training regulations - Urological Society of Australia and New Zealand

TRAINING REGULATIONS 

Surgical Education and Training 

Urology 

Published – 10 September 2013 

Review – September 2014

TABLE OF CONTENTS 

1. INTRODUCTION 1 

2. BOARD OF UROLOGY & GOVERNANCE 3 

3. PROGRAM OVERVIEW 6 

4. TRAINEE ADMINISTRATION 8 

5. SET PROGRAM – GENERAL REQUIREMENTS 11 

6. TRAINING POSTS 14 

7. COURSES AND MEETINGS 20 

8. ASSESSMENT 23 

9. EXAMINATIONS 29 

10. RECOGNITION OF PRIOR LEARNING 32 

11. APPENDIX 1 – FELLOWSHIP EXAM FORMAT 33 

12. APPENDIX 2 – MODEL RULES – DISMISSAL FROM SURGICAL TRAINING 35 

Published – 10 September 2013 


1. INTRODUCTION 

1.1 Definitions and Terminology 

The following terms, acronyms, and abbreviations, and their associated definition, will be used throughout 

these Regulations: 

Term 

ASSET 

Board (the Board) 

BSET 

CCrISP 

CE 

CLEAR 

DOPS 

EMST 

Mini‐CEX 

RACS 

Rotation 

RPL 

SET 

SSE 

Training Supervisor 

TA&E 

USANZ 

Definition 

Australian and New Zealand Skills Education and Training 

Board of Urology 

Board of Surgical Education and Training 

Care of the Critically ill Surgical Patient 

Clinical Examination 

Critical Literature Evaluation and Research 

Direct Observation of Procedural Skills in Surgery 

Early Management of Severe Trauma 

Mini‐Clinical Examination 

Royal Australasian College of Surgeons 

Determined by the Board to be 3 months duration 

Recognition of Prior Learning 

Surgical Education and Training 

Surgical Sciences Examination (Generic and Specialty Specific) 

Co‐ordinates management, education and training of trainees in accredited training 

positions. Monitors performance, completes assessments, identifies and 

documents performance management. Member of applicable Sectional Training 

Accreditation and Education Committee (TA&E) 

Sectional Training Accreditation and Education Committee 

Urological Society of Australia and New Zealand 

1.2 Overview of the Regulations for the SET Program in Urology 

1.2.1 The Regulations encompass the rules, procedures, policies, administrative processes and 

principles for the control and conduct of the SET Program in Urology. These Regulations 

are in accordance with the strategic direction of the RACS and supplement the RACS 

policies. At times these Regulations may refer directly to a generic RACS policy. In such 

instances these additional policies can be found at www.surgeons.org. 

1.2.2 All trainees, surgical supervisors, accredited training units and Board Members are 

required to comply with the Regulations at all times. 

1.2.3 The information in these Regulations is as accurate at the time of publication. The Board 

reserves the right to make reasonable changes to these Regulations at any time. As the 

Regulations do change, the most current version is the one that will be referred to and is 

available on the USANZ website. All persons are advised to ensure they are consulting 

the most current version. If you need to refer to a previous version of the Regulations, 

please contact education@usanz.org.au 

1.2.4 In the event of any discrepancy or inconsistency between these Regulations and other 

information from any source, written, verbal or otherwise, with the exception of RACS 

policies, these Regulations shall prevail. 

1.2.5 All trainees must be familiar with the applicable policies, which are specifically referred 

to throughout these Regulations. 

Published – 10 September 2013 Page 1 


1.3 Administration and Ownership 

1.3.1 The Australian and New Zealand primary postgraduate qualification required to practice 

as an independent specialist urologist in the respective countries is the Fellowship of the 

Royal Australasian College of Surgeons (FRACS) in Urology. 

1.3.2 The Royal Australasian College of Surgeons (RACS) is the body accredited and authorised 

to conduct surgical education and training in Australia and New Zealand. The Surgical 

Education and Training Program in Urology (SET Program) is the accredited training 

program to obtain the FRACS and operates in Australia and New Zealand. The 

administration and management of the SET Program is delegated to the Urological 

Society of Australia and New Zealand (USANZ) as an agent of the RACS. The Board of 

Urology (the Board) has dual reporting roles and represents both the RACS and the 

USANZ on all matters relating to the SET Program (see Section 2). 

1.3.3 The official website for the SET Program is the USANZ website at www.usanz.org.au. All 

trainees, surgical supervisors and key stakeholders receive access passwords to the 

restricted section of the website. This section contains forms and other essential 

information. The official website for the RACS is www.surgeons.org. 

1.4 Selection 

1.3.4 For assistance or information on the SET Program please contact: 

Education and Training Manager 

USANZ 

Suite 512, Eastpoint, 180 Ocean Street 

Edgecliff NSW 2027 

Phone + 61 2 9362 8644 

Fax + 61 2 9362 1433 

Email education@usanz.org.au 

1.4.1. For detailed information regarding selection into the SET Program in Urology, please 

refer to the Selection Regulations located on the USANZ website. 



2. BOARD OF UROLOGY & GOVERNANCE 

2.1 SET Program in Urology Governance 

2.1.1 The Board is responsible for the delivery of the SET Program and associated activities as 

delegated in the RACS policy Terms of Reference for Specialty Boards and their 

Regional Subcommittees. The Board is responsible for advising the RACS Council on 

training and accreditation via the RACS Board of Surgical Education and Training and the 

RACS Education Board. 

2.1.2 The RACS is the body accredited and authorised to conduct surgical education and 

training in Australia and New Zealand. 

2.1.3 The administration and management of the SET Program in Urology is delegated to the 

USANZ in accordance with the Collaboration Agreement. 

2.1.4 The Board has dual reporting roles and represents both the RACS and the USANZ on all 

matters relating to the SET Program in Urology. 

2.2 Composition of the Board of Urology 

2.2.1 As a minimum, the Board shall consist of the following members: 

a) An elected Chair of the Board 

b) An elected Deputy Chair of the Board 

c) An elected member resident from each Australian State and New Zealand, in which 

accredited training positions are located 

d) The Chair of the Urology Trainee Forum as the Trainee Representative 

e) The Senior Examiner in Urology 

f) The President of the USANZ 

g) The Elected Councillor for Urology 

h) The CEO of the USANZ (ex‐officio) 

2.2.2 At its own discretion the Board may co‐opt additional members who are members of the 

USANZ and Fellows of the RACS practicing in Urology. 

2.2.3 The RACS Chief Executive Officer or his/her delegate may attend the meetings of the 

Board and the RACS President may Chair any meeting with appropriate notice. 

2.3 Eligibility Criteria 

2.3.1 Members must satisfy the following eligibility criteria for the duration of their tenure. If 

there is a change in circumstances and a Board Member no longer satisfies the eligibility 

criteria they may be removed from the Board and their position declared vacant. 

2.3.2 The Chair and Deputy Chair identified in 2.2.1 (a) and (b) must: 

(a) be a Fellow of the RACS practicing in Urology 

(b) be a member of the USANZ 

(c) be an elected member of the Board at the time of their nomination 



2.3.3 Elected members identified in 2.2.1 (c) must: 

(a) be a Fellow of the RACS practicing in Urology 

(b) be a member of the USANZ 

(c) reside in the geographical location of the vacancy 

(d) remain in the geographical location for duration of their tenure 

2.3.4 The Trainee Representative identified in 2.2.1 (d) must: 

(a) be registered in the SET Program 

(b) remain registered for the duration of their tenure 

(c) have the support of their Training Supervisor for each year of their tenure 

(d) have no current or previous record of unsatisfactory performance in any area 

2.4 Nomination and Election Process 

2.5 Method of Election for the Board Chair and Deputy Chair 

2.5.1 The Chair and a Deputy Chair of the Board are elected from and by the Board 

membership in a secret ballot. If a nomination is uncontested the nominee will be 

declared elected without the need for a secret ballot. 

2.6 Terms of Office 

2.6.1 The Chair and Deputy Chair shall hold office for two years after appointment and shall 

not be eligible for re‐election unless otherwise approved by the Board. The maximum 

term for each position is in addition to any previous term on the Board in another 

capacity. 

2.6.2 Elected Members of the Board shall hold office for two years after appointment and 

shall be eligible for re‐election for a further period of two years up to a maximum 

continuous period of four years. In certain situations, a period of grace beyond this can 

be afforded at the discretion of the Board. 

2.6.3 Members who sit on the Board ex‐officio do so for the term of office of that position. 

2.6.4 Members who are co‐opted on the Board do so for a term determined by the Board 

Chair. 

2.6.5 The Trainee Representative shall hold tenure for the term of their office as Chair of the 

Urology Trainee Forum. 

2.6.6 Elected members of the Board who also hold an ex‐officio position or the position of 

Deputy Chair may perform both roles simultaneously. The Board Chair cannot hold 

simultaneous roles. 

2.6.7 The calculation of the maximum term for the position of an elected Member excludes 

any duration of time where simultaneous positions are held. 

2.6.8 In calculating the terms of office for existing Board members at the time this policy was 

introduced, all previous terms of office shall be recognised. 

2.7 Attendance and participation in meetings 

2.7.1 Travel and expense reimbursements for attendance at meetings shall be in accordance 

with the USANZ Travel and Expense Reimbursement Policy applicable to all Board 

members. 



2.7.2 Board members may request for items to be placed on the Board agenda for discussion. 

The inclusion and discussion of such items is at the discretion of the Board Chair. 

2.7.3 Members should attend all scheduled Board meetings during their tenure (or arrange 

for a deputy). 

2.7.4 The Conflict of Interest Declaration will apply to all Board Members and Board meetings. 

2.8 Voting and Decisions 

2.8.1 All elected members (except the Trainee representative) are eligible to vote. 

2.8.2 Questions arising at a meeting of the Board shall be determined by a majority of the 

votes of members who are present at the meeting. 

2.8.3 Each Member present at a meeting is entitled to one vote but, in the event of an 

equality of votes on any question, the person presiding may exercise a second or casting 

vote. 

