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Auckland is at Alert Level 3, which means some changes to our hospitals and clinics. Find out moreAs always, we're here if you need us.

For more inspiration, read about the different specialities, find the right groups to contact, see if the income levels suit you and what specialists think about their chosen career. 

For information on non clinical careers and international medical graduates (IMGs) click here.

Adult medicine

Cardiology

About cardiology

Cardiology is the branch of internal medicine concerned with diseases of the cardiovascular system. Work in the specialty involves aspects of prevention, investigation, treatment and research. Subspecialty interests include congenital heart disease, valvular heart disease, ischaemic heart disease, electrophysiology, clinical cardiology, interventional cardiology, transplantation, nuclear cardiology, echocardiology, epidemiology and cardiovascular research.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

The Cardiac Society of Australia And New Zealand
PO Box 10601, Wellington
Tel: 04 460 8121
Fax: 04 472 6718
Website: csanz.edu.au

Auckland

Dr Tony Scott - Cardiologist
Chairman Regional Advanced Training in Cardiology Committee
North Shore Hospital
Auckland
Email: tony.scott@waitematadhb.govt.nz

Dr Peter Ruygrok - Cardiologist
Green Lane Cardiovascular Service
Auckland City Hospital
Private Bag 92024, Auckland
Email:pruygrok@adhb.govt.nz 

Cardiology fact sheet

Read more about cardiology
Health Workforce New Zealand 

Workforce

In 2014, there were over 100 cardiologists active in New Zealand. Cardiologists make up the single largest medical subspecialty group after general internal medicine. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 
Consultant in the private sector: $250,000-$500,000.
Individual salaries within these ranges are affected by call rosters, seniority, procedural skills and areas of interest.

New Zealand cardiology specialists talk about the reality of working within this field

Clinical genetics

About clinical genetics

Clinical genetics involves diagnosis, investigation, management, counselling and education of people with (or at risk of) genetic or inherited disorders. The specialty covers a wide range of areas including cancer genetics, neurogenetics, pre-symptomatic diagnosis of adult-onset conditions, clinical cytogenetic problems, prenatal diagnosis, and diagnosis and management of inborn errors of metabolism and syndromes.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Auckland

Dr Ian Hayes Service Clinical Director
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949, ext 25870
Free phone: 0800 476 123
Email: gensec@adhb.govt.nz

Dr Callum Wilson
c/o National Testing Centre
Auckland City Hospital
Private bag 92024
Email: callumw@adhb.govt.nz

Wellington

Dr Kate Neas
Central Regional Genetic Service
Wellington Hospital
Private Bag 7902 Wellington South
Tel: 0508 364 436
Email: Katherine.neas@ccdhb.org.nz

Christchurch

Dr Kate Gibson
Clinical Director
South Island Genetic Service
Christchurch Hospital
Tel: 0508 364 436
Email: kate.gibson2@cdhb.health.nz

Clinical genetics factsheet

Read more about clinical genetics
Health workforce New Zealand. 

Workforce

No specialist workforce projections are available, but there were fewer than four active clinical geneticists in New Zealand in 2000 (The health workforce: A training programme analysis, CTA, 2001,63). 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

Individual salaries within these ranges are affected by call rosters, seniority, procedural skills and areas of interest.

Clinical genetics is less lucrative than many interventional specialties and offers only limited scope for private practice.

New Zealand clinical geneticists talk about the reality of working within this field

Clinical pharmacology

About clinical pharmacology

Clinical pharmacology is the scientific discipline that involves the relationship between drugs and humans. Drugs are the main therapeutic tools of physicians and hence clinical pharmacology is a core skill for all physicians. Formal training in clinical pharmacology encompasses all aspects of safe, effective and rational use of medicines applied at individual, group and population levels.

Clinical pharmacologists work toward rational, evidence-based, cost-effective use of drugs in four domains:

  • Clinical medicine ? clinical consultation, clinical toxicology, therapeutic drug monitoring, pharmacogenetics, and often hospital practice in a second specialty.
  • Policy and governance ? including drug regulation, serving on national and local committees.
  • Research ? both within the discipline and in supporting and advising other disciplines on research related to medicines.
  • Education ? undergraduate and post-graduate.

Advanced training in clinical pharmacology is well suited to dual training and most clinical pharmacologists in Australasia have trained in a second specialty. Research is integral to the discipline and a research degree is encouraged as part of Advanced training in clinical pharmacology. Training is not confined to hospitals for example, it may include time in universities, pathology laboratories, regulatory bodies or the pharmaceutical industry.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Prof Matt Doogue
Department of Clinical Pharmacology
Christchurch Hospital
PO Box 4710 Christchurch
Tel: 03 364 1055
Fax: 03 364 1003
Email: matt.doogue@cdhb.health.nz

Workforce

There are currently 7 clinical pharmacologists active in New Zealand. The long term rate of new positions is approximately four per decade. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 
There is some scope for private consultancy work within the pharmaceutical industry.

