Medical Training Review Panel: sixteenth report

Trends in Advanced Vocational Training

Page last updated: 09 April 2013

The total number of advanced training positions/trainees was just under one and a half times greater in 2012 than in 2008 (Table 4.27). The proportion of female advanced trainees increased very slightly across the five years to its highest level of 50.3% in 2012. The number and proportion of part-time advanced trainees, however, fluctuated from year to year, decreasing from last year’s highest level of 13.9% to 12.5% of all advanced trainees in 2012.

Table 4.27: Vocational training positions/trainees: Total, advanced, female advanced and part-time advanced trainees, 2008–2012

(a) Advanced training positions/trainees figures have been revised in 2010 from that reported in 2008.

Source: Medical colleges and GPET

Total college traineesAdvanced training positions/ traineesFemale advanced traineesProportion female (%) Part-time advanced traineesProportion part-time (%)
2008(a)
11,668
7,324
3,421
46.7
556
7.6
2009
12,958
8,249
3,967
48.1
1,052
12.8
2010
14,679
9,432
4,494
47.6
971
10.3
2011
15,478
10,214
5,116
50.1
1,416
13.9
2012
16,740
10,996
5,536
50.3
1,379
12.5
Increase 2008-2012 (%)
43.5
50.1
61.8
7.8
148.0
65.0

Over the five years from 2008 to 2012, a number of medical colleges increased training numbers (Table 4.28). It is important to note that the total figures in table 4.28 differ from the sum of state/territory totals in some years because it includes trainees in overseas placements (Table 4.29).

Emergency medicine and dermatology showed the largest increases between 2008 and 2012, with increases of 150.8% and 72.7% respectively.

Public health medicine and intensive care were the only specialties not to show an increase in total advanced trainees between 2008 and 2012.

Table 4.28: Advanced training positions/trainees by medical specialty, 2008–2012

(a) International medical graduates were included in trainee numbers from 2009. (b) Trainees are included in ACEM total.
(c) RACS does not differentiate between basic and advanced surgical trainees as the surgical program is an integrated program (SET).
(d) Includes trainees based overseas.
(e) Includes advanced trainees years 5 and 6. Covers Australian trainees who are undertaking FRANZCOG training only and not Overseas Trained Specialists who are also undertaking RANZCOG advanced training as a requirement to obtain college fellowship.
(f) Includes 3 and 4th years only, not 5th year.
(g) Includes 6 trainees who are completing their final year of training overseas.
(h) This total excludes 180 New Zealand and 21 overseas accredited training posts.
(i) Total number of registrars across all states is 3325 (including double counting of registrars).
(j) Total excludes 4 currently living overseas.
(k) This figure includes 11 trainees who are currently completing their final year overseas.
(l) RANZCP includes 229 fellows in subspecialty training.
(m) Based on Dec 2011 data. This total excludes 183 New Zealand, 7 overseas accredited training posts and 7 New Zealand and 2 overseas SET trainees on approved extended leave.

Source: Medical colleges and GPET

Medical specialty20082009201020112012Increase
2008-2012
(%)
Addiction medicine
..
..
11
13
18
..
Adult medicine
(d)1,043
(d)1,157
(d)1,406
1,469
1,468
40.7
Anaesthesia
463
485
612
566
609
31.5
Anaesthesia - Pain medicine
45
53
51
58
59
31.1
Dermatology
33
39
45
54
57
72.7
Emergency medicine - ACEM(a)
480
811
881
1,057
1,204
150.8
Emergency medicine - RACP(b)
..
..
..
33
45
..
General practice - GPET
2,162
2,309
2,572
2,948
(i)3,289
53.8
General practice - ACRRM
..
..
70
6
(j)156
..
Intensive care
326
375
332
312
302
-7.4
Medical administration
80
92
105
86
98
22.5
Obstetrics and Gynaecology
(e)109
(e)131
(e)123
143
(e)133
22.0
Occupational and Environmental medicine
61
55
87
80
84
37.7
Ophthalmology
70
77
(f)49
(g)86
(k)80
14.3
Paediatrics
395
453
583
640
593
50.1
Palliative medicine
..
..
58
71
24
..
Pathology
211
224
301
314
314
48.8
Pathology and RACP (jointly)
124
137
131
173
208
67.7
Psychiatry
278
322
350
368
(l)417
50.0
Public health medicine
75
61
60
72
61
-18.7
Radiation oncology
104
101
110
137
141
35.6
Radiodiagnosis
314
328
333
366
372
18.5
Rehabilitation medicine
121
138
143
162
177
46.3
Sexual health medicine
..
..
19
7
10
..
Sport and exercise medicine
..
..
..
27
28
..
Surgery(c)
791
901
1,000
(h)966
(m)1,094
63.5
Total
7,324
9,150
9,432
10,214
10,996
50.1

