fellowship ExaminationsNumbers reflected in the Fellowship Examination reports are representative of the exams held in Australia and New Zealand in May and in September 2013 and has been reported with respect to:• Individual sitting and annual pass rate• Eventual pass rate by specialty (compares the number of candidates successfully completing the Fellowship Examinations within a 5 year

period since first attempt includes SET Trainees and IMGs)• Annual Fellowship Examination pass rate by state and specialty – International Medical Graduates• Annual Fellowship Examination pass rate by state and specialty – SET Trainees• Cumulative to date attempts to pass the Fellowship Examination (all candidates presenting in 2013 and the number of attempts)

Surgical Science ExaminationThe Surgical Science Examination (SSE) 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. Numbers reflected in these reports are representative of examinations held in Australia and New Zealand in February and June 2013 (including all attempts). Specialty specific examinations remain in their current format for Orthopaedic Surgery (held in Australia and New Zealand in April and October 2013), Paediatric Surgery (held in Australia and New Zealand in June, September and October 2013) and Plastic and Reconstructive Surgery (held in Australia and New Zealand in October 2013) and results are also included in these reports.

Clinical ExaminationThe Clinical Examination consists of 16 Objective Structured Clinical Examinations (OSCE) stations. Numbers reflected in the Clinical Examination report are representative of the exams held in Australia and New Zealand in February and June 2013 (including all attempts).

DATA SUMMARYGeneric and Specialty Specific Surgical Science Examination The Generic Surgical Science Examinations (GSSE) pass rate fluctuated very little with a 3.2% decrease compared to 2012. There was an increase in the number of candidates who presented in 2013 compared to previous years. The Specialty Specific Surgical Science examination has seen a slight increase (3.6%) in the pass rate since 2012.

Clinical ExaminationThe overall pass rate for clinical examination increased by 7.3% compared to 2012, with an increase in total sittings.

Fellowship ExaminationThe overall 2013 SET Trainees pass rate of the Fellowship Examinations (individual attempts) has increased in 2013 as compared to 2012 despite a decrease in the total numbers of those sitting in 2013. The overall pass rate for SET Trainees still remains low as compared to previous years (2009 and 2010). The pass rate of SET Trainees also varied significantly between specialties. Approximately two-thirds of Fellowship candidates continue on either their first or second attempt. Plastic and Reconstructive Surgery has the highest Fellowship pass rate in 2013, with 22 out of 28 candidates passing their Fellowship exam. Cardiothoracic Surgery and Plastic and Reconstructive Surgery have the highest annual pass rate on one attempt for 2013.

The eventual Fellowship pass rate for Trainees is similar across the last four trainee cohorts, with an eventual pass rate of 90% or higher (Table EXAM.5). The number of IMGs who have successfully completed the Fellowship within a five year period since their first attempt is similar to SET Trainees.

Examination pass rates The fail rates for the Speciality Specific and Fellowship Examinations seems to have been plateaued as there has been an increase in pass rates for both these exams. It is still too early in to determine whether this pass rate will increase.

The College remains committed to offer pre-vocational doctors the opportunity to complete the GSSE prior to entry into the SET program. From 2014 onwards a limited number of places will be available while capacity to upscale the delivery of the examination continues to be developed. Approximately 300 pre-vocational doctors will sit the 2014 exam in February, June and October 2014.

With regards to the Fellowship Examination, the College continues to identify areas for ongoing improvement. Due to the potential causes of the problem being multifactorial, the College has taken a number of directions including undertaking further research targeting a specific audience (supervisors, Trainees and recent graduates and examiners), developing additional resources for Trainees and supervisors and providing information about the changes to the Fellowship Examination.

SECTION FOUR ACTIVITIES OF EXAMINATIONS



TABLE EXAM.1 – Pass rate of individual attempts at Generic Surgical Science Examination by specialty and location


Total NZ O/STotal 2013 % Pass

CARSat 0 2 0 1 2 0 4 1 10 1 0 11

63.6Pass 0 1 0 1 2 0 1 1 6 1 0 7

GENSat 4 65 2 31 4 0 37 15 158 14 0 172

76.2Pass 2 49 0 21 4 0 32 10 118 13 0 131

NEUSat 1 2 0 4 2 3 0 1 13 2 0 15

60.0Pass 0 2 0 2 2 2 0 1 9 0 0 9

ORT Sat 1 20 0 13 5 0 9 5 53 8 0 6182.0

Pass 1 14 0 10 5 0 9 4 43 7 0 50

OTOSat 0 2 0 0 1 0 6 4 13 4 0 17

76.5Pass 0 2 0 0 1 0 4 3 10 3 0 13

PAE Sat 0 4 0 2 3 0 0 0 9 1 0 1050.0

Pass 0 2 0 2 1 0 0 0 5 0 0 5

PLASat 0 7 0 4 2 0 4 3 20 4 0 24

87.5Pass 0 5 0 3 2 0 4 3 17 4 0 21

UROSat 0 9 0 1 1 0 6 1 18 3 0 21

71.4Pass 0 5 0 1 1 0 5 1 13 2 0 15

VASSat 1 3 0 2 1 1 0 2 10 0 0 10

60.0Pass 1 1 0 2 1 1 0 0 6 0 0 6

Total

Sat 7 114 2 58 21 4 66 32 304 37 0 341

Pass 4 81 0 42 19 3 55 23 227 30 0 257

% Pass 57.1 71.1 0.0 72.4 90.5 75.0 83.3 71.9 74.7 81.1 - 75.4

FIGURE EXAM.1 – Overall annual pass rate of individual attempts at Generic Surgical Science Examination (2009 – 2013)

100

90

80

70

60

50

40

30

20

10

0

2009 2010 2011 2012

Pass Rate (%)

Year

2013

SECTION 4: ACTIVITIES OF EXAMINATIONS


TABLE EXAM.2 – Pass rate of individual attempts at Specialty Specific Surgical Science Examination by specialty and location



CAR Sat 0 0 0 0 0 0 0 0 0 2 0 2

50.0Pass 0 0 0 0 0 0 0 0 0 1 0 1

GENSat 4 94 2 41 9 0 55 20 225 21 0 246

41.9Pass 1 34 0 16 5 0 28 5 89 14 0 103

NEU Sat 1 5 0 4 3 2 0 1 16 2 0 18

44.4Pass 0 4 0 0 2 1 0 1 8 0 0 8

ORT(OPBS)

Sat 0 21 0 8 3 0 11 5 48 15 0 6393.7

Pass 0 18 0 8 3 0 10 5 44 15 0 59

OTOSat 1 7 0 5 4 0 5 6 28 6 0 34

67.6Pass 1 6 0 4 3 0 1 3 18 5 0 23

PAE(Anat)

Sat 0 4 0 0 0 0 1 1 6 2 0 862.5

Pass 0 2 0 0 0 0 1 1 4 1 0 5

PAE(Path)

Sat 0 5 0 0 0 0 0 1 6 2 0 8100.0

Pass 0 5 0 0 0 0 0 1 6 2 0 8

PLASat 0 9 0 6 4 0 4 3 26 3 0 29

96.6Pass 0 9 0 6 3 0 4 3 25 3 0 28

UROSat 0 0 0 1 0 0 0 0 1 0 0 1

100.0Pass 0 0 0 1 0 0 0 0 1 0 0 1

VASSat 1 7 0 5 1 1 0 2 17 3 0 20

40.0Pass 0 2 0 4 1 0 0 0 7 1 0 8

Total

Sat 7 152 2 70 24 3 76 39 373 56 0 429

Pass 2 80 0 39 17 1 44 19 202 42 0 244

% Pass 28.6 52.6 0.0 55.7 70.8 33.3 57.9 48.7 54.2 75.0 – 56.9

FIGURE EXAM.2 – Overall annual pass rate of individual attempts at Specialty Specific Surgical Science Examination (2009 – 2013)

100

90

80

70

60

50

40

30

20

10

0

2009 2010 2011 2012

Pass Rate (%)

Year

2013



TABLE EXAM.3 – Pass rate of individual attempts at Clinical Examination by specialty and location



CAR Sat 0 3 0 0 2 0 1 1 7 1 0 8

100.0 Pass 0 3 0 0 2 0 1 1 7 1 0 8

GENSat 5 55 0 18 6 0 30 12 126 15 0 141

89.4 Pass 3 49 0 17 5 0 27 11 112 14 0 126

NEU Sat 1 2 0 3 2 2 0 1 11 0 0 11

90.9Pass 1 2 0 2 2 2 0 1 10 0 0 10

ORTSat 1 19 0 9 5 0 7 7 48 9 0 57

94.7Pass 1 18 0 9 5 0 7 6 46 8 0 54

OTOSat 0 2 0 0 2 0 2 1 7 4 0 11

90.9Pass 0 2 0 0 2 0 2 1 7 3 0 10

PAESat 0 3 0 2 2 0 0 0 7 1 0 8

87.5Pass 0 2 0 2 2 0 0 0 6 1 0 7

PLASat 0 5 0 3 5 0 2 5 20 3 0 23

87.0Pass 0 5 0 3 4 0 2 3 17 3 0 20

UROSat 0 8 0 1 2 0 7 3 21 3 0 24

87.5Pass 0 7 0 1 1 0 7 2 18 3 0 21

VASSat 0 2 0 5 1 0 0 1 9 1 0 10

80.0Pass 0 1 0 4 1 0 0 1 7 1 0 8

Total

Sat 7 99 0 41 27 2 49 31 256 37 0 293

Pass 5 89 0 38 24 2 46 26 230 34 0 264

% Pass 71.4 89.9 – 92.7 88.9 100.0 93.9 83.9 89.8 91.9 – 90.1

FIGURE EXAM.3 – Overall annual pass rate of individual attempts at Clinical Examination (2009 – 2013)