2.8.4 Notwithstanding the above, at the discretion of the Board Chair, in exceptional 

circumstances when sensitive issues are discussed relating to other trainees, the trainee 

representative may be excluded from participating in discussions and may be required 

to be absent from the meeting for the duration of the matters under consideration. 

2.8.4 Notwithstanding the above, a member may be excluded from voting in accordance with 

the Conflict of Interest Declaration. 

2.9 Duties and Responsibilities 

2.9.1 The Chair is responsible for the oversight of the SET Program policies and the 

maintenance of surgical education, training, assessment standards and communication 

of decisions. The Chair is a member of, and reports to, the RACS Board of Surgical 

Education and Training. 

2.9.2 The Deputy Chair deputises for the Chair during absences, or as delegated by the Chair. 

The Deputy Chair may also have responsibility for the oversight of specific portfolios as 

delegated by the Chair. 

2.9.3 The elected Board members are responsible for providing feedback relating to their 

geographical jurisdiction and participating in the review and development of all aspects 

relating to the SET Program. 

2.9.4 The elected Trainee Representative is responsible for providing feedback from a trainee 

perspective and participating in the review and development of aspects relating to the 

SET Program. 

2.9.5 The Senior Examiner in Urology is responsible for the relationship between the Board 

and the Urology Court of Examiners, and provides a report from the Court to each 

meeting. 

2.9.7 The USANZ President is responsible for the relationship between the USANZ and the 

RACS. 

2.9.8 The RACS Urology Councillor is responsible for the relationship between the Board and 

the RACS. 



3. PROGRAM OVERVIEW 

The table below depicts the overall compulsory requirements of the SET Program in Urology. Further 

information on each component is detailed in the various sections of the Regulations. 

SET1 

Requirement 

Rotations 

In‐Training 

Assessment Report 

Logbooks 

DOPS 

Mini‐CEX 

Examinations 

Courses 

Meetings 

SET2 

Requirement 

Rotations 

In‐Training 


Logbooks 

DOPS 

Mini‐CEX 

Courses 

Meetings 

Quantity/Description 

Satisfactory completion of 12 months in an accredited SET1 training post 

One in‐training assessment report submitted every quarter 

One summary report (cumulative) submitted every quarter 

One DOPS submitted every quarter 

One Mini‐CEX submitted every quarter 

SSE Generic 

Clinical 

Note: Trainees are required to complete these examinations by the end of SET2 

or by the end of the fourth attempt (whichever comes first) otherwise the 

Trainee will be dismissed at the end of SET2. 

ASSET 

CCrISP 

Introductory Skills Workshop 

Trainees are encouraged to attend the RACS ASM, USANZ ASM as well as 

relevant Local & Sectional meetings. Attendance needs to be selective and 

tailored to educational requirements, as well as, leave entitlements. 







EMST 

USANZ Trainee Week is compulsory. Otherwise, trainees are encouraged to 

attend the RACS ASM, USANZ ASM as well as relevant Local & Sectional 

meetings. Attendance needs to be selective and tailored to educational 

requirements, as well as, leave entitlements. 



SET3 

Requirement 

Rotations 

In‐Training 


Logbooks 

DOPS 

Mini‐CEX 

Examinations 

Courses 

Meetings 

SET4 

Requirement 

Rotations 

In‐Training 


Logbooks 

DOPS 

Mini‐CEX 

Examinations 

Meetings 

SET5 

Requirement 

Rotations 

In‐Training 


Logbooks 

Examinations 

Meetings 

SET6 

Requirement 

Rotations/Terms 

In‐Training 


Logbooks 

Examinations 


Satisfactory completion of 12 months in an accredited SET3‐SET5 training post 





SSE (Urology) Examination 

Note: Trainees can undertake this exam in SET3/SET4. They must satisfactorily 

complete the examination by the end of SET4 or by the end of the fourth attempt 

(whichever comes first) otherwise the Trainee will be dismissed from the SET 

Urology program. 

CLEAR 

USANZ ASM 

Section ASM 

Trainee Week 







SSE (Urology) Examination 

USANZ ASM 

Section ASM 

Trainee Week 





Fellowship Examination 

USANZ ASM 

Section ASM 

Trainee Week 






The Skills Courses are listed at the SET level in which they must be completed in order to progress. 

Courses (apart from the Introductory Skills Course) can be undertaken prior to the SET level indicated. 



4. TRAINEE ADMINISTRATION 

4.1 Registration and Training Fees 

4.2 Leave 

4.1.1. Trainees selected to the SET Program in accordance with the Selection Regulations, will 

be registered with the RACS in accordance with the RACS Trainee Registration and 

Variation Policy. 

4.1.2. Training fees are approved by the RACS Council in October each year and published on 

the RACS website. 

4.1.3. Invoices are issued by the RACS prior to the commencement of the training year. 

4.1.4. The RACS is responsible for the determination of fees as well as the invoicing and 

collection of fees. All enquiries regarding fees must be submitted to SET Enquiries care 

of SETenquiries@surgeons.org 

4.1.5. Trainees who fail to pay outstanding monies to the RACS will be dismissed in accordance 

with the RACS Dismissal from Surgical Training Policy and these regulations, section 8.8 

and Appendix 2 ‐ Dismissal from Surgical Training. 

4.2.1 Training posts all involve a balance between clinical training, education, and service 

provision. Taking leave from a post interrupts a trainee gaining clinical skills, and they 

miss sections of the education program. It also impacts on the ability of a Unit to provide 

a safe clinical service, or maintain optimal clinical activity. 

4.2.2 All leave applications must be approved by the clinical head of the Urology Unit, the 

hospital Urology Training Supervisor and the hospital administrative department. 

Trainee wishes must be taken into account when leave is considered. The impact the 

leave will have on Trainee education and clinical skill acquisition must be considered. 

The ability of the Unit to safely maintain patient services in the absence of the trainee 

needs to be considered. 

4.2.3 Leave can be declined if it is felt it will impact too much on Trainee education, or if it 

affects the ability of the Unit to maintain services. Leave for good reason will always be 

accommodated, but an exceptional reason is needed for a trainee to be granted leave to 

miss a mandatory meeting from their education program and this must be approved in 

advance by the hospital Urology Training Supervisor. 

4.2.4 Trainees undertaking full‐time clinical training are entitled to a maximum of six weeks 

leave per six month period (or twelve weeks if in the same position and hospital for 

twelve months) subject to approval by the employing authority. Periods beyond this 

may affect the accreditation of that term and an extension of training may be required. 

4.2.5 In the rare instance a Trainee wants or needs to take more leave than the above 

recommendation, the situation will be individually considered by the Board of Urology. 

The competence and performance of the Trainee will be the key issues that determine 

the need for extension. The need for an extension of training time may not be finalised 

until after the Trainee returns from the leave. 

4.2.6 Trainees need to consider the impact of leave on their post, and the impact it will have 

on their own education and training. They need to accept that on some occasions, leave 

will be denied. Trainees need to be receptive to advice and flexible when negotiating 



their leave, and must understand and accept that excessive leave may lead to a need for 

extended training. 

4.3 Deferral, Interruption and Part Time Training 

4.3.1 Requests for deferral, interruption and part‐time training must be made in accordance 

with the RACS Trainee Registration and Variation Policy. 

4.3.2 The Board does not have the authority to grant requests which do not comply with RACS 

Policy. 

4.3.3 All requests for deferral, interruption or part‐time training must be made to the Board of 

Urology and must include all applicable information. 

4.3.4 Should a Trainee resign from a position of employment, they must also resign from the 

Training Program by forwarding a letter to the Chair, Board of Urology. Trainees must 

not resign from employment before contacting their Supervisor of Training for support, 

advice or assistance. As a matter of course, the Head of Department should be made 

aware of by the trainee of such action. 

4.3.5 Trainee requests for interruption to training for the following year must be received by 

the Board by 1 June each year. Requests submitted after this date will only be 

considered in exceptional circumstances. Requests for interruption in Term 2 in any 

given year will only be approved in exceptional circumstances. 

4.3.6 All requests will be considered by the relevant TA&E Committee with final approval by 

the Board. 

4.3.7 Trainees will be formally notified by the Board as to whether their request has been 

approved or otherwise. Trainees are advised not to undertake any action until formal 

notification from the Board has been received. 

4.3.8 In accordance with the RACS Trainee Registration and Variation Policy, all requests must 

be received at least 6 months prior to the term/s of interruption requested. Requests 

submitted after this time will only be considered in exceptional circumstances. 

4.3.9 Interruptions for any purpose may only be granted in 12 month increments to coincide 

with the training years. 

4.3.10 Where a trainee takes an interruption or deferral of training, the rules, regulations and 

pre‐requisites that apply to that trainee will be those that apply at the time of returning 

to the training level that they return to. The possibility of the variation in specific rules, 

regulations and pre‐requisites of the cohort they join must be considered by the trainee 

when the leave request is made in the first place. 

4.3.11 The Board fully supports the concept of part time training while recognising the 

complexities in arranging appropriate posts. The Board is unable to guarantee that part 

time accredited training posts can be identified and requests fulfilled. 

4.4 Completion of the SET Program 

4.4.1 On successful completion of the SET Program, and relevant examinations, the Chair of 

the Board shall recommend to the RACS the awarding of the RACS Fellowship in Urology. 

The Fellowship process once signed off by the Board is coordinated by the RACS. 



4.5 Grievance and Appeal Process 

4.5.1 Any person adversely affected by a decision made by the Board or a surgical supervisor 

may, within one month of being notified of the decision apply in writing to the Board 

Chair to have the decision reviewed by the full Board. 

4.5.2 In submitting a written grievance the person must include the grounds for the grievance, 

the remedy sought and any relevant supporting documentation. 

4.5.3 If the grounds for the written grievance rely on special consideration, the trainee should 

address this specifically. Special circumstances are defined by the Board as abnormal, 

rare or extreme events which are beyond the trainee’s control, have a prolonged impact 

and which would not normally be expected or planned for. 

