senior registrar/provisional fellow year - Urological Society of ...

SURGICAL EDUCATION AND TRAINING IN UROLOGY
REQUIREMENTS
SET 6 (SENIOR REGISTRAR/PROVISIONAL FELLOW YEAR)
The final year of the SET Programme in Urology is SET6. This is an accredited clinical year of training (and
has been since the introduction of the SET Programme). All SET Urology trainees must undertake SET6 in an
accredited post within Australia or New Zealand (overseas posts will be not be approved). This is to ensure
that all trainees complete their training with mastery of general urology and some sub‐specialisation. It
also allows for better monitoring of posts. 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.
Sourcing of Posts
The Board of Urology has identified and accredited a significant number of SET6 posts and the details of
these are provided below. Trainees are required to source their own position to suit their individual needs
and wishes. The benefits of travel to a different Section to experience a different structure of health care
delivery are substantial, and moving out of section for this year is actively encouraged. Trainees may be
approved to remain in section for SET6, however this will only be permitted if the trainee has had prior
discussion and agreement with their section TA&E Chair. This post cannot be at a hospital where the
trainee has spent a year of core training (SET3‐SET5).
List of Accredited SET6 Posts (Aust/NZ)
SET6 Post Requirements
The primary role of SET6 is to complete clinical training. Each suitable post must provide exposure to a
breadth of general urology, with 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.
The post must have adequate supervision, but it is beneficial if it also provides opportunity for the trainee
to demonstrate some autonomy and responsibility and to practice independently, within their capability.
The post must provide at least 20% of independent decision making/unsupervised operative surgery. This
will enable the trainee to begin independent style practice, make some management decisions, and initiate
and follow through some treatment plans.
To comply with these requirements, the following must be fulfilled;
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
Surgical Education and Training Requirements ‐ SET 6 (Senior Registrar‐ Provisional Fellow) Year
Updated 6/06/12

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.
No more than 20% of the trainee's operating or outpatient work should be unsupervised.
Applications for SET6 (Senior Registrar/Provisional Fellow) Year
Trainees must obtain prospective approval of their SET6 post from the Board of Urology. In considering
SET6 applications, the Board of Urology assesses whether the nominated post will provide the particular
trainee with the required general urology exposure to complement their training. As such, a SET6 post may
be appropriate for one trainee but not for another. Passing the fellowship examination does not mean that
all trainees have attained an equal level of clinical skill. Factors considered will include experience gained
during SET3‐SET5 and any competency areas that may require further development/exposure during SET6.
Trainees must complete a SET6 Application Form and forward to the Chairman of the Board of Urology, via
the USANZ Office.
Application Form ‐ SET6 (Senior Registrar/Provisional Fellow) Year
Applications must also include the following:
a letter of offer of employment from the nominated Supervisor, hospital or Health Authority
a clinical timetable of the position
a letter from Section TA&E Chair supporting post application (this is only applicable to trainees who
intend to remain in their home section)
The Board undertakes to respond to applications within 6 weeks. Approval will be granted provided:
the trainee has progressed satisfactorily through SET3‐SET5, attaining sufficient general urology
skills to allow the proposed SET6 post to be considered
the post has been approved by the Sectional TA&E Chairperson and the Board of Urology as
appropriate for the trainee to undertake
Trainee Requirements of the Senior Registrar Year
During the Senior Registrar year, trainees must:
keep a freehand log book of procedures and operations for 12 months
keep a record of Continuing Professional Development which should include research, teaching you
have undertaken, and meetings or conferences attended
conduct a personal audit of a selected procedure or procedure and submit a written audit report to the
Board of Urology at the completion of the year
The Audit requirement is an exercise in Quality Assurance. Shortly after commencing your term, select a
particular procedure or limited set of procedures you would like to monitor for performance and outcomes.
Collect outcome data prospectively for all of these procedures for six months. The collected data should be
collated, and the results compared to published series. Ideally, you will have had significant input to the
performance of these cases. You should then prepare a short report of comparative outcomes, conclusions,
and intentions for personal future practice.
As SET6 is considered a core year of training and requires the same level of monitoring as other years,
progress will be assessed on a quarterly basis. SET 6 trainees will need to submit an In‐Training Assessment
Report and Logbook Summary to the TA&E Chairperson in their Section of origin every 3 months for
ratification by the Board of Urology.
Additionally, the Board requires each SET6 trainee to 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
Surgical Education and Training Requirements ‐ SET 6 (Senior Registrar‐ Provisional Fellow) Year
Updated 6/06/12

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.
A recommendation to Fellowship will only be forthcoming when all of the Senior Registrar Year
requirements have been completed and submitted. In summary, these include;
4 x 3 monthly In‐Training Assessment Reports and Logbook Summaries
A record of CPD (at the end of the term)
The Audit report (at the end of the term)
2 post assessment reports (6 and 12 months)
The CPD record, audit report and post assessments reports must be returned directly to Deborah Klein at
the USANZ Office.
Surgical Education and Training Requirements ‐ SET 6 (Senior Registrar‐ Provisional Fellow) Year
Updated 6/06/12