100

90

80

70

60

50

40

30

20

10

0

2009 2010 2011 2012

Pass Rate (%)

Year

2013



TABLE EXAM.4 – Individual attempts and annual pass rate of Fellowship Examinations by specialty

May SeptemberTotal individual attempts

and pass rate* Annual Pass Rate#

Sat Pass % Sat Pass % Sat Pass % Sat Pass %

CAR 4 2 50.0 5 3 60.0 9 5 55.6 6 5 83.3

GEN 71 41 57.7 48 35 72.9 119 76 63.9 66 48 72.7

NEU 10 4 40.0 7 7 100.0 17 11 64.7 11 6 54.5

ORT 55 41 74.5 14 7 50.0 69 48 69.6 40 31 77.5

OTO 21 8 38.1 16 11 68.8 37 19 51.4 23 10 43.5

PAE 4 2 50.0 3 2 66.7 7 4 57.1 4 2 50.0

PLA 16 13 81.3 12 9 75.0 28 22 78.6 18 15 83.3

URO 10 8 80.0 17 13 76.5 27 21 77.8 22 17 77.3

VAS 16 11 68.8 7 5 71.4 23 16 69.6 17 11 64.7

Total 207 130 62.8 129 92 71.3 336 222 66.1 207 145 70.0

* Candidates are able to sit the Fellowship exam more than once during a year.

# Annual Pass rate reports on first attempt per candidate

TABLE EXAM.5 – Eventual Fellowship pass rate by specialty This table compares the number of Trainees successfully completing the Fellowship Examination within a 5 year period since first attempt (including IMGs).

2005 2010%

Pass 05/10

2006 2011%

Pass 06/11

2007 2012%

Pass 07/12

2008 2013%

Pass 08/13

Initially Sat

Eventual Pass

Initially Sat

Eventual Pass

Initially Sat

Eventual Pass

Initially Sat

Eventual Pass

CARTrainee 3 2 66.7 10 10 100.0 7 6 85.7 2 2 100.0

IMG 0 0 – 3 3 100.0 1 1 100.0 1 1 100.0

GENTrainee 65 59 90.8 61 56 91.8 58 56 96.6 65 63 96.9

IMG 1 0 0.0 1 0 0.0 2 1 50.0 8 8 100.0

NEUTrainee 4 3 75.0 11 11 100.0 11 11 100.0 8 8 100.0

IMG 1 1 100.0 1 1 100.0 2 1 50.0 2 2 100.0

ORTTrainee 43 43 100.0 41 41 100.0 49 48 98.0 53 53 100.0

IMG 1 1 100.0 2 2 100.0 5 3 60.0 7 6 85.7

OTOTrainee 15 15 100.0 18 18 100.0 20 20 100.0 17 17 100.0

IMG 0 0 – 0 0 – 1 1 100.0 2 2 100.0

PAETrainee 0 0 – 2 1 50.0 2 2 100.0 0 0 –

IMG 0 0 – 0 0 – 0 0 – 4 4 100.0

PLATrainee 16 16 100.0 14 14 100.0 19 19 100.0 11 11 100.0

IMG 0 0 – 2 2 100.0 2 1 50.0 2 2 100.0

UROTrainee 18 17 94.4 14 14 100.0 16 16 100.0 18 18 100.0

IMG 0 0 – 0 0 – 3 3 100.0 3 3 100.0

VASTrainee 13 13 100.0 7 7 100.0 9 9 100.0 10 10 100.0

IMG 2 0 0.0 3 2 66.7 1 1 100.0 1 1 100.0

TotalTrainee 177 168 94.9 178 172 96.6 191 187 97.9 184 182 98.9

IMG 5 2 40.0 12 10 83.3 17 12 70.6 30 29 96.7



TABLE EXAM.6 – Pass rate of SET Trainees individual attempts at Fellowship Examinations by specialty and location



CARSat 0 2 0 2 2 1 2 0 9 0 0 9

55.6Pass 0 0 0 2 0 1 2 0 5 0 0 5

GENSat 0 33 0 24 11 0 26 10 104 15 0 119

63.9Pass 0 19 0 16 7 0 19 5 66 10 0 76

NEUSat 0 6 0 6 0 0 3 2 17 0 0 17

64.7Pass 0 4 0 3 0 0 2 2 11 0 0 11

ORTSat 1 20 0 11 4 0 15 6 57 11 0 68

69.1Pass 1 9 0 7 4 0 11 6 38 9 0 47

OTOSat 0 16 0 5 6 0 3 1 31 4 2 37

51.4Pass 0 7 0 2 3 0 2 1 15 3 1 19

PAE Sat 0 2 0 1 0 0 3 1 7 0 0 757.1

Pass 0 2 0 0 0 0 2 0 4 0 0 4

PLA Sat 0 4 0 6 0 1 6 2 19 9 0 2878.6

Pass 0 3 0 5 0 1 5 2 16 6 0 22

UROSat 0 4 0 8 2 0 6 3 23 4 0 27

77.8 Pass 0 4 0 4 2 0 6 2 18 3 0 21

VASSat 0 4 0 4 1 0 11 1 21 2 0 23

69.6Pass 0 3 0 2 1 0 9 0 15 1 0 16

Total

Sat 1 91 0 67 26 2 75 26 288 45 2 335

Pass 1 51 0 41 17 2 58 18 188 32 1 221

% Pass 100.0 56.0 – 61.2 65.4 100.0 77.3 69.2 65.3 71.1 50.0 66.0

FIGURE EXAM.4 – Overall annual pass rate of SET trainee individual attempts at Fellowship Examinations (2009 – 2013)

100

90

80

70

60

50

40

30

20

10

0

2009 2010 2011 2012

Pass Rate (%)

Year

2013



TABLE EXAM.7 – Pass rate of International Medical Graduates individual attempts at Fellowship Examinations by specialty and location



CARSat 0 0 0 2 0 0 0 0 2 0 0 2

100.0Pass 0 0 0 2 0 0 0 0 2 0 0 2

GENSat 0 2 0 4 3 0 2 1 12 0 0 12

41.7Pass 0 1 0 2 1 0 1 0 5 0 0 5

NEUSat 0 2 0 2 0 0 0 0 4 0 0 4

50.0Pass 0 1 0 1 0 0 0 0 2 0 0 2

ORTSat 0 1 0 3 0 0 4 0 8 0 0 8

12.5Pass 0 0 0 0 0 0 1 0 1 0 0 1

OTOSat 0 4 0 0 2 0 0 0 6 0 0 6

16.7Pass 0 1 0 0 0 0 0 0 1 0 0 1

PAE Sat 0 0 0 0 0 0 1 1 2 0 0 250.0

Pass 0 0 0 0 0 0 1 0 1 0 0 1

PLA Sat 0 0 0 0 0 1 1 0 2 0 0 2100.0

Pass 0 0 0 0 0 1 1 0 2 0 0 2

UROSat 0 0 0 2 0 0 2 1 5 0 0 5

60.0Pass 0 0 0 0 0 0 2 1 3 0 0 3

VASSat 0 0 0 0 0 0 0 1 1 0 0 1

100.0Pass 0 0 0 0 0 0 0 1 1 0 0 1

Total

Sat 0 9 0 13 5 1 10 4 42 0 0 42

Pass 0 3 0 5 1 1 6 2 18 0 0 18

% Pass – 33.3 – 38.5 20.0 100.0 60.0 50.0 42.9 – – 42.9

FIGURE EXAM.5 – International Medical Graduates annual pass rate of Fellowship Examinations (2009 – 2013)

100

90

80

70

60

50

40

30

20

10

0

2009 2010 2011 2012

Pass Rate (%)

2013

Year



TABLE EXAM.8 – SET Trainees cumulative attempts to pass Fellowship Exam by specialty

Attempt No. CAR GEN NEU ORT OTO PAE PLA URO VAS

Total 2013

Total 2012

1

Sat 6 66 11 40 23 4 18 22 17 207 242

Pass 5 48 6 31 10 2 15 17 11 145 168

% Pass 83.3 72.7 54.5 77.5 43.5 50.0 83.3 77.3 64.7 70.0 69.4

2

Sat 1 23 6 13 12 1 3 5 4 68 74

Pass 0 12 5 9 8 1 3 4 4 46 39

% Pass 0.0 52.2 83.3 69.2 66.7 100.0 100.0 80.0 100.0 67.6 52.7

3

Sat 0 17 0 9 1 1 3 0 1 32 27

Pass 0 11 0 6 0 1 2 0 0 20 12

% Pass – 64.7 – 66.7 0.0 100.0 66.7 – 0.0 62.5 44.4

4

Sat 1 6 0 4 1 1 3 0 1 17 9

Pass 0 3 0 1 1 0 1 0 1 7 4

% Pass 0.0 50.0 – 25.0 100.0 0.0 33.3 – 100.0 41.2 44.4

5

Sat 1 3 0 3 0 0 1 0 0 8 3

Pass 0 0 0 1 0 0 1 0 0 2 2

% Pass 0.0 0.0 – 33.3 – – 100.0 – – 25.0 66.7

6

Sat 0 3 0 0 0 0 0 0 0 3 2

Pass 0 1 0 0 0 0 0 0 0 1 0

% Pass – 33.3 – – – – – – – 33.3 0.0

7

Sat 0 1 0 0 0 0 0 0 0 1 1

Pass 0 1 0 0 0 0 0 0 0 1 1

% Pass – 100.0 – – – – – – – 100.0 100.0

Total

Sat 9 119 17 69 37 7 28 27 23 336 358

Pass 5 76 11 48 19 4 22 21 16 222 226

% Pass 55.6 63.9 64.7 69.6 51.4 57.1 78.6 77.8 69.6 66.1 63.1

FIGURE EXAM.6 – Annual overall percentage of SET Trainees that passed the Fellowship Examination on their first attempt (2009 – 2013)

100

90

80

70

60

50

40

30

20

10

0

2009 2010 2011 2012

Pass Rate (%)

Year

2013


EXPLANATORY NOTESIn all tables the last known address is used when the current address is unknown. Region is based on mailing postcode and country. An active Fellow is involved in medicine, surgery, medico-legal work or other specialist non-procedural and non-clinical work such as surgical administration and academia.