New Zealand clinical pharmacologists talk about the reality of working within this field

Dermatology

About dermatology

Dermatology is the study and treatment of diseases of the skin. Dermatologists provide services mainly in an outpatient setting and treat patients of all ages.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Dr Denesh Patel ? Dermatologist
Greenlane Clinical Centre
Private Bag 92 189 Auckland
Tel: 09 630 9943, ext 26531
Email: glderm@adhb.govt.nz

Dermatology factsheet

Read more about dermatology
Health workforce New Zealand.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 
There is considerable scope for private work in this specialty. 

New Zealand dermatologists talk about the reality of working within this field

Endocrinology

About endocrinology

Endocrinology deals with disorders of the endocrine system and involves consultation, testing, diagnosis and treatment. Conditions include:

  • diabetes and its complications
  • thyroid, pituitary and adrenal disease
  • gonadal disorders and infertility
  • neuroendocrine conditions
  • benign and malignant glandular tumours
  • disorders of growth
  • genetic and congenital glandular dysfunction
  • lipid and nutritional abnormalities
  • menopausal disorders
  • osteoporosis and metabolic bone disease.

Specialty contacts 

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Auckland appointments are via a competitive interview process conducted by the ARCET committee annually.

The College Specialist Advisory Committee encourages trainees to train in more than one site if possible, and prefers trainees to do their core endocrine training early.

Trainees are encouraged to join the:

New Zealand Society of Endocrinology

New Zealand Society for the Study of Diabetes

Endocrinology factsheet

Read more about endocrinology at Health workforce New Zealand. 

Workforce

In 2020 there were approximately 111 endocrinologists in New Zealand. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective AgreementFor a consultant in private practice might gross $380-$420 per hour.

New Zealand endocrinologist talk about the reality of working within this field.

Gastroenterology and hepatology

About gastroenterology and hepatology

Gastroenterology deals with all organs of the digestive system, from entry to exit. It covers diseases of the gastro-intestinal tract and includes the associated fields of pancreatobiliary disease and hepatology. Gastroenterology involves inpatient care, outpatient clinics and diagnostic procedures including upper and lower gastro-intestinal endoscopy. Hepatology deals with diseases of the liver including management of patients with acute and chronic liver failure.  You may be involved in the assessment and management of patients with end stage liver disease who are candidates for, or have, received liver transplants.

Many hospitals employ gastroenterologists in the role of a combined gastroenterologist and general physician.

Specialty contacts 

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Specialty Societies Executive Officer
The Royal Australasian College of Physicians
4th Floor, 99 The Terrace, Wellington 6011
P.O. Box 10 601 Wellington 6143
Tel: +64 4 460 8121 
Fax: +64 4 472 6718
Email: societies@racp.org.nz

 

Gastroenterology and hepatology factsheet

Read more about gastroenterology and hepatology
Health workforce New Zealand. 

Workforce

In 2020, there were 115 specialists in gastroenterology and hepatology active in New Zealand. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 
There is scope for private sector work in this speciality.

New Zealand gastroenterologists and hepatologists talk about the reality of working within this field

General medicine

Physician Training - 2019 Auckland region RMO Careers Fair

Physician training Programme.  A presentation by Dr Peter Storey, Chair of the Adult Medicine Vocational Training Committee talks about physician training, Dr Cheryl Johnson, Director Physician Education and Dr Matthew Broom, a registrar in the physician training programme.

About general medicine

A general medicine doctor diagnoses and manages the complex medical problems of adolescent and adult patients. General medicine doctors may carry out various technical procedures to assist in the diagnosis or treatment of illness, and may develop an interest in a particular field of general medicine. Advanced training is available in several subspecialty areas including general medicine itself.

General physicians have a wide range of knowledge and experience, making them well suited to providing high quality specialist services across a spectrum of health and illness that is not limited by the boundaries of medical subspecialties. They deal with colleagues in many disciplines including general practice, surgery and psychiatry.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Internal Medicine Society of Australia and New Zealand (IMSANZ)
145 Macquarie Street Sydney, NSW 2000 Australia
Tel: 00 61 2 9256 5471
Fax: 00 61 2 9252 3310
Email: imsanz@racp.edu.au 

Auckland Region Hospitals’ Directors of Basic Physician Training

Dr Peter Storey (Auckland DHB) Adult Medicine Vocational Training Committee Chair
Dr Liz Curry (Auckland DHB) Director of Physician Education
Dr Cheryl Johnson (WDHB) Director of Physician Education
Dr Paul Dawkins (CMDHB) Director of Physician Training

