Registered Users
Training
Operative Experience
Overview
The trainee must maintain an operative experience log of all procedures they participate in as part of the SET Program. As a minimum the operative experience log should include the operative date, patient name, patient identification, institution where the procedure is performed, pre-operative diagnosis, operative procedure performed and outcome. This detailed operative experience log is not submitted to the Board but must be reviewed by the supervisor.
Logbook Summary Requirement
A logbook summary, on the prescribed form, must be submitted at the end of each six month clinical training rotation during SET1, SET2, SET3, SET5 and SET6 and must be verified by the surgical supervisor as an accurate record of the more detailed logbook.
SET1 trainees must participate in a minimum of 75 major neurosurgical procedures or equivalent for each six months in clinical training rotations. SET2, SET3, SET5 and SET6 trainees must participate in a minimum of 100 major neurosurgical procedures for each six month clinical training rotation with the exception of a six month clinical rotation in paediatric neurosurgery only during which trainees must participate in a minimum of 75 major neurosurgical procedures. Prior to completion of SET6 trainees must participate in a minimum of 50 major paediatric neurosurgical procedures in positions accredited for paediatric neurosurgery.
Preparing the Logbook Summary
For each operative case where more than one surgical procedure is undertaken only one procedure may be recorded. For a procedure to be recorded the trainee must have been involved in the performance of the surgery and the pre and post operative management of the patient in the unit(s) in which the training position is located.
When completing the logbook summary the following classifications apply:
- Primary Surgeon is when the trainee performs all of the principal procedure (eg clipping the aneurysm, removing tumour, inserting both ends VP shunt). There may be an experienced assistant/supervisor scrubbed.
- Secondary Surgeon is when the trainee performs a significant part of the principal procedure (eg exposure of aneurysm, exposure and part resection of tumour, one end of VP shunt), or performs one of procedures classified as being performed by conjoint surgeons (eg performing laminectomy where conjoint surgeon performs fusion). This would be more than simple opening/closure of simple craniotomy/spinal cases.
- Assistant Surgeon includes basic opening/closure of a routine case performed by another surgeon and other standard surgical assistant tasks.
Forms and Further Deatils
Please refer to the Regulations for detailed information on the In Training Assessment Report requirement which can be downloaded below. From 2012 trainees will be required to use the online Web Logbook. Further details will be available in late January 2012. Quick reference guides for Trainees and Supervusors can be downloaded below.
Operative Logbook Summary Form
SET Program Regulations (existing structure)
SET Program Regulations (new structure for 2012 onwards only)