Advanced vocational training activity increased markedly in all states from 2008 to 2012 (Table 4.29).

The number of advanced trainees/positions in all states and territories increased, but the Australian Capital Territory had the smallest increases and shows considerable fluctuations across the five years. However, it should be noted that this data gives a distorted picture of the true increase in training in the Australian Capital Territory, as data for some specialties were reported with that for New South Wales previously and general practice numbers continue to be reported together.

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Table 4.29: Advanced training positions/trainees by state/territory, 2008–2012

(a) Australian total differs from the sum of state/territory totals in some years because it includes trainees in overseas placements.

Source: Medical colleges and GPET

NSWVicQldSAWATasNTACT(a)Aust
2008
2,486
2,040
1,351
599
689
147
120
129
7,581
2009
2,727
2,190
1,486
623
722
156
130
122
8,249
2010
3,033
2,448
1,780
740
700
170
176
252
9,277
2011
3,314
2,596
2,042
852
912
207
151
139
10,194
2012
3,580
2,769
2,244
888
983
239
178
151
10,996
Increase 2008–2012 (%)
44.0
35.7
66.1
48.2
42.7
62.6
48.3
17.1
45.0

Overall, the proportion of advanced vocational trainees who are female has changed little over the five years from 2008 to 2012, reaching just over half of all advanced vocational trainees (Table 4.30).

The proportion of female advanced trainees has fluctuated over the years in most specialities, particularly those with smaller numbers of trainees. In spite of this variation, there are a number of specialities that have had consistently lesser proportions of female trainees, such as surgery, sport and exercise medicine and occupational and environmental medicine. In contrast, sexual health medicine, dermatology, rehabilitation medicine, public health medicine, paediatrics, obstetrics and gynaecology, general practice and palliative medicine have maintained higher proportions (around three-fifths each year) of female advanced trainees.

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Table 4.30: Proportion of female advanced vocational trainees by medical specialty, 2008–2012

(a) The proportion is calculated for Pathology medical specialty only. The percentage for both Pathology and Pathology and RACP (jointly) is 53.4.
(b) Proportion of Australian surgical trainees. The total proportion of female surgical trainees including Australian, New Zealand and overseas is 24.4%.

Source: Medical colleges and GPET

Medical specialty20082009201020112012Increase 2008-2012 (%)
Proportion female (%)
Addiction medicine
..
..
36.4
30.8
44.4
..
Adult medicine
43.1
40.2
42.3
43.0
45.6
5.9
Anaesthesia
37.1
50.7
39.9
43.1
44.0
18.6
Anaesthesia - Pain medicine
31.1
35.8
29.4
27.6
38.9
25.1
Dermatology
66.7
59.0
55.6
61.1
73.7
10.5
Emergency medicine
43.5
41.9
38.6
41.1
40.9
-6.0
General practice
62.0
63.8
64.9
General practice - GPET
..
..
..
65.8
64.9
..
General practice - ACRRM
..
..
..
33.3
27.5
..
Intensive care
24.5
24.3
27.1
26.9
30.5
24.5
Medical administration
10.0
14.1
27.6
41.9
39.8
298.0
Obstetrics and Gynaecology
68.8
67.9
65.0
60.1
65.4
-4.9
Occupational and Environmental medicine
16.4
25.5
14.9
21.3
20.2
23.2
Ophthalmology
34.3
31.2
38.8
38.4
23.8
-30.8
Paediatrics
60.1
58.7
61.4
65.9
65.3
8.6
Palliative medicine
..
..
53.4
63.8
60.0
..
Pathology
45.3
64.5
(a)80.1
59.2
64.3
42.0
Pathology and RACP (jointly)
..
..
..
47.4
35.7
..
Psychiatry
26.3
53.1
55.1
63.0
55.6
111.4
Public health medicine
26.3
59.0
61.7
52.8
67.0
154.8
Radiation oncology
52.9
57.4
58.2
51.8
56.7
7.2
Radiodiagnosis
30.9
34.8
31.8
31.4
46.5
50.5
Rehabilitation medicine
60.3
61.6
61.5
64.8
68.9
14.3
Sexual health medicine
..
..
52.6
28.6
80.0
..
Sport and exercise medicine
..
..
..
22.2
25.0
..
Surgery
23.3
23.1
22.8
(b)23.8
25.5
9.4
Total (%)
45.1
48.1
47.6
49.9
50.4
11.7
Total female trainees
3,421
3,967
4,494
5,116
5,536
61.8