Workforce

  • There were 509 specialists working in general medicine in New Zealand in 2000, reflecting a steady growth in numbers since 1994.
  • The specialist to population ratio for general medicine in 2000 was 1:25,371.
  • There is great need for more generalists in medicine and it is estimated that there are vacancies for 50 general physicians nationwide. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand general medicine specialist talk about the reality of working within this field

Geriatric medicine

About geriatric medicine

Geriatric medicine deals with the clinical, social, preventative, remedial and rehabilitative aspects of health and illness in older people. The specialty is broad-based and places particular emphasis on the provision of community-based care and services, and on the treatment of frail, elderly people with multiple problems. Geriatricians assess disabilities in older people and devise appropriate case management plans. The specialty typically adopts a multidisciplinary approach and offers considerable scope for research activities.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Dr Tracey McMillan – Geriatrician
Auckland City Hospital
Tel: 09 307 4949, ext 22980
Email: TMcMillan@adhb.govt.nz

Dr Joe Singh – Geriatrician
North Shore Hospital
Tel: 09 486 1491 ext 2816
Email: Jose.Singh@waitematadhb.govt.nz

Dr Hla San Tha – Geriatrician
Middlemore Hospital
Tel: 09 276 0044
Email: HlaSan.Tha@middlemore.co.nz 

Geriatric medicine factsheet

Read more about geriatric medicine
Health workforce New Zealand 

Workforce

  • In 2005, there were 61 specialists in geriatric medicine active in New Zealand, 28 based in Auckland.
  • In New Zealand, the geriatric medicine specialist to population ratio in 2001 was 1:91,214 (The health workforce: A training programme analysis, CTA, 2001, 63).
  • There are several vacancies in the Auckland region as well as in many parts of urban and rural New Zealand.  Some of these positions suit those also trained in general medicine. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 
There is scope in this specialty for private practice.

New Zealand geriatricians talk about the reality of working within this field

Haematology

About haematology

Haematology is an integrated discipline that incorporates clinical and laboratory aspects of diseases of the blood. It deals with:

  • laboratory diagnosis of blood films
  • bone marrow and coagulation tests
  • clinical care of malignant conditions (leukaemia, lymphoma, lymphoproliferative)
  • non-malignant conditions (anaemia, bleeding and clotting disorders)
  • Bone marrow transplantation
  • blood transfusion medicine

Specialty contacts 

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Royal College of Pathologists of Australasia
Durham Hall 207 Albion Street Surrey Hills
NSW 2010 Australia
Tel: 00 61 2 8356 5858
Fax: 00 61 2 8356 5828
Email: boc@rcpa.edu.au
Website: rcpa.edu.au

Dr Richard Doocey – Clinical Director
Haematology Auckland Hospital
Private Bag 92 024 Auckland
Tel: 09 379 7440
Email: RDoocey@adhb.govt.nz

Haematology factsheet

Read more about haematology
Health workforce New Zealand. 

Workforce

  • In 2000 there were 21 specialists in haematology active in New Zealand, representing a specialist to population ratio of 1:182,429 (The health workforce: A training programme analysis, CTA, 63). 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand haematologist talk about the reality of working within this field

Immunology and allergy

About immunology and allergy

Clinical immunology and allergy is concerned with diagnosing and treating patients with disorders that affect the immune system. Allergy concerns the diagnosis and management of patients with allergic disorder.  Immunopathology is an extension component of the specialty and requires training in laboratory medicine.

Specialty contacts 

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Royal College of Pathologists of Australasia
Durham Hall 207 Albion Street Surrey Hills
NSW 2010 Australia
Tel: 00 61 2 8356 5858
Fax: 00 61 2 8356 5828
Email: boc@rcpa.edu.au
Website: rcpa.edu.au 

AUCKLAND

Dr Jan Sinclair – JSAC Chair
Paediatric Immunologist
Starship Hospital
Email: JanS@adhb.govt.nz

Assoc Prof Rohan Ameratunga –
Immunology and Allergy Specialist
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949, ext 6113
Email: rohana@adhb.govt.nz

Dr Penny Fitzharris –
Clinical Director, Immunology
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949, ext 22970
Email: pennyf@adhb.govt.nz 

WELLINGTON

Dr Richard Steele
E-mail: Richard.Steele@ccdhb.org.nz 

CHRISTCHURCH

Dr John O'Donnell
E-mail: John.ODonnell@cdhb.health.nz 

Immunology and allergy factsheet

Read more about immunology and allergy
Health workforce New Zealand. 

Workforce

  • In 2014, there were approximately 8 hospital-based specialists in immunology and allergy and two immunopathology specialists in New Zealand.
  • There are also a small number of private-only practitioners.
  • The number of specialists is considerably less than in Australia and the United States.  There is great demand for clinical services in cities outside Auckland. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 
There is considerable scope for private practice.