4.5.4 The Board will make a decision on the basis of the evidence taking into account the 

quality and relevance of supporting documentation. It is the trainee’s responsibility to 

ensure all the evidence available to support their submission accompanies the 

submission. 

4.5.5 The written grievance will be considered by the Board within thirty business days of its 

receipt. 

4.5.6 The Board will provide a written response affirming the previous decision, modifying the 

decision, or reversing the decision, providing appropriate justification. Where the 

original decision is varied or overturned the decision of the Board will take effect from 

the date of notification. 

4.5.7 Notwithstanding the above any person adversely affected by a decision made by the 

Board or a surgical supervisor may, within three months’ of receipt of notice of the 

decision, apply for reconsideration directly through the Board of Urology or appeal the 

decision in accordance with the RACS Appeals Mechanism. This policy can be found at 

www.surgeons.org. 



5. SET PROGRAM ‐ GENERAL REQUIREMENTS 

5.1 Program Duration 

5.1.1 The SET Program in Urology is a minimum of six year as outlined below: 

5.2 Training Requirements 

SET 1 ‐ Introduction to general surgical training 

SET 2 ‐ Progression to advanced general surgical skills 

SET 3 ‐ 1st year of advanced clinical urology training 

SET 4 ‐ 2nd year of advanced clinical urology training 

SET 5 ‐ 3rd year of advanced clinical urology training 

SET 6 ‐ Senior Registrar level, progressing to independent clinical practice and awarding 

of the FRACS (Urol) 

5.2.1 The SET Program in Urology is designed to allow the Surgical Trainee to achieve 

competency in the domains of medical and technical expertise, clinical judgement, 

communication, collaboration, management and leadership, health advocacy, scholar 

and teacher, and professionalism, leading to competent, independent practice as a 

specialist urologist. 

5.2.2 Each level of the SET Program has training requirements which must be satisfied and a 

maximum duration in which to achieve the same. The training requirements are used to 

assess performance and make a determination on progression and suitability to 

continue training. 

5.2.3 Where indicated in these Regulations, some training requirements can be completed at 

an earlier level or exemption or credit granted through recognition of prior learning (see 

Section 9). 

5.2.4 SET 1 & 2 (Basic) 

Acquire basic surgical & clinical skills 

Appraising & managing ward/emergency surgical patients 

Acquiring basic surgical skill – 

basic open surgery ‐ suturing, anatomical layers, acquiring basic operative 

techniques 

laparoscopic surgery ‐ placement of ports, camera assisting, basic dissection 

basic general endoscopy ‐ orientation, coordination & dexterity skills 

Understand team work, group management, collaboration and delegation concepts 

Demonstrate broad based general medical knowledge and application (including 

judgement) 

Demonstrate professional, ethical & responsible behaviour 

Aware of basic leadership roles 

Aware of health care issues including preventive measures as they apply to everyday 

care 

Aware of the importance of continuing professional development, clinical 

governance and audit 

Demonstrate communication ability including respect of others and confidentiality 

Demonstrate an ability to learn from peers and seniors but also to teach juniors in 

the team 



5.2.5 SET 3 & 4 (Intermediate) 

Pursue increasingly advanced skills including mastering the SET 1 & 2 requirements, 

including general pre & post surgical care, as well as, care of the critically ill patient. 

In addition; 

• Demonstrate acquisition of basic (SET 3) to advanced (SET 4) endourological skills 

Completion of this level will include performance of common procedures; 

• All cystoscopic procedures (biopsy, fulguration, TURBT, RGPG, stents) 

• All ureteroscopy (including flexible URS/laser where available) 

• Endoscopic prostatectomy (small SET 3/complex SET 4) to completion (TURP or 

equivalent) 

• Basic (SET 3) to advanced (SET 4) complex stone surgery 

• Basic laparoscopy (SET 3) to acquiring advanced laparoscopic skills (SET 4) 

• Basic major open urology skills (SET3) to acquiring advanced open urology skills 

(SET4) 

• Performing all minor open skills (e.g. peno‐scrotal surgery, inguinal) 

• Acquiring other skills – e.g. urodynamics, TRUS prostate biopsy, continence 

procedures, implant surgery, etc. 

5.2.6 SET 5 & 6 (Advanced) 

Complete mastery of SET 14 levels, progressing to a leadership role. Demonstrate 

completion of core urological skill acquisition. 

5.3 Research Requirement 

At the completion of SET 5, trainees will be established in their ability to understand 

and undertake elective and emergency urological care. Trainees will use their time to 

finalise their urological skill base and be performing most aspects of all common 

urological surgery safely and competently. 

At the completion of SET 6, trainees will demonstrate all aspects of advanced 

independent, safe, competent urological performance. They may, be acquiring subspecialised 

advanced skills. 

Depending on individual performance, most trainees will present for final 

examination in late SET 5 or early SET6 

5.3.1 A research project is mandatory for all trainees prior to presenting for the Fellowship 

Examination. This project must be undertaken whilst a Urology trainee. One or more of 

the following would be acceptable: 

presentation of a paper or poster display to a meeting for which abstracts are 

subject to review and selection. 

a publication in a journal which referees all manuscripts 

a dissertation with a written review of a clinical problem, together with a critical 

literature review; this would be assessed by the Section TA&E Committee, with 

other advice if necessary 

a 6 month (or more) period of full‐time research 

a higher degree. 

5.3.2 It is the responsibility of the Trainee to provide documentation to the Board verifying 

completion of the research requirement prior to the Trainee being accepted for 

presentation for the Fellowship Examination. 



5.4 Portfolio of Training 

5.4.1 The trainee will keep a portfolio of their training, which will include: 

Updated curriculum vitae 

Surgical logbook experience 

Documentation relating to skills courses and research activities 

Documentation relating to any period of probationary training 

All in‐training assessment documentation 

5.5 Curriculum 

5.5.1 The overall objective of the SET Program is to produce competent independent 

specialist urologists with the experience, knowledge, skills and attributes necessary to 

provide the communities, health systems and professions they serve with the highest 

standard of safe, ethical and comprehensive care and leadership. 

5.5.2 To achieve the overall objective, competencies of a graduating trainee have been 

developed in the RACS competency areas of medical expertise, technical expertise, 

judgement, communication, collaboration, management and leadership, health 

advocacy, scholar and teacher and professionalism. 

5.5.3 The competencies have been integrated into specific learning outcomes at differing 

levels which are aligned with the syllabus modules and curriculum components. 

5.5.4 The learning outcomes are delivered by a number of learning methods and 

opportunities as outlined in the curriculum including structured educational programs, 

skills courses, self‐directed learning and workplace hands on service learning and 

exploration. 

5.5.5 To assess the accomplishment of the learning outcomes multiple assessment tools and 

performance based standards are applied to determine the degree of progression 

towards the competencies and suitability to continue training. 

5.5.6 To evaluate the effectiveness in achieving the overall objective the assessment of 

learning outcomes and other evaluation mechanisms provide direction on potential 

improvements to the curriculum, training activities and learning methods and 

opportunities. 

5.6 Educational Resources 

5.6.1 All trainees are expected to read widely to develop a sound knowledge base 

5.6.2 All trainees should be familiar with the Modular Curriculum where the relevant sources 

of educational content for each level are outlined. 

5.6.3 All SET3 – SET6 trainees are provided with an online subscription to the AUA Updates 

each year, which can be accessed from the AUA website. 

5.6.4 All SET3‐SET6 trainees are provided with the AUA Self‐Assessment Study Program 

(online) which provides a mechanism for assessing knowledge of urology. 



6. TRAINING POSTS 

6.1 Overview 

6.1.1 Clinical training posts facilitate workplace hands on service learning and exploration in a 

range of training environments providing the opportunity for the trainee to develop, 

with supervision, the requisite experience, knowledge, skills and attributes necessary to 

become a competent independent specialist urologist. 

6.1.2 Clinical training posts are accredited in accordance with the Training Post Accreditation 

Regulations available on the USANZ website at www.usanz.org.au 

6.1.3 Each training unit has its own profile for patient case mixes, supervision, staffing levels, 

working requirements for trainees and equipment. The Board believes it is essential for 

trainees to be exposed to varied working environments during training. 

6.1.4 The Board conducts the allocation of trainees to accredited posts during SET1‐SET5 and 

oversees the process for appointment/allocation to accredited SET6 posts. 

6.1.5 The Board (or Sectional TA&E on behalf of the Board) conducts or oversees the 

allocation of trainees to accredited posts during all clinical training years. 

6.1.6 Successful applicants who are deemed to be eligible for appointment are appointed to a 

Section and SET level. The appointment to a Section is based on their ranking in the 

selection process and consideration given to their Section preference. 

6.1.7 Existing trainees will be given the opportunity to indicate their post preferences for the 

forthcoming year. The TA&E Committee will consider these preferences and will allocate 

trainees according to the training requirements of each individual. Trainees may not be 

allocated to their preferred posts. The decision of the TA&E Committee is absolute and 

final and trainees are not permitted to swap or enter into their own arrangements. 

6.1.8 Each training post has an accreditation duration (length of time a trainee can spend in 

the position) of up to 12 months. 

6.1.9 On occasions a trainee may be required to change Sections to continue training due to 

availability of posts. Whenever this occurs, the process of determining the trainee/s for 

relocation will be transparent, and based on factors including but not limited to 

selection ranking and performance in training to date. 

6.1.10 Personal circumstances will likely change during the 6 year program. The Board is 

cognizant of this but cannot alter allocated Sections. The logistics of such requests are 

most often not possible. While requests can be made by individuals, the Board does not 

canvass the broader trainee group to ascertain the variety of personal circumstances 

that each trainee may personally endure. It is therefore unclear, how relocation can be 

effected to ensure fairness to the collective. If personal circumstances are serious then 

deferral of training for one or more years may be required and should be considered. 

