Specialty training program guides

These guides are designed to help doctors who are starting to think about which specialty training pathway to follow. They provide an overview of the training program for different specialties, with some tips on preparing your application from the relevant college.
To practise as a cardiothoracic surgeon in Australia and Aotearoa New Zealand you will need to complete the Surgical Education and Training (SET) through the Royal Australasian College of Surgeons (RACS), followed by specialist training program through the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS).
This overview, drawn from the ANZSCTS website and other sources (current as of February 2026), may assist doctors considering specialist training as a physician.
For further information and full details on how to apply see the ANZSCTS website.
Specialty overview | Training |
| Cardiothoracic surgeons diagnose, treat and surgically manage diseases of the heart, lungs, oesophagus and great vessels through complex operative procedures and multidisciplinary patient care. | Duration: 6 years full-time, following completion of GSSE and prerequisite clinical experience |
| Number of registered cardiothoracic surgeons¹: 214 | Number of trainees²: Between 6-9 trainees selected annually; approx 40-50 trainees currently in the program |
| Typical day: Complex surgical procedures, ward rounds, ICU management, multidisciplinary meetings, outpatient consultations | Selection process: CV and procedural skills logbook, competency assessment from supervisors, face-to-face semi-structured interviews. Registration typically opens in January and closes at end of January. Applications close in March, with interviews held in June. |
| Work settings: Major metropolitan hospitals, tertiary referral centres, intensive care units, private consulting rooms | Salary while training3: ~ $110,000-$140,000 for early registrar years, progressing to $140,000-$165,000 in senior registrar years |
| College: Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) | Training program cost: Allow $40,000-$60,000 over 6-year period to cover Ahpra registration, RACS & ANZSCTS membership, mandatory courses, examination fees and training resources |
Is cardiothoracic surgery for you?
Best suited to doctors who:
- Enjoy complex operative work, acute decision-making and working within multidisciplinary teams
- Are motivated by caring for critically ill patients and managing perioperative ICU care
- Have strong technical skills and are interested in advanced surgical techniques including minimally invasive approaches
- Are committed to a demanding specialty requiring long training and high levels of responsibility
“'Surgical specialties are best suited to hard working people who like to see acute change and enjoy a fast-paced environment. They usually enjoy working longer than average hours and see it is a privilege.” Avant member
Training program structure
- Six-year structured program (SET 1-6): Apprenticeship-style training in accredited cardiothoracic units with progressive responsibility
- Bi-national rotations: Trainees must be prepared to train in either Australia or Aotearoa New Zealand to maximise breadth of experience
- Supervision: Trainees work under supervision of experienced cardiothoracic surgeons in tertiary referral centres
- Regular assessments: In-training assessments, workplace-based assessments, supervisor reports, and procedural logbooks documenting minimum operative experience requirements
- Mid-training examination: Written examination testing surgical anatomy, pathology and clinical decision-making
- Final fellowship examination: Clinical examination with four clinical cases, history and physical examination, plus three 40-minute viva-type stations presenting operative surgical and clinical scenarios
Entry criteria
Eligibility: MBBS or equivalent medical degree with general medical registration. Completion of PGY2, Completion of required surgical rotations, including minimum 6 months cardiothoracic term. Successful completion of the Generic Surgical Sciences Examination (GSSE). Australian citizen, permanent resident or eligible visa holder.
- Applications are managed through RACS and USANZ for a structured, transparent and objective process
- Selection is based on three components:
- Structured CV plus procedural skills logbook (20%): Scoring of academic achievements, surgical experience, courses and research
- Unit-based competency assessment (20%): Assessment from supervisors on clinical competence and surgical skills
- Semi-structured interview (60%): Interview assesses clinical knowledge, decision-making, professional attributes and commitment to specialty
- Structured referee checks conducted for shortlisted candidates
- Aboriginal and Torres Strait Islander selection initiative available
Top application tips
- Start early: Map out required rotations and skills well in advance of application. The specialty is highly competitive with limited training positions.
- Undertake required rotations: Complete all required surgical rotations including a cardiothoracic term (minimum 6 months at PGY3 or above). Ensure rotations are in appropriate accredited units.
- Build your CV: Engage in relevant research, audit projects, publications and presentations. Complete relevant courses that are mandatory for training. Avant Foundation Member Grants are open to all Avant members, with a special focus on supporting research projects from early career doctors.
- Seek mentorship: Connect with cardiothoracic consultants and engage with ANZSCTS trainee resources and meetings. Attending the annual scientific meeting is valuable. See the Avant article - What to look for in a mentor.
- Prepare for the interview: The semi-structured interview carries 60% weighting in selection. Practice discussing clinical scenarios and demonstrating your commitment to the specialty. See the Avant article - Mastering your medical college interview.
Lifestyle considerations
⏰Hours: Very demanding with long operative cases, intensive care commitments and significant on-call responsibilities. Emergency cases can occur any time. Training years particularly intensive.
📍Location flexibility: Limited to major metropolitan centres and tertiary referral hospitals. Training requires annual rotations potentially across both Australia and Aotearoa New Zealand.
💼Private practice potential: High earning potential post-fellowship, with many surgeons combining public hospital sessions with private practice. One of the highest-paid surgical specialties.
References:
1- Medical Board of Australia, Registration data, September 2025
2- Based on RACS selection data for SET Cardiothoracic Surgery program, 2019-2025
3- Based on surgical registrar salary ranges across Australian states, 2025. Salaries vary by state/territory, hospital, and experience level. These figures represent base salary and do not include overtime, penalties, or allowances which can significantly increase total remuneration.
