Structured CV 25% (53 raw points, the most generous PhD allocation of the nine at 8), structured referee reports 30%, interview 45%.
Who picks youthe collegethe college selects
Typical entryPGY4PGY4-6
Unaccredited2 yrstypical, before a training post
To fellowship10 yrs8 minimum from the start of training
Competitiveness4 / 5●●●●○
Pathway, med school to consultant
prevocationalselectiontrainingexamfellowship
Typical start years; people vary by a year or two. Diamonds are exams. Stage list and sources in the pathway tab.
How competitive, against the other 31 guides
15
Dermatology5
Neurosurgery5
Orthopaedic Surgery5
Plastic & Reconstructive Surgery5
Cardiothoracic Surgery5
Clinical radiology4.5
General Surgery4
Otolaryngology Head & Neck Surgery (ENT)4
Sport and exercise medicine4
Urology4
Anaesthetics4
Paediatric Surgery4
Ophthalmology4
Paediatric emergency medicine4
Vascular Surgery4
Paediatrics (Basic Training in Paediatrics & Child Health)3.5
Obstetrics and gynaecology3.5
General practice and rural generalism3
Basic Physician Training (Adult Internal Medicine)3
Radiation oncology3
Pathology3
Public health medicine3
Palliative medicine2
Medical administration2
Emergency Medicine2
Intensive Care Medicine2
Psychiatry2
Rehabilitation medicine2
Sexual health medicine2
Occupational and environmental medicine1.5
Addiction medicine1.5
Down from ~2:1 historically to 27.9% for 2026; intake has shrunk three years running. Ratings are the encoder's 1–5 call from college numbers and r/ausjdocs; applicant-to-place ratios double-count people who apply in several states. Evidence rows are in getting selected.
In one paragraph
Gates are 26 weeks urology at PGY2+, 26 weeks 'surgery in general' at PGY2+ and 10 weeks ED at PGY1+ - the lowest PGY floor of the nine, so PGY3 application is genuinely possible. Long regarded as 'the accessible one'; the 2026 intake ran 61 applications to 17 offers and appointments have fallen 24 -> 19 -> 16, so that reputation is decaying. Max 4 attempts.
Two cautions, two encouragements
The pay is great. Reg years you'll earn 200k + while all your OT.
Applying will cost you a lot of money in courses/conferences etc. We estimated spending close to 100k on all of this (not exaggerating).
When I was a urology PHO, I was going through a really rough time personally (burn out, stress on my marriage, new diagnosis of ASD in my eldest son etc). Had to abruptly step away from urology as my life was crumbling. The people that I had worked with in the same hospital for the least 3.5 years … didn't even send a…
usanz.org.au for the facts and summary · rating and pathway encoded by hand from the same sources · quotes are verbatim r/ausjdocs comments, community view not policy
General (unconditional) AHPRA registrationmandatory
General registration (AU) or general scope (NZ). Provisional or limited registration is disqualifying. Criminal conduct is not considered if AHPRA/MCNZ has been notified and unconditional registration is maintained.
Online RACS module; the only universally mandatory pre-application course. Replaced the retired Operating with Respect eModule (either one is accepted, one only). Complete before registration. A JDocs subscription may a…
One RACS-wide registration, A$655 incl GST non-refundable (2026), opens ~6 Jan and closes ~30 Jan 12 noon AEDT, no extensions. Covers unlimited specialties; specialty application (Stage 2) is separate with its own fee.…
13 Jun 2026, Sydney & Melbourne; 4 x 15 min per secondary source. Note the published regulations contradict themselves on weighting (45% at cl.4.1, 40% at cl.10.1.3).
Clinical Examination (CE)not required by the collegeup to the 2027 intake
RETIRED. Final sitting February 2026. From the 2027 selection period (2028 intake) the CE is not required for any surgical specialty. It was a 2027-intake prerequisite only for Cardiothoracic, Plastics, Urology and Vasc…
PGY3+ at application (de facto, not a rule)not required by the college
RACS says application is not linked to PGY level but the earliest realistic point is PGY3. Specialty rotation prerequisites (several at PGY3+) are the real PGY gate.