6.2 SET 1 Posts 

6.2.1 SET1 trainees will generally rotate through surgical posts and may be allocated to 4x3 

month terms, 2x6 month terms or 5x10 week terms. 

6.2.2 SET1 trainees should undertake a minimum of 26 weeks in normal Unit allocations in 

General Surgery (not relief, or shift cover) and may undertake non‐General Surgery 



terms in Urology, Paediatric Surgery, Plastics, Vascular or Cardiothoracic units. They may 

also undertake no more than 3 months in a surgically relevant discipline. Surgically 

relevant terms include Emergency Department, High Dependency/Intensive Care, or 

Anaesthetics. 

6.2.3 SET1 trainees can be allocated to a Urology unit for 6 months 

6.2.4 SET1 trainees may not spend more than one term, or twelve weeks (whichever is the 

lesser) in surgical shift‐work, or in a relief term in a surgical department 

6.2.5 SET1 trainees must: 

Have access to an education program provided for all surgical SET1 trainees, and this 

will usually be a basic surgical principles and skills program. This may be provided by 

the Hospital network rather than the individual hospital. 

Have access to appropriate educational literature, either on‐line or through a suitably 

resourced library. 

Have access to, and be encouraged to be involved in, an audit or quality assurance 

program during each of their terms. 

Be allocated quarantined self education time (typically 4 hours per week), to enable 

study, self‐improvement, and research where applicable 

Be given the opportunity to attend in‐training workshops and other relevant courses 

Be able to study for, and take examination leave to attempt the SSE and CE 

examinations 

6.2.6 SET1 trainees will be expected to have the following scope/experience: 

Opportunity to engage fully in the preparation of patients for surgical procedures. 

Opportunity to acquire introductory surgical skills e.g. skills such as safe tissue 

handling and dissection, knot tying, hemostasis, suturing. 

Opportunity to participate in the post operative management of the surgical patient. 

Opportunity to attend outpatient clinics or equivalent. 

Opportunity to participate in the assessment and management of acute / emergency 

type surgical situations. 

Participation in quality assurance (Morbidity and Mortality Meetings, audits) in the 

Division of Surgery of the participating hospital. They should be encouraged to 

contribute to audit, data collection and presentations at the meetings. 

6.3 SET2 Posts 

6.3.1 SET2 trainees will rotate through surgical posts and may be allocated to 1x12 month 

post or 2x 6 month posts. 

6.3.2 SET2 trainees will usually undertake a minimum of 26 weeks in normal Unit allocations 

in General Surgery (not relief, or shift cover) and may undertake non‐ General Surgery 

terms in Urology, Paediatric Surgery, Plastics, Vascular or Cardiothoracic units. 

6.3.3 SET 2 trainees can be allocated to a Urology unit for 6 months 

6.3.4 SET2 trainees must: 

Have access to an education program provided for all surgical SET2 trainees. This may 

be provided by the Hospital network rather than the individual hospital. 

Have access to appropriate educational literature, either on‐line or through a suitably 

resourced library. 

Have access to, and be encouraged to be involved in, an audit or quality assurance 

program during each of their terms. 



Be allocated quarantined self education time (typically 4 hours per week), to enable 

study, self‐improvement, and research where applicable 

Be given the opportunity to attend in‐training workshops and other relevant courses 

Be given the opportunity to attend their annual USANZ and/or RACS Section meeting. 

6.3.5 SET2 trainees will be expected to have the following scope/experience: 

a) Open Surgical Skills 

Acquire confidence, familiarity, and sound technique in surgical access to the 

abdomen, pelvis, and inguino‐scrotal regions through a variety of surgical incisions. 

Develop sound technique in wound closure in all of the above exposures. 

Learn a familiarity with anatomical land‐marks, anatomical relations, and anatomical 

and surgical planes in the open abdomen. 

Learn to recognise normal and diseased abdominal and pelvic organs. 

Learn safe tissue handling, mobilisation, dissection, and transection techniques. 

Learn the vascular supply of the intestine, and the ability to isolate vascularised 

bowel segments, and perform a variety of hand sewn and stapled enteric 

anastomoses. 

Learn to perform an ileostomy, and a colostomy. 

Learn to perform a safe splenectomy, and lymph node biopsy. 

b) Laparoscopic Skills 

The ability to safely, confidently, and fluently gain laparoscopic access to the 

abdomen and the pelvis. Develop an awareness of anatomical landmarks, and 

laparoscopic orientation. 

Develop familiarity with laparoscopic instruments, applicators, and stapling devices. 

Acquire a level of expertise in laparoscopic tissue manipulation, dissection, and 

haemostasis. 

Develop introductory skills in laparoscopic suturing and intra‐corporeal knot tying. 

c) Vascular Skills 

Learn the anatomy, principles and technique of safe mobilisation and isolation of 

major abdominal and pelvic vasculature. 

Learn the principles and technique of safe arterial and venous repair and 

anastomosis. 

d) Clinical 

Gain competence in the assessment and diagnosis of the acute abdomen. 

Gain competence in assessment and coordinated management of trauma. 

Gain experience and skill in the resuscitation and management of the acutely unwell, 

unstable or shocked surgical patient, due to such as blood loss, fluid loss, toxaemia, 

or sepsis. 

Learn resuscitation, fluid balance, and nutrition in the surgical patient. 

Develop mature judgement in the role of surgery, and realistic expectations of 

surgery in the well, acutely unwell, co‐morbid and dying patient. 

Develop sound judgement in the use of peri‐operative interventions (anticoagulation, 

antibiotics, fluids, nutrition) through an awareness of the indications 

and contra‐indications for their use. 

Gain experience in the early recognition and appropriate investigation and 

management of post‐operative complications. 



6.4 SET3‐SET5 Posts 

6.4.1 SET3‐SET5 trainees will rotate through clinical urology posts and may be allocated to 

1x12 month post or 2x 6 month posts. 

6.4.2 SET3‐SET5 training posts must comply with the relevant accreditation criteria, including: 

Access to appropriate educational facilities & systems to undertake training 

Opportunities for the trainee to participate in a range of desirable activities, the 

focus of which is inclusive of educational requirements 

A program managed by an appropriate and accessible Supervisor supported by the 

institution and committed Surgeons, delivering regular training and feedback 

Access to a range and volume of clinical and operative experience which will enable 

trainees to acquire the competence required to be a surgeon. Supervision of trainees 

must include fulfilling of educational objectives, patient safety and employment 

obligations. 

Facilities, equipment and clinical support services required to manage surgical cases 

in Urology 

Full hospital accreditation and a governance structure to deliver and monitor safe 

surgical practice 

6.4.3 The SET 3‐5 years represent the ‘core’ years of advanced urological training. During this 

period, trainees will be exposed to a broad range of clinical experiences. Trainees are 

encouraged to acquire, over time, the core operative and non‐operative competencies 

as they appear in the Modular Curriculum. 

6.4.3 All trainees are expected to progressively perform, during these years, increasingly 

complex aspects of the surgical workload. 

6.4.5 Trainees will be expected to pursue increasingly advanced skills including mastering the 

SET 1 & 2 requirements, including general pre & post surgical care, as well as, care of the 

critically ill patient. 

6.4.6 Trainees will be expected to demonstrate acquisition of basic (SET 3) to advanced (SET 4) 

endourological skill. 

6.4.7 Completion of SET 4 will include performance of common procedures; 

All cystoscopic procedures (biopsy, fulguration, TURBT, RGPG, stents) 

All ureteroscopy (including flexible URS/laser where available) 

Endoscopic prostatectomy (small SET 3/complex SET 4) to completion (TURP or 

equivalent) 

Basic (SET 3) to advanced (SET 4) complex stone surgery 

Basic laparoscopy (SET 3) to acquiring advanced laparoscopic skills (SET 4) 

Basic major open urology skills (SET 3) to acquiring advanced open urology skills (SET 4) 

Performing all minor open skills (e.g. peno‐scrotal surgery, inguinal) 

6.4.8 Trainees will be expected to acquire other skills – e.g. urodynamics, TRUS prostate 

biopsy, continence procedures, implant surgery, etc. 

6.4.9 At the completion of SET 5, trainees will be established in their ability to understand and 

undertake elective and emergency urological care. Trainees will use their time to finalise 

their urological skill base and be performing most aspects of all common urological 

surgery safely and competently. 



6.5 SET 6 Posts 

6.5.1 All trainees must undertake SET6 in an accredited post within Australia or New Zealand. 

This ensures that all trainees complete their training with mastery of general urology 

and some sub‐specialisation. 

6.5.2 At the completion of the Fellowship exam and SET6, the FRACS will be awarded and 

training is deemed complete. Beyond that, entrance into Australian or New Zealand 

Consultant practice or further time overseas can be undertaken. 

6.5.3 Trainees are required to source their own SET6 post to suit their individual needs and 

wishes. 

6.5.4 The Board encourages trainees move out of Section to undertake SET6 as there are 

substantial benefits to be gained in experiencing a different structure of health care 

delivery. 

6.5.5 Trainees may remain in section for SET6; however they cannot occupy a SET6 post in a 

hospital where they have spent a year of core training (SET3‐SET5). 

6.5.6 Each accredited SET6 post must provide exposure to a breadth of general urology, and 

can include an element of a sub‐specialty. This can enable a trainee to sample any area 

of possible sub‐specialty interest, helping them decide if they want it to become a focus 

of their Consultant practice. 

6.5.7 It is mandatory that the post has adequate supervision, but it is beneficial if it also 

provides opportunity for the trainee to demonstrate some degree of autonomy and 

responsibility and to practice independently, within their capability. 

6.5.8 The post must provide at least 20% of independent decision making / operative surgery. 

This will enable the trainee to begin independent style practice, make management 

decisions, and initiate and follow through with treatment plans. 

6.5.9 The post must comply with the following requirements: 

The post must be within or affiliated to a teaching hospital or university. 

The unit must hold regular unit meetings (pathology, radiology, oncology etc.) 

There must be an active audit process within the unit. 

