Medical Training Review Panel: sixteenth report

Subspecialty Training

Page last updated: 09 April 2013

Pathology Subspecialties

In 2012, there were 522 advanced trainees undertaking training with the Royal College of Pathologists Australasia (RCPA) (Table 4.19). Almost half of these (245 or 46.9%) were within the subspecialty of anatomical pathology and over one-quarter (145 or 27.8%) in haematology.

Table 4.19: Pathology advanced trainees: Total, proportion of total and females by subspecialty, 2012

Source: RCPA

SubspecialtyPositionsProportion (%)Females
Anatomical pathology
245
46.9
146
Chemical pathology
18
3.4
11
Forensic pathology
7
1.3
6
General pathology
7
1.3
7
Genetics
6
1.1
2
Haematology
145
27.8
75
Immunology
33
6.3
15
Microbiology
60
11.5
34
Oral pathology
1
0.2
1
Total
522
100.0
297

Table 4.20 shows the numbers of training positions in the pathology subspecialties in each of the states and territories.

Table 4.20: Pathology advanced trainees by subspecialty and state/territory, 2012

Source: RCPA

SubspecialtyNSWVicQldSAWATasNTACTAust
Anatomical pathology
86
65
43
13
25
4
2
7
245
Chemical pathology
4
4
6
0
3
1
0
0
18
Forensic pathology
3
2
1
0
1
0
0
0
7
General pathology
3
0
3
0
0
1
0
0
7
Genetics
3
1
1
1
0
0
0
0
6
Haematology
48
45
25
13
8
1
2
3
145
Immunology
13
4
4
4
6
0
0
2
33
Microbiology
18
17
12
5
6
1
0
1
60
Oral pathology
0
1
0
0
0
0
0
0
1
Total
178
139
95
36
49
8
4
13
522

Physicians Adult Medicine Subspecialties

In 2012, there were 1,582 advanced physician trainees undertaking training with the Royal Australasian College of Physicians (RACP) in adult medicine (Table 4.21).

Of all the subspecialties, general medicine and cardiology had the largest numbers of advanced trainees (259 and 180 respectively).

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Table 4.21: Physician adult medicine advanced trainees: Total, proportion of total and females by subspecialty, 2012(a)

(a) This table covers all trainees registered with the Australian office of the RACP, which includes some trainees who may be undertaking rotations at overseas locations.
(b) This total does not necessarily indicate the number of advanced trainees, as trainees may be enrolled in more than one program (dual training) and will be counted in each.

Source: RACP

SubspecialtyTraineesProportion (%)Females
Cardiology
180
11.4
41
Clinical genetics
8
0.5
8
Clinical pharmacology
16
1.0
6
Endocrinology
112
7.1
77
Gastroenterology
113
7.1
34
General medicine
259
16.4
100
Geriatric medicine
158
10.0
79
Haematology
134
8.5
66
Immunology and allergy
25
1.6
11
Infectious diseases
55
3.5
20
Medical oncology
138
8.7
70
Nephrology
92
5.8
49
Neurology
78
4.9
41
Nuclear medicine
12
0.8
5
Palliative medicine
46
2.9
32
Respiratory and sleep medicine
115
7.3
39
Rheumatology
41
2.6
26
Total(b)
1,582
100.0
704

Table 4.22 shows the numbers of training positions in adult medicine subspecialties in each of the states and territories.

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Table 4.22: Physician adult medicine advanced trainees by subspecialty and state/territory, 2012(a)

(a) This table includes all trainees registered with the Australian office of the RACP that are undertaking a rotation within an Australian State and Territory.
(b) This figure does not necessarily indicate the number of advanced trainees, as trainees may be enrolled in more than one program (dual training) and will be counted in each.

Source: RACP

SubspecialtyNSWVicQldSAWATasNTACTAust
Cardiology
62
45
33
21
9
3
1
4
178
Clinical genetics
3
1
1
1
0
0
0
1
7
Clinical pharmacology
1
4
2
7
1
0
0
0
15
Endocrinology
32
31
24
9
4
0
2
2
104
Gastroenterology
39
35
14
13
6
1
1
3
112
General medicine
32
79
68
29
27
10
5
4
254
Geriatric medicine
37
62
19
12
20
1
0
2
153
Haematology
49
43
21
7
8
2
0
3
133
Immunology and allergy
12
2
4
4
8
0
0
2
32
Infectious diseases
28
36
16
5
7
3
2
1
98
Medical oncology
50
42
21
13
6
3
0
4
139
Nephrology
30
25
16
6
6
2
2
2
89
Neurology
26
28
12
7
3
1
0
1
78
Nuclear medicine
2
3
3
1
1
0
0
0
10
Palliative medicine
13
16
6
6
6
1
1
0
49
Respiratory and sleep medicine
35
30
21
12
6
2
0
3
109
Rheumatology
10
14
7
5
4
2
0
0
42
Total(b)
461
496
288
158
122
31
14
32
1,602

Physicians Paediatric Subspecialties

In 2012, there were 751 advanced paediatric and child health trainees with the RACP’s Paediatric and Child Health Division (Table 4.23). Nearly two-thirds (483 or 64.3%) of these trainees were female.

Just over half (411 or 54.7%) of all trainees were training in general paediatrics.