To practise as a specialist general practitioner (GP) you will need to complete a training program through the Royal Australian College of General Practice (RACGP) or Australian College of Rural and Remote Medicine (ACRRM).
Avant has collaborated with the RACGP to provide this overview to assist doctors considering training to be a GP - this information is correct as of February 2026.
For further information and full details on how to apply see racgp.org.au/education/gp-training
Specialty overview | Training |
| GPs provide comprehensive, continuous healthcare to patients across all ages and conditions. GPs are often the first point of contact for patients, coordinating care across the healthcare system. | Duration: 3-4 years (the first year of GP training is hospital based and can be your PGY2 year). |
| Number of registered GPs1: 36,726 | Number of trainees2: RACGP AGPT Program allocated 1,600+ places in 2026 |
| Typical day: Patient consultations, chronic disease management, preventive care, minor procedures, referrals to specialists and allied health services, managing patient records, patient advocacy. | Application process: Complete an RACGP application form during the application period (typically March-April). Sit an online national entry assessment. |
| Work settings: Private practice, community health centres, hospitals, Aboriginal Medical Services, telehealth, rural/remote clinics. | Salary while training3: Approximately $97-109k for PGY3-4, progressing to $116k in PGY5-6 |
| College: Royal Australian College of General Practitioners (RACGP) | Training program cost: AGPT training fees paid by Australian Government. Allow $18-20k over 3-4 year period for Ahpra registration, RACGP membership and exam fees. |
Is general practice for you?
Best suited to doctors who:
- Enjoy variety – different types of patients, conditions and life stages
- Prefer to consider holistic, whole-person care rather than focusing on a specific clinical condition
- Value continuity of care and long-term relationships with patients
- Are interested in the option to pursue special interests (eg, sports medicine, women’s health, paediatrics, skin cancer, mental health, health education)
“GPs need to be kind, insightful and humane as well as have a firm foundation in diagnosis and disease management." Avant GP member
Training program structure
- Apprenticeship-style learning in an accredited general practice
- Progressive assessments throughout training
- Fellowship exam
Entry criteria
Eligibility: MBBS or equivalent medical degree, general medical registration. Australian or New Zealand citizen, permanent resident or eligible visa holder.
- Expression of interest via RACGP website
- Submit online application, nominating preferred training region and general or rural pathway
- Online assessment comprising a situational judgement (Casper) test. This test is designed to measure key competencies that are essential when practicing as a GP: collaboration, communication, empathy, fairness, ethics, self-awareness, resilience, problem-solving, motivation.
- Applicants are ranked based on their application, nominated training pathway preferences and performance in the online assessment. Offers are allocated based on this ranking.
- Priority preferencing opportunities may also apply.
Top application tips
RACGP has provided the following tips for applicants:
- Get in touch with the college early – you can apply as early as intern year, before you have completed all your hospital rotations.
- Attend info sessions - RACGP offers webinars and resources to help you understand the program and prepare your application. The college also has a dedicated team to support you throughout the process.
- Subscribe to the RACGP mailing list to stay connected and informed.
- Keep records – statements of service and end-of-term reports demonstrate you have completed mandatory hospital requirements.
- Complete a broad range of hospital rotations – it’s important to get exposure to a set list of clinical experiences (e.g. undifferentiated patient care, peri-operative/procedural care).
- Join the Future General Practitioner (FGP) network.
Lifestyle considerations
⏰ Hours: Significant flexibility in determining your working hours. When you choose to work can vary depending on your practice setting, location and personal preferences.
🌙 On-call: Varies according to where you work and the type of setting. Typically, highly flexible options are available.
📍 Location flexibility: Excellent - metro, regional, rural options available.
💼 Private practice potential: High - GPs have significant choice around working in private, mixed billing or bulk-billing practices.
Source:
1. Medical Board of Australia, Registration data, September 2025
2. RACGP, February 2026
3. GP trainees (registrars) are paid according to the National Terms and Conditions for the Employment of Registrars (NTCER). There are various government incentives available for trainees who work in rural and remote areas. Base rates of pay for GP registrars | GPRA.
To practice as an ophthalmologist in Australia and Aotearoa New Zealand you will need to complete a specialist training program through the Royal Australian and New Zealand College of Ophthalmologists (RANZCO).
Avant has collaborated with RANZCO to provide this overview to assist doctors considering specialist training in ophthalmology - this information is current as of February 2026.
For further information and full details on how to apply, see the RANZCO website.
Specialty overview | Training |
| Ophthalmologists diagnose and treat eye diseases and vision disorders through medical management, laser procedures and surgery. They provide comprehensive eye care from routine examinations to complex surgical interventions. | Duration: 5 years |
| Number of registered ophthalmologists1: 1,117 | Number of trainees2: 35-40 training positions annually |
| Typical day: Outpatient consultations, surgical lists (cataract, retinal, glaucoma procedures), laser treatments, emergency eye assessments, post-operative reviews | Selection process: Main annual intake in February. Applications open in February for intake into the next clinical year. Short-listing managed through RANZCO centrally, with hospital networks undertaking a second local selection process. Final selection in late July, with successful applicants matched by RANZCO based on the networks’ short-listed candidates and the applicants’ preferences. |
| Work settings: Private consulting rooms, public/private hospitals, day surgery centres, emergency departments, academic institutions, teleophthalmology services | Salary while training3: ~ $110,000-$137,000 for Year 1-2 trainees, progressing to $150,000-$180,000 in Year 5 (varies by state/territory). Excludes overtime and penalty rates, loadings and on-call allowances. |
| College: Royal Australian and New Zealand College of Ophthalmologists (RANZCO) | Training program cost: Allow $50-$60k over a 5-year period to cover Ahpra registration, RANZCO membership, courses and exam fees. Check RANZCO site for further details as these fees are subject to change. https://ranzco.edu/vtp/trainee-fees/ |
Is ophthalmology for you?
