Medical Training Review Panel: thirteenth report
Discontinuation of Training
Trainees may discontinue training for a variety of reasons, with either the trainee officially withdrawing from the training program or the college or training provider terminating or dismissing a trainee in accordance with college regulations or employment conditions.
In 2009, 130 advanced trainees discontinued training (Table 4.9). General practice and pathology had the highest numbers with 39 and 33 discontinuations respectively. The number discontinuing in general practice was, however, relatively small given that there were over two thousand trainees undertaking general practice training (2,309 compared with 361 for pathology) in 2009. Detailed data on discontinuations for individual colleges and faculties has not been shown due to the small numbers for most medical colleges.
Table 4.9: Advanced vocational trainee discontinuations by state/territory, 2007-2009
(a) GPET reports joint figures for NSW and ACT.
(b) Australia in total exceeds state/territory totals, as complete state/territory data are not available for all training programs.
(c) Includes 1 overseas trainee.
Source: Medical colleges and GPET
Basic TrainingSeveral colleges require periods of defined basic training prior to an individual commencing the advanced training program. Tables 4.10 and 4.11 provide data for those colleges that require a period of recognised basic training.
There were an estimated 4,502 basic trainees, representing 34.7% of all trainees in 2009. This is a six-fold increase from the 757 trainees in 1997, when the data was first reported. The main reason for this increase is that many colleges have since introduced additional basic training as a pre-requisite to advanced training.
The specialties with the largest number of basic trainees were adult medicine (1,666), emergency medicine (732) and psychiatry (661).
Of the total number of basic trainees, 965 were in their first year. The specialty with the largest number of first-year basic trainees was adult medicine (436), followed by anaesthesia (169) and psychiatry (118). As emergency medicine allows new trainees to enter the program at any time during basic or provisional training, the number of first-year emergency medicine trainees is not included.
Further information on the training requirements for each college is provided in Appendix B.
Table 4.10: Basic trainees and first-year basic trainees by medical specialty and state/territory, 2009
All basic trainees
|Obstetrics and Gynaecology(b)||91||83||75||16||18||7||0||11||301|
First-year basic trainees
|Obstetrics and Gynaecology||26||27||17||3||5||2||0||1||81|
(a) Includes both basic and provisional trainees registered with ACEM. Total includes 5 trainees working overseas.
(b) Trainees undertake the 4-year Integrated Training program (ITP), which could be broadly regarded as 'basic training'.
(c) Unable to provide as trainees may join the program at any time.
(d) Intensive care trainees commonly receive recognition of prior learning and are generally admitted beyond first year basic training.
Source: Medical colleges
In 2009, 2,133 or 47.4% of the total number of basic trainees were female (Table 4.11). The specialty with the largest number of females was adult medicine, with 747 female basic trainees. However, the specialties with the largest proportion of females are paediatrics, obstetrics and gynaecology and dermatology with 66.4%, 65.1% and 64.1% female basic trainees respectively.
Table 4.11: Female basic trainees by medical specialty and state/territory, 2009
|Obstetrics and Gynaecology(a)||62||53||42||13||14||3||0||9||196|
|Obstetrics and Gynaecology(a)||68.1||63.9||56.0||81.3||77.8||42.9||0.0||81.8||65.1|
(a) Trainees undertake 4 years of Integrated Training program (ITP), which could be broadly regarded as 'basic training'.
Source: Medical colleges
Caution must be applied when comparing the numbers, particularly across years where the program structure has changed at some point to include a requirement for basic training prior to proceeding to advanced training.