The post must offer ongoing participation in clinical research and/or teaching 

The trainee may be appointed as a Fellow/Senior Registrar/ Registrar of the hospital/ 

health authority 

The post must have a nominated supervisor and at least one other consultant involved 

in clinical activities. The nominated supervisor will be responsible for the trainee's 

supervision and must agree to provide assessment reports on the trainee's progress 

(on the Board of Urology In‐Training Assessment Reports) on a quarterly basis 

The post must offer a minimum of 5 sessions a week supervised by a consultant. 

These sessions may include operating sessions, outpatient sessions, and substantial 

clinical discussion meetings. 

The trainee should be the primary Surgeon for at least one operating session per week. 

6.5.10 During SET6, trainees must: 

maintain a log book of procedures and operations for 12 months 

maintain a record of Continuing Professional Development which should include 

research, teaching undertaken, and meetings or conferences attended 



submit an In‐Training Assessment Report and Logbook Summary to the TA&E 

Chairperson in their Section of origin every 3 months 

provide a Confidential Post Assessment Report at 6 and 12 months. Each report 

should describe the benefits and experience gained together with a summary of how 

the trainee’s aims and objectives have been achieved, the research or teaching 

undertaken and their perspective on the strengths and weaknesses of the post. The 

submitted report will become the property of the Board of Urology and will not be 

made available to the post about which it was written. 

6.5.11 A recommendation to Fellowship will only be forthcoming when all of the SET6 

requirements have been completed and submitted. 



7. COURSES AND MEETINGS 

The following courses and meetings are compulsory components of the SET Program in Urology. All 

trainees must complete the courses outlined below by the end of the SET level highlighted: 

Course SET1 SET2 SET3 

ASSET 

CCrISP 

EMST 

CLEAR 

Introductory Skills Workshop 

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

7.1.1. The ASSET course provides an educational package of generic surgical skills required by 

Surgical Trainees and is a compulsory aspect of Surgical Training. 

7.1.2. The course focuses on basic surgical skills, musculoskeletal injuries and minimal access 

surgery. Information regarding the ASSET course can be found on the RACS website. 

7.2 Care of the Critically Ill Surgical Patient (CCrISP) 

7.2.1. The CCrISP course assists Trainees in developing skills in managing the critically ill 

patient, and promotes the coordination of multidisciplinary care. 

7.2.2. The course focuses on clinical knowledge, acumen, and procedural skills together with 

communication, responsibility and leadership. Information regarding the CCrISP course 

can be found on the RACS website. 

7.3 Critical Literature Evaluation and Research (CLEAR) 

7.3.1. The CLEAR course is designed to provide tools to undertake critical appraisal of surgical 

literature and to assist surgeons in the conduct of clinical trials. 

7.3.2. The course aims to make the language and methodology relevant to surgeons and their 

day to day activities. Information regarding the CLEAR course can be found on the RACS 

website. 

7.3.3 The Australasian Urological Foundation recognises the importance of this course, and 

has generously agreed to reimburse the registration fee for trainees who attend the 

course whilst a SET Urology trainee. To access this reimbursement, trainees are 

required to send a copy of their course receipt for payment to the Education and 

Training Manager within 3 months of course completion. 

7.3.4. Trainees may apply for exemption from the CLEAR Course if they hold a postgraduate 

qualification that includes work completed in clinical epidemiology. Acceptable 

qualifications are a Graduate Diploma, Masters Degree or Doctorate. 

7.3.5. Trainees who hold postgraduate qualifications may apply to the Board, via the relevant 

Training, Accreditation and Education Committee for exemption from the CLEAR Course. 

Applicants must provide evidence of an acceptable Evidence Based Surgery component 

to the qualification. Trainees should refer to the RACS Recognition of Prior Learning 

Policy. 



7.4 Early Management of Severe Trauma (EMST) 

7.4.1. The EMST course is designed to demonstrate concepts and principles of primary and 

secondary patient assessment, establish management priorities in a trauma situation, 

initiate primary and secondary management of unstable patients and demonstrate skills 

used in initial assessment and management. 

7.4.2. Information regarding the EMST course can be found on the RACS website. 

7.5 Introductory Skills Workshop 

7.5.1 This workshop provides trainees with an introduction to common urological procedures. 

Trainees also participate in a Laser Safety Course and Fluoroscopy Course. 

7.6 Trainee Week 

7.6.1. Trainee Week is an intensive and interactive education program hosted by a different 

Section of USANZ each year. 

7.6.2 It is compulsory for trainees in SET2‐SET5 to attend Trainee Week. 

7.7 Scientific Meetings 

7.7.1 Trainees are required to attend scientific meetings as outlined below: 

SET1 

SET2 

SET3‐SET5 

SET6 

Attendance at one or more scientific meetings (e.g. College ASC, Registrar Paper 

Day, USANZ ASM) is encouraged. 

Attendance at one or more scientific meetings (e.g. College ASC, Registrar Paper 

Day, USANZ ASM) is expected 

Attendance at USANZ ASM is compulsory 

Attendance at USANZ ASM or another urological meeting (conditional upon leave 

approval) is optional 

7.7.2 Quality educational meetings should be attended to broaden the educational 

experience. The Board encourages trainees to attend any educational meeting pending 

leave availability and service requirements of the post. 

7.8 Section Meetings and Educational Activities 

7.8.1 Trainees are required to attend the relevant Section Meeting each year as outlined below: 

SET1 

SET2 

SET3‐SET5 

SET6 

Attendance at the relevant Section meeting of USANZ is encouraged. 

Expected to attend the relevant Section meeting of USANZ is expected 

Attendance and presentation at the relevant Section Meeting of USANZ is compulsory 

Attendance at the relevant Section Meeting (conditional upon leave approval) is 

optional 

7.8.2 The Section TA&E may coordinate, oversee or endorse tutorial programs, workshops, 

skills courses, journal clubs and other similar educational activities for the benefit of 

Trainees. These sectional activities are aimed at providing opportunities for Trainees to 

meet the components of the Urology curriculum. Where stipulated, components of the 

Section education program may be compulsory. 

7.8.3 Requests for leave to not attend Section or other educational meetings must be 

obtained prospectively from the Section TA&E Chairperson. Non attendance under any 

other circumstances may impact on a trainee’s progress in training. 



7.9 Local Education Activities 

7.9.1 A trainee’s day to day education is provided by their hospital post. This will include 

tutorials, uro‐radiology meetings, uro‐pathology meetings, journal club meetings and 

quality assurance meetings. 



8. ASSESSMENT 

8.1 Assessment of Performance during Clinical Training 

8.1.1 Each accredited training post has a College approved Training Supervisor nominated by 

the institution and approved by the Board of Urology. Training Supervisors coordinate, 

and are responsible for, the management, education, training and assessment of 

trainees rotating through their designated accredited training posts. 

8.1.2 Where a trainee is placed in an accredited post of another specialty (e.g. a SET 1 Urology 

trainee in a General Surgery post) a Urologist will be nominated by the Board of Urology 

as the nominal Training Supervisor and will assume overall responsibility for the 

assessment of performance during that period of clinical training. 

8.1.3 Trainers are surgeons, or other medical specialists, who normally interact with trainees 

in the operating theatre, outpatient department and during clinical meetings and 

education sessions. Trainers may assist the Training Supervisor with monitoring, guiding 

and giving feedback to trainees, as well as appraising and assessing their performance. 

8.1.4 The assessment of a trainee’s performance by the Training Supervisor is fundamental to 

their continuing satisfactory progression through the SET Program in Urology. 

8.1.5 Assessments are focused on the workplace application of the necessary knowledge, 

skills and behaviours for that particular SET Program level. 

8.1.6 Regular feedback and assessment of the trainee by Consultant members of the Unit is 

advisable, to identify and reinforce good performance and to review areas requiring 

improvement. These are in addition to the formal assessments. Trainees are encouraged 

to seek continuous feedback and informal assessment. 

8.2 In‐Training Assessment Reports 

8.2.1 An assessment report must be completed quarterly during each year of clinical training 

on the prescribed form applicable to the relevant SET level. 

8.2.2 An assessment report must also be completed 

a) as soon as is practical any time after the identification of unsatisfactory or borderline 

performance as determined by the surgical supervisor 

b) at the end of a probationary period or at more frequent intervals during a 

probationary period where requested by the Board of Urology or Sectional TA&E 

8.2.3 In‐training assessment reports must be completed by the Training Supervisor, with the 

input of all other consultants on the Unit. 

8.2.4 The Training Supervisor may also seek input from other persons who had contact with 

the Trainee (e.g. nurses, allied health staff, administrative staff). 

8.2.5 All consultant members of the Unit on which the Trainee is allocated to are required to 

contribute to the Trainee’s assessment. This is best undertaken at a face‐to face meeting 

to discuss the performance of the Trainee, and to reach consensus on the assessment of 

each area on the assessment form. Although the assessment form can be completed in 

the absence of the Trainee, the Training Supervisor must subsequently meet with the 

Trainee to discuss the assessment report. 



8.2.6 The completed assessment report must be signed and dated by both the Trainee and 

the Training Supervisor and should reflect the discussions held during the applicable 

performance assessment meeting. Signing the assessment report confirms the 

assessment report has been discussed but does not signify agreement with the 

assessment. 

8.2.7 Trainees are required to participate in the assessment process. Failure of a Trainee to 

participate or adhere to the requirements of the assessment process in a timely manner 

may result in non‐accreditation of a period of training, and commencement of 

Probationary Training. 

8.2.8 Trainees are responsible for ensuring that the completed assessment report is 

submitted to the Sectional TA&E Chairperson in the prescribed manner by the due date. 

Trainees are also required to retain a copy of each assessment report for their records. 

8.2.9 Failure to submit any assessment report by the due date in accordance with instructions 

from the Sectional TA&E or Board may result in a probationary period or nonaccreditation 

of a period of training. 

8.2.10 The Sectional TA&E is responsible for the review of an assessment report and making 

recommendations to the Board for accreditation of a clinical rotation. 