Best suited to doctors who:
- Have excellent manual dexterity, spatial awareness and attention to fine technical detail.
- Enjoy combining medical management with microsurgical skills and procedural expertise in an operating theatre.
- Appreciate working across all age groups from premature infants to elderly patients.
- Value immediate, demonstrable outcomes from surgical interventions that significantly improve quality of life.
“Overall, a combination of technical skill and patient-focused care best suits doctors who specialise in ophthalmology.” Avant ophthalmologist member
Training program structure
- Basic Training (2 years) - during which trainees must demonstrate integrated foundational clinical skills and knowledge in the Ophthalmic Sciences (OS) and the Ophthalmic Basic Competencies and Knowledge (OBCK).
- Advanced Training (2 years) - during which trainees are expected to demonstrate integrated knowledge, clinical and surgical skills in specific areas of practice as documented in the clinical standards.
- Final Year Training (1 year) – during which the trainee develops their specialist experience in preparation for specialist qualification and learns how to function in the community as an independent general ophthalmologist.
- Supervision: Registrars work under the supervision of consultant ophthalmologists in hospital and clinical settings.
- Education: Trainees complete RANZCO's structured vocational training program, including courses and workshops.
- Assessments: Written exams, clinical exams, surgical assessments and workplace-based assessments.
Selection process
Eligibility: MBBS or equivalent medical degree, completed a minimum of two years FTE post-graduate pre-vocational training, and hold general medical registration. Australian or New Zealand citizen, permanent resident or eligible visa holder.
Step 1: A competitive national selection process managed centrally by RANZCO.
- Applicant submits CV, academic transcript, referee details, supporting documentation and an expression of interest for preferred training network(s).
- All applicants are invited to participate in multiple mini interviews designed to evaluate professional capabilities such as communication, cooperation, professionalism, management and health advocacy.
- Selection Panel members score applicants and RANZCO creates a centralised pool of short-listed candidates.
Step 2: Individual Training Networks in Australia and New Zealand undertake a local selection process, short-listing applicants for their training program.
- Applicants reviewed and selected to attend a local network interview.
- Final match based on network short-lists and candidates’ preferences is taken out by the National Ophthalmology Matching Program (NOMP) Coordinator.
- Successful candidate/s offered employment in a network training post.
Top application tips
RANZCO has provided the following tips for applicants:
- Undertake your PGY1 and/or PGY2 years at a hospital with an ophthalmology department in which you may be interested in pursuing a Non-Training Registrar (NTR) position (if feasible). Taking the initiative to get to know the team, assisting in clinics during spare time, or securing a House Officer rotation in ophthalmology can significantly increase your exposure to the specialty and training environment.
- Get involved in research as a medical student, with the aim to present your work at conferences if possible. This can be an effective way to develop your academic profile while also meeting ophthalmologists and identifying potential mentors. Reaching out directly to Ophthalmology departments regarding research opportunities may be helpful. Avant Foundation Member Grants are open to all Avant members, with a special focus on supporting research projects from early career doctors.
- Develop strong surgical skills and seek opportunities to observe or assist in theatre.
- Attend RANZCO conferences and education events to network with trainees and consultants.
- Seek mentorship from ophthalmologists to gain insight into the specialty and application process. See the Avant article - What to look for in a mentor.
- Regularly review the Vocational Training Program selection criteria published each year on the RANZCO website, as requirements may change over time. This can help guide career planning and ensure you are working towards the most up-to-date expectations.
Lifestyle considerations
⏰ Hours: Generally regular business hours with scheduled operating lists. Emergency on-call can require after-hours attendance for eye trauma and acute conditions.
📍 Location flexibility: Predominantly metro and larger regional centres with operating facilities. Limited rural opportunities. Some outreach clinic models are available in partnership arrangements.
💼 Private practice potential: Very high - many ophthalmologists establish private practices. Significant procedural income from surgical work. Requires investment in specialised equipment and facilities.
References:
1. Medical Board of Australia, Registration data, September 2025
2. Number of trainees: Statistics_2017-to-2025_for-publication.docx
3. Australian salary data based on Medical Practitioners Award MA000031 (effective November 2025) and state health department enterprise agreements. These figures represent base salary and do not include overtime, penalties or allowances which can significantly increase total remuneration. Figures include superannuation.
4. Training program costs: RANZCO VTP Fee Information FAQ: https://ranzco.edu/home/future-ophthalmologists/vocational-training-program/trainee-fees/vtp-fee-information-faq/
To practice as an orthopaedic surgeon in Australia you will need to complete a training program through the Royal Australasian College of Surgeons (RACS) followed by specialist training through the Australian Orthopaedic Association (AOA).
Avant has collaborated with AOA to provide this overview to assist doctors considering specialist training in orthopaedic surgery - information is current as of February 2026.
For further information and full details on how to apply see the AOA website.
