Supervisor's Agreement & Requirements

This agreement must be completed with the application for accreditation documents for a training unit by each AGES accredited training supervisor.

This online form will be automatically submitted to the AGES Secretariat.

AGES Training Supervisor's Agreement & Requirements

Position title
Training Supervisor of the AGES Accredited Training Program

Reports to
Training Director of the Accredited Training Program
Chair of the AGES Education Committee

Primary purpose of position
To oversee all aspects of training of a trainee or group of trainees, including ensuring they are provided with the practical instruction, ongoing support and appropriate assessment to enable them to meet the professional and educational requirements specified in the AGES Accredited Training Program curriculum.

Qualifications and skills
Training Supervisors must:

Be a financial member of AGES.
Hold a Fellowship of the RANZCOG and be accredited for advanced endoscopic procedures (AGES-RANZCOG Level 5 or 6) at the training site. (Documentation required from your training site that you are accredited for these procedures).
Must be a graduate of the AGES Accredited Training Program or have qualified prior to or in 2012.
Demonstrate commitment to teaching and training.
Demonstrate good interpersonal skills and the ability to communicate effectively with trainees, other medical staff and patients.
Contribute to the planning and delivery of an effective training program at the hospital level.
Have completed RANZCOG Training Supervisor Course once every four years.

Unit Directors must:

In addition to the above, if Unit Directors are AATP Graduates, they must have graduated at least 5 year prior.

Key challenges
Maintain effective trainee supervision and support within a complex and busy workplace environment.

Outcomes
Provide highly professional and supportive supervision of trainees in accordance with AGES ATP requirements for clinical experience, competence and formal assessment of performance and progress.

Responsibilities

Dedicated time: To set aside dedicated time each week to operate/teach/supervise/mentor trainees. (Note: This includes time spent giving feedback to trainees or contributing to the planning of the in-hospital educational program, not simply time spent in hands-on teaching.) Provide a roster of content time with trainee including operating lists and outpatients.
Supervision/Support: To provide support to trainees and ensure hands-on supervision and training. This supervision must include:
- regular constructive formal and informal feedback through meetings with the trainee, preferably at the time of the monthly checking/signing of the Logbook (see Assessment section below);
- ensuring trainees are taken through each new procedure by a consultant specialist and are given adequate opportunities to practice their skills under supervision;
- ensuring that all clinical encounters are treated as vital training opportunities;
- ensuring, or making every reasonable effort to ensure, that trainees have appropriate support from ‘on call’ consultants after hours;
- encouraging trainees to improve their communication and decision-making skills;
- addressing trainee concerns about training and respecting their right to be assertive and questioning.
Trainee access to educational opportunities: To ensure, or make every reasonable effort to ensure, that trainees are rostered on a regular basis so they can access key educational/training opportunities, including trainee/registrar meetings, mortality/morbidity sessions and any clinics conducted at the facility (such as fertility or menopause clinics).
Signing Logbook: To review and sign each trainee’s Logbook every month to ensure the trainee is completing the required clinical procedures and to ensure that the trainee is not leaving the completion of Workplace-based Validations until the end of their training period.
Assessment:
- To either act as an Assessor of the trainee’s competence in skills listed in the In-Training Skills Log of the trainee’s Logbook, or approve an appropriate consultant
- Sign off each procedure listed in the Clinical Procedures Log in the trainee’s Logbook, or approve an appropriate consultant to sign off each procedure as it is conducted
- Either to act as an Assessor for the trainee completing the requisite Workplace-based Validations (WBVs) or to approve an appropriate consultant to act as an Assessor.
- Sign off on the Training Experience Log in the trainee’s Logbook for each area of Training Experience required.
Knowledge of the curriculum, regulations and assessment