New Zealand immunologists talk about the reality of working within this field

Infectious diseases

About infectious disease medicine

Infectious disease doctors care for adult patients who have infectious diseases sufficiently severe or rare as to require expert knowledge. The specialty incorporates clinical, laboratory and public health aspects of infectious disease medicine and microbiology.
Areas of training include:

  • HIV-related disease and sexually transmitted diseases
  • general infectious diseases in hospitalised patients (including infections in surgical patients and those in intensive care)
  • infections in patients immunosuppressed for transplantation or by cancer and its treatment
  • tropical, travel and geographic medicine
  • infection control
  • immunisation.

Other relevant areas include infection in pregnancy, antibiotic resistance, virology, mycology and parasitology.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Most ID physicians also belong to the Australasian Society for Infectious Diseases
asid.net.au 

Dr Rupert Handy – Clinical Director
Infectious Diseases
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949, ext 22973
Email: rupert@adhb.govt.nz

Dr Nigel Raymond – Infectious Diseases & General Physician
Clinical Leader, Infectious Diseases Department
Level 6, GNB, Wellington Hospital
Tel: 04 385 5999
Email: Nigel.Raymond@ccdhb.org.nz

Infectious diseases factsheet

Read more about infectious diseases
Health workforce New Zealand. 

Workforce

In 2014, there were approximately 30 infectious disease physicians active in New Zealand. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 
Work is almost exclusively undertaken in the public sector and there is very little scope for private practice.

New Zealand infectious disease specialists talk about the reality of working within this field

Medical oncology

About medical oncology

Medical oncologists are physicians with specialised skills in the medical management of patients with malignant disease. The role of the medical oncologist is to improve and extend as far as possible the quality and length of their patients’ lives. This is usually best achieved through a multidisciplinary approach – medical oncologists therefore work closely with other specialists, particularly surgeons, pathologists, radiologists and radiation oncologists

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Dr David Porter – Medical Oncologist
Auckland Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949, ext 5457
Email: dporter@adhb.govt.nz

Dr Vernon Harvey – Medical Oncologist
Auckland Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949, ext 6265
Email: vernonh@adhb.govt.nz 

Medical oncology factsheet

Read more about medical oncology
Health workforce New Zealand. 

Workforce

  • In 2000 there were 17 specialists in medical oncology active in New Zealand, representing a specialist to population ratio of 1:225,353 (The health workforce: A training programmed analysis, CTA, 2001, 63).
  • In 2005, this number has increased to 36 specialists. Modelling has shown that the ratio of 1:100,000 is about right, although this may change as practices change. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand medical oncologists talk about the reality of working within this field

Nephrology

About nephrology

Nephrology deals with the diagnosis and management of patients with kidney disease and related disorders including:

  • immune-mediated disease
  • disorders of fluids and electrolytes
  • complex hypertension
  • urinary tract diseases
  • acute and chronic renal failure
  • dialysis
  • transplantation.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Australian and New Zealand Society of Nephrology
145 Macquarie Street Sydney
NSW 2000 Australia
Tel: +61 2 9256 5461
Fax: +61 2 9241 4083
Email: anzsn@racp.edu.au
Website: nephrology.edu.au

Dr Ian Dittmer – Clinical Director Renal Medicine
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 379 7740
Fax: 09 307 4987
Email: ian.dittmer@adhb.govt.nz

Dr Joanna Dunlop – Chair, Nephrology Specialist Advisory committee, RACP
Tel: 09 276 0000
Email: Joanna.Dunlop@middlemore.co.nz

Dr Murray Leikis – Clinical Leader Renal Service
Wellington Hospital
PO Box 7343
Wellington
Tel: 04 806 0634
Email: murray.leikis@ccdhb.org.nz 

Nephrology factsheet

Read more about nephrology
Health workforce New Zealand. 

Workforce

In 2014, there were approximately 60 nephrologists active in New Zealand in full or part-time practice. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 
Most renal specialists are full time hospital employees. Private practice is limited to consultation at present and accounts for 1-2/10 per physician at most.

New Zealand nephrologists talk about the reality of working within this field

Neurology

About neurology

Neurology includes the science, investigation and treatment of all inherited and acquired diseases affecting the nervous and neuromuscular systems. This means that there is tremendous variety in the work of a general neurologist. Common conditions treated include headache, epilepsy and stroke but there are an enormous number of rare diseases that make neurology a challenging but fascinating specialty.

