Medical Training Review Panel 19th Report



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NSW

VIC

QLD

SA

WA

TAS

NT

ACT

(a)AUS

2011

3,314

2,596

2,042

852

912

207

151

139

10,194

2012

3,580

2,769

2,244

888

983

239

178

151

10,996

2013

3,859

2,916

2,476

914

1,052

250

208

143

11,832

2014

4,203

3,160

2,634

969

1,205

264

203

153

12,791

2015

4,464

3,234

2,932

1,055

1,393

299

262

171

13,810

Change

2011–2015 (%)



34.7

24.6

43.6

23.8

52.7

44.4

73.5

23.0

35.5

  1. Australian total differs from the sum of state/territory totals in some years because it includes trainees in overseas placements.

Source: Medical colleges and the Australian Government Department of Health

Overall, the proportion of advanced vocational trainees who are females has shown small increases every year from 2011 to 2015. In 2015, over half (53.6%) of all advanced vocational trainees were females (Table 4.31).

The proportion of female advanced trainees has fluctuated over the years in most specialties, particularly those with smaller numbers of trainees. In spite of this variation, there were specialties that consistently had lower proportions of female trainees, such as oral and maxillofacial surgery, sport and exercise medicine, surgery, occupational and environmental medicine and intensive care medicine. In contrast, obstetrics and gynaecology, paediatrics, public health medicine, rehabilitation medicine, general practice and palliative medicine have maintained higher proportions of female advanced trainees of around three-fifths of trainees in most years.

Table 4.31: Proportion of female advanced trainees by medical specialty, 2011-2015



Medical specialty

2011

2012

2013

2014

2015

Change
2011-2015
(%)





Proportion female (%)




Addiction medicine

30.8

44.4

46.0

45.5

40.0

29.9

Adult medicine

43.0

45.6

48.0

50.7

52.0

21.0

Anaesthesia

43.1

44.0

44.9

47.6

47.8

10.8

Anaesthesia - pain medicine

27.6

38.9

52.3

42.4

44.4

61.0

Dermatology

61.1

73.7

63.3

50.0

53.2

-12.9

Emergency medicine

41.1

40.9

41.4

40.5

42.3

2.9

General practice



















  • AGPT Program(a)

65.8

64.9

64.9

64.9

64.5

-2.0

  • ACRRM Independent Pathway

33.3

27.5

25.0

18.1

25.1

-24.5

  • RVTS

23.0

26.8

26.4

28.2

35.4

53.9

Intensive care medicine

26.9

30.5

32.7

32.1

32.1

19.4

Medical administration

41.9

39.8

40.2

37.4

41.3

-1.3

Obstetrics and gynaecology

60.1

65.4

69.2

74.5

79.7

32.7

Occupational and environmental medicine

21.3

20.2

24.5

31.5

40.4

89.9

Ophthalmology

38.4

23.8

40.0

42.2

40.7

5.9

Oral and maxillofacial surgery

na

7.9

7.9

10.5

17.9

..

Paediatrics

65.9

65.3

67.0

72.8

74.9

13.6

Palliative medicine

63.8

60.0

67.5

57.1

61.1

-4.2

Pathology

59.2

64.3

58.8

62.5

64.5

8.9

Pathology and RACP (jointly)

47.4

35.7

56.3

57.6

60.9

28.5

Psychiatry

63.0

55.6

55.0

50.7

50.5

-19.8

Public health medicine

52.8

67.0

65.0

72.8

68.8

30.4

Radiation oncology

51.8

56.7

53.2

51.3

52.8

1.9

Radiodiagnosis

31.4

46.5

34.0

37.6

36.0

14.6

Rehabilitation medicine

64.8

68.9

69.0

66.3

63.4

-2.1

Sexual health medicine

28.6

80.0

70.0

69.2

53.8

88.3

Sport and exercise medicine

22.2

25.0

20.5

22.0

34.1

53.8

Surgery

(b)23.8

25.5

28.1

27.5

27.4

15.0

Total_(%)__49.9__50.4'>Total (%)

49.9

50.4

52.0

52.6

53.6

7.4

Total female trainees

5,116

5,536

6,160

6,733

7,399

44.6

  1. Until the end of 2014, the AGPT program was managed by GPET, which was owned and funded by the Australian Government.

  2. The total proportion of female surgical trainees including Australian, New Zealand and overseas was 24.4%.

Source: Medical colleges and the Australian Government Department of Health

The proportion of female advanced trainees (Table 4.32) steadily increased in most state and territories during the five year period.