ASSET, CCrISP, EMST, CLEAR and TIPS are training requirements for most specialties, not selection requirements (exceptions: Cardiothoracic requires EMST/ATLS + CCrISP pre-entry; Orthopaedics scores them on the CV).
RACS College component A$4,655 (2026, full time) plus the specialty society's SET fee (AOA $9,550 down to CT $2,915); the A$200 figure on the fee page is the instalment-plan surcharge.
Society-set SET fees are not published centrally by RACS; scrape each society annually.
By state
ACT
Canberra Health Services campaign May 2026 - Feb 2027; most registrar and unaccredited registrar positions opened 29 Jun and closed 2 Aug 2026; RMO and Service SRMO 31 Aug - 27 Sep. CHS publishes standalone PDs per role that disclose unit composition. Urology unaccredited jobs: WA SSR lists urology at four site groups; NSW SRMO urology offers land 18 Sep; elsewhere direct to the unit.
SET selection is national (college). Feeder jobs (SRMO, Trainee-Unaccredited Position PGY4+) sit in the NSW Health Annual Medical Recruitment main round on the JMO Career Portal, but the LHD/unit selects - no surgical specialty is a statewide centralised panel. HETI's six Surgical Skills Training Networks list PreSET jobs in the same campaign. SRMO is paid at Resident award rates; Trainee-Unaccredited at Registrar rates. Urology unaccredited jobs: WA SSR lists urology at four site groups; NSW SRMO urology offers land 18 Sep; elsewhere direct to the unit.
Main round advertised — 14 July 2026 (2027 intake)
Main round closes — 4 Aug 2026 (2027 intake)
Trainee-Unaccredited Position offers — 4 Sept 2026 (2027 intake)
SRMO General Surgery offers — 7 Sept 2026 (2027 intake)
Separate Top End and Central Australia campaigns (~1-28 Jun 2026) via jobs.nt.gov.au. Registrar contracts must start 1 Feb or 31 Aug - a formal mid-year entry point. Urology unaccredited jobs: WA SSR lists urology at four site groups; NSW SRMO urology offers land 18 Sep; elsewhere direct to the unit.
RMO/SRMO campaigns — 1 June 2026 (2027 intake)
NT dates triangulated from secondary aggregators; verify on jobs.nt.gov.au.
SET selection is national (college). One RMO & Registrar Campaign covers registrars, PHOs (QLD's unaccredited-registrar grade, L4-L7), SHOs and JHOs. Round 1 = registrars + PHOs; Round 2 = SHO/JHO; Round 3 open round for remaining vacancies from 9 Nov. QLD also centrally allocates SET1 PHO posts in General Surgery and Plastics inside the campaign. Late applications are not accepted. HHS-level ads also run on SmartJobs outside the window. Urology unaccredited jobs: WA SSR lists urology at four site groups; NSW SRMO urology offers land 18 Sep; elsewhere direct to the unit.
Campaign opens — 1 June 2026 (2027 intake)
Campaign closes — 29 June 2026 (2027 intake)
Round 1 (registrar/PHO) offers — 3 Aug 2026 (2027 intake)
Re-preference round — 4 Sept 2026 (2027 intake)
Round 3 open round from — 9 Nov 2026 (2027 intake)
SET selection is national (college). SA MET centralised PGY2+ EOI (up to 4 program preferences). The Surgical Resident Medical Officer program (PGY2+, up to 3 years, 83 posts: CALHN 50, SALHN 25, NALHN 8) is purpose-built with rotations 'designed to provide the mandatory requirements for SET entry'. Registrar-grade unaccredited roles are advertised individually as Service Registrar / Senior Service Registrar (MDP2) on careers.sahealth.sa.gov.au. Urology unaccredited jobs: WA SSR lists urology at four site groups; NSW SRMO urology offers land 18 Sep; elsewhere direct to the unit.