8.3 Assessment of Operative Experience during Clinical Training 

8.3.1 Appropriately supervised operative experience obtained during clinical training, 

including good case mixes and caseloads, are essential learning opportunities for 

trainees to acquire the necessary technical skills and expertise to practice as an 

independent urologist. 

8.3.2 Accurate reporting of the operative experience by each trainee in an accredited clinical 

training post is required. The operative logbook (the logbook) provides details about the 

trainee’s level of supervised and independent surgical operative experience. 

8.3.3 Trainees must maintain an operative experience log of all procedures they participate in 

as part of the SET Program in accredited training positions. 

8.3.4 The logbook must be completed by the trainee at regular intervals as determined by the 

Board. 

8.3.5 A logbook summary report must be submitted quarterly and must be verified by the 

Training Supervisor as an accurate record. 

8.3.6 The trainee is responsible for forwarding the completed logbook to the Sectional TA&E 

by the communicated due date. Failure to submit the logbook by the due date in 

accordance with instructions from the Sectional TA&E or Board may result in a 

probationary period or non‐accreditation of a period of training 

8.3.7 Trainees are required to keep a copy of their logbook for their personal records and 

training portfolio. 

8.3.8 The Sectional TA&E is responsible for the review of a logbook summary report 

8.3.9 Inaccurate recording of procedures in the operative logbook is classified as misconduct 

and forms grounds for dismissal in accordance with the College Dismissal from Surgical 

Training policy, Section 8.8 of these Regulations and Appendix 2 Dismissal from Surgical 

Training. 



8.4 Direct Observation of Procedural Skills in Surgery (Surgical DOPS) Assessment 

8.4.1 Surgical DOPS is a method of assessing competence in performing diagnostic and 

interventional procedures during surgical practice. It also facilitates feedback in order to 

drive learning. Information relating to Surgical DOPS can be found on the RACS website. 

8.4.2 The form can be found on the USANZ website www.usanz.org.au 

8.4.3 All SET1‐SET4 Trainees are required to participate in at least one (1) DOPS assessment 

per three‐month assessment period. 

8.4.4 These assessments are formative and are aimed at guiding further development of 

surgical skills. 

8.4.5 Assessments should be completed in time for review during the In‐Training assessment. 

The forms must be submitted in accordance with the instructions from the Board. 

Failure to return the form may result in the term being deemed not assessed and may 

therefore be unaccredited. This may result in the Trainee commencing probationary 

training in the subsequent term. 

8.4.6 Multiple scores of “Borderline” or a single score of “Below Expectations” indicates a 

need for significant improvement in performance. Trainees should be counselled and 

given opportunity to improve in the relevant skills before being reassessed. This process 

may be repeated until significant improvement is demonstrated. 

8.4.7 Trainees are advised to retain a copy of the assessment in their Training Portfolio. 

8.5 Mini‐Clinical Examination (Mini‐CEX) 

8.5.1 The Mini‐CEX is designed to assess competencies essential to the provision of good 

clinical care. It is also used to facilitate feedback in order to drive learning. Information 

relating to the Mini‐CEX can be found on the RACS website. 

8.5.2 The form can be found on the USANZ website www.usanz.org.au 

8.5.3 All SET1‐SET4 Trainees are required to participate in at least one (1) Mini‐CEX 

assessment per three‐month period. 

8.5.4 These assessments are formative and are aimed at guiding further development of 

clinical skills. 

8.5.5 Assessments should be completed in time for review during the In‐Training assessment. 

The forms must be submitted in accordance with the instructions from the Board. 

Failure to return the form may result in the term being deemed not assessed and may 

therefore be unaccredited. This may result in the Trainee commencing probationary 

training in the subsequent term. 

8.5.6 Multiple scores of “Borderline” or a single score of “Below Expectations” indicates a 

need for significant improvement in performance. Trainees should be counselled and 

given opportunity to improve in the relevant skills before being reassessed. This process 

may be repeated until significant improvement is demonstrated. 

8.5.7 Trainees are advised to retain a copy of the assessment in their Training Portfolio. 



8.6 Accreditation of Clinical Training Rotations 

8.6.1 The Board of Urology is responsible for the review of assessment reports and for 

confirming that Training Supervisors have applied appropriate standards of assessment. 

As the committee responsible for confirming the accreditation of clinical rotations, the 

Board of Urology may by majority decision substitute its own rating of assessment 

reports. 

8.6.2 A clinical rotation (being 3 months duration) will be recorded as Satisfactory when the 

assessment report or logbook summary satisfies the Board’s performance standards. 

8.6.3 A clinical rotation (being 3 months duration) will be recorded as Borderline when the 

assessment report or logbook summary does not completely satisfy the Board’s 

performance standards 

8.6.3 A clinical rotation (being 3 months duration) will be recorded as Unsatisfactory when an 

assessment report or logbook is well below the Board’s performance standards. 

8.6.4 A clinical rotation (being 3 months duration) may be recorded as unsatisfactory if leave 

exceeds six weeks in any six month rotation (or pro‐rata). 

8.6.5 Where an assessment report is rated as Borderline the Board or Sectional TA&E on 

behalf of the Board will review the report and determine if the clinical rotation is to be 

recorded as unsatisfactory, satisfactory or remain borderline. 

8.6.6 If a clinical rotation has been recorded as Unsatisfactory the rotation may not be 

accredited towards the trainee’s surgical education and training and may require an 

extension of training. The length of the extension will be determined by the Board or 

Sectional TA&E. 

8.6.7 Where an assessment has been ultimately assessed as unsatisfactory, or the Board of 

Urology has overruled the Sectional TA&E, the trainee will be notified in writing of the 

change in decision. 

8.6.8 If a trainee is required to undergo an extension of training then the rules, regulations 

and pre‐requisites that apply will be those that apply at the time of returning to the 

training level that they return to and to the cohort of trainees that they join not what 

may have applied previously to that trainee. 

8.6.9 Where a trainee has returned from a period of interruption and has not demonstrated 

retention of the competencies commensurate with the SET level prior to the 

interruption, the Board may record the rotation as “not assessed”. Trainees may be 

placed on probation with a remediation plan to return competency to the required 

standard. In exceptional circumstances, the trainee will be required to revert to a lower 

SET level. This is to ensure a safe and satisfactory level of acquisition of knowledge and 

skill base within the limits of what can be achieved in any time period. 

8.7 Unsatisfactory Progression or Performance 

8.7.1 A trainee in the SET Program in Urology may be placed on Probation for any one of the 

following reasons: 

a) An Unsatisfactory or Borderline In‐Training Assessment Report 

b) Misconduct 

c) Failure to complete SET Program training requirements 

d) Failure to comply with RACS directions 



e) Failure to pay outstanding monies 

f) Failure to satisfy medical registration or employment requirements 

8.7.2 The probationary period is designed to provide the trainee with the opportunity to learn 

from their mistakes and to improve their attitudes, behaviours, knowledge and skills 

where appropriate. A trainee undertaking a probationary period will be classified as 

probationary status. 

8.7.3 Where the Board determines that a trainee is to undergo a probationary period the 

Board will formally notify the trainee, in writing, copied to the surgical supervisor and 

the relevant employing authority, that a probationary period has been applied. Such 

notification should include: 

a) Identification of the reason for the probationary period (e.g. unsatisfactory 

performance) 

b) Confirmation of the remedial action plan 

c) Identification of the conditions or required standards of performance to be achieved 

during the probationary period 

d) Notification of the duration of the probationary period 

e) The frequency at which assessment reports must be submitted (if applicable) 

f) Possible implications if any one of the conditions or required standards of 

performance are not satisfied 

8.7.4 The probationary period set by the Board will usually be no less than three months and 

generally, no more than six months. In the event of misconduct, or where there have 

been previous probationary periods, the probationary period may be up to twelve 

months. 

8.7.5 During the probationary period the trainee’s performance should be regularly reviewed 

by the Training Supervisor and the Trainee should be offered constructive feedback and 

support. 

8.7.6 If performance has improved and all the conditions have been satisfied at the conclusion 

of the probationary period the probationary status will be removed and the trainee will 

be notified in writing. 

8.7.7 If performance has not improved to the required standard or a condition has not be 

satisfied at the conclusion of the probationary period the Board may proceed with 

dismissal in accordance with the RACS policy on Dismissal from Surgical Training, section 

8.8 of these Regulations and the procedures in Appendix 2. 

8.8 Dismissal from the SET Program 

8.8.1 Trainees may be considered for dismissal in accordance with the RACS policy Dismissal 

from Surgical Training, section 8.8 of these regulations and Appendix 2. 

8.8.2 Trainees may be dismissed from the SET program for any one or more of the following: 

a) Unsatisfactory performance 

i. where they have been assessed as unsatisfactory in two consecutive or three 

non‐consecutive clinical rotations; 

ii. the trainee’s performance has been rated as unsatisfactory during a 

probationary period; 

iii. the trainee has failed to satisfy a condition of a probationary period; 

b) Misconduct considered to be so serious as to warrant dismissal from training; 

c) Failure to complete training requirements within specified timeframes; 



d) Failure to comply with written direction of the College and its Boards and 

Committees; 

e) Failure to pay training related fees by due deadlines; 

f) Failure to maintain general medical registration or general scope registration; 

g) Failure to achieve or maintain employment in accredited training posts; and 

h) Other circumstances as approved by the Censor‐in‐Chief. 

8.8. 3 Trainees may be considered for dismissal for failure to complete training requirements 

at any time. This includes but is not limited to where a trainee fails to successfully 

complete a RACS examination within the timeframe or number of attempts specified in 

the relevant RACS policy or a training requirement of the SET Program within the 

maximum timeframe for the relevant SET Program level. 

8.8. 4 The methodology for managing the dismissal of a trainee from the SET Program in 

Urology will be in accordance with section 8.8 of these regulations and Appendix 2. 

