Application for AGES Accreditation

Any unit may apply to become an AGES Accredited Training Site. The AGES education subcommittee has developed a standard application for accreditation of a training centre.

Application Process

This application must be completed for the initial accreditation of a training unit by the Australasian Gynaecological Endoscopy and Surgery (AGES) Society.  This application must also be completed for subsequent accreditation or if there is any material change in the conduct of the training program over the accreditation period.  All applications must be received by 1st May.

Incomplete applications will be returned with a request to provide the missing information, which may delay processing.

Each accredited training unit will be approved for a period of up to four years. Accreditation will be based on the information presented in this application and site visits by AGES Society assessors as required.

Applicants are advised to complete the application form in accordance with the standards outlined in the document Australasian Gynaecological Endoscopy and Surgery Society Training Program in Gynaecological Endoscopy. This document is sent out with the application form and additional copies are available from the AGES secretariat.

(NB: A training unit may be comprised of more than one hospital and/or training site.)

The following must accompany each application:

  1. Application for Accreditation of a Gynaecological Endoscopy Training Unit
  2. Application Fee
    AUD3300 (Inclusive of GST)
  3. Training Fee per Trainee per year (once accredited)
    AUD1500 per annum (Inclusive of GST)

Please complete the form below

  • Application for AGES Accreditation

    This form is to be completed by the training unit's proposed Training Director who will oversee training within the unit.
  • Please enter a number from 1 to 2.
  • Date Format: DD slash MM slash YYYY
  • Training Sites

  • 1. Workload

  • 1.1 Clinical Services

    Please list and quantify the clinical services provided in the training unit in the last 12 months, with details of trainee participation. In the case of new units, please estimate expected trainee participation. Please note that trainees are not expected to perform each of the procedures independently.
  • LAPAROSCOPIC PROCEDURES

  • Peritoneal Surgery

  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Ovarian Surgery

  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Tubal Surgery

  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Uterine Surgery

  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Uterine Prolapse

  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • HYSTEROSCOPIC PROCEDURES

  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • ROBOTIC PROCEDURES

  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • UROLOGICAL PROCEDURES

  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • COLORECTAL PROCEDURES

  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • Procedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee
  • OTHER

  • ProcedureProcedures performed / patients provided with this serviceProcedures in which trainee will act as first assistantProcedures performed by trainee 
  • 2. Staff

  • 2.1 Specialists to be AGES Accredited Supervisors

    A minimum of two (2) AGES Accredited Supervisors required for each training position. This includes the Director of the Training Unit. Must be gynaecological endoscopists and must meet the criteria of the Training Supervisor's Agreement. If more than one site is part of the Training Unit, there must be a Training Supervisor at each site, with one having overall responsibility for each trainee.
  • AGES Accredited Supervisor 1

  • MobileEmailQualificationsPosition
  • SiteProportion of time spent at this siteResponsibility for RANZCOG tranees in the past 5 years
  • AGES Accredited Supervisor 2

  • MobileEmailQualificationsPosition
  • SiteProportion of time spent at this siteResponsibility for RANZCOG tranees in the past 5 years
  • AGES Accredited Supervisor 3

  • MobileEmailQualificationsPosition
  • SiteProportion of time spent at this siteResponsibility for RANZCOG tranees in the past 5 years
  • AGES Accredited Supervisor 4

  • MobileEmailQualificationsPosition
  • SiteProportion of time spent at this siteResponsibility for RANZCOG tranees in the past 5 years
  • 2.2 Other Specialists

    Please detail the other practitioners working at a specialty level in the Training Unit.
  • TitleNameMobileEmailQualificationsPositionSiteProportion of time spent at this siteResponsibility for RANZCOG tranees in the past 5 years 
  • 2.3 Allied/Other Health Professionals

    Please provide details of liaison/collaboration with other health professionals. eg physiotherapists, counselors, physicians, general surgeons, urologists, colorectal surgeons, etc.
  • NameArea of Health ExpertiseDetails of liaison/interface/collaboration 
  • 3. Facilities

  • 3.1 Services & associated equipment

    List the diagnostic services that the trainee may access.
  • DescriptionPractice Location 
  • DescriptionPractice Location 
  • DescriptionPractice Location 
  • 3.2 Comprehensive care provision

    Describe the comprehensive care provided to patients with gynaecological conditions at the training site.
  • 3.3 Library & Information Technology facilities

  • 3.4 Research facilities

  • 4. Activities

  • 4.1 Meetings

  • Name of MeetingDescriptionMeeting Schedule 
    Provide a timetable of regular education, peer review, practice review, and clinical management meetings at a specialty level.
  • Name of SpecialistRepresentative 
    Describe the representation of specialists in the unit at hospital and local clinical, multidisciplinary and scientific meetings.
  • 4.2 Teaching and Education

    Describe the unit's involvement in the teaching and education of:
  • Nurses

  • Undergraduate: Medical Students

  • Post graduate: Medical Practitioners (residents, registrars and specialists)

  • 4.3 Trainee timetable

    For each site present a typical weekly timetable for each trainee.
  • MondayTuesdayWednesdayThursdayFriday 
  • MondayTuesdayWednesdayThursdayFriday 
  • MondayTuesdayWednesdayThursdayFriday 
  • MondayTuesdayWednesdayThursdayFriday 
  • 4.4 Publications

  • Drop files here or
  • 4.5 Presentations

  • Title of presentationName(s) of presenter(s)Title of conference/scientific meetingDate of presentation 
  • Drop files here or
  • 4.6 Research

  • List the current research projects in progress by practitioners working in the unit.
    Title of research projectNames of researchersBrief description of researchExpected completion date 
  • Describe the opportunities for research for prospective trainees and how trainees will be encouraged to participate in clinical research during the course of their training.
  • 5. Funding

    Every training unit must demonstrate evidence of prospective funding. It is expected that trainees be remunerated no less than other trainees in a comparable training level, as described by the regional health authority.
  • AmountTime period Funding confirmed
  • AmountTime period Funding confirmed
  • AmountTime period Funding confirmed
  • AmountTime period Funding confirmed
  • AmountTime period Funding confirmed
  • 6. Declaration of Interest

  • You will receive an automated confirmation email once this form has been submitted.
  • Date Format: DD slash MM slash YYYY
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