Specialty overview | Training |
| Orthopaedic surgeons diagnose, treat and surgically manage conditions affecting the musculoskeletal system including bones, joints, ligaments, tendons, muscles and nerves across all ages. | Selection: Registration opens in January (closes end of January). Applications open in February (close varies by year). Multiple assessment stages including OMCQ test, interviews and referee reports. |
| Number of registered orthopaedic surgeons¹: ~ 1,800 in Australia | Number of trainees²: ~ 50-60 trainees selected annually; ~ 250-300 trainees currently in the program |
| Typical day: Operating theatre sessions, outpatient consultations, ward rounds, trauma management, multidisciplinary meetings | Duration: 5-9 years (competency-based rather than time-based) |
| Work settings: Public and private hospitals, day surgery centres, private consulting rooms, regional and rural centres | Salary while training3: ~ $110,000-$140,000 for early registrar years, progressing to $140,000-$165,000 in senior registrar years |
| College: Royal Australasian College of Surgeons (RACS) and Australian Orthopaedic Association (AOA) | Training program cost: Allow $40,000-$60,000 over 5-year period to cover Ahpra registration, RACS and AOA membership, mandatory courses, examination fees and training resources |
Is orthopaedic surgery for you?
Best suited to doctors who:
- Enjoy combining technical surgical skills with problem-solving and patient-centred care.
- Are interested in treating diverse conditions from trauma to degenerative disease.
- Value both immediate surgical outcomes and long-term rehabilitation and patient relationships.
- Have strong manual dexterity and spatial awareness for complex operative procedures.
- Are prepared for physically demanding work including on-call commitments and trauma management.
“Confident types not averse to risk feel comfortable in emergency, orthopaedics and surgery specialities.” Avant member
Training program structure
- Three training stages:
- Introduction to Orthopaedics (~ 12-18 months)
- Core Orthopaedics (~ 36 months)
- Transition to Consultant Practice (~ 12 months)
- Rotations: Trainees rotate through accredited training posts, including rural placements to gain experience across subspecialties including trauma, arthroplasty, spine, paediatrics, hand, foot and ankle, and sports surgery.
- Supervision and assessment: Regular workplace-based assessments, supervisor reports and competency evaluations throughout training.
- Educational program: Bone School national education program with weekly lectures, tutorials and exam preparation across six training regions.
- Fellowship examination: Comprehensive examination testing clinical knowledge, surgical skills and decision-making for FRACS(Orth) qualification.
- Flexible training options: Trainees can request interruptions for family, research or other reasons (6-12 months or longer on case-by-case basis).
Selection process
Eligibility: MBBS or equivalent medical degree with general medical registration with the Medical Board of Australia. Completion of PGY2. Australian citizen, New Zealand citizen or permanent resident of Australia.
- GSSE: completion of the Generic Surgical Sciences Examination is a mandatory prerequisite for entrance into surgical specialty training programs.
- Two-stage application process:
- Stage 1 - RACS registration: RACS assesses generic eligibility requirements common across all surgical specialties
- Stage 2 - AOA application: Selection regulations are updated annually and available on the AOA website.
- Selection is based on:
- Structured CV scoring (academic achievements, research, courses, experience)
- Performance in Orthopaedic multiple-choice question (OMCQ) test
- Referee reports from orthopaedic and non-orthopaedic colleagues
- Semi-structured panel interviews held regionally
- Departmental referee reports from training sites
- Rural equity considerations and community service components are included (unscored but used for final review when applicants are statistically equivalent)
Top application tips
AOA has provided these tips for applicants
- Start planning early: Review RACS requirements for registration and selection. Map out required orthopaedic rotations to ensure you complete at least 26 weeks at PGY3 or higher.
- Understand the foundational competencies: teamwork, communication, professionalism, ethics, health advocacy and leadership.
- Subscribe to JDocs for a Framework that describes the tasks, skills and behaviours expected of doctors a career in surgery.
- Find a mentor: Seek support and guidance from a consultant surgeon or current orthopaedic trainee who can advise you through your PGY 1-3 years and the application process. See the Avant article - What to look for in a mentor.
- Build referee relationships: The AOA collects referee reports from each site where you've worked in the previous two years, including with non-orthopaedic colleagues. Treat every rotation as an opportunity to demonstrate your capabilities.
- Attend AOA meetings: Consider attending local AOA branch scientific meetings and the national AOA Annual Scientific Meeting to network and learn from leading surgeons. These events provide opportunities to meet AOA staff and committee members.
- Engage in research: If you have the opportunity, participate in research projects. This strengthens your application and develops critical thinking skills. Avant Foundation Member Grants are open to all Avant members, with a special focus on supporting research projects from early career doctors.
- Consider rural pathways: Rural exposure and experience is valued in selection. Additional points are awarded for rural education, rural origin and rural surgical experience.
Lifestyle considerations
⏰Hours: Demanding with long operative lists, regular on-call commitments and trauma responsibilities. Work-life balance possible but requires planning, particularly with children during training years.
📍Location flexibility: Excellent opportunities in metropolitan, regional and rural areas across Australia. Training rotations occur across multiple sites. Strong need for orthopaedic surgeons in rural communities.
💼Private practice potential: Very high potential with many orthopaedic surgeons combining public hospital sessions with private practice. Strong earning potential post-fellowship in both public and private sectors.
References:
1. Medical Board of Australia, Registration data, September 2025
2. Based on RACS and AOA selection data, 2019-2025. Annual intake ranges from 42-61 trainees depending on available accredited training posts.
3. Based on surgical registrar salary ranges across Australian states, 2025. Salaries vary by state/territory, hospital and experience level. These figures represent base salary and do not include overtime, penalties or allowances which can significantly increase total remuneration.