More recently, developments in neuroscience have led to an increasing ability to treat and manage neurology conditions.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

The Secretariat – Australian Association of Neurologists
145 Macquarie Street
Sydney, NSW 2000
Tel: 02 9256 5443
Fax: 02 9241 4083
Email: anzan@anzan.org.au
Website: anzan.org.au 

Dr David Hutchinson – Clinical Director of Neurology
Auckland City Hospital
Private Bag 92 024 Auckland
Email: dhutch@adhb.govt.nz

Dr Alan Barber – Chair, SAC in Neurology Department of Neurology
Auckland City Hospital
Private Bag 92024
Auckland Mail Centre, Auckland 1142
Email: a.barber@adhb.govt.nz 

Neurology factsheet

Read more about Health Workforce New Zealand information on neurology

Workforce

In 2014, there were about 40 active neurologists in New Zealand. This number is expected to continue to increase with increasing management opportunities and the development of stroke units. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

The level of remuneration for private practice consultation is comparable with that in other medical subspecialties.

New Zealand neurologists talk about the reality of working within this field

Nuclear medicine

About nuclear medicine

Nuclear medicine uses unsealed sources of radioactivity for diagnosis and treatment. Approximately 90% of the work involves diagnostic imaging. The images provide information that indicates organ function rather than structure. Studies cover patients from many different specialties – e.g. a bone scan may be requested by the departments of oncology, orthopaedics, general medicine, surgery or paediatrics. The range of available scans is expanding with the introduction of new equipment and new chemical tracers.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

The Royal Australian and New Zealand College of Radiologists
New Zealand branch office
PO Box 10 424 Wellington
Tel: 04 472 6470
Fax: 04 472 6474
Email: nzbranch@ranzcr.org.nz
Website: ranzcr.edu.au

Dr Mike Rutland – Nuclear Medicine Specialist
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949, ext 7609
Email: mrutland@adhb.govt.nz 

Nuclear medicine factsheet

Read more about nuclear medicine
Health workforce New Zealand. 

Workforce

In 2000 there were five specialists in nuclear medicine active in New Zealand, representing a specialist to population ratio of 1:766,200 (The health workforce: A training programme analysis, CTA, 2001, 63). 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 
Public sector salaries are usually those of the basic contract with small amounts of on-call and overtime. The private sector currently supports one nuclear medicine specialist and provides "top-up" work and some income for half of the specialists in the public sector (plus a few radiologists).

New Zealand nuclear medicine specialists talk about the reality of working within this field

Occupational medicine

About occupational medicine

Occupational medicine is concerned with the relationship between health and work and has preventive, clinical and population-based aspects. The role of the occupational physician is to ensure effective prevention of illness and injury arising in the workplace or as a result of work duties. Where prevention has not been successful, occupational physicians manage the appropriate rehabilitation of patients and facilitate their return to work. Occupational physicians also assist people who have illness or disability unrelated to work but whose workplace or work duties may require appropriate adjustment.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Dr Tony Chew – Consultant Occupational Physician
Ground Floor Building 11
Greenlane Clinical Centre
Tel: 09 307 4949 ext 7034
Email: tchew@adhb.govt.nz 

Workforce

  • There are few occupational physicians in New Zealand and plenty of opportunities exist here and in Australia.
  • There is unlikely to be an oversupply within the next five or ten years.
  • Companies in more remote parts of New Zealand currently experience considerable difficulty in recruiting suitably trained doctors. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand occupational medicine specialists talk about the reality of working within this field

Palliative medicine

About palliative medicine

Palliative medicine is the study and management of patients with life-limiting and life-threatening conditions who may have a limited prognosis and for whom the focus of care is often quality of life. Palliative medicine involves comprehensive symptom management and support of individuals with life-threatening illnesses along with support of their families, including through the bereavement period. The support involves the control of pain, other symptoms and psychological, social and spiritual support.

Palliative medicine requires excellent clinical skills as it involves the care of patients across all specialities, with increasing emphasis on those with non-malignant illness. It also requires advanced communication skills, with training in this area being provided through the training programme.

Entry to specialist training in palliative medicine is via FRACP Part 1 or through a GP fellowship (some other fellowships may also be considered as entry to training).

Specialist training takes three years (depending on exemptions). Six month training posts are also available in the Auckland region for those training in other speciality areas but wishing to enhance their palliative care skills

Specialty contacts 

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Dr Anne O'Callaghan – Clinical Director Auckland City Hospital Palliative Care Service,
Chair Northern Region Palliative Medicine subcommittee of the Medicine Vocational Training Committee,
Chair of the Palliative Medicine Training and Co-ordination Committee
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: (09) 307 4949
Email: anneo@adhb.govt.nz

Dr Simon Allan – Chair, Palliative Medicine Education Committee (PMEC)
Tel: (06) 356 9169
Email: Simon.Allan@midcentraldhb.govt.nz / simon.a@arohanuihospice.org.nz 

Palliative medicine factsheet

Read more about palliative medicine
Health workforce New Zealand. 