Continuing Professional DevelopmentThe College Council requires all Fellows involved in any form of medicine, surgery, medico-legal services and non-clinical work to participate in either the College Continuing Professional Development (CPD) Program or in another CPD program approved by the College as meeting its standards for CPD. This annual program aims to advance the individual surgeon’s surgical knowledge and skills for the benefit of patients and to provide tangible evidence of participation and compliance with the CPD Program by the award of the Certificate of Continuing Professional Development. Compliance with CPD demonstrates maintenance of surgical standards by individual surgeons in Australia and New Zealand.

To facilitate the maintenance of surgical competence of Fellows, the College provides professional development activities that are tailored to the specific needs of Fellows. These activities address the skills and knowledge required in each of the College’s nine surgical competencies.

External funding to support the surgical workforceThe College has sought and received external funding from different sources over many years to develop projects aimed at addressing surgical workforce shortages in rural and regional areas. In 2013, the College once more received funding from the Australian Federal Government to support surgeons, Trainees and international medical graduates in rural areas. These projects provide support to Fellows by facilitating attendance at professional development activities, developing e-learning opportunities and mentoring international medical graduates.

DATA SUMMARYFellowshipAdmissions to Fellowship were slightly lower than in 2012 with a total of 238 new admissions. There has been a notable increase in the percentage of younger Fellows aged under 35 amongst the broader Fellowship. In 2013 the number of Fellows under 35 has increased by 8.8% in Australia (Table WFD.4) and by 66.7% in New Zealand compared to 2012 (Table WFD.5). While the proportion of women admitted in 2013 was slightly less than in 2012, the overall number of active female surgeons has increased by 8.7% in 2013 across the Fellowship. Surgeons working in Australia and New Zealand as International Medical Graduates (IMGs) and transitioning to Fellowship contradicts this trend, where female surgeons constitute a smaller proportion of IMGs who were awarded Fellowship in 2013 (4.5%).

The proportion of surgeons located in rural or regional areas remains steady (Table WFD.8), with general and orthopaedic surgeons the most likely to work in rural and remote areas of Australia (Table WFD.6). Of those working in rural or remote areas, most are located in either Queensland or New South Wales (Table WFD.7).

CPDFrom 2011 to 2012, the CPD compliance rate has remained stable at 92.9%. The College continues to provide surgeons who are non-compliant with regular reminders through mail and email correspondence, in the College’s Surgical News and Fax Mentis publications, at the Annual Scientific Congress (ASC) and specialty society meetings. Commencing in January 2013, the College moved to an annual CPD program that better supports Fellows as they transition throughout their career. The program is simpler, offers greater flexibility and aligns with the requirements of the Australian Health Practitioner Regulation Agency (AHPRA) and the Medical Council of New Zealand (MCNZ).

The College addresses non-compliance by supporting Fellows who are experiencing difficulties to meet the minimum standards. Fellows who are non-compliant for the 2013 CPD year will be managed through a more stringent process of sanctions. Failure to comply with CPD will now be handled as a breach of the College’s Code of Conduct, with the ultimate sanction being the possible loss of Fellowship for persistent non-compliance.

Professional DevelopmentTo facilitate the maintenance of surgical competence of Fellows, the College provides professional development activities that are tailored to the specific needs of Fellows. These activities address the skills and knowledge required in each of the College’s nine surgical competencies. During 2013, the Professional Development Department delivered 59 face to face activities registering 1096 attendees (746 Fellows, 74 Trainees, 29 IMGs and 245 non-members) plus two online activities that attracted an additional 131 attendees. This gives a total of 1227 participants engaged with 61 programs delivered through the Professional Development Department in 2013.