To practice as a physician in Australia and Aotearoa New Zealand in one of 33 diverse medical specialties you will need to complete a specialist training program through the Royal Australasian College of Physicians (RACP).
This overview, drawn from RACP's website and other sources (current as of February 2026), may assist doctors considering specialist training as a physician.
For further information and full details on how to apply see the RACP website.
| Specialty overview | Training |
| Physicians perform a unique and vital role in healthcare communities across Australia and Aotearoa New Zealand in 33 diverse specialties. | Duration: Basic Training: 3 years Advanced Training: 2-5 years Typically total of 5-7 years |
| Number of registered physicians1: ~30,000 | Number of trainees2: ~ 9,000 |
| Typical day: Patient consultations and ward rounds, diagnostic assessments, treatment planning, multidisciplinary team meetings, procedures | Application process: Basic Training applications are managed through accredited hospitals. Advanced Training applications vary by specialty. |
| Work settings: Public/private hospitals, community health centres, private consulting rooms, academic institutions, research facilities, public health agencies | Salary while training3: Australia: ~ $85-110k for PGY3-4 (registrar year 1-2), progressing to $140-180k in PGY7-8 (senior registrar) |
| College: Royal Australasian College of Physicians (RACP) | Training program cost: Allow $30-50k over training period to cover Ahpra registration, RACP membership, courses and exam fees. |
Is physician training for you?
Best suited to doctors who:
- Value diagnostic reasoning, problem-solving and application of evidence-based medicine.
- Are interested in managing complex medical conditions across diverse patient populations.
- Enjoy working collaboratively in multidisciplinary teams with allied health and nursing.
- Want flexibility to choose from 33 diverse specialty pathways across medicine.
"Specialist physicians require the ability for in-depth knowledge of their area and be able to tailor and individualise treatment to the specific patient." Avant physician member
Training program structure
- Basic Training (3 years): Trainees work as registrars in accredited hospitals under supervision, completing rotations in either Adult Internal Medicine OR Paediatrics & Child Health.
- Advanced Training (3-5 years): Focused training in chosen specialty with continued supervised clinical practice across 33 specialty pathways. Faculty and Chapter trainees can enter these programs without completing Basic Training.
- Rotations: Trainees must rotate through multiple accredited sites throughout their training to gain diverse experience.
- Supervision and assessment: Directors of Education, Supervisors monitor and assess trainee performance in the workplace.
- Examinations: Divisional written and Clinical examinations occur in Basic Training. Faculty and Chapter programs have their own examinations.
- Workplace-based assessments: Regular work-based assessment of competencies throughout training are used to gather information for decision-making regarding training progression.
- Continuing Professional Development: Following Fellowship, physicians engage in CPD to maintain clinical skills and knowledge.
Specialty pathways available through:
Division programs in 23 specialties, including: cardiology, endocrinology, gastroenterology, general paediatrics, neurology, respiratory medicine, rheumatology.
Joint Training programs, multi-college qualifications encompassing: endocrinology & chemical pathology, haematology, immunology & allergy, infectious diseases & microbiology, paediatric emergency medicine.
Chapter programs: addiction medicine, palliative medicine and sexual health medicine.
Faculty programs: rehabilitation medicine, occupational and environmental medicine, public health medicine.
Entry criteria
Eligibility: MBBS or equivalent medical degree accredited by AMC or MCNZ. General medical registration with the Medical Board of Australia or MCNZ. Satisfactorily completed at least intern year (PGY1).
- For Basic Training:
- Secure employment at an accredited hospital
- Obtain approval from the site Director of Physician Education (DPE)
- Submit application to RACP
- For Advanced Training (varies by specialty):
- Employed by an accredited hospital
- Applications assessed on academic record, clinical experience, research activities and demonstrated commitment to the specialty
- Interview process for most specialties evaluating clinical knowledge, communication skills and professional attributes
- Some programs use competitive selection processes with structured scoring criteria
- Selection timelines and processes vary by specialty – check specific requirements early
Top application tips
RACP have provided these tips for applicants:
- Research your specialty of interest early – understand the training requirements, career opportunities and lifestyle considerations for your chosen pathway.
- Contact the Director of Physician Education (DPE) at accredited hospitals to discuss Basic Training application requirements and approval processes.
- Plan your training pathway carefully – some specialties have specific prerequisites or joint training requirements that require early planning.
- Gain relevant clinical experience during your intern and resident years in your area of interest to strengthen your application.
- Learn about the college's professional standards – consider how to demonstrate you embody these attributes in your application and interview.
- Network with current trainees and Fellows to gain insights into the training program and specialty, and to understand what selection panels value.
- Understand what interview panels are looking for – candidates who show they are keen to learn and can quickly become useful team members are viewed favourably. See the Avant article - Mastering your medical college interview.
Lifestyle considerations
⏰Hours: Varies significantly by specialty. Hospital-based physicians work shift patterns with on-call requirements. Private practice offers more regular hours.
📍Location flexibility: Good opportunities in metropolitan and regional centres for most specialties. Some subspecialties concentrated in major tertiary centres.
💼Private practice potential: Many specialties have strong private practice opportunities, particularly cardiology, gastroenterology, respiratory medicine and paediatrics. Mixed public/private arrangements common.
References:
1. Medical Board of Australia [to be confirmed with RACP]
2. Based on RACP data, approximate figures for annual examination candidates. Total trainee numbers to be confirmed.
3. Australian salary data based on Medical Practitioners Award MA000031 (effective November 2025) and state health department rates. Salaries vary by experience, specialty, district health board and average rostered hours. Base salaries plus penalties, allowances and overtime. Figures include superannuation (11% in Australia as of 2025).