Workforce

Palliative Medicine is the most at risk specialty in New Zealand (HWNZ) and therefore training and job prospects are good.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand palliative medicine specialists talk about the reality of working within this field

Rehabilitation medicine

About rehabilitation medicine

Rehabilitation medicine is concerned with the assessment and ongoing management of activity limitations (disability) and participation restrictions (handicap) arising from illness and injury. The specialty includes all aspects of clinical medicine and covers a wide range of conditions such as traumatic brain injury, stroke, spinal cord injury, orthopaedic trauma, amputation and many other conditions. The goal is to achieve the highest level of recovery and function possible for each patient, including physical compensatory mechanisms and psychological adjustment, educational as well as vocational and avocational (leisure) considerations.

Training in rehabilitation medicine includes (beside general medicine and surgical basic training):

  • therapeutic exercise
  • physical modalities
  • prosthetics and orthotics
  • gait analysis
  • neurological
  • spinal and general rehabilitation interventions
  • psychosocial support
  • rehabilitation management.

Specialists usually work in rehabilitation centres or units that are either stand-alone centres or attached to hospitals, and collaborate in multidisciplinary teams that include medical colleagues and nursing and allied health staff.

Speciality contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Australasian Faculty of Rehabilitation Medicine
145 Macquarie Street 
Sydney
NSW 2000 Australia
Tel: 00 61 2 8247 6216
Fax: 00 61 2 9251 7476
Email: afrm@racp.edu.au
Website: racp.edu.au

Dr Samir Anwar – Consultant in Rehabilitation Medicine Rehab Plus
PO Box 44 037 Pt Chevalier
Auckland
Tel: 09 815 5600
Fax: 09 815 5601
Email: samira@adhb.govt.nz

Isabel Roos, Education Officer
Australasian Faculty of Rehabilitation Medicine
Tel: 00 61 2 8076 6304
Fax: 00 61 2 9256 9698
Email: Rehab@racp.edu.au 

Rehabilitation medicine factsheet

Read more about rehabilitation medicine
Health workforce New Zealand. 

Workforce

In 2014. there were approximately 16 active rehabilitation specialists in New Zealand, although this figure may not accurately reflect workforce numbers since doctors who are vocationally registered in other fields (such as internal medicine) may also include rehabilitation medicine in their work. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand rehabilitation medicine specialists talk about the reality of working within this field

Rheumatology

About rheumatology

Rheumatology deals with the treatment of musculoskeletal disease and focuses on inflammatory arthropathies. It includes the management of patients with connective tissue diseases, spondyloarthropathies, vasculitis, crystal arthropathies and pain syndromes.

Specialty contacts 

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

New Zealand Rheumatology Association
c/o Dr Doug White, Honorary Secretary
Rheumatology Department - Waikato Hospital
Pembroke Street
Hamilton West 3204

Assoc Professor Nicola Dalbeth
Department of Rheumatology
Greenlane Clinical Centre
Private Bag 92189
Greenlane West
Epsom, Auckland
Tel: 09 3074949 ext 26670 (secretary)
Fax: 09 3754324
Email: ndalbeth@adhb.govt.nz 

Rheumatology factsheet

Read more about rheumatology
Health workforce New Zealand. 

Workforce

 In 2014 there are around 68 rheumatologists practising in New Zealand. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand rheumatologists talk about the reality of working within this field

Sexual health

About sexual health

Sexual health medicine is the specialist area of medical practice principally concerned with the prevention of infection and care of people affected by sexually transmissible infections. It focuses on the individual, cultural, interpersonal and microbial factors that contribute to these diseases. Sexual health medicine includes the clinical and psychological issues concerned with reproductive medicine, sexual assault and sexual dysfunction. Sexual health medicine is also concerned with the promotion of the sexual health of the community by identifying and minimising the impact of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV) infection, through education, behaviour change, advocacy, clinical service provision, surveillance and research.

Specialty contacts 

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Australasian Chapter of Sexual Health Medicine
145 Macquarie Street Sydney NSW 2000
Ph: +61 2 9256 9643
Fax: +61 2 9256 9693
Email: sexualhealthmed@racp.edu.au

Dr Sunita Azariah – Clinical Director and Sexual Health Physician
Auckland City Hospital
Tel: 09 630 9783
Email: SunitaA@adhb.govt.nz

Sexual health factsheet

Read more about sexual health
Health workforce New Zealand.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand sexual health specialists talk about the reality of working within this field

Thoracic and sleep medicine

About thoracic and sleep medicine

Thoracic medicine is concerned with the respiratory system, which includes the upper airway, the lung, the chest wall and ventilatory control system. It uses diagnostic techniques, tests and procedures to assess and treat a wide range of conditions and diseases that affect the respiratory system. Sleep medicine is an integral part of thoracic medicine and is an ever-expanding field that includes:

  • sleep breathing disorders
  • disorders of daytime somnolence
  • insomnias
  • parasomnias
  • neurological and psychiatric disorders affecting sleep.