The Northern Territory consistently had the highest proportion of female trainees, with females making up about three-fifths of trainees in most years. The proportion of female trainees was considerably lower in the Australian Capital Territory compared to the other states and territories.

Table 4.32: Proportion of female advanced trainees by state/territory, 2011-2015



 

NSW

VIC

QLD

SA

WA

TAS

NT

ACT

AUS




Proportion female (%)

2011

53.8

49.9

47.3

48.2

47.3

51.2

61.6

34.5

50.2

2012

52.7

50.8

46.8

50.2

50.9

52.7

60.1

35.8

50.3

2013

53.4

52.5

48.8

52.2

54.2

53.6

57.7

39.9

52.1

2014

54.0

53.4

49.4

50.9

53.8

55.3

58.6

45.1

52.6

2015

54.0

54.6

50.0

54.7

55.4

56.2

58.8

50.9

53.6

Source: Medical colleges and the Australian Government Department of Health

The number of part-time advanced trainees increased by 57.8% between 2011 and 2015 (Table 4.33). The number of part-time trainees tends to fluctuate from year to year in some medical specialities.



Table 4.33: Advanced trainees undertaking part-time training by medical specialty, 2011-2015

Medical specialty

2011

2012

2013

2014

2015

Addiction medicine

3

4

5

7

9

Adult medicine

63

55

48

63

61

Anaesthesia

25

45

24

21

31

Anaesthesia - Pain medicine

6

8

10

11

3

Dermatology

2

7

6

4

2

Emergency medicine(a),(b)

44

105

193

295

314

General practice
















  • AGPT Program(c)

991

(e)715

1,020

1,368

1,537

  • ACRRM Independent Pathway

0

0

0

0

0

  • RVTS

3

5

5

8

10

Intensive care medicine

3

5

4

6

21

Medical administration

5

4

(f)9

25

25

Obstetrics and gynaecology

7

6

8

8

20

Occupational and environmental medicine

0

0

0

0

0

Ophthalmology

0

3

4

2

2

Oral and maxillofacial surgery

na

na

na

na

0

Paediatrics(a)

154

74

75

98

77

Palliative medicine

2

4

11

6

6

Pathology

18

28

15

20

18

Pathology and RACP (jointly)

1

5

9

7

11

Psychiatry

29

82

78

58

28

Public health medicine

17

16

7

23

12

Radiation oncology

2

5

5

8

5

Radiodiagnosis

13

8

11

14

13

Rehabilitation medicine

24

31

25

17

17

Sexual health medicine

4

5

7

5

10

Sport and exercise medicine

0

3

2

3

1

Surgery(d)

3

2

0

6

6

Total

1,419

1,225

1,581

2,083

2,239

  1. Emergency medicine and paediatrics data account for trainees undertaking paediatric emergency medicine.

  2. Numbers reflect trainees who have undertaken part-time training at any time during the first half of the year. This does not mean they have been in part-time training for the whole year.

  3. Until the end of 2014, the AGPT program was managed by GPET, which was owned and funded by the Australian Government. Registrars are part-time if their training time fell below 89% of a full-time equivalent registrar in either of the semesters for that training year.

  4. RACS does not differentiate between basic and advanced surgical trainees as the surgical program is an integrated program (SET).

  5. Due to a different methodology being used to calculate part-time trainees in the 17th report this figure was changed to 715 from 874 published in the 16th report.

  6. Excludes the New Zealand and Hong Kong advanced trainees.

Source: Medical colleges and the Australian Government Department of Health

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