To practice as a psychiatrist in Australia and Aotearoa New Zealand you will need to complete a specialist training program through the Royal Australian and New Zealand College of Psychiatrists (RANZCP).
Avant has collaborated with RANZCP to provide this overview to assist doctors considering specialist training in psychiatry. The information is correct as of February 2026.
For further information and full details on how to apply see the RANZCP website.
Specialty overview | Training |
| Psychiatrists diagnose and treat mental health disorders through assessment, psychotherapy, medication management and coordinated care. They manage both acute psychiatric crises and provide long-term mental health support. | Duration: 5 years+ |
| Number of registered psychiatrists1: 5,095 | Number of trainees2: Approximately 450 trainees joined the training program in 2025 |
| Typical day: Patient consultations, mental state assessments, medication reviews, psychotherapy sessions, case conferences, liaison with multidisciplinary teams. | Application process: Main intake February, with mid-year intake in August/September. Applications are managed by Branch Training Committees in each state/territory and New Zealand. Timelines vary by jurisdiction. |
| Work settings: Public hospitals, private psychiatric facilities community mental health services, private consulting rooms, forensic settings, correctional facilities, telehealth. | Salary while training3: Australia: Approximately $100,000-$137,000* for PGY3-4 (Registrar Year 1-2), progressing to $150,000-$180,000* in PGY7-8 (Registrar Year 5-6 / Senior Registrar) * Based on publicly available data |
| College: Royal Australian and New Zealand College of Psychiatrists (RANZCP) | Training program cost: Allow $25-50k over 5-year period to cover Ahpra registration, RANZCP membership, courses and exam fees. |
Is psychiatry for you?
Best suited to doctors who:
- Value biopsychosocial approaches integrating medical, psychological and social perspectives in care.
- Enjoy deep, therapeutic relationships and exploring psychological aspects of illness and wellbeing.
- Are comfortable managing complexity, uncertainty and patients with chronic relapsing conditions.
- Have strong communication skills and patience for gradual progress in patient recovery.
- Are interested in diverse subspecialties like child/adolescent, addiction, forensic, or consultation-liaison psychiatry.
“Excellent interpersonal skills, a genuine interest in people and the human experience, and the capacity to try to tolerate uncertainty are essential for psychiatry.” Avant psychiatrist member
Training program structure
- Three stages
- Stage 1 (12 months): Foundational psychiatry skills
- Stage 2 (24 months): Broader clinical experience
- Stage 3 (24 months): Advanced practice and optional sub-specialisation
- Supervision: psychiatry registrars work under the supervision of experienced psychiatrists in hospitals and clinics.
- Education: All trainees must be enrolled in an RANZCP approved formal education course.
- Assessments: Written exams, clinical exams, and workplace-based assessments
Selection process
Eligibility: MBBS or equivalent medical degree, completed two years (FTE) of general medical training, hold general medical registration. Australian or New Zealand citizen, permanent resident or eligible visa holder.
- Applications are managed by Branch Training Committees in each state/territory and New Zealand – check eligibility requirements and application timelines for your jurisdiction.
- Submit a CV and cover letter to your chosen program. You can apply to multiple programs.
- Short-listed applicants are invited to attend a face-face interview.
- The selection criteria for the training program considers the applicant’s academic record, references, work experience and interview performance.
Top application tips
RANZCP has provided these tips for applicants:
- Learn more about the specialty by joining the free Psychiatry Interest Forum (PIF) – a great program offering scholarships to events, career guidance with psychiatrists and trainees, and resources.
- Connect with your university’s psychiatry student society and or any medical student society that may host psychiatry career events.
- Complete a clinical rotation in psychiatry to gain first-hand experience.
- Speak with current trainees and consultants to learn more about the specialty.
- Support options are available to help trainees on the pathway to Fellowship.
Lifestyle considerations
⏰ Hours: In many settings (outpatient, private clinic) psychiatrists generally work regular business hours; hospital roles may include evening clinics and weekend work.
📍 Location flexibility: Significant workforce shortage enables strong career mobility with good opportunities in metro, regional and rural areas. Plus telehealth options.
💼 Private practice potential: Many psychiatrists work in private consulting rooms or mixed public/private arrangements. Strong earning potential with lower capital investment requirements compared to other specialties.
References:
1. Medical Board of Australia, Registration data, September 2025
2. Number of trainees, RANZCP Fellowship Training Program: https://www.ranzcp.org/training-exams-and-assessments/fellowship-program/program-overview
3. Salary data based on Medical Practitioners Award MA000031 (effective November 2025) and state health department enterprise agreements. These figures represent base salary and do not include overtime, penalties or allowances which can significantly increase total remuneration. Figures include superannuation (11% in Australia as of 2025).
To practice as a clinical radiologist or radiation oncologist you will need to complete a specialist training program through the Royal Australian and New Zealand College of Radiologists (RANZCR).
Avant has collaborated with RANZCR to provide this overview to assist doctors considering specialist training in radiology. Information is correct as at February 2026.
For further information and full details on how to apply see the RANZCR website.