SECTION FIVE WORKFORCE DISTRIBUTION



TABLE WFD.1 – Active and retired RACS Fellows by location and specialty



Total 2012

% Change

12/13

CAR

Male 6 57 0 40 14 3 60 16 196 27 36 259 247 4.9

Female 0 5 0 1 0 0 5 0 11 2 0 13 13 0.0

Total 6 62 0 41 14 3 65 16 207 29 36 272 260 4.6

GEN

Male 19 598 17 306 154 31 460 142 1727 269 170 2166 2131 1.6

Female 2 70 1 33 19 3 64 18 210 34 22 266 247 7.7

Total 21 668 18 339 173 34 524 160 1937 303 192 2432 2378 2.3

NEU

Male 6 76 0 36 16 5 54 20 213 19 29 261 259 0.8

Female 0 5 0 8 3 1 7 1 25 1 0 26 23 13.0

Total 6 81 0 44 19 6 61 21 238 20 29 287 282 1.8

ORT

Male 22 417 6 259 118 23 290 122 1257 267 62 1586 1533 3.5

Female 2 10 0 8 4 0 13 3 40 14 1 55 51 7.8

Total 24 427 6 267 122 23 303 125 1297 281 63 1641 1584 3.6

OTO

Male 12 149 3 85 40 6 110 41 446 76 28 550 539 2.0

Female 0 16 0 8 5 2 16 1 48 13 3 64 58 10.3

Total 12 165 3 93 45 8 126 42 494 89 31 614 597 2.8

PAE

Male 3 31 0 13 7 3 28 6 91 14 27 132 130 1.5

Female 1 8 0 3 2 1 6 3 24 3 6 33 32 3.1

Total 4 39 0 16 9 4 34 9 115 17 33 165 162 1.9

PLA

Male 5 120 2 54 44 9 114 44 392 61 20 473 458 3.3

Female 0 11 0 10 4 1 21 4 51 7 4 62 57 8.8

Total 5 131 2 64 48 10 135 48 443 68 24 535 515 3.9

URO

Male 6 131 1 83 33 12 106 36 408 54 27 489 471 3.8

Female 0 9 0 4 3 0 10 5 31 6 1 38 33 15.2

Total 6 140 1 87 36 12 116 41 439 60 28 527 504 4.6

VAS

Male 3 58 1 36 15 4 47 16 180 18 3 201 197 2.0

Female 0 7 0 3 2 0 4 1 17 0 0 17 15 13.3

Total 3 65 1 39 17 4 51 17 197 18 3 218 212 2.8

Sub Total

Male 82 1637 30 912 441 96 1269 443 4910 805 402 6117 5965 2.5

Female 5 141 1 78 42 8 146 36 457 80 37 574 529 8.5

Total 87 1778 31 990 483 104 1415 479 5367 885 439 6691 6494 3.0

OB & GYN

Male 0 11 0 1 0 0 17 0 29 1 1 31 32 -3.1

Female 0 0 0 0 0 0 0 0 0 0 0 0 1 -100.0

Total 0 11 0 1 0 0 17 0 29 1 1 31 33 -6.1

OPH

Male 4 99 0 52 15 5 71 21 267 16 15 298 308 -3.2

Female 0 15 1 1 2 0 13 1 33 2 0 35 35 0.0

Total 4 114 1 53 17 5 84 22 300 18 15 333 343 -2.9

Total

Male 86 1747 30 965 456 101 1357 464 5206 822 418 6446 6305 2.2

Female 5 156 2 79 44 8 159 37 490 82 37 609 565 7.8

Total 91 1903 32 1044 500 109 1516 501 5696 904 455 7055 6870 2.7

SECTION 5: WORKFORCE DISTRIBUTION


TABLE WFD.2 – Active RACS Fellows by location and specialty



Total 2012

% Change

12/13

CAR

Male 4 49 0 34 9 3 53 13 165 22 28 215 202 6.4

Female 0 5 0 1 0 0 4 0 10 2 0 12 12 0.0

Total 4 54 0 35 9 3 57 13 175 24 28 227 214 6.1

GEN

Male 15 466 16 235 111 23 364 105 1335 207 138 1680 1647 2.0

Female 2 67 1 33 17 3 63 18 204 33 20 257 238 8.0

Total 17 533 17 268 128 26 427 123 1539 240 158 1937 1885 2.8

NEU

Male 6 68 0 33 12 4 52 18 193 18 24 235 234 0.4

Female 0 5 0 8 3 1 7 1 25 1 0 26 23 13.0

Total 6 73 0 41 15 5 59 19 218 19 24 261 257 1.6

ORT

Male 21 385 6 244 106 21 276 112 1171 245 53 1469 1420 3.5

Female 2 10 0 8 4 0 13 3 40 14 1 55 51 7.8

Total 23 395 6 252 110 21 289 115 1211 259 54 1524 1471 3.6

OTO

Male 8 124 3 72 37 6 94 37 381 69 23 473 462 2.4

Female 0 16 0 8 5 2 16 1 48 13 3 64 58 10.3

Total 8 140 3 80 42 8 110 38 429 82 26 537 520 3.3

PAE

Male 3 23 0 9 6 3 18 5 67 13 19 99 100 -1.0

Female 1 8 0 3 2 0 5 3 22 3 5 30 29 3.4

Total 4 31 0 12 8 3 23 8 89 16 24 129 129 0.0

PLA

Male 5 107 2 50 36 8 106 38 352 51 18 421 405 4.0

Female 0 11 0 9 4 1 21 4 50 7 4 61 56 8.9

Total 5 118 2 59 40 9 127 42 402 58 22 482 461 4.6

URO

Male 5 113 1 72 26 10 89 31 347 45 21 413 398 3.8

Female 0 9 0 4 3 0 10 5 31 6 1 38 33 15.2

Total 5 122 1 76 29 10 99 36 378 51 22 451 431 4.6

VAS

Male 3 55 1 33 12 4 40 12 160 17 2 179 178 0.6

Female 0 7 0 3 2 0 4 1 17 0 0 17 15 13.3

Total 3 62 1 36 14 4 44 13 177 17 2 196 193 1.6

Sub Total

Male 70 1390 29 782 355 82 1092 371 4171 687 326 5184 5046 2.7

Female 5 138 1 77 40 7 143 36 447 79 34 560 515 8.7

Total 75 1528 30 859 395 89 1235 407 4618 766 360 5744 5561 3.3

OB & GYN

Male 0 2 0 0 0 0 1 0 3 0 0 3 4 -25.0

Female 0 0 0 0 0 0 0 0 0 0 0 0 0 –

Total 0 2 0 0 0 0 1 0 3 0 0 3 4 -25.0

OPH

Male 3 83 0 39 12 3 57 14 211 9 9 229 239 -4.2

Female 0 14 1 1 2 0 13 1 32 2 0 34 34 0.0

Total 3 97 1 40 14 3 70 15 243 11 9 263 273 -3.7

Total

Male 73 1475 29 821 367 85 1150 385 4385 696 335 5416 5289 2.4

Female 5 152 2 78 42 7 156 37 479 81 34 594 549 8.2

Total 78 1627 31 899 409 92 1306 422 4864 777 369 6010 5838 2.9



TABLE WFD.3 – Active RACS Fellows by location and age

Age group(years) ACT NSW NT QLD SA TAS VIC WA

AUSTotal NZ O/S

Total 2013

Total 2012

% Change

12/13

<35

Male 1 60 1 21 19 1 62 13 178 33 14 225 197 14.2

Female 0 15 0 15 5 0 20 3 58 12 3 73 59 23.7

Total 1 75 1 36 24 1 82 16 236 45 17 298 256 16.4

35 – 39

Male 6 140 2 86 36 4 125 37 436 53 35 524 527 -0.6

Female 0 30 1 20 5 0 32 9 97 11 9 117 116 0.9

Total 6 170 3 106 41 4 157 46 533 64 44 641 643 -0.3

40 – 44

Male 14 214 4 130 56 18 176 72 684 97 29 810 810 0.0

Female 3 38 0 15 10 4 29 9 108 20 6 134 131 2.3

Total 17 252 4 145 66 22 205 81 792 117 35 944 941 0.3

45 – 49

Male 12 215 4 139 40 7 132 65 614 105 27 746 723 3.2

Female 1 23 0 12 8 1 26 7 78 14 6 98 84 16.7

Total 13 238 4 151 48 8 158 72 692 119 33 844 807 4.6

50 – 54

Male 11 175 4 130 48 14 133 51 566 121 41 728 665 9.5

Female 1 16 0 8 6 0 17 5 53 12 5 70 73 -4.1

Total 12 191 4 138 54 14 150 56 619 133 46 798 738 8.1

55 – 59

Male 11 135 2 87 38 14 106 55 448 107 38 593 589 0.7

Female 0 11 0 4 5 2 15 2 39 7 2 48 32 50.0

Total 11 146 2 91 43 16 121 57 487 114 40 641 621 3.2

60 – 64

Male 8 123 5 57 39 12 98 22 364 66 47 477 483 -1.2

Female 0 1 0 1 1 0 1 1 5 2 0 7 7 0.0

Total 8 124 5 58 40 12 99 23 369 68 47 484 490 -1.2

65 – 69

Male 3 148 4 64 39 7 123 23 411 57 47 515 520 -1.0

Female 0 2 0 2 0 0 2 0 6 0 1 7 8 -12.5

Total 3 150 4 66 39 7 125 23 417 57 48 522 528 -1.1

70+

Male 4 180 3 68 40 5 137 33 470 48 48 566 532 6.4

Female 0 2 0 0 0 0 1 0 3 1 2 6 5 20.0

Total 4 182 3 68 40 5 138 33 473 49 50 572 537 6.5

Total

Male 70 1390 29 782 355 82 1092 371 4171 687 326 5184 5046 2.7

Female 5 138 1 77 40 7 143 36 447 79 34 560 515 8.7

Total 75 1528 30 859 395 89 1235 407 4618 766 360 5744 5561 3.3

% Of active Fellows under 55 years

%

Male 62.9 57.8 51.7 64.7 56.1 53.7 57.5 64.2 59.4 59.5 44.8 58.5 57.9 1.0

Female 100.0 88.4 100.0 90.9 85.0 71.4 86.7 91.7 88.1 87.3 85.3 87.9 89.9 -2.3

Total 65.3 60.6 53.3 67.1 59.0 55.1 60.9 66.6 62.2 62.4 48.6 61.4 60.9 0.8

Note: Data Excludes OB & GYN and OPH



TABLE WFD.4 – Active Australian RACS Fellows by specialty and age

Age group(years) CAR GEN NEU ORT OTO PAE PLA URO VAS

Total 2013

Total 2012

% Change

12/13

<35

Male 5 65 5 51 16 0 13 19 4 178 169 5.3

Female 0 31 1 3 12 0 5 4 2 58 48 20.8

Total 5 96 6 54 28 0 18 23 6 236 217 8.8

35 – 39

Male 9 132 18 133 43 3 40 37 21 436 439 -0.7

Female 2 46 1 10 9 3 12 10 4 97 90 7.8

Total 11 178 19 143 52 6 52 47 25 533 529 0.8

40 – 44

Male 25 183 49 212 57 9 63 64 22 684 677 1.0

Female 3 52 10 7 11 4 9 8 4 108 109 -0.9

Total 28 235 59 219 68 13 72 72 26 792 786 0.8

45 – 49

Male 33 170 33 162 61 11 53 62 29 614 588 4.4

Female 1 33 9 7 9 2 6 8 3 78 69 13.0

Total 34 203 42 169 70 13 59 70 32 692 657 5.3

50 – 54

Male 30 159 25 187 37 10 50 52 16 566 505 12.1

Female 0 22 2 8 5 9 6 1 0 53 55 -3.6