EOI opens — 10 June 2026 (2027 intake)
EOI closes — 1 July 2026 (2027 intake)
Round 1 offers — 17 Sept 2026 (2027 intake)
Late Vacancy Management until — 1 Feb 2027 (2027 intake)
Statewide RMO application for resident-level roles; registrar-level 'Doctors in Training Recruitment Campaign 2027' roles advertised individually with rolling Aug-Sep closes. Clinical year starts 11 Jan 2027. Tasmanian orthopaedic unaccredited posts (RHH, LGH) go through the Victorian PMCV match. Urology unaccredited jobs: WA SSR lists urology at four site groups; NSW SRMO urology offers land 18 Sep; elsewhere direct to the unit.
Statewide RMO applications — 25 May 2026 (2027 intake)
SET selection is national (college). Feeder jobs: PGY2 HMO2 via the PMCV PGY2 Match (some competitive surgical HMO2 roles sit outside the match and are managed directly by health services); HMO3+ and unaccredited registrar roles direct to each health service. Only orthopaedics has a centralised unaccredited-registrar match; everything else is direct. Urology unaccredited jobs: WA SSR lists urology at four site groups; NSW SRMO urology offers land 18 Sep; elsewhere direct to the unit.
PMCV PGY2 Match opens — 27 July 2026 (2027 intake)
PMCV PGY2 Match closes — 21 Aug 2026 (2027 intake)
PMCV PGY2 Match results — 23 Sept 2026 (2027 intake)
PMCV Ortho Unaccredited Registrar Match opens (VIC+TAS) — 26 June 2026 (2027 intake)
PMCV Ortho Unaccredited Registrar Match closes — 20 July 2026 (2027 intake)
PMCV Ortho Match results — 17 Sept 2026 (2027 intake)
SET selection is national (college). WA runs the cleanest unaccredited-surgical mechanism in the country: the Service Surgical Registrar (SSR) centralised recruitment - 'ONE application to cover THREE site and specialty preferences', self-described as 'ideal for doctors aspiring to enter surgical training'. Salary ~$155,932-$208,619, 1 Feb 2027 start. Separate RMO/SMR centralised round for resident-level jobs. Urology unaccredited jobs: WA SSR lists urology at four site groups; NSW SRMO urology offers land 18 Sep; elsewhere direct to the unit.
SSR centralised recruitment opens — 15 June 2026 (2027 intake)
RMO/SMR centralised round — 25 May 2026 (2027 intake)
Dates drift a week or two each year; the calendar has confirmed vs expected windows.
What the CV rubric scores
A masters earns a few points, not many.
A PhD is worth 8 points.
First-author papers earn 2 points each, capped at 10.
Rural experience scores up to 10 points.
Indigeneity earns no points in the rubric.
Weighting: interview about 45%, CV about 25%.
There is an exam before you can be selected.
PhD · 8 each10 pts
PhD · 4 each10 pts
masters · 4 each10 pts
publications · 2 each10 pts
presentations10 pts
rural background · 4 each10 pts
rural experience · 4 each10 pts
courses · 2 each8 pts
Referees and attempts
Refereessee noteReferee interviews 20 Apr - 22 May 2026; >=4 consultants plus allied health (per consolidated rubric).
Attempt cap4 attemptsMax 4 attempts, inclusive of applications made under the old 3-attempt cap.
Requirements and rubric: surgeons.org, usanz.org.au, pathways.pmcv.com.au · state mechanics: canberrahealthservices.act.gov.au, health.nsw.gov.au, jobs.nt.gov.au +5 · community rows from r/ausjdocs
Exams
Dots are sittings the college has dated; "approx." means only a month was published.
