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SET Program Clinical Training and Assessment
Clinical training positions facilitate workplace hands on service learning and exploration in a range of training environments providing the opportunity for the trainee to develop, with supervision, the requisite experience, knowledge, skills and attributes necessary to become a competent independent specialist neurosurgeon.
SET1 trainees must satisfactorily complete four three month clinical training rotations as allocated by the Board. SET2, SET3, SET5 and SET6 trainees must satisfactorily complete two six month clinical rotations in neurosurgery per year as allocated by the Board including one clinical rotation in pediatric neurosurgery.
Three main assessment tools are used to assess clinical training:
- In Training Assessment Reports
- Operative Logbook Summaries
- Workplace Competency Assessments
The Board has developed a new Regulations Handbook for the SET Program in Neurosurgery. The Regulations Handbook is currently in draft format and will be introduced formally with the commencement of the new SET Program for 2008. Section 5 of the Regulations Handbook relating to clinical training and assessment can be downloaded below subject to copyright provisions. Section 5 covers the following areas:
- Clinical Training Positions
- Assessment of Clinical Training Performance
- Assessment of Operative Experience
- Workplace Competency Assessments
 Regulations Handbook for the SET Program in Neurosurgery: Section 5 - Clinical Training and Assessment
The Board conducts the allocation of SET Program trainees to accredited positions during all clinical training years - trainees do not determine which hospitals they work in. Trainees must be prepared to be assigned to a position anywhere in Australia and New Zealand . Singapore trainees must be prepared to be assigned to the positions in Singapore for SET1, SET2 and SET3.
To view a list of the current accredited training positions click here
The assessment of performance by the supervisor is fundamental to continuing satisfactory progression. Each accredited position has an approved surgical supervisor. The supervisor is responsible for the supervision and assessment of the trainee in that position. The supervisor completes an In Training Assessment Report at the conclusion of each three month rotation during SET1 and each six month rotation during SET2, SET3, SET5 and SET6. Trainees must satisfy the performance standard in each training rotation to progress through the SET Program.
Appropriately supervised operative experience obtained during clinical training, including good case mixes and case loads, are essential learning opportunities for trainees to acquire the necessary technical skills and expertise to practice as an independent neurosurgical consultant. A logbook summary must be submitted at the end of each six month clinical training rotation during SET1, SET2, SET3, SET5 and SET6 and must be signed by the surgical supervisor as an accurate record. The logbook summary is used to determine whether the performance standards for operative experience have been obtained.
The Board has introduced workplace core and elective competency assessment forms as a mechanism for the continuous assessment of the suitability and progression of trainees. The competencies are focused on the assessment of skills that a generalist, undifferentiated neurosurgeon should possess and test the workplace application of the necessary knowledge, skills and behaviours. The trainee and the supervisor or nominee must have a performance assessment meeting to discuss the workplace competency assessment form. The supervisor, after direct observation of the trainee, is required to sign off that the required standard of competence has been achieved. The trainee will be responsible for ensuring that the satisfactorily completed workplace competency assessment form is submitted to the Board within two weeks of completion and must retain a copy for their records. The requirements and performance standards for the workplace competency assessments require a set cumulative total to of core competencies to be completed by the end of each year and two elective competencies in the final year. The competencies can be completed at an earlier time if desired.
- Performing a neurologic examination
- Surgery for chronic subdural haematoma
- Peri operative care (including complications)
- Acute trauma craniotomy
- Extra axial tumour including venous sinus or skull base
- Tumour - Intra axial tumour, glioma or metastasis
- Shunt surgery and ventricular drainage
- Carpal Tunnel and peripheral nerve surgery
- Lumbar Spine Surgery (discectomy and laminectomy)
- Cervical Spine Surgery (discectomy and fusion)
- Posterior Fossa Tumour / Chiari
- Surgery for uncomplicated anterior circulation aneurysm
- Lumbar fusion
- Intraventricular tumour
- Acoustic neuroma
- Pituitary surgery
- Functional Stereotaxy
- Intradural spinal tumour
- Surgery for AVM's
- Temporal lobectomy for epilepsy
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