Specialty overview | Training |
| Clinical radiology and radiation oncology are dynamic, evolving specialties that combine cutting-edge technology with clinical expertise to diagnose and treat a wide range of medical conditions. | Duration: Clinical radiology – 5 years Radiation oncology – 4-5 years |
| Number of registered radiologists1: Clinical radiologists ~3,000 Radiation oncologists ~600 | Number of trainees2: 150 trainees joined a training program in 2025 (800 currently in training across all years) |
| Typical day: Clinical radiologist: interpreting and reporting imaging studies across multiple modalities, consulting with referrers and multidisciplinary teams, performing image-guided procedures, supervising trainees, ensuring diagnostic quality and patient safety. Radiation oncologist: seeing new and returning cancer patients, participating in multidisciplinary meetings, planning and approving complex radiotherapy treatments, managing treatment side effects, supervising trainees within a highly technical, team-based clinical environment. | Application process: First round applications typically close in February, with a second round in September |
| Work settings: Private radiology and radiation oncology practices, public hospitals, teleradiology services, subspecialty referral centres, academic/teaching institutions | Salary while training3: Approximately $76-95k for PGY3-4, progressing to $140-190k in PGY7-8 |
College: Royal Australian and New Zealand College of Radiologists (RANZCR) | Training program cost: Allow $30-50k over 5-year period to cover Ahpra registration, RANZCR membership, courses and exam fees. |
Is radiology for you?
Best suited to doctors who:
- Enjoy diagnostic pattern recognition and using state-of-the-art technology.
- Value intellectual challenge of problem-solving through image interpretation in correlation with clinical information.
- Enjoy working in a collaborative consultant role rather than as the primary clinician.
- Able to communicate clearly and work well under pressure.
- Interested in developing subspecialty expertise (eg, neuroradiology, musculoskeletal, interventional radiology, cardiac imaging).
“[Traits or characteristics that best suit] pathology/radiology: Detail orientation, pattern recognition, and preference for analytical rather than procedural work.” Avant member
Is radiation oncology for you?
Best suited to doctors who:
- Enjoy combining cutting-edge technology with long-term, patient-centred cancer care.
- Like precision, planning, and making careful, high-stakes decisions.
- Value teamwork and thrive in multidisciplinary environments.
- Are comfortable managing complex information and ongoing treatment side effects.
- Want a specialty that balances intellectual challenge with meaningful patient relationships.
Training program structure
- Clinical Radiology:
- Phase 1: foundation and skills (minimum 12 months / maximum 24 months)
- Phase 2: develop abilities and skills (minimum 48 months / maximum 60 months from commencing training)
- Phase 3: consolidate skills and focus on areas of interest (four 3-month sub-speciality rotations)
- Radiation Oncology:
- Phase 1: foundation and skills (minimum 18 months / maximum 30 months)
- Phase 2: develop abilities and skills (maximum 36 months)
- Trainees work under experienced radiologists or radiation oncologists in accredited hospitals and need to rotate through a number of sites throughout their training.
- Directors of Training, Clinical Supervisors and other members of multidisciplinary clinical teams at each site will assess trainee performance.
- Exams occur at the completion of each phase of training.
Selection process
Eligibility: MBBS or equivalent medical degree, completed at least two full years in an approved hospital as an intern or resident, hold general medical registration. Australian or New Zealand citizen, permanent resident or eligible visa holder.
Applications are scored and ranked on the following domains:
- Clinical rotations in radiation or radiation oncology, and demonstrated commitment to the discipline (eg, research, teaching, experience as an unaccredited registrar).
- Positive personal attributes demonstrated through extra-curricular activities or personal experiences.
- Academic achievement
- Scholar/research
- Regionality – educated or employed in a regional/rural area.
Shortlisted individuals are invited to a face-to-face interview.
Top application tips
- Register with RANZCR before applying to any accredited training position. They will issue a College Registration Verification Number (CRVN) to confirm you meet the minimum eligibility requirements for entry into a training program.
- Learn about the college’s values and direction – and consider how to demonstrate you embody these attributes.
- Understand what interview panels are looking for – candidates who show they are keen to learn and can quickly become useful team members are viewed favourably. These individuals are not necessarily those who already know the most. See the Avant article - Mastering your medical college interview.
Lifestyle considerations
⏰ Hours: Generally regular business hours in private practice; hospital-based radiologists may have extended hours. Shift work common in larger departments.
📍 Location flexibility: Predominantly metro/larger regional centres where imaging infrastructure exists. Teleradiology enables some remote work, but training and most positions concentrated in major cities.
💼 Private practice potential: many radiologists work in private radiology groups or mixed public/private arrangements. Strong earning potential, though significant capital investment required for equipment. Corporate radiology groups increasingly common.
1 Medical Board of Australia, Registration data, September 2025
2 RANZCR
3 Radiologist Salary & Career Guide | AHP Medical, https://www.charterhousemedical.com/blog/2025/11/2025-australia-radiology-salary
To practise as a urologist in Australia and Aotearoa New Zealand you will need to complete the Surgical Education and Training (SET) Program through the Royal Australasian College of Surgeons (RACS), which is administered by the Urological Society of Australia and New Zealand (USANZ).
Avant has collaborated with USANZ to provide this overview to assist doctors considering specialist training in urology - this information is current as of February 2026.
For further information and full details on how to apply see the USANZ website.