GSSE (Generic Surgical Sciences Examination) — Pre-entry; sit in PGY1-2 (unlimited attempts before SET). Deadline for urology: close of applications. · A$4,850 incl GST per attempt (2026); NZ$5,425
RACS Fellowship Examination (FEX) - Urology — Final years of SET (exit exam); written and clinical/viva components. Sat only after the SET training requirements are… · A$10,465 full fee (2026, GST free): writing $5,232.50 + viva $5,232.50
Pass rates, official vs claimed
0%100%
GSSE · college59%–60%
college figureclaimed on r/ausjdocs
Hollow dots are hearsay — the poster was not citing a figure. A bar spans the components or years quoted; hover for the exact words.
What it costs
Cost to get on$10,441RACS selection registration fee (Stage 1, all specialties), RACS selection processing fee (AU/bi-national programs, per specialty), GSSE, per attempt (incl GST), Specialty Surgical Science Examination (SSE), AHPRA/Medical Board general registration - application fee (one-off, national)
College schedule$48,28713 published items over the whole of training
College schedule
RACS Fellowship Examination (full fee) $10,465RACS Appeals Lodgement Fee $9,995Specialty SET fee - USANZ, 2026 $8,019GSSE, per attempt (incl GST) $4,850RACS SET Training Fee - College component (full time, 2026) $4,655RACS Fellowship Entrance Fee (from 1 January 2026) $3,0007 smaller items $7,303
"Cost to get on" is a name-based pick of the one-off fees paid before or at selection. The college schedule is a lifetime-of-training list at each item's own year, not one bill; community amounts overlap it and are never summed. Courses, travel and repeat sittings are the part the sub complains about.
Exams and fees: surgeons.org, medicalboard.gov.au · claims, prep and costs quoted: r/ausjdocs exams-and-costs collection, community view not policy · paid prep products need three independent non-suspect authors and a free alternative to appear
Open jobs that count
Scored by the Urology rules — whether or not the title names the specialty — highest first, closing soonest next.
A named PreSET SRMO programme inside a HETI Surgical Skills Training Network, with rotations spanning subspecialties and Broken Hill (which converts to GSA rurality points). Network membership is the…
Advertises 'Structured educational programs including Pre-SET and GSSE preparation; practical surgical skills workshops and simulation training'. One of the six HETI Surgical Skills Networks.
3-year purpose-built programme (83 posts) whose rotations are 'designed to provide the mandatory requirements for SET entry'. The most efficient rotation-eligibility factory in the country. Structura…
The only centralised unaccredited-surgical scheme in Australia that self-describes as 'ideal for doctors aspiring to enter surgical training'. One application covers three site+specialty preferences.…
2027 intake campaign windows
applications openinterviews / offers
Faded bars are expected, not confirmed. Only 1 dated offer reports mention Urology, too few for a chart. Full detail on the calendar.
Jobs: last night's scrape, scored by hand-written rules (no AI) · units and offer reports: r/ausjdocs, counted by distinct author · campaign windows: canberrahealthservices.act.gov.au, health.nsw.gov.au, healthjobs.nt.gov.au +4
What the regs say
Verbatim, one caution beside one encouragement per topic where both exist, the rest folded. Every quote links to the comment.
Red flags 1
When I was a urology PHO, I was going through a really rough time personally (burn out, stress on my marriage, new diagnosis of ASD in my eldest son etc). Had to abruptly step away from urology as my life was crumbling. The people that I had worked with in the same hospital for the least 3.5 years … didn't even send a…
Pay 1
The pay is great. Reg years you'll earn 200k + while all your OT.
Applying will cost you a lot of money in courses/conferences etc. We estimated spending close to 100k on all of this (not exaggerating).
PGY4 unaccredited subspecialty reg, NSW: ~$180k gross on 70-80h weeks.
r/ausjdocs comments and posts, hand-curated from the surgery collection; scores as at the dump · community view, not policy
Knowledge rows last loaded 13 Sept 2026, encoded by hand from the sources linked on each panel; no AI wrote any of it. Compare specialties · calendar · all guides.