Surgical Subspecialties
In 2015, there were 1,056 surgical advanced trainees undertaking training with the RACS (Table 4.26). Females represented more than one-quarter of trainees (289 or 27.4%).
From the nine subspecialties, general surgery (436 or 41.3%) and orthopaedic surgery
(224 or 21.2%) had the highest numbers of trainees.
Table 4.26: Surgical advanced trainees: Total, proportion of total and females by subspecialty, 2015
Subspecialty
|
Trainees
|
Proportion (%)
|
Females
|
Cardiothoracic surgery
|
33
|
3.1
|
5
|
General surgery
|
436
|
41.3
|
159
|
Neurosurgery
|
51
|
4.8
|
11
|
Orthopaedic surgery
|
224
|
21.2
|
21
|
Otolaryngology, head and neck surgery
|
67
|
6.3
|
22
|
Paediatric surgery
|
25
|
2.4
|
14
|
Plastic and reconstructive surgery
|
80
|
7.6
|
26
|
Urology
|
107
|
10.1
|
25
|
Vascular surgery
|
33
|
3.1
|
6
|
Total(a)
|
1,056
|
100.0
|
289
| -
Data excludes 54 trainees on approved interruption to training.
Source: Royal Australasian College of Surgeons
Table 4.27 shows the numbers of training positions in surgical subspecialties in each of the states and territories.
Table 4.27: Surgical advanced trainees by subspecialty and state/territory, 2015
Subspecialty
|
NSW
|
VIC
|
QLD
|
SA
|
WA
|
TAS
|
NT
|
ACT
|
AUS
|
Cardiothoracic surgery
|
12
|
9
|
4
|
4
|
3
|
1
|
0
|
0
|
33
|
General surgery
|
166
|
115
|
72
|
24
|
37
|
8
|
6
|
8
|
436
|
Neurosurgery
|
18
|
12
|
10
|
3
|
3
|
2
|
0
|
3
|
51
|
Orthopaedic surgery
|
80
|
48
|
42
|
18
|
25
|
4
|
1
|
6
|
224
|
Otolaryngology, head and neck surgery
|
21
|
17
|
13
|
7
|
6
|
0
|
1
|
2
|
67
|
Paediatric surgery
|
9
|
5
|
5
|
2
|
2
|
0
|
1
|
1
|
25
|
Plastic and reconstructive surgery
|
24
|
23
|
13
|
8
|
10
|
1
|
1
|
0
|
80
|
Urology
|
35
|
31
|
25
|
6
|
7
|
1
|
0
|
2
|
107
|
Vascular surgery
|
12
|
7
|
6
|
4
|
2
|
1
|
0
|
1
|
33
|
Total(a)
|
377
|
267
|
190
|
76
|
95
|
18
|
10
|
23
|
1,056
| -
Data excludes 54 trainees on approved interruption to training.
Source: Royal Australasian College of Surgeons
Trends in Advanced Training
The total number of advanced training positions/trainees increased by over 35% between 2011 and 2015 (Table 4.28). The proportion of female advanced trainees increased across the five years to its highest level of 53.6% in 2015. The number of part-time advanced trainees increased to its highest level in 2015 with 2,229 trainees.
Table 4.28: Vocational training positions/trainees: Total, advanced, female advanced and part-time advanced trainees, 2011-2015
|
Total college trainees
|
Advanced training positions/ trainees
|
Female advanced trainees
|
Proportion
female
(%)
|
Part-time advanced trainees
|
Proportion
part-time
(%)
|
2011
|
15,478
|
10,214
|
5,116
|
50.1
|
1,416
|
13.9
|
2012
|
16,740
|
10,996
|
5,536
|
50.3
|
1,220
|
11.1
|
2013
|
17,888
|
11,832
|
6,160
|
52.1
|
1,576
|
13.3
|
2014
|
19,158
|
12,791
|
6,733
|
52.6
|
2,075
|
16.2
|
2015
|
20,069
|
13,810
|
7,399
|
53.6
|
2,229
|
16.1
|
Change 2011-2015 (%)
|
29.7
|
35.2
|
44.6
|
7.0
|
57.4
|
16.4
|
Source: Medical colleges and the Australian Government Department of Health
Over the five years from 2011 to 2015, training numbers increased in the majority of medical specialities (Table 4.29). The largest increase in the number of advanced trainees was in general practice with an increase of 2,213 trainees. This was followed by emergency medicine and adult medicine, showing increases of 371 and 353 trainees respectively.
Table 4.29: Advanced training positions/trainees by medical specialty, 2011-2015
Medical specialty
|
2011
|
2012
|
2013
|
2014
|
2015
|
Change
2011-2015
(%)
|
Addiction medicine
|
13
|
18
|
24
|
22
|
20
|
53.8
|
Adult medicine
|
1,469
|
1,468
|
1,513
|
1,699
|
1,822
|
24.0
|
Anaesthesia
|
566
|
609
|
657
|
664
|
697
|
23.1
|
Anaesthesia - pain medicine
|
58
|
59
|
65
|
66
|
27
|
-53.4
|
Dermatology
|
54
|
57
|
49
|
54
|
(s)62
|
14.8
|
Emergency medicine(a)
|
1,090
|
1,204
|
1,339
|
1,355
|
1,461
|
34.0
|
General practice
|
|
|
|
|
|
| | |
2,948
|
3,289
|
3,932
|
4,315
|
4,936
|
67.4
| -
ACRRM Independent Pathway
|
6
|
(g)156
|
155
|
171
|
179
|
2,883.3
| | |
61
|
71
|
87
|
103
|
113
|
85.2
|
Intensive care medicine
|
312
|
302
|
281
|
336
|
383
|
22.8
|
Medical administration
|
86
|
98
|
(l)107
|
(l)115
|
(t)104
|
20.9
|
Obstetrics and gynaecology
|
143
|
(h)133
|
(h)159
|
(h)165
|
(h)153
|
7.0
|
Occupational and environmental medicine
|
80
|
84
|
102
|
92
|
89
|
11.3
|
Ophthalmology
|
(d)86
|
(i)80
|
(m)90
|
(p)90
|
(u)91
|
5.8
|
Oral and maxillofacial surgery
|
..
|
38
|
38
|
38
|
39
|
..
|
Paediatrics(a)
|
640
|
593
|
556
|
662
|
713
|
11.4
|
Palliative medicine
|
71
|
24
|
80
|
(q)28
|
(q)36
|
-49.3
|
Pathology
|
314
|
314
|
301
|
307
|
307
|
-2.2
|
Pathology and RACP (jointly)
|
173
|
208
|
213
|
236
|
248
|
43.4
|
Psychiatry
|
(e)368
|
(j)417
|
(n)418
|
(r)418
|
(v)402
|
9.2
|
Public health medicine
|
72
|
61
|
81
|
81
|
77
|
6.9
|
Radiation oncology
|
137
|
141
|
122
|
117
|
108
|
-21.2
|
Radiodiagnosis
|
366
|
372
|
364
|
410
|
428
|
16.9
|
Rehabilitation medicine
|
162
|
177
|
191
|
202
|
205
|
26.5
|
Sexual health medicine
|
7
|
10
|
20
|
13
|
13
|
85.7
|
Sport and exercise medicine
|
27
|
28
|
(o)30
|
41
|
(w)41
|
51.9
|
Surgery(c)
|
(f)966
|
(k)1,094
|
983
|
1,094
|
(x)1,056
|
9.3
|
|
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