Total 30 181 27 195 42 19 56 53 16 619 560 10.5

55 – 59

Male 25 136 16 127 41 9 38 39 17 448 449 -0.2

Female 3 15 1 5 2 2 7 0 4 39 26 50.0

Total 28 151 17 132 43 11 45 39 21 487 475 2.5

60 – 64

Male 17 137 15 99 32 9 19 24 12 364 375 -2.9

Female 0 3 0 0 0 0 2 0 0 5 5 0.0

Total 17 140 15 99 32 9 21 24 12 369 380 -2.9

65 – 69

Male 9 161 15 86 43 9 37 27 24 411 418 -1.7

Female 1 2 0 0 0 1 2 0 0 6 6 0.0

Total 10 163 15 86 43 10 39 27 24 417 424 -1.7

70+

Male 12 192 17 114 51 7 39 23 15 470 436 7.8

Female 0 0 1 0 0 1 1 0 0 3 3 0.0

Total 12 192 18 114 51 8 40 23 15 473 439 7.7

Total

Male 165 1335 193 1171 381 67 352 347 160 4171 4056 2.8

Female 10 204 25 40 48 22 50 31 17 447 411 8.8

Total 175 1539 218 1211 429 89 402 378 177 4618 4467 3.4


%

Male 61.8 53.1 67.4 63.6 56.2 49.3 62.2 67.4 57.5 59.4 58.6 1.3

Female 60.0 90.2 92.0 87.5 95.8 81.8 76.0 100.0 76.5 88.1 90.3 -2.4

Total 61.7 58.0 70.2 64.4 60.6 57.3 63.9 70.1 59.3 62.2 61.5 1.1



TABLE WFD.5 – Active New Zealand RACS Fellows by specialty and age

Age group(years) CAR GEN NEU ORT OTO PAE PLA URO VAS

Total 2013

Total 2012

% Change

12/13

<35

Male 0 16 0 11 2 1 0 2 1 33 20 65.0

Female 0 6 0 1 4 0 1 0 0 12 7 71.4

Total 0 22 0 12 6 1 1 2 1 45 27 66.7

35 – 39

Male 0 11 1 30 2 1 4 2 2 53 53 0.0

Female 0 4 0 2 1 0 1 3 0 11 18 -38.9

Total 0 15 1 32 3 1 5 5 2 64 71 -9.9

40 – 44

Male 3 33 1 35 5 1 11 7 1 97 106 -8.5

Female 0 9 0 5 3 0 2 1 0 20 15 33.3

Total 3 42 1 40 8 1 13 8 1 117 121 -3.3

45 – 49

Male 4 27 3 38 11 1 10 9 2 105 108 -2.8

Female 1 7 0 1 2 0 2 1 0 14 13 7.7

Total 5 34 3 39 13 1 12 10 2 119 121 -1.7

50 – 54

Male 3 34 3 39 14 5 10 8 5 121 115 5.2

Female 1 4 1 2 1 2 0 1 0 12 12 0.0

Total 4 38 4 41 15 7 10 9 5 133 127 4.7

55 – 59

Male 7 30 1 36 19 0 6 5 3 107 97 10.3

Female 0 2 0 3 1 0 1 0 0 7 5 40.0

Total 7 32 1 39 20 0 7 5 3 114 102 11.8

60 – 64

Male 4 24 3 18 7 1 2 6 1 66 65 1.5

Female 0 0 0 0 1 1 0 0 0 2 2 0.0

Total 4 24 3 18 8 2 2 6 1 68 67 1.5

65 – 69

Male 1 20 3 20 4 1 5 2 1 57 62 -8.1

Female 0 0 0 0 0 0 0 0 0 0 1 -100.0

Total 1 20 3 20 4 1 5 2 1 57 63 -9.5

70+

Male 0 12 3 18 5 2 3 4 1 48 47 2.1

Female 0 1 0 0 0 0 0 0 0 1 0 –

Total 0 13 3 18 5 2 3 4 1 49 47 4.3

Total

Male 22 207 18 245 69 13 51 45 17 687 673 2.1

Female 2 33 1 14 13 3 7 6 0 79 73 8.2

Total 24 240 19 259 82 16 58 51 17 766 746 2.7


%

Male 45.5 58.5 44.4 62.4 49.3 69.2 68.6 62.2 64.7 59.5 59.7 -0.3

Female 100.0 90.9 100.0 78.6 84.6 66.7 85.7 100.0 – 87.3 89.0 -1.9

Total 50.0 62.9 47.4 63.3 54.9 68.8 70.7 66.7 64.7 62.4 62.6 -0.3



TABLE WFD.6 – Active Australian RACS Fellows by RRMA code and specialty

Speciality M1 M2 R1 R2 R3 Rem1 Rem2Location

unknownTotal 2013

% In M1/M2 2013

Total2012

% In M1/M2 2012

% Change in M1/M2

12/13

CAR 157 15 0 3 0 0 0 0 175 98.3 169 97.6 0.7

GEN 1070 139 159 126 41 3 0 1 1539 78.6 1502 78.9 -0.4

NEU 196 20 1 0 1 0 0 0 218 99.1 209 99.0 0.1

ORT 900 117 114 65 11 3 0 1 1211 84.0 1163 85.0 -1.2

OTO 326 36 44 17 6 0 0 0 429 84.4 420 86.4 -2.3

PAE 77 9 2 0 0 1 0 0 89 96.6 88 96.6 0.0

PLA 355 26 15 5 1 0 0 0 402 94.8 384 95.1 -0.3

URO 282 35 45 15 1 0 0 0 378 83.9 358 83.0 1.0

VAS 141 22 12 2 0 0 0 0 177 92.1 174 93.1 -1.1

Total 3504 419 392 233 61 7 0 2 4618 85.0 4467 85.4 -0.5

TABLE WFD.7 – Active Australian RACS Fellows by RRMA and location

Region M1 M2 R1 R2 R3 Rem1 Rem2Location

unknownTotal 2013

% In M1/M2 2013

Total2012

% In M1/M2 2012

% Change in M1/M2

12/13

ACT 75 0 0 0 0 0 0 0 75 100.0 73 98.6 1.4

NSW 1096 175 129 98 29 1 0 0 1528 83.2 1488 83.9 -0.9

NT 6 24 0 0 0 0 0 0 30 100.0 27 100.0 0.0

QLD 499 160 157 37 1 4 0 1 859 76.8 825 77.3 -0.6

SA 376 1 2 12 4 0 0 0 395 95.4 387 95.9 -0.5

TAS 53 1 25 9 1 0 0 0 89 60.7 87 62.1 -2.3

VIC 1027 58 79 51 19 0 0 1 1235 87.9 1192 88.1 -0.2

WA 372 0 0 26 7 2 0 0 407 91.4 388 91.8 -0.4

Total 3504 419 392 233 61 7 0 2 4618 85.0 4467 85.4 -0.5

TABLE WFD.8 – Active Australian RACS Fellows by RRMA and age group

Age Group (years) M1 M2 R1 R2 R3 Rem1 Rem2

Location unknown

Total 2013

% In M1/M2 2013

Total2012

% In M1/M2 2012

% Change in M1/M2

12/13

<35 193 19 19 5 0 0 0 0 236 89.8 217 92.6 -3.0

35 – 39 433 49 35 13 2 0 0 1 533 90.6 529 91.5 -1.0

40 – 44 627 76 51 29 6 2 0 1 792 88.9 786 89.6 -0.8

45 – 49 517 73 59 33 10 0 0 0 692 85.3 657 83.9 1.6

50 – 54 439 56 85 35 4 0 0 0 619 80.0 560 80.9 -1.2

55 – 59 364 42 41 33 6 1 0 0 487 83.4 475 82.9 0.6

60 – 64 250 33 44 36 5 1 0 0 369 76.7 380 76.1 0.8

65 – 69 306 37 34 25 13 2 0 0 417 82.3 424 83.0 -0.9

70+ 375 34 24 24 15 1 0 0 473 86.5 439 88.6 -2.4

Total 3504 419 392 233 61 7 0 2 4618 85.0 4467 85.4 -0.5



TABLE WFD.9 – Active RACS SET Trainees obtaining RACS Fellowship in 2013 by location of residence and specialty



CAR

Male 0 2 0 2 0 0 4 0 8 0 2 10

Female 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 2 0 2 0 0 4 0 8 0 2 10

GEN

Male 0 10 2 5 2 0 10 2 31 12 0 43

Female 0 6 0 3 0 0 5 1 15 2 0 17

Total 0 16 2 8 2 0 15 3 46 14 0 60

NEU

Male 0 1 0 1 0 0 3 0 5 0 0 5

Female 0 0 0 1 0 0 1 0 2 0 0 2

Total 0 1 0 2 0 0 4 0 7 0 0 7

ORT

Male 0 10 0 7 5 0 9 3 34 11 2 47

Female 0 0 0 1 0 0 2 0 3 1 0 4

Total 0 10 0 8 5 0 11 3 37 12 2 51

OTO

Male 0 2 1 2 0 0 5 0 10 1 2 13

Female 0 1 0 1 1 0 3 0 6 0 0 6

Total 0 3 1 3 1 0 8 0 16 1 2 19

PAE

Male 0 0 0 0 0 0 1 0 1 0 0 1

Female 0 1 0 0 0 0 0 0 1 0 0 1

Total 0 1 0 0 0 0 1 0 2 0 0 2

PLA

Male 0 7 0 0 0 0 3 0 10 2 1 13

Female 0 0 0 0 0 0 2 0 2 1 1 4

Total 0 7 0 0 0 0 5 0 12 3 2 17

URO

Male 0 4 0 2 1 0 7 0 14 1 2 17

Female 0 1 0 1 1 0 1 0 4 0 1 5

Total 0 5 0 3 2 0 8 0 18 1 3 22

VAS

Male 0 3 0 1 0 0 0 0 4 0 0 4

Female 0 1 0 1 0 0 0 0 2 0 0 2

Total 0 4 0 2 0 0 0 0 6 0 0 6

Total

Male 0 39 3 20 8 0 42 5 117 27 9 153

Female 0 10 0 8 2 0 14 1 35 4 2 41

Total 0 49 3 28 10 0 56 6 152 31 11 194



TABLE WFD.10 – Active International Medical Graduates obtaining RACS Fellowship in 2013 by location of residence and specialty



CAR

Male 0 1 0 1 0 0 2 1 5 0 0 5

Female 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 1 0 1 0 0 2 1 5 0 0 5

GEN

Male 0 3 1 3 1 0 4 2 14 0 0 14

Female 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 3 1 3 1 0 4 2 14 0 0 14

NEU

Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 1 0 0 0 0 1 0 0 1

Total 0 0 0 1 0 0 0 0 1 0 0 1

ORT

Male 0 1 0 6 1 1 3 1 13 1 0 14

Female 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 1 0 6 1 1 3 1 13 1 0 14

OTO

Male 0 0 0 1 0 0 0 0 1 1 0 2

Female 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 1 0 0 0 0 1 1 0 2

PAE

Male 0 0 0 0 0 1 0 0 1 0 0 1

Female 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 1 0 0 1 0 0 1

PLA

Male 0 0 0 0 0 0 0 1 1 0 0 1

Female 0 0 0 0 0 0 0 1 1 0 0 1

Total 0 0 0 0 0 0 0 2 2 0 0 2

URO

Male 0 0 0 0 0 0 1 3 4 0 1 5

Female 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 0 1 3 4 0 1 5

VAS

Male 0 0 0 0 0 0 0 0 0 0 0 0

Female 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 0 0 0 0 0 0 0

Total

Male 0 5 1 11 2 2 10 8 39 2 1 42

Female 0 0 0 1 0 0 0 1 2 0 0 2

Total 0 5 1 12 2 2 10 9 41 2 1 44



TABLE WFD.11 – Total number of SET Trainees and International Medical Graduates obtaining RACS Fellowship by specialty (2003 – 2013)