Overall the proportion of female advanced trainees remains fairly constant across states, approximately in the range of 40% to 60% each year. However, the proportion of female trainees has been higher, each year in the Northern Territory (ranging from 59.2% to 60.1%) and in most cases was considerably lower in the Australian Capital Territory (Table 4.31).

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Table 4.31: Proportion of female advanced trainees by state/territory, 2008–2012

Source: Medical colleges and GPET

NSWVicQldSAWATasNTACTAust
Proportion female (%)
2008
46.3
45.0
44.3
44.9
42.7
46.9
59.2
33.3
45.1
2009
39.2
49.4
46.2
47.2
45.2
48.7
60.0
42.6
48.1
2010
50.0
48.8
46.1
46.4
48.9
57.6
52.3
40.1
47.6
2011
53.8
49.9
47.3
48.2
47.3
51.2
61.6
34.5
50.2
2012
52.7
50.8
46.8
50.2
50.9
52.7
60.1
35.8
50.3

The number of part-time advanced trainees was lower in 2012 than 2011 (Table 4.32). Considerable variability in reported numbers of part-time advanced trainees from year to year makes it difficult to distinguish any discernible trends in part-time training. Considerable fluctuations are also seen within specialties between 2008 and 2012.

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Table 4.32: Advanced trainees undertaking part-time training by medical specialty, 2008-2012

(a) Numbers reflects trainees who have undertaken part-time training at any time during the first half of the year. This does not mean they have been in part-time training for the whole year.
(b) These numbers include trainees within the joint RACP and RCPA program and trainees based overseas.
(c) RACS does not differentiate between basic and advanced surgical trainees as the surgical program is an integrated program (SET).
(d) Totals for 2007-2010 have been changed to include numbers of trainees from Sport and exercise Medicine.
(e) Total number of part-time registrars across states is 881 (including double counting of registrars).
(f) Trainees were included in ACEM total.

Source: Medical colleges and GPET

Medical specialty20082009201020112012
Addiction medicine
2
6
5
3
4
Adult medicine
29
51
59
63
55
Anaesthesia
32
21
24
25
45
Anaesthesia - Pain medicine
3
7
6
6
8
Dermatology
2
1
5
2
7
Emergency medicine - ACEM(a)
93
na
23
36
105
Emergency medicine - RACP(f)
..
..
..
8
5
General practice - GPET
..
..
..
991
(e)874
General practice - ACRRM
..
..
..
0
0
Intensive care
0
2
1
3
5
Medical administration
1
1
1
5
4
Obstetrics and Gynaecology
7
25
3
7
6
Occupational and Environmental medicine
0
0
0
0
0
Ophthalmology
1
2
1
0
3
Paediatrics(b)
9
70
76
154
74
Palliative medicine
6
16
6
2
4
Pathology
17
1
11
18
28
Pathology and RACP (jointly)
1
5
Psychiatry
57
60
64
29
82
Public health medicine
15
17
11
17
16
Radiation oncology
0
1
4
2
5
Radiodiagnosis
4
5
7
13
8
Rehabilitation medicine
11
17
26
24
31
Sexual health medicine
3
7
11
4
5
Sport and exercise medicine
1
1
1
0
3
Surgery(c)
4
0
1
3
2
Total(d)
661
1,054
977
1,416
1,379