An increasing number of thoracic physicians work in the field of sleep medicine.

Specialty contacts

For up-to-date information on adult medicine training, contact:

Royal Australasian College of Physicians
New Zealand Office, PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Dr Mark O'Carroll – Clinical Director Respiratory Services
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949 ext 25170
Email: MOCarroll@adhb.govt.nz

Thoracic and sleep medicine factsheet

Read more about thoracic and sleep medicine
Health workforce New Zealand.

Workforce

In 2000 there were 32 specialists in thoracic and sleep medicine active in New Zealand, representing a specialist to population ratio of 1:119,719  (The health workforce: A training programme analysis, CTA, 2001, 63). 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand thoracic and sleep medicine specialists talk about the reality of working within this field

Surgery

Cardiothoracic surgery

Cardiothoracic surgery is the specialty that involves surgical management of conditions of the heart and thorax. About 60 per cent of adult cardiac surgery involves coronary artery bypass grafting, with most of the remainder comprising valve operations and aortic surgery. Thoracic surgery includes removal of lung cancers, mediastinal tumours, pleurodesis for pneumothorax and decortication for empyema. Some minimally invasive surgery is performed for example thoracoscopic procedures and endovascular aortic stenting. The specialty also encompasses heart and lung transplantation.

In paediatric patients, surgery largely involves repair of congenital heart defects, the majority of which are corrected in the first year of life. Acquired valve defects are also dealt with in older children and teenagers.

Cardiothoracic surgery is increasingly semi-elective (inpatients needing surgery) rather than elective (patients from home). There are also some emergency operations (eg, acute aortic dissection) when on-call. Surgeons also need to be available to re-operate after hours on their own patients (eg, bleeding after cardiac surgery). All these factors influence lifestyle.

The main difference compared with other surgical specialties is that cardiothoracic surgery usually involves more operating (two to three full days in theatre), longer operations (typically four?five hours), and a higher mortality and morbidity rate (about 1 in 25 patients die after cardiac surgery). The specialty requires a high degree of technical skill, mental stamina, and emotional strength.

Specialty contacts

For up-to-date information on training programmes
Royal Australasian College of Surgeons
Surgeons Gardens, Spring Street Melbourne,
Vic 3000 Australia
Tel: 00 61 3 9249 1200
Fax: 00 61 3 9249 1219
Website: surgeons.org 

Royal Australasian College of Surgeons
PO Box 7451 Wellington South
New Zealand
Tel: 04 385 8247
Fax: 04 385 8873
Email: college.NZ@surgeons.org

Auckland

Mr Paget Milsom - Director Cardiothoracic Service
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 630 9951
Email: pmilsom@adhb.govt.nz

Mrs Kirsten Finucane ? Paediatric Cardiothoracic Surgeon
Starship Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949
Email: kfinucane@adhb.govt.nz

Mr Nicholas Kang ? Supervisor of Training
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 630 9951
Email: nkang@adhb.govt.nz

Cardiothoracic surgery factsheet

Read more about  Health Workforce New Zealand information on cardiothoracic surgery

Workforce

  • In 2014, there were 24 cardiothoracic surgeons in New Zealand working in five centres (Auckland, Hamilton, Wellington, Christchurch and Dunedin).
  • Around 6-12 cardiothoracic trainees across Australia and New Zealand complete their FRACS annually.
  • Most trainees would expect to spend at least another one two?years as a fellow before obtaining a consultant position.

Income

  • Consultants and registrars are paid according to the MECA (multi-employer collective agreement) or negotiated salaries with individual DHBs based on amount of elective and after hours operating.
  • Private practice opportunities exist to supplement income but are somewhat limited and most cardiothoracic surgeons? income in New Zealand is derived from the public sector.

 New Zealand cardiothoracic surgeons talk about the reality of working within this field

General surgery

Surgical Training – 2018 Auckland RMO Careers Fair

Surgical Training Programme –Mr Richard Wong She, Chair of the Surgical Vocational Training Committee talks about surgical training and Dr Jessica Roberts, a registrar in the surgical training programme.

About general surgery

This section deals with specialist surgical training (SET) and contains information about the specialist surgical training programme in general surgery.

The surgeon effects healing through operating. Surgeons examine patients, request investigations, decide whether an operation is necessary, operate and manage post-operative care.