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

CAR

Male ~ ~ 7 8 4 10 6 5 11 5 15

Female ~ ~ 1 1 0 0 0 0 1 1 0

Total 7 6 8 9 4 10 6 5 12 6 15

GEN

Male ~ ~ 67 53 72 62 47 63 54 64 57

Female ~ ~ 9 18 19 14 23 13 12 30 17

Total 47 44 76 71 91 76 70 76 66 94 74

NEU

Male ~ ~ 4 11 14 14 7 12 6 9 5

Female ~ ~ 2 2 2 4 2 0 0 0 3

Total 3 7 6 13 16 18 9 12 6 9 8

ORT

Male ~ ~ 53 48 59 41 67 49 60 59 61

Female ~ ~ 3 1 3 2 3 2 8 2 4

Total 46 46 56 49 62 43 70 51 68 61 65

OTO

Male ~ ~ 16 13 20 9 12 16 21 12 15

Female ~ ~ 3 1 7 4 5 6 5 7 6

Total 15 16 19 14 27 13 17 22 26 19 21

PAE

Male ~ ~ 0 2 2 3 2 3 2 4 2

Female ~ ~ 1 0 1 0 1 1 3 2 1

Total 1 1 1 2 3 3 3 4 5 6 3

PLA

Male ~ ~ 17 12 19 19 7 7 18 22 14

Female ~ ~ 3 1 5 4 3 8 4 1 5

Total 14 15 20 13 24 23 10 15 22 23 19

URO

Male ~ ~ 12 11 20 15 12 15 22 19 22

Female ~ ~ 2 1 3 3 3 3 3 3 5

Total 13 13 14 12 23 18 15 18 25 22 27

VAS

Male ~ ~ 9 5 10 4 11 5 10 5 4

Female ~ ~ 1 0 2 1 1 0 2 2 2

Total 1 4 10 5 12 5 12 5 12 7 6

Total

Male ~ ~ 185 163 220 177 171 175 204 199 195

Female ~ ~ 25 25 42 32 41 33 38 48 43

Total 147 152 210 188 262 209 212 208 242 247 238

FIGURE WFD.1 – Total annual number of SET Trainees and International Medical Graduates obtaining RACS Fellowship (2003 – 2013)

Male Female Gender split N/A

300

250

200

150

100

50

02003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Number ofnew Fellows

Year admitted into RACS

2013



TABLE WFD.12 – Ratio of active Australian and New Zealand RACS Fellows per population by location

No. of surgeonsNumber of surgeons per 10,000

population Population (’000)

ACT 75 2.0 383.4

NSW 1528 2.1 7407.7

NT 30 1.3 239.5

QLD 859 1.8 4658.6

SA 395 2.4 1670.8

TAS 89 1.7 513.0

VIC 1235 2.2 5737.6

WA 407 1.6 2517.2

AUS 4618 2.0 23130.9

NZ 766 1.7 4470.8

Population Source: Australian Bureau of Statistics website www.abs.gov.au and from Statistics New Zealand website www.stats.govt.nz and is accurate as at December 2012. Data excludes OB&GYN and OPH Fellows

TABLE WFD.13 – Ratio of active Australian and New Zealand RACS Fellows per population aged 65 year or older by location

No. of surgeons*Ratio of surgeon per 1000 population

over the age of 65+Population over theage of 65+ (’000)

ACT 71 1.6 43.3

NSW 1497 1.3 1123.5

NT 30 2.0 15.0

QLD 847 1.3 634.0

SA 387 1.4 279.5

TAS 86 1.0 88.5

VIC 1212 1.4 838.9

WA 399 1.3 314.3

AUS 4529 1.4 3337.5

NZ 750 1.2 635.2

* Excludes Paediatric Surgeons

Population data was taken from the Australian Bureau of Statistics website www.abs.gov.au and from Statistics New Zealand website www.stats.govt.nz and is accurate as at December 2013. Data excludes OB&GYN and OPH Fellows



TABLE WFD.14 – Participation in RACS CPD program 2010 – 2012 by specialty

2010 2011 2012

Specialty

Total required to participate

Total compliant

% Compliant


Total compliant

% Compliant


Total compliant

% Compliant

CAR 178 147 82.6 214 188 87.9 215 196 91.2

GEN 1534 1350 88.0 1872 1714 91.6 1842 1709 92.8

NEU 215 200 93.0 257 240 93.4 253 237 93.7

ORT 417 334 80.1 586 546 93.2 546 497 91.0

OTO 440 401 91.1 520 495 95.2 518 487 94.0

PAE 105 93 88.6 128 116 90.6 125 111 88.8

PLA 386 343 88.9 461 438 95.0 465 440 94.6

URO 368 330 89.7 431 404 93.7 428 403 94.2

VAS 168 154 91.7 193 185 95.9 190 177 93.2

Sub Total 3811 3352 88.0 4662 4326 92.8 4582 4257 92.9

OB & GYN and OPH

16 13 81.3 17 15 88.2 16 14 87.5

Total 3827 3365 87.9 4679 4341 92.8 4598 4271 92.9

TABLE WFD.15 – Participation in RACS CPD program 2010 – 2012 by region

2010 2011 2012

Location


Total compliant

% Compliant


Total compliant

% Compliant


Total compliant

% Compliant

ACT 52 46 88.5 57 52 91.2 60 58 96.7

NSW 1052 930 88.4 1244 1148 92.3 1218 1136 93.3

NT 17 14 82.4 25 24 96.0 24 23 95.8

SA 274 239 87.2 335 316 94.3 324 309 95.4

QLD 619 567 91.6 709 670 94.5 698 664 95.1

TAS 73 65 89.0 77 75 97.4 74 71 95.9

VIC 867 739 85.2 1041 948 91.1 1008 944 93.7

WA 287 250 87.1 346 327 94.5 346 334 94.3

AUS Sub Total

3241 2850 87.9 3834 3560 92.9 3752 3539 94.3

OS 140 106 75.7 335 295 88.1 345 257 74.5

NZ 446 409 91.7 510 486 95.3 501 475 94.8

Total 3827 3365 87.9 4679 4341 92.8 4598 4271 92.9



All active Fellows have a requirement to participate in either the College CPD program or in another CPD program approved by the College as meeting its standards for CPD. In 2012 there were 5784 Fellows participating in the College CPD or other CPD approved programs.Ophthalmologists and obstetricians and gynaecologists who hold RACS Fellowship have been included.

TABLE WFD.16 – Fellow participation in RACS and other CPD programs in 2012

College CPD Programs Number of Fellows participating % of Fellows participating

Royal Australasian College of Surgeons 4598 79.5

Australian Orthopaedic Association 682 11.8

New Zealand Orthopaedic Association 231 4.0

Royal Australian College of General Practitioners 22 0.4

Royal Australian and New Zealand College of Ophthalmologists 248 4.3

Royal Australian and New Zealand College of Obstetricians & Gynaecologists 2 0.0

Other College CPD program 1 0.0

Total 5784 100.0

TABLE WFD.17 – Participation in RACS CPD program in 2012, by program category

Fellows’ specialty

CPD category CAR GEN NEUOB & GYN OPH ORT OTO PAE PLA URO VAS Total

% Total

Operative practice 195 1659 224 0 15 508 481 116 437 400 174 4209 72.8

Operative procedures in rooms only 0 10 0 0 0 1 4 3 4 1 1 24 0.4

Clinical consulting (non-operative) 4 26 8 0 0 2 15 1 5 6 3 70 1.2

Medico-legal (personal injury) 0 35 13 0 0 28 10 1 6 5 2 100 1.7

Medico-legal (medical negligence) 1 11 3 0 0 1 3 0 5 1 0 25 0.4

Other non-procedural work (eg academia) 7 38 3 0 0 0 2 2 4 4 2 62 1.1

Locum 0 26 1 0 0 3 2 0 2 0 1 35 0.6

Surgical assisting 8 34 1 1 0 3 1 2 1 10 7 68 1.2

Portfolio 0 3 0 0 0 0 0 0 1 1 0 5 0.1

Fellow enrolled in non-RACS CPD program 0 22 0 2 248 913 0 1 0 0 0 1186 20.5

TOTAL 215 1864 253 3 263 1459 518 126 465 428 190 5784 100.0

TABLE WFD.18 – Registrations in RACS MOPS program in 2013

AUS NZ O/S Total registrations

Persons 12 14 1 27

IMGs 69 59 1 129

Total 2012 81 73 2 156



TABLE WFD.19 – Professional Development participation by location and status

Location Fellow SET Trainee IMGNon-IMG/

Trainee/FellowTotal 2013

Total 2012

% Change

12/13

ACT 2 1 0 4 7 4 75.0

NSW 186 10 6 52 254 203 25.1

NT 5 3 0 4 12 8 50.0

QLD 144 13 4 36 197 133 48.1

SA 82 19 4 23 128 70 82.9

TAS 14 0 2 12 28 30 -6.7

VIC 237 23 8 92 360 217 65.9

WA 25 2 3 4 34 84 -59.5

AUS 695 71 27 227 1020 749 36.2

NZ 47 3 2 8 60 100 -40.0

O/S 6 0 0 10 16 15 6.7

Total 748 74 29 245 1096 864 26.9

TABLE WFD.20 – Professional Development participation by specialty and status

Specialty Fellow SET Trainee IMGNon-IMG/

Trainee/FellowTotal 2013

Total 2012

% Change

12/13

CAR 28 ~ ~ ~ 28 33 -15.2

GEN 315 ~ ~ ~ 315 271 16.2

NEU 44 ~ ~ ~ 44 54 -18.5

ORT 161 ~ ~ ~ 161 125 28.8

OTO 62 ~ ~ ~ 62 57 8.8

PAE 23 ~ ~ ~ 23 20 15.0

PLA 57 ~ ~ ~ 57 53 7.5

URO 27 ~ ~ ~ 27 48 -43.8

VAS 25 ~ ~ ~ 25 22 13.6

Sub Total 742 0 0 0 742 683 8.6

OB & GYN 0 ~ ~ ~ 0 0 –

OPH 6 ~ ~ ~ 6 10 -40.0

SET 0 ~ ~ ~ 0 13 -100.0

Non-RACS 0 74 29 245 348 158 120.3

Total 748 74 29 245 1096 864 26.9


EXPLANATORY NOTESThe International Projects programs encapsulate the College’s on-going commitment in: • partnering with Southeast Asia and Pacific neighbours to provide access to much needed health services and assist in the development of

medical and surgical capacity; and• advocating for safe surgery within the global health agenda.Pacific Islands Program (PIP) The program goal is to assist the Pacific Island Countries Ministry of Health to improve the health of their populations through supporting local access to specialist secondary and tertiary health services. This is to be achieved through the provision of health services with increased focus on capacity building activities. The current program is a continuation of the AusAID-funded College support to the Pacific region which commenced in 1995. The activities implemented throughout 2013 were at the specific request of the countries.

