MALT for SET in Plastic & Reconstructive Surgery - Australia

The use of MALT is mandatory for all SET levels.

Trainees have been allocated the SET - Plastic Surgery (Aus.) logbook to record their cases.

Trainees who have transferred from a different specialty, where access has been granted to MALT, will retain access to the logbook from that specialty for reporting.

MALT uses the terms 'Nominated Supervisor' and 'Alternate Supervisor.' Supervisors can view cases for the Trainees they are supervising and provide comments on specific cases.

Nominated Supervisor: the regional chair from your state.
Alternate Supervisor: surgeon supervising you.

All supervisors must be RACS Fellows. Only one Nominated Supervisor (Regional Chair) can be selected per rotation.

The Alternate Supervisor approves assigned cases. If no Alternate Supervisor is selected on a given case, responsibility for approving that case falls to the Nominated Supervisor.

There may be occasions when the Nominated and the Alternate Supervisors are the same.

The definitions of the levels of supervision/role in theatre used in MALT are as follows:

Surgeon alone - the Consultant is not physically present in the theatre complex. He/she may be at home but on call. The registrar is the primary operator.

Mentor available - the Consultant is immediately accessible i.e. observing in theatre or on the floor.

Mentor scrubbed - the Consultant is assisting (with the registrar as the primary surgeon).

Assistant - the Consultant is the primary operator (with the registrar assisting).

This logbook type utilises the SNOMED CT-AU procedure list with selected terms identified by the Training Board as Board Reporting Terms (XLSX 150.94KB). The MALT Logbook Summary Report will only show procedure counts for Board Reporting Terms.

For cases where more than one surgical procedure has been undertaken, MALT allows multiple procedures to be recorded. 

All new procedures logged in MALT must include a value for the procedure minimum dataset field "Aesthetic Impact".

Cases move through a Supervisory workflow progression from "Draft" to "For Review" to "Approved".

1. Create and save a case (Draft).
2. Cases are referred to Supervisor for approval (For Review)
3. Supervisors approve cases (Approved)
4. Reports can then be generated and submitted to the Training Board as required. Note: the report should only contain 'Approved' status.

MALT access and support documentation can be found in the links below.