8.8.5 Any person adversely affected by a decision made by the Board, TA&E Committee or 

surgical supervisor may, within one month of being notified of the decision apply in 

writing to the Board Chair to have the decision reviewed or reconsidered by the Board in 

accordance with Clause 4.5. 

8.8. 6 Decisions relating to dismissal from surgical training may be appealed in accordance 

with the RACS Appeals Mechanism Policy. 



9. EXAMINATIONS 

9.1 Compulsory Examinations 

9.1.1 The SET Program in Urology requires successful completion of four examinations: 

a) Surgical Sciences (Generic) Examination 

b) Clinical Examination 

c) Surgical Sciences (Urology) Examination 

d) Fellowship Examination in Urology 

9.1.2 Recognition of prior learning for the examinations may be considered in accordance 

with Section 10. 

9.1.3 Registration and delivery of the examinations is managed by the RACS with a fee 

charged. There are strict closing dates with full details available on the RACS website 


9.2 Surgical Science (Generic) Examination 

9.2.1 The Surgical Science (Generic) Examination has an emphasis on the application of basic 

science knowledge and understanding and clinical practice relevant to surgery. The 

recommended reading list and advice is available on the RACS website at 


9.2.2 Trainees must complete the Surgical Science (Generic) Examination in accordance with 

the RACS Conduct of the Surgical Science Examination‐Generic Component Policy 

9.3 Clinical Examination 

9.3.1 The Clinical Examination has an emphasis on the application of basic science knowledge 

and understanding and clinical practise relevant to surgery. Examples of tasks include 

patient history taking and examination, demonstration of practical technical skill, the 

application of basic science knowledge, data acquisition and analysis, counselling and 

communication skills. The recommended reading list and advice is available on the RACS 

website at www.surgeons.org. 

9.3.2 Trainees must complete the Surgical Science (Generic) Examination in accordance with 

the RACS Conduct of the SET Clinical Examination Policy. 

9.4 Surgical Science (Urology) Examination 

9.4.1 The Surgical Science (Urology) Examination has an emphasis on the application of basic 

science knowledge and understanding and clinical practice relevant to urology. The 

recommended reading list and advice is available on the USANZ website 

www.usanz.org.au. 

9.4.2 Trainees must complete the Surgical Science (Urology) Examination in accordance with 

the RACS Conduct of the Surgical Science Examination in Urology Policy. 

9.5 Fellowship Examination 

9.5.1 The Fellowship Examination is administered by the Royal Australasian College of 

Surgeons. Information regarding examination dates, eligibility criteria and application 

forms can be obtained via the RACS website www.surgeons.org. 



. 

9.5.2 Trainees must comply with the following in order to be eligible to sit the Fellowship 

Examination 

a) be registered as an accredited Trainee of the College 

b) have satisfied the requirements of the training program, including completion of a 

research project approved by the Board of Urology 

9.5.3 Trainees will be assessed on the following when determining their eligibility to sit the 


a) General skill base; 

Demonstrates team work, group management, collaboration and delegation 

concepts 

Demonstrates broad based general medical knowledge and application (including 

judgement) 

Demonstrates professional, ethical & responsible behaviour 

Aware & undertakes leadership roles 

Aware of health care issues including preventive measures as they apply to everyday 

care 

Aware of the importance of continuing professional development, clinical 

governance and audit 

Demonstrates communication ability including respect of others and confidentiality 

Demonstrates an ability to learn from peers and seniors but also to teach juniors in 

the team 

b) Clinical skill base; 

Manages ward duties, emergency caseload, theatre lists, clinic, junior staff 

Manages all aspects of pre & post operative surgical care 

Endoscopically competent ‐ (Cystoscopy, RGPG, stents, URS, TURBT, TURP or 

equivalent) 

Performs all scrotal, basic penile, minor urological open surgery 

Performs most aspects of advanced urological surgery with demonstration of 

understanding of the principles of major surgery 

Acquires other skills – e.g. urodynamics, TRUS Bx, continence procedures, implants 

c) In addition; 

Demonstrates core reading that confirms a knowledge base that is broad based and 

an ability to integrate core knowledge into clinical practice. 

Demonstrates clinical performance with core skill base at a safe and competent level. 

Has completed all training requirements 

Has no outstanding disciplinary issues 

Has no unsatisfactory technical or non‐technical competency issues 

9.5.4 Trainees must be approved as eligible to sit by the Board of Urology on each occasion 

that they present for the examination. Trainees must make an application on the 

appropriate form obtainable from the College. Applications must be sent to the RACS 

before the specified closing date. 

9.5.5 The Fellowship Examination in Urology is a criterion‐based assessment. The criterion is 

that of a safe practicing clinical urologist. The exam is not designed to rank candidates in 

order of scores but to assess whether the candidates meet the prescribed criterion. 



9.5.6 The examination consists of 7 parts. (See Appendix 1) Currently there are two written 

papers, which are taken four to six weeks before the viva examinations. The viva 

examinations consist of two anatomy and operative surgery vivas, a pathology viva and 

two clinical vivas involving diagnosis of management plans for clinical cases. The format 

and constituents of the exam may change from time to time. Current advice regarding 

the exam is available on the USANZ website www.usanz.org.au. 

9.5.7 The examination covers the whole urology curriculum. The written examinations tend to 

require factual information. The viva exams consist of a series of clinical scenarios 

requiring the interpretation of various forms of clinical information to solve clinical 

problems. This skill is best developed by experience in the actual management of 

patients. 

9.5.8 The Fellowship Examination in Urology is generally undertaken in either late SET5 or 

early SET6. 



10. RECOGNITION OF PRIOR LEARNING 

10.1 Introduction 

10.1.1 Recognition of prior learning involves the assessment of prior training or experience 

obtained which is comparable to components of the SET Program. The principle of this 

recognition of prior learning policy is to avoid unnecessary duplication of training and 

experience which is equivalent to that delivered within the SET Program. 

10.1.2 The regulations comply with the RACS Recognition of Prior Learning Policy. 

10.1.3 There is no automatic entitlement to recognition of prior learning. Trainees must submit 

documentation to the Board via the Education and Training Manager for the 

components they wish to be exempt from. 

10.1.4 Applications for RPL will only be considered once a trainee has commenced the SET 

Program in Urology. 

10.1.5 As per the RACS policy, the (UK based) MRCS is not considered equivalent to the SSE and 

CE, therefore Trainees will not be given RPL for these examinations. 

10.1.6 Qualifications not considered for points at SET Urology Selection will not be accepted for 

RPL. 

10.1.7 Trainees will be notified in writing by the Board of the outcome of their recognition of 

prior learning application. 

10.2 Compulsory Examinations 

10.2.1 Trainees who have satisfactorily completed the RACS Clinical Examination prior to 

commencement on the SET Program will be granted credit for this component. 

10.2.2 Trainees who have satisfactorily completed the RACS Surgical Science (Generic) 

Examination prior to commencement on the SET Program will be granted credit for this 

component. 

10.3 Compulsory Courses 

10.3.1 Trainees who have satisfactorily completed the CCrISP Course may be eligible for credit 

for this component. 

10.3.2 Trainees who have satisfactorily completed the CLEAR Course may be eligible for credit 

for this component. 

10.3.3 Trainees who have satisfactorily completed the EMST Course or the equivalent 

Advanced Trauma Life Support (ATLS) Course may be eligible for credit for this 

component. 



11. APPENDIX 1 – FELLOWSHIP EXAM FORMAT 

11.1 Written Papers 

1.1.1 There are 2 written papers each with 8 short questions and candidates are given 2 hours 

to complete the paper. The examiners expect short answers, which are tightly focussed 

in regards to the questions that are asked. The questions are frequently asked in clinical 

scenarios and the candidate should pay attention to the clinical information that is 

provided to tailor the answers to suit that particular clinical situation rather than a 

generic response covering the disease process. The examiners are looking for mature 

judgment and considered opinions in addition to essential facts in marking the answers. 

11.1.2 Each question will usually have 3‐4 essential points, which must be raised to successfully 

pass the question. In addition there may be a further 3‐4 other relevant points, the 

majority of which would need to be raised to pass the question. 

11.1.3 Previous written examination papers are available on the USANZ website www.usanz.org.au 

11.2 Clinical Vivas 

11.2.1 There are two clinical vivas termed “the Clinical Investigation Management Viva” and 

the “Structured Oral Examination”, which each run for forty minutes. 

11.2.2 The Clinical Investigation Management viva uses a series of imaging materials including x‐ 

rays, ultrasound, CT scans, and nuclear medicine scans, MRI images, urodynamic tracings 

and other diagnostic material. The candidate will be expected to interpret the image or 

investigation supplied, suggest further investigations, which may assist in the management 

plan and on occasions outline a management plan for the particular case showed. 

11.2.3 The Structured Oral Examination involves an analysis of actual clinical cases. The 

candidate will be given a brief history similar to a referring general practitioner’s letter 

and be quizzed on relevant facts in the history and physical examination that are 

essential to form the initial management plan. Questions then proceed down a 

designated pathway involving various aspects of the patients’ care. As the cases are real 

cases there is a pre‐determined pathway, which the candidate may be re‐directed to. In 

some situations there may be two equally valid choices of treatment and the candidate 

will be directed along the treatment path that was actually given. Xrays, Urodynamic 

studies and other investigations may be shown as the case develops. 

11.2.4 The Anatomy and Operative Surgery vivas consist of two vivas of twenty five minutes 

each. The candidate will be questioned on a particular operative procedure and will also 

be questioned on the anatomy relevant to the operative procedure. The anatomy 

component is usually embedded as part of the operative surgery and not a separate 

section of the exam. Only relevant embryology such as ureteric duplication, horseshoe 

kidney, (where it is relevant to the surgery), will be asked. The candidate will usually be 

asked on segments of the operation including consent, preoperative and in theatre work 

up and in particular will be asked to deal with common complications that occur intraoperatively 

and postoperatively in that particular procedure. 