AUSTRALIA TIMOR LESTE PROGRAM OF ASSISTANCE FOR SECONDARY SERVICES PHASE II (ATLASS II)The program aims to improve the availability and quality of specialist surgical and medical services in Timor Leste. In line with the Government of Timor Leste’s identified priorities for the health sector, ATLASS II focuses on human resource development. The program’s main component is dedicated to building the capacity of the Timorese health workforce through a range of formal and informal training, mentoring and support activities. The program supports five long term advisers at the Dili National Hospital who conduct training and teaching, provide mentoring and clinical supervision of national clinical staff and deliver some services (primarily with a teaching focus). ATLASS II also implements short term specialist visits to the National Hospital in Dili and to the five referral hospitals. The ATLASS II program is complemented by the Rotary Ear Care Project which supports visiting ENT surgery and audiology teams and an in-country long term primary ear care nurse who helps to identify, screen and manage middle ear diseases in Timorese children and adults.

PAPUA NEW GUINEA HEALTH EDUCATION AND CLINICAL SERVICES (PNG HECS) The project involves the provision of tertiary health services and capacity building initiatives to Papua New Guinea as requested by the University of Papua New Guinea School of Medicine and Health Services (UPNG SMHS) under a sub-contract agreement between the College and the UPNG SMHS for the implementation of the Papua New Guinea Health Education and Clinical Support program. The project finished in March 2013.

EAST TIMOR EYE PROGRAM (ETEP) The East Timor Eye Program (ETEP), established in July 2000, is a program targeted at delivering eye-care services to Timor Leste. The ETEP primarily complements the eye programs implemented under the Vision 2020 program. The program’s key objectives are to help Timor Leste achieve self-sufficiency in the provision of eye care by 2015 and to work towards completely eradicating preventable blindness by 2025. The program will achieve this goal through a range of approaches to ensure short term curative needs are met and long term sustainability is achieved. In 2013, the ETEP provided funding support for a number of short-term visits by clinical and equipment maintenance teams from Australia, the purchase of ophthalmology and optometry instruments, freight of donated goods to Timor Leste, RANZCO membership and Annual Scientific Congress attendance of an Timorese ophthalmologist, and the development of promotional and online materials advocating eye health support to Timor Leste.

VISION 2020 TIMOR LESTE AVOIDABLE BLINDNESS AND VISION REHABILITATION PROJECT This involves the provision of eye care services in the districts, support for vision rehabilitation activities and research, human resource development and support for the National Eye Centre, Dili, Timor Leste. This project was completed in March 2013 and was replaced with the new V2020 East Asia Vision Program.

VISION 2020 EAST ASIA VISION PROGRAM (TIMOR LESTE)The Vision 2020 East Asia Vision Program 2013 – 2015 is being delivered in Timor Leste by the College in partnership with Fred Hollows Foundation New Zealand (FHFNZ). The College and FHFNZ work with the Government of Timor Leste, the National Eye Centre and other stakeholders to strengthen the skills and capacity of the eye care workforce in Timor Leste to enable the delivery of effective, high quality eye care, treatment and rehabilitation services in Dili and the districts. The project supports: (1) placement of a long term expatriate ophthalmologist in Dili to train and mentor the Timorese eye health workforce; (2) outreach and surgery activities at district level; and (3) vision rehabilitation activities in orientation and mobility, Braille and vocational education and training for visual impaired people.

ACTIVITIES OF INTERNATIONAL PROJECTSSECTION SIX



SUMBA EYE PROGRAM (SEP), NUSA TENGARA TIMUR (NTT)The Sumba Eye Program (SEP) was established in 2008 to provide eye care for the people of Sumba island, East Nusa Tenggara, Indonesia. Services comprise screening for eye diseases, eye operations (cataract, ptyregium etc.) as well as optometry (provision of eye glasses). In 2012 – 2013, the SEP team has been concentrating on expanding the program’s training and capacity building component to promote sustainability. The Australian team has been collaborating with regional ophthalmologists from Hassanudin University, Sulawesi to encourage skills transfer, and the program is sponsoring two Sumbanese eye care trainees to learn how to test vision and identify eye diseases and conditions, so that they can provide a full time eye care service for West Sumba. All work is done on a volunteer basis by ophthalmologists, optometrists, eye nurses and volunteer helpers. The work is coordinated by the RACS with local coordination and logistics provided by The Sumba Foundation – Indonesia.

MYANMAR PROGRAMS In partnership with the Myanmar Medical Association (MMA), Ministry of Health (MoH) and University of Medicine 1 (UM1), the College continues to respond to needs identified by the MMA, MoH and Medical Schools for emergency medicine and trauma care training. Building upon the success of the Primary Trauma Care program, the College has been working closely with the Myanmar medical institutions, emergency physicians and the Australian College of Emergency Medicine as well as individual specialists from Hong Kong, to develop the inaugural Post-Graduate Diploma in Emergency Medicine in Myanmar, delivered by the UM1 in Yangon. A cohort of local specialist doctors successfully completed the final examination in 2013. They are the first specialists to be trained in emergency medicine; an important first step for the establishment of an emergency medicine service in Myanmar. A second Diploma course is planned to commence in February 2014. It will build upon the achievements of the 2012 – 2013 activities and provide an opportunity for those trained as instructors during the 2012 – 2013 programs to practice teaching the courses, ensuring future sustainability.

SECTION 6: ACTIVITIES OF INTERNATIONAL PROJECTS


TABLE INTP.1 – International Projects clinical visits

Projects No. of visits SurgeonsRACS

Fellows

Anaesthetists, nurses & other

health care professionals Consultations

Operations / Procedures

ATLASS II – East Timor 9 9 9 24 319 162

Eye Program – East Timor 5 7 6 26 760 272

Ear Care Program – East Timor 1 1 1 5 118 16

Orthopaedics Program – East Timor 1 1 1 3 91 16

HECS – Papua New Guinea 1 1 1 2 11 9

ICEE Eye Program – Papua New Guinea 2 7 1 6 943 283

Sumba Eye Program – Nusa Tenggara Timur 1 3 2 5 765 87

Subtotal 20 29 21 71 3007 845

Pacific Islands Projects (PIP)

Cook Islands 1 1 1 2 83 17

Fiji 8 13 9 58 606 150

Kiribati 3 5 4 9 843 156

Federated States of Micronesia 2 3 3 4 586 66

Nauru 4 2 2 8 255 39

Samoa 5 8 6 10 331 221

Solomon Islands 8 6 5 13 413 202

Tonga 4 7 5 13 565 166

Tuvalu 4 4 4 9 743 10

Vanuatu 5 10 10 13 460 175

Subtotal (PIP) 44 59 49 139 4885 1202

Total 2013 64 88 70 210 7892 2047

TABLE INTP.2 – International Projects non-clinical visits

Country Surgical

workshopsMedical & allied

health workshops Nursing workshopsOther assisting

programs Total

ATLASS II 0 5 6 2 13

Eye Program – East Timor 0 0 1 0 1

Myanmar 0 4 0 2 6

Indonesia 0 1 0 1 2

Cook Islands 0 1 0 0 1

Fiji 3 10 2 4 19

Kiribati 0 0 0 0 0

Nauru 0 3 0 0 3

Samoa 0 5 0 1 6

Solomon Islands 0 0 0 0 0

Tonga 0 5 0 0 5

Tuvalu 0 2 0 0 2

Vanuatu 0 2 2 2 6

Total 2013 3 38 11 12 64


TABLE INTP.3 – International scholarship programs awarded to surgeons with hospital attachments in Australia, New Zealand or South East Asia

International scholarship program Location of recipients No. of surgeons supported

No. of anaesthetists, nurses & other health care workers

supportedNo. of conferences/courses

attended by recipients

Rowan Nicks

Fiji 1 0 0

Malawi 1 0 1

PNG 1 0 0

UK 1 0 1

Surgeons InternationalFiji 0 3 3

Democratic Republic of Congo 1 0 1

Weary Dunlop Boon Pong Thailand 1 0 1

Total 6 3 7

TABLE INTP.4 – International travel and educational grants – support for conference attendance

Country location of recipients Number of grants awarded

PNG 3

Fiji 4

Samoa 1

Solomon Islands 2

Tonga 1

Vanuatu 1

Cook Islands 1

Kiribati 1

Myanmar 2

Thailand 3

Malaysia 2

Vietnam 2

Indonesia 1

Total 24



SECTION SEVEN ACTIVITIES OF CONFERENCE AND EVENTS

EXPLANATORY NOTESThe Conferences and Events Department is based in the External Affairs Division of the Royal Australasian College of Surgeons.

