Medical Training Review Panel 19th Report



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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

  1. 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

  1. 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



















  • AGPT Program(b)

2,948

3,289

3,932

4,315

4,936

67.4

  • ACRRM Independent Pathway

6

(g)156

155

171

179

2,883.3

  • RVTS

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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