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. 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 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).
To access the list of accredited SET6 posts, click here
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
- 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 their respective TA&E Chairperson. In considering SET6 applications, the TA&E Chairperson 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.
Trainee Requirements of the SET6 (Senior Registrar) Year
During the Senior Registrar year, trainees must:
- keep a 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
- 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
- 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.
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)
- 2 post assessment reports (6 and 12 months)
The CPD record and post assessments reports must be returned directly to the Education and Training Manager at the USANZ Office.