The Department manages surgical events on behalf of Fellows and medical professionals with a major annual event being the RACS Annual Scientific Congress. The 2013 Annual Scientific Congress (ASC) was held in Auckland, New Zealand.

The Department strives to deliver conferences of high professional value, with strong perceptions of educative worth demonstrated through the positive feedback of RACS Fellows.

The Department tenders for several external events each year and is frequently successful as the Department has the interests of Fellows at the forefront of its event management model. The Department successfully co-ordinated the following conferences and meetings in 2013:

• Conjoint Medical Education Seminar

• DCAS

• Queensland State Meeting

• PSA Annual Scientific Conference

• ANZHNCS Annual Scientific Meeting

• NSA Annual Scientific Meeting

• Victorian AGSFM

• ANZSVS Conference

• Sydney Colorectal Surgical Meeting

• RACSTA


TABLE C&E.1 – RACS Annual Scientific Congress attendance 2013

CAR GEN NEU ORT OTO PAE PLA URO VASTotal2013

Total 2012

% Change 12/13

Fellow 39 589 15 46 26 19 23 4 44 805 969 -16.9

Trainee 4 103 0 0 2 3 2 0 3 117 167 -29.9

IMG – – – – – – – – – 28 17 64.7

Other – – – – – – – – – 544 759 -28.3

Total 43 692 15 46 28 22 25 4 47 1494 1912 -21.9

FIGURE C&E.1 – Total number of attendees at RACS Annual Scientific Congress (2009–2013)

RACS Fellows SET Trainee IMG Other

2000

1800

1600

1400

1200

1000

800

600

400

200

0

2009 2010 2011 2012

Number of Attendees

Year of RACS Annual Scientific Congress

2013

SECTION SEVEN ACTIVITIES OF CONFERENCE AND EVENTS


SECTION EIGHT ACTIVITIES OF VICTORIAN SKILLS & EDUCATION CENTRE

EXPLANATORY NOTESThe Victorian Skills & Education Centre’s major function is to ensure that surgeons and other health professionals have access to the facilities and technical support required for training in modern surgical skills and related areas. The Centre provides a well-equipped and flexible skills training laboratory and multi-purpose training and conference areas in which regular surgical training courses are conducted for Trainees and Fellows of the College.

The Centre’s key components are the Skills Laboratory, the Level 1 Lecture Room, the Level 2 Training Area, and the Hughes Room. The Skills Laboratory is a ‘wet’ workshop area, while the other rooms are carpeted meeting/conference areas.

The facilities are available for use on a seven day per week basis for College (internal) and outside organisations (external). The aim is to maximise use of the rooms by external hirers when not booked by College users. The rooms are rented to external users in half-days (morning or afternoon) or full-days, and the following data are based on occupancy in half-day blocks. For example, a Saturday morning workshop in the Skills Laboratory represents occupancy of one half-day block from a total of two available for the day. The average daily occupancy of the Skills Laboratory includes half-day blocks of workshop time along with preparation, set-up, pack-down, cleaning and sterilisation directly associated with workshops.

Skills Laboratory WorkshopsTable VSEC.1 shows the number of workshops in the Skills Laboratory in 2013. Workshops are separated into two categories: College workshops are those for Fellows and Trainees including mandatory courses such as ASSET, specialty training programs, and optional skills courses. External events include workshops conducted on behalf of other medical specialty Colleges and a range of other groups.

Workshops by Surgical SpecialtyFigure VSEC.2 provides a breakdown by surgical specialty of the workshops conducted for Fellows and Trainees. Note that several of these fall into the ‘External Workshops’ category. ‘Not specialty specific’ indicates that the workshop covered skills relevant to multiple surgical specialties, for example the ASSET fundamental skills workshop.

Skills Laboratory UsageFigure VSEC.3 shows the percentage of available days when the Skills Laboratory is in use for internal and external workshops. This includes time when workshops are being conducted along with preparation, set-up, pack-down, cleaning and decontamination directly associated with workshops.

Workshop ParticipantsTable VSEC.4 shows the cumulative number of participants in Skills Laboratory workshops throughout 2013.

Surgical Workshop Participants by SpecialtyFigure VSEC.5 shows the cumulative number of participants from each surgical specialty who took part in Skills Laboratory workshops in 2013.

Total Workshop Participants by ProfessionFigure VSEC.6 provides a breakdown by profession of participants in all of the Skills Laboratory workshops in 2013.

SECTION EIGHT


ACTIVITIES OF VICTORIAN SKILLS & EDUCATION CENTRE

TABLE VSEC.1 – Number of workshops held in the Skills Laboratory in 2013

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DECTotal2013

Total 2012

% Change

12/13

College Workshops

0 3 4 5 3 3 5 5 1 5 4 0 38 38 0.0

External Workshops

0 4 3 9 5 6 3 8 4 3 4 2 51 43 18.6

Total 0 7 7 14 8 9 8 13 5 8 8 2 89 81 9.9

FIGURE VSEC.1 – Surgical workshops held in the Skills Laboratory by specialty (either College or external workshop)

FIGURE VSEC.2 – Surgical workshops held in the Skills Laboratory by specialty (either College or external workshop)

14

12

10

8

6

4

2

0

CAR GEN NEU ORT OTO PAE PLA URO VAS Notspecialtyspecific

Number ofworkshops

College External

100

90

80

70

60

50

40

30

20

10

0Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Occupancy(%)

SECTION 8: ACTIVITIES OF VICTORIAN SKILLS AND EDUCATION CENTRE


CAR GEN NEU ORT OTO PAE PLA URO VAS

Number of participants

300

250

200

150

100

50

0

1,000

900

800

700

600

500

400

300

200

100

0Surgeon GP PGY Med Student OB & GYN OPH Nurse Dentist Other

Number of participants

TABLE VSEC.2 – Number of Skills Laboratory workshop participants in 2013

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DECTotal2013

Total 2012

% Change

12/13

College participants

0 65 139 85 84 49 97 117 13 101 101 0 851 848 0.4

External participants

0 135 73 285 159 137 81 281 76 34 92 32 1385 1000 38.5

Total 0 200 212 370 243 186 178 398 89 135 193 32 2236 1848 21.0

FIGURE VSEC.3 – Total number of Skills Laboratory surgical workshop participants in 2013 by specialty

FIGURE VSEC.4 – Total number of Skills Laboratory workshop participants in 2013 by professionNote: Surgeon, OB & GYN, OPH refers to a Fellow or Trainee of the respective Specialist College.

Royal Australasian College of Surgeons – The College of Surgeons of Australia and New Zealand 58

APPENDIX A: DEFINITIONS FOR REGIONAL, RURAL AND RRMA DATAThe following are explanatory notes on how region and RRMA codes are determined.

RRMA CodesThe Rural, Remote and Metropolitan Area code (RRMA) is used to help classify healthcare facilities across Australia according to the types of communities they serve. The RRMA code divides Australia into areas according to city status, population, rurality and remoteness.

Use of Postcode to Determine RegionThe allocation of Fellows to regions and RRMA classification is determined by the postcode from each Fellow’s preferred mailing address as of December 2013. The last known mailing address was used if the current address was unknown.

Rural Remote and Metropolitan Areas Classification & Population Size

RRMA CODE DEFINITION POPULATION SIZE EXAMPLES

M1 Capital cities > 500,000 Sydney, Melbourne, Brisbane, Perth, Adelaide, Hobart, Darwin and Canberra

M2 Other metropolitan centres 100,000 – 499,999 Newcastle, Wollongong, Queanbeyan (part of Canberra-Queanbeyan), Geelong, Gold Coast-Tweed Heads, Townsville

R1 Large rural cities 25,000 – 99,999 Albury-Wodonga, Dubbo, Lismore, Orange, Port Macquarie, Tamworth, Wagga Wagga, (NSW); Ballarat, Bendigo, Shepparton-Mooroopna (VIC); Bundaberg, Cairns, Mackay, Maroochydore-Mooloolaba, Rockhampton, Toowoomba (QLD), Whyalla (SA); and Launceston (TAS)

R2 Small rural centres 10,000 – 24,999 Armidale, Mildura, Hervey Bay, Mount Gambier, Bunbury, Devonport

R3 Other rural centres < 10,000 Cowra Shire, Temora Shire, Guyra Shire (NSW); Ararat Shire, Cobram Shire (Vic); Cardwell Shire, Whitsunday Shire (Qld); Barossa, Pinnaroo (SA); Moora Shire, York Shire (WA); George Town, Ross (TAS); Coomalie, Litchfield (NT)

Rem 1 Remote centres 25,000 – 99,999 Broome, Kalgoorlie/Boulder, Alice Springs

Rem 2 Other remote centres 10,000 – 24,999 Bourke, Orbost, Quilpie, Coober Pedy, Shark Bay, King Island, Gove

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).

Royal Australasian College of SurgeonsCollege of Surgeons’ Gardens Website: www.surgeons.org 250 – 290 Spring Street Email: [email protected] Melbourne VIC 3002 Australia

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Royal Australasian College of Surgeons Activities Report · Royal Australasian College of Surgeons Activities Report ... Royal Australasian College of Surgeons 2013 Activities Report