Specialty overview | Training |
| Urologists diagnose and treat disorders of the urinary tract and male reproductive system through medical management, minimally invasive procedures and open surgery. | Duration: Minimum 4 years and maximum, 8 years (avg duration 5 years). |
| Number of registered urologists¹: 524 | Number of trainees2: ~ 20 trainees selected annually; ~ 100 trainees currently in the program |
| Typical day: Outpatient consultations, surgical procedures, endoscopic interventions, ward rounds, multidisciplinary meetings | Application process: CV scoring, referee and face-to-face interviews. Registration for selection typically opens in January and closes at end of January. Applications open in February and close in March, with interviews held in June. |
| Work settings: Public and private hospitals, outpatient clinics, day surgery centres, private consulting rooms | Salary while training3: Approximately $115,000–$145,000 for registrar years, progressing to $150,000–$175,000 or above in senior registrar years. |
| College: Royal Australasian College of Surgeons (RACS) | Training program cost4: Allow $40,000-$60,000 over 5-year period to cover Ahpra registration, as well as fees for training, courses and meetings, examinations, resources and USANZ membership. |
Is urology for you?
Best suited to doctors who:
- Enjoy combining medical management with technical surgical and procedural skills.
- Are interested in diverse conditions across oncology, reconstruction, andrology and functional urology.
- Value long-term patient relationships as well as managing acute emergencies and chronic conditions.
- Have strong technical dexterity and are interested in endoscopic and robotic techniques.
- Can balance compassion with the demands of discussing sensitive urological and sexual health issues.
Training program structure
- Competency Based Training: Systematic progression through increasingly complex urological skills and subspecialty exposure.
- Supervision: Trainees work under supervision of experienced urologists in accredited training posts within hospitals across Australia and New Zealand.
- Rotations: Annual rotations through different accredited training posts to gain broad urological experience.
- Education: Mandatory attendance at educational activities, courses, USANZ Trainee Week and the annual USANZ Annual Scientific Meeting.
- Assessments: Workplace-based assessments, surgical logbook requirements, performance assessments, Entrustable Professional Activities (EPAs).
- Fellowship Examination: Comprehensive examination undertaken during Advanced Training.
Entry criteria
Eligibility: MBBS or equivalent medical degree with general (unconditional) medical registration. Successful completion of the Generic Surgical Sciences Examination (GSSE). Completion of clinical rotations: 26 weeks in Surgery in General rotations, 8 weeks in Emergency and 26 weeks in Urology. Australian citizen or permanent resident.
The selection process, undertaken by USANZ in a transparent and objective manner, is comprised of three tools, each contributing different weightings:
- Structured CV: A key component of the selection process and assesses achievements in defined areas including qualifications, publications, presentations, professional development activities, and rural/regional origin and experience.
- Referee interviews: Structured phone interviews with supervising consultants and allied health professionals to gather specific information about an applicant’s performance and readiness for surgical training. Further information about the referee interview process can be found in the Selection Regulations.
- Interviews with shortlisted applicants: Questions and scenarios to assess the attributes considered essential for entry into the SET Program in Urology. Includes role-play scenarios and complex clinical scenarios across four interview panels.
Each selection tool is weighted, with the applicant interview carrying the highest weighting.
Special initiatives cover both the Aboriginal and Torres Strait Islander selection pathway and the allocation of points for rural origin and rural experience.
Top application tips
USANZ has provided these tips for applicants:
- Plan ahead: Build your CV gradually and boost your application by engaging in diverse activities, including meaningful research contributions. Avant Foundation Member Grants are open to all Avant members, with a special focus on supporting research projects from early career doctors.
- Build clinical experience: Undertake relevant rotations and gain hands‑on exposure in both outpatient and procedural settings.
- Stay visible: Work closely with supervisors and allied health colleagues, ask for targeted feedback, and demonstrate your skills and competence consistently.
- Prepare for interviews: Interviews use real‑life and complex clinical scenarios, assessing conduct as well as clarity and structure of responses. Authentic, well‑prepared and well‑reasoned answers are key. See the Avant article - Mastering your medical college interview.
Lifestyle considerations
⏰Hours: Variable depending on practice setting. Public hospital urologists have regular operating lists and on-call commitments. Private practice offers more flexibility but includes after-hours emergencies and weekend ward rounds.
📍Location flexibility: Good opportunities in metropolitan and regional centres. Some rural positions available. Training rotations may require interstate relocation annually, though regional preferences can be indicated.
💼Private practice potential: High potential with many urologists combining public hospital sessions with private practice. Mixed billing common. Procedures-based specialty provides strong earning potential in private practice.
Sources:
1. Medical Board of Australia, Medical workforce quarterly data, September 2025. Available at: medicalboard.gov.au/News/Statistics.aspx
2. Figures confirmed by USANZ, 2025. www.usanz.org.au/educate-train/application-selection
3. Based on the Medical Practitioners Award [MA000031] (effective November 2025, Fair Work Ombudsman) and state/territory enterprise bargaining agreements. Figures represent annualised base salary only and do not include overtime, on-call allowances, or penalty rates, which can significantly increase total remuneration. Salaries vary by state/territory and employer.
4. Training program cost is an estimate based on: RACS SET training fees (surgeons.org/about-racs/college-fees), RACS examination fees, Ahpra annual registration fees (medicalboard.gov.au), and USANZ trainee membership fees (usanz.org.au/our-members/memberships/membership-fees). Individual fees vary and are subject to annual review. Mandatory course and conference costs are additional.
The information in this publication does not constitute legal, financial, medical or other professional advice and should not be relied upon as such. It is intended only to provide a summary and general overview on matters of interest and it is not intended to be comprehensive. Persons implementing any recommendations contained in this publication must exercise their own independent skill or judgement and seek appropriate professional advice relevant to their own particular circumstances. Compliance with any recommendations will not in any way guarantee discharge of the duty of care owed to patients and others coming into contact with the health professional or practice. Avant and its related entities are not responsible to any person for any loss suffered in connection with the use of this information. Information is only current at the date initially published.