SET Program Final Year
The final year of the SET Program in Urology is nSET5 which is an accredited clinical year of training . All SET Urology trainees must undertake nSET5 in an accredited post within Australia or New Zealand. This process allows for better monitoring of posts and ensures that all trainees complete their training with mastery of general urology and some sub-specialisation. At the completion of the Fellowship Examination and nSET5, the FRACS will be awarded and training is deemed complete. Beyond that, entrance into Australian or New Zealand Consultant practice or time overseas can be undertaken.
Sourcing of Posts
The Board of Urology has identified and accredited a significant number of nSET5 posts which trainees are required to both apply and be assessed for. Trainees are actively encouraged to travel to a different region for this year although this is not a compulsory requirement. The benefits of experiencing a different training region with different structure of health care delivery are substantial and will see all Trainees in good stead in their careers. In some Training Regions, trainees may undertake nSET5 in the same hospital (in a different role) as they have undertaken in nSET2-nSET4. In other Training Regions, the Board has determined that it is preferable for trainees to undertake nSET5 in a different hospital but there may be extenuating circumstances where this is permitted on a case by case basis.
In considering their nSET5 preferences, Trainees are encouraged to seek guidance from their current Supervisor and their respective Regional Training Chairperson. All trainees who have passed the Fellowship Examination may not have attained an equal level of clinical skill. Consideration must focus on whether the nominated posts will provide the particular trainee with the required general urology exposure to complement their training. As such, a nSET5 post may be appropriate for one trainee but not for another. Factors considered will include experience gained during nSET2-nSET4 and any competency areas that may require further development/ exposure during nSET5.
nSET5 Post Requirements
The primary role of nSET5 is to complete clinical training thereby, each suitable post must provide exposure to a breadth of general urology, with an element of a sub-specialty. This enables Trainees to sample any area of possible sub-specialty interest, helping them to decide if they want it to become a focus of their Consultant practice.
While the post must have adequate supervision, it is beneficial if it also provides opportunities for trainees to demonstrate some autonomy and responsibility, practicing independently, within their capability. It is a post requirement to provide at least 20% of independent decision making/unsupervised operative surgery, enabling trainees to begin independent style practice, make some management decisions, and initiate and follow through some treatment plans.