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Table 4.23: Physician paediatric and child health advanced trainees: Total, proportion of total and females by subspecialty, 2012(a)

(a) This table covers all trainees registered with the Australian office of the RACP, which includes some trainees who may be undertaking rotations at overseas locations.
(b) This figure does not necessarily indicate the number of advanced trainees, as trainees may be enrolled in more than one program (dual training) and will be counted in each.
(c) Paediatric emergency medicine is joint Fellowship with ACEM.

Source: RACP

SubspecialtyTraineesProportion (%)Females
Cardiology
11
1.5
4
Clinical genetics
15
2.0
12
Clinical pharmacology
1
0.1
1
Community child health
55
7.3
49
Emergency medicine
na
na
na
Endocrinology
16
2.1
13
Gastroenterology
12
1.6
5
General paediatrics
411
54.7
278
Haematology
8
1.1
5
Immunology and allergy
4
0.5
3
Infectious diseases
12
1.6
8
Medical oncology
16
2.1
9
Neonatal/ perinatal medicine
92
12.3
38
Nephrology
6
0.8
4
Neurology
14
1.9
10
Nuclear medicine
0
0.0
0
Paediatric emergency medicine(c)
45
6.0
25
Palliative medicine
4
0.5
4
Respiratory and sleep medicine
25
3.3
13
Rheumatology
4
0.5
2
Total(b)
751
100.0
483

Table 4.24 shows the numbers of training positions in paediatric subspecialties in each of the states and territories.

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Table 4.24: Physician paediatric and child health advanced trainees by subspecialty and state/territory, 2012(a)

(a) This table includes all trainees registered with the Australian office of the RACP that are undertaking a rotation within an Australian State and Territory.
(b) This figure does not necessarily indicate the number of advanced trainees, as trainees may be enrolled in more than one program (dual training) and will be counted in each.
(c) Paediatric emergency medicine is joint Fellowship with ACEM.

Source: RACP

SubspecialtyNSWVicQldSAWATasNTACTAust
Cardiology
1
3
3
2
2
0
0
0
11
Clinical genetics
7
3
1
1
2
0
0
0
14
Clinical pharmacology
2
1
0
0
0
0
0
0
3
Community child health
25
12
8
1
6
1
0
0
53
Endocrinology
4
1
4
3
3
0
0
0
15
Gastroenterology
2
4
2
1
3
0
0
0
12
General paediatrics
142
94
69
28
42
4
12
4
395
Haematology
3
3
1
0
0
0
1
0
8
Immunology and allergy
4
3
1
2
1
0
0
0
11
Infectious diseases
5
6
0
3
2
0
2
0
18
Medical oncology
8
2
2
1
1
0
0
1
15
Neonatal/perinatal medicine
24
20
17
7
10
2
2
1
83
Nephrology
2
2
1
1
0
0
0
0
6
Neurology
6
3
1
1
1
0
0
0
12
Nuclear medicine
0
0
0
0
0
0
0
0
0
Paediatric emergency medicine(c)
13
8
16
4
4
0
0
0
45
Palliative medicine
2
1
0
1
0
0
0
0
4
Respiratory and sleep medicine
10
6
2
0
5
0
0
0
23
Rheumatology
0
1
1
0
2
0
0
0
4
Total(b)
260
173
129
56
84
7
17
6
732

Surgical Subspecialties

In 2012, there were 1,034 advanced surgical trainees undertaking training with the Royal Australasian College of Surgeons (RACS) (Table 4.25). Of these, just over one-quarter (263 or 25.4%) were female.

Of the nine subspecialties, general surgery and orthopaedic surgery had the highest numbers of trainees (408 and 214 respectively).

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Table 4.25: Surgical advanced trainees: Total, proportion of total and females by subspecialty, 2012(a)

(a) Based on Dec 2011 data. This total includes Australian only active trainee posts and does not include trainees on approved extended leave.

Source: RACS

SubspecialtyTraineesProportion (%)Females
Cardiothoracic surgery
32
9.4
3
General surgery
408
33.1
135
Neurosurgery
52
23.1
12
Orthopaedic surgery
214
8.4
18
Otolaryngology, head and neck surgery
75
36.0
27
Paediatric surgery
21
61.9
13
Plastic and reconstructive surgery
82
24.4
20
Urology
112
21.4
24
Vascular surgery
38
28.9
11
Total
1,034
25.4
263

Table 4.26 shows the numbers of training positions in surgical subspecialties in each of the states and territories.

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Table 4.26: Surgical advanced trainees by subspecialty and state/territory, 2012(a)

(a) Based on Dec 2011 data. This total only includes active SET trainees and does not include trainees on approved extended leave.

Source: RACS

Subspecialty
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
Aust
Cardiothoracic surgery
13
10
4
4
1
0
0
0
32
General surgery
143
123
77
24
29
3
3
6
408
Neurosurgery
17
19
9
2
3
1
0
1
52
Orthopaedic surgery
80
43
43
17
22
4
2
3
214
Otolaryngology, head and neck surgery
21
22
13
10
8
0
0
1
75
Paediatric surgery
7
8
2
1
2
0
1
0
21
Plastic and reconstructive surgery
26
27
10
10
7
2
0
0
82
Urology
34
30
26
9
9
1
0
3
112
Vascular surgery
15
9
6
4
3
0
0
1
38
Total
356
291
190
81
84
11
6
15
1,034