11.2.5 The Surgical Pathology viva lasts for twenty five minutes. It consists of a series of 

images within an accompanying clinical scenario. The candidates will be expected to 

understand the pathology related to the image and its relevance to developing clinical 

management plans in regards to the disease process. 



11.3 Scoring of Fellowship Exam 

11.3.1 The fellowship exam is scored in such a way that candidates should pass all segments to 

be successful. A marginal performance in up to two areas excluding the two clinical vivas 

may be considered successful provided there has been a good performance in all other 

aspects of the exam. The Court will consider the whole performance in regard to the 

criteria in this situation. Unsatisfactory performance in the clinical vivas does not usually 

result in success. 



12. APPENDIX 2 – DISMISSAL FROM SURGICAL TRAINING 

1. PURPOSE AND SCOPE 

This Appendix contains the process for managing dismissal of a trainee by the Board of Urology. The College 

has issued a position paper on the provision of natural justice in decision making which is available on the 

RACS website. 

2. DISMISSAL FOR UNSATISFACTORY PERFORMANCE 

2.1. Unsatisfactory Performance 

2.1.1. A trainee may be considered for dismissal for unsatisfactory performance if: 

a) the trainee’s performance has been rated as unsatisfactory during a probationary period 

applied in accordance with the College’s Assessment of Clinical Training Policy; or 

b) the trainee’s performance has been rated as unsatisfactory for three or more 

assessment periods at any time during their SET Program. 

2.1.2. If dismissal is considered applying 2.1.1 (b) the trainee must have received written 

notification after the second unsatisfactory assessment period that any further 

unsatisfactory assessment period at any time during their SET Program may result in 

dismissal. 

2.1.3. A subcommittee of the Board must interview the trainee prior to making a decision 

regarding dismissal to provide the trainee with the opportunity to give their perspective 

in writing and verbally. 

2.1.4. The subcommittee shall consist of a minimum of 3 and a maximum of 5 members who 

shall be Fellows of the College. The subcommittee must not include a practising lawyer. 

2.1.5. No person invited to assist the subcommittee in matters of fact can appear before the 

subcommittee without the presence of the trainee. 

2.1.6. Where a trainee elects to make a written submission it must be submitted three (3) 

working days before the meeting. 

2.1.7. Minutes of the meeting must be kept and the meeting recorded. The minutes must be 

provided to the trainee within 10 working days and prior to any recommendation to the 

Board. 

2.1.8. Trainees will be provided with a minimum of 10 working days’ notice of the meeting and 

informed that the purpose of the meeting is to consider their continued participation in 

the training program. Trainees may be accompanied by a person who can provide 

support but cannot advocate for the trainee. The support person cannot be a practising 

lawyer. 

2.1.9. Where a trainee is duly notified of the meeting and declines to attend, the 

subcommittee may make a recommendation to the Board. 

2.1.10. The recommendation and minutes of the subcommittee must be forwarded to the 

parent board/committee for consideration. 



2.1.11. The Specialty Board will make the recommendation on whether or not the trainee 

should be dismissed or any additional probationary periods or conditions that should be 

applied if dismissal is not recommended. 

2.1.12. The Specialty Board must be satisfied that the recommendation can be substantiated 

and that the relevant processes have been followed and documented. 

2.1.13. Where dismissal is recommended the trainee may be suspended from training and the 

Specialty Board must seek ratification of the dismissal from the Chair of the Board of 

Surgical Education and Training. The Chair will review the decision making process and 

substantiating documentation to ensure that due diligence and appropriate processes 

have been followed. 

2.1.14. Substantiating documentation must demonstrate that the trainee had appropriate 

meetings to discuss performance and had a performance management plan addressing 

known deficiencies. 

2.1.15. The final dismissal letter must be issued to the trainee under the signature of the Chair 

of the Board of Surgical Education and Training. 

2.1.16. The employing authority should be kept informed throughout the process and be 

provided with the opportunity to contribute where necessary. 

2.2. Dismissal for Misconduct 

2.2.1. Examples of misconduct include but are not limited to the following: 

a. Discrimination, harassment or bullying 

b. Abusive, violent, threatening or obscene behaviour 

c. Being found guilty of a criminal offence which results in a jail term or restrictions on 

the trainee’s ability to practice medicine 

d. Theft, fraud or misappropriation of funds 

e. Being under the influence of alcohol or illegal drugs while at work 

f. Falsification of training records, patient documentation or patient treatment 

g. Serious breach of patient safety 

h. Gross insubordination or wilful disobedience in carrying out lawful requirements of 

the Training Program 

i. Bringing the College’s name into disrepute 

j. Abandonment of employment or training post 

k. Dishonesty 

l. Academic misconduct (refer to Academic Misconduct Policy) 

2.2.2. Incidents of misconduct must be documented and verified as soon as possible after the 

supervisor and/or trainers are made aware of their occurrence and brought to the 

attention of the trainee. Allegations of misconduct not documented and verified cannot 

be used by a Specialty Training Board in any disciplinary process. 

2.2.3. The principles of natural justice will apply to all allegations and investigations concerning 

misconduct. This includes the right of the trainee to understand, consider and respond 

to the alleged misconduct at a meeting with a subcommittee of the Board. The trainee 

may be suspended from the training program pending an investigation. 

2.2.4. The subcommittee shall consist of a minimum of 3 and a maximum of 5 members who 

shall be Fellows of the College. The subcommittee must not include a practising lawyer. 



2.2.5. No person invited to assist the subcommittee in matters of fact can appear before the 

subcommittee without the presence of the trainee. 

2.2.6. Trainees will be provided with a minimum of 10 working days’ notice of the meeting and 

informed that the purpose of the meeting is to consider their continued participation in 

the training program. All documentation pertinent to the allegation must be provided at 

this time. Trainees may be accompanied by a person who can provide support but 

cannot advocate for the trainee. The support person cannot be a practicing lawyer. 

2.2.7. Where a trainee elects to make a written submission it should be submitted 48 hours 

before the meeting. 

2.2.8. Minutes of the meeting must be kept and the meeting recorded. The minutes must be 

provided to the trainee within 10 working days and prior to any recommendation to the 

Board. 

2.2.9. The recommendation and minutes of the subcommittee must be forwarded to the 

parent board/committee for consideration. 

2.2.10. A trainee may be dismissed for misconduct without undertaking a probationary period. 

Where misconduct is established but dismissal is not recommended the trainee may be 

counselled and given a probationary period in which to improve their behaviour 

2.2.11. The Specialty Board will make the recommendation on whether or not the trainee 

should be dismissed or any additional probationary periods or conditions that should be 

applied if dismissal is not recommended. 

2.2.12. In all misconduct instances where dismissal is recommended, the Specialty Board must 

seek ratification from the Chair of the Board of Surgical Education and Training. 

Substantiating documentation must detail the misconduct and the reasons for 

recommending dismissal, and demonstrate that the trainee had appropriate meetings to 

discuss the allegations. 

2.2.13. The Chair must be confident on review of the evidence that the misconduct justifies 

dismissal or summary dismissal and that appropriate documentation and evidence is 

available to support such a decision. 



2.2.15. The employing authority should be kept informed throughout the process and be 

provided with the opportunity to contribute where necessary. 

3.3. Failure to complete training program requirements 

3.3.1 Each training program will have specified minimum training requirements to be satisfied 

within timeframes determined by College policy. In instances where timeframes are not 

specified within College policies individual Specialty Board policies and regulations may 

apply. 

3.3.2 Trainees who fail to complete the training requirements within the timeframe specified 

by the Specialty Boards or the College may be dismissed. 

3.3.3 Where initiated by the Specialty Board, the Specialty Board will make the 

recommendation on whether or not the trainee should be dismissed or any 

probationary periods or conditions that should be applied if dismissal is not 

recommended. 



3.3.4 The Specialty Board must be satisfied that the recommendation can be substantiated 

and that the relevant processes have been followed and documented. 

3.3.5 Where dismissal is recommended the trainee may be suspended from training and the 

Specialty Board must seek ratification of the dismissal from the Chair of the Board of 

Surgical Education and Training. The Chair will review the decision making process and 

substantiating documentation to ensure that due diligence and appropriate processes 

have been followed. 

3.3.6 In all instances the final dismissal letter must be issued to the trainee under the 

signature of the Chair of the Board of Surgical Education and Training. 

2.4. Failure to comply with College Direction 

2.4.1. As the accredited training authority, trainees are required to comply with any policy 

direction of the College or its Agents pertaining to training activities. 

2.4.2. Breaches of the College Code of Conduct that are not misconduct (refer to 3.2) are 

considered to be a failure to comply with College direction. 

2.4.3. Repeated failure to comply with directions during the life of the training program will 

constitute a dismissible offence. 

2.4.4. Trainees will receive written warnings, the second of which will advise that any further 

breach during the life of the training program may result in dismissal. 

2.5. Failure to pay outstanding monies 

Trainees who do not pay outstanding monies owed to the College or its Agents will be dismissed 

in accordance with the College Credit Management procedure. 

2.6. Failure to satisfy medical registration or employment requirements 

2.6.1. Trainees who, for any reason (excluding medical), do not have valid medical registration 

from the applicable Medical Board or Council in their jurisdiction that enables full 

participation in the training program will be dismissed. 

2.6.2. Valid medical registration is defined as general medical registration without restriction 

in Australia, and general scope registration (including restricted general scope 

registration in the relevant specialty) in New Zealand 

2.6.3. Trainees who fail to satisfy the employment requirements of the institution in which 

their allocated training position is located (as notified by the CEO or HR Director or 

equivalent) may be automatically suspended from the training program. 

2.6.4. Where employment is refused, the trainee must be informed within 10 working days 

and provided with copies of the employer’s correspondence to the College (or its agent). 

2.6.5. After 30 working days of the date of notification to the trainee of the second refusal of 

employment, dismissal proceedings may commence. 

2.6.6. Trainees who fail to satisfy the employment requirements of two or more institutions in 

which allocated training positions are located will be dismissed.

training regulations - Urological Society of Australia and New Zealand

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