I have read and understand the above regulations and agree to act as a Training Supervisor for the AGES Training Unit listed below*
Prefix First Last
AGES Training Unit*
Signature of Training Supervisor*
Date*
DD slash MM slash YYYY
Signature of Training Unit Director*
Date*
DD slash MM slash YYYY
Confirmation Email*
Training Supervisors Requirements
Name*
Prefix First Last
Unit*
Signature*
Date*
MM slash DD slash YYYY
Unit Director
Name*
Prefix First Last
Signature*
Member of AGES
Are you member of AGES?*
- Yes
- No
Education & Training
Supervisor CV*
Max. file size: 64 MB.
Primary Degree*
Name of Institution State/Country Years
Specialty training*
Name of Institution State/Country Years
Other training/Exprience*
Name of Institution State/Country Years

Post FRANZCOG laparoscopic experience
Reason for wanting accrediation as an AATP Supervisor*
Have you read and are you familiar with the AATP Curriculum?*
- Yes
- No
Have you completed an AATP Fellowship or did you complete your specialty training prior to 2012?*
- I completed an AATP Fellowship (please list training years below)
- I completed specialty training prior to 2012
- None of the above
Please list what year you completed your AATP Fellowship

ie. 2018/2019
Actively (a minimum of one session per week) involved in the training of an AGES trainee*
- Yes
- No
Name of Trainees
OR
Have major involvement in the organization of a national or international meeting for the education of AGES Fellows in the domain of women's health surgery.
- Yes
- No
Education meeting organization
Meeting Date
OR
Be a co-author of an AGES Fellow presentation in advanced gynaecological surgery at a national, or international meeting
- Yes
- No
AGES Fellows Presentations
Title of Presentation Meeting
Research
Be a named author or named co-investigator for a paper in a peer-reviewed journal in gynaecology
- Yes
- No
Reference
OR
Give a presentation or be an identified supervisor of a presenter in advanced gynaecological surgery at a national, or international meeting
- Yes
- No
Research Presentations
Title of presentation(s) Meeting Roles
OR
Be a journal editor in a gynaecological journal
- Yes
- No
Journal
OR
Be a current reviewer of journal papers in a peer reviewed journal including ANZJOG, a reviewer of grant applications (NHMRC or similar status) or an assessor of research projects in endoscopic surgery.
- Yes
- No
Title of journal or applications reviewed
OR
Be in receipt of a research grant from a competitive peer-reviewed funding authority or be a named investigator in a research project in endoscopic surgery.
- Yes
- No
Research grants recieved
Title of project Source of grant
Governance
Demonstrate active involvement with an Institution which conducts regular recorded multidisciplinary team meetings or clinicopathological conferences.
- Yes
- No
Name of Institution and type of meetings atended:
AND
Maintain systematic surgical audit
- Yes
- No
Meeting Attendance
Registered for and attended at least one AGES Annual Scientific Meeting and one other AGES Meeting (ASM/FM/PFS) in 3 years.
- Yes
- No
Details of meetings/s attended:
AND
Attended at least one AGES Training Supervisor Workshop in 3 years
- Yes
- No
Details of workshop/s attended:
For Unit Directors - Leadership
Have active involvement in an AGES committee or another national or international surgical craft group e.g. ASGO, FSA, AAGL, IUGA, BSGE, ISGE
- Yes
- No
Name of craft group(s)
OR
Represent the specialty on regional, government or national policy advisory bodies or be a member of a steering group involved in the development of state wide or national guidelines.
- Yes
- No
Name of advisory body(ies)
OR
Be an identified Lead or Chair of a departmental activity in a surgical field (e.g. Clinical Director of Endoscopic Surgery).
- Yes
- No
Departmental Activity
Department Field
AND
Attend the Train the Trainer workshop (once only in first 3 years i.e. by 2021)
- Yes
- No
Details of the TTT workshop attended:
Confirmation Email*

You will receive an automated confirmation email once this form has been submitted.
Phone
This field is for validation purposes and should be left unchanged.

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Name of Institution	State/Country	Years

Name of Institution	State/Country	Years

Name of Institution	State/Country	Years

Meeting	Date

Supervisor's Agreement & Requirements

AGES Training Supervisor's Agreement & Requirements

Training Supervisors Requirements

Unit Director

Member of AGES

Education & Training

OR

OR

Research

OR

OR

OR

OR

Governance

AND

Meeting Attendance

AND

For Unit Directors - Leadership

OR

OR

AND