Specialty areas of the discipline include:

  • general surgery
  • cardiothoracic surgery
  • neurosurgery
  • otolaryngology-head and neck surgery
  • orthopaedic surgery
  • paediatric surgery
  • plastic and reconstructive surgery
  • urology
  • vascular surgery.

Specialist surgical training is undertaken in one of these areas after acceptance into the Surgical Education and Training (SET) programme.

 

Specialty contacts

For up-to-date information on training programmes
Royal Australasian College of Surgeons
Surgeons Gardens Spring Street Melbourne,
Vic 3000 Australia
Tel: 00 61 3 9276 7452
Fax: 00 61 3 9249 1240
Email: clare.peterson@surgeons.org
Website: surgeons.org

New Zealand Basic Surgical Training Committee
Royal Australasian College of Surgeons
PO Box 7451 Wellington
Tel: 04 385 8247
Fax: 04 385 8873
E-mail: college.nz@surgeons.org

AUCKLAND

Mr Richard Wong She - Surgery Vocational Training Committee Chair
Auckland City Hospital
Private Bag 92024 Auckland 

General surgery factsheet

Read more about Health Workforce New Zealand information on general surgery

Workforce

  • There were 499 active surgeons working in New Zealand in 2000. This reflects a growth of 29% from 1994.
  • The largest subspecialty areas are general surgery and orthopaedic surgery, with 29% of the surgical workforce in each of these fields. 
  • In 2005 there were 55 advanced trainees in general surgery in New Zealand.
  • The recommended specialist to population ratio is 1:6,800. In New Zealand the ratio is about 1:7,700, representing a shortfall of 63 surgeons. This varies from one specialty to another - there is no shortfall in cardiothoracic or orthopaedic surgery but a significant shortfall in urology and neurosurgery (for further information about workforce projections, see the discussions of each surgical subspecialty that follow this chapter).
  • The recommended general surgeon to population ratio is 1:21,500. The actual ratio in New Zealand in 2000 was 1:26,421, representing a slight shortfall (The health workforce: A training programme analysis, CTA, 2001, 100-104).

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

Consultant, private sector: $400,000-$800,000.

New Zealand general surgeons talk about the reality of working within this field

Neurosurgery

About neurosurgery

Neurosurgery is concerned with the surgical and non-surgical management of conditions of the central and peripheral nervous system. The majority of cranial work relates to tumours, trauma and vascular problems but the specialty offers a considerable range that includes craniofacial, epilepsy, pain and hydrocephalus surgery. Spinal work is largely degenerative and tumour-related.

Specialty contacts

For up-to-date information on training programmes
College of Surgeons Gardens
240 Spring Street Melbourne
Victoria 3000 Australia
Tel: +61 3 9249 1294
Fax + 61 3 9249 1293
Email: neurosurgery.chairman@surgeons.org

New Zealand Office

PO Box 7451 Wellington
Tel: 04 385 8248
Fax: 04 385 8873
Email: College.NZ@surgeons.org

Mr. Andrew Law - Consultant Neurosurgeon
Auckland City Hospital
Park Rd Grafton
Auckland New Zealand
Tel: 09 307 4949, ext 25770
Email: alaw@adhb.govt.nz

Neurosurgery factsheet

Read more about neurosurgery
Health workforce New Zealand.

Workforce

  • In 2000, there were 14 neurosurgeons active in New Zealand, representing 3% of the total number of surgeons. In 2005 there were four specialist trainees in neurosurgery located in New Zealand.
  • The recommended specialist surgeon to population ratio for neurosurgery is 1:175,000. The actual ratio in New Zealand in 2000 was 1:272, 643, indicating a significant shortage (The health workforce: A training programmed analysis, CTA, 2001, 101-104). 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand neurosurgeons talk about the reality of working within this field

Ophthalmology

Watch the Ophthalmology - RMO Careers Fair 2018 video

About ophthalmology

An ophthalmologist diagnoses and manages disorders of the eye and related structures. The practice of ophthalmology comprises medical and surgical components and involves the prevention of blindness, the promotion of eye health and the rehabilitation of those with visual disability.

Subspecialty areas include: Corneal and external disease.

  • glaucoma
  • neuro-ophthalmology
  • uveitis (ocular inflammation)
  • oculo-plastics and orbital surgery
  • paediatric ophthalmology
  • vitreoretinal disease.

Specialty contacts

For up-to-date information on training programmes

Royal Australian and New Zealand College of Ophthalmologists
94?98 Chalmers Street Surrey Hills
NSW 2010 Australia
Tel: 00 61 2 9690 1001
Fax: 00 61 2 9690 1321
Email: ranzco@ranzco.edu
Website: ranzco.edu

Dr Stuart Carroll - Ophthalmology vocational training committee chair
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 630 9943
Email: stuartc@adhb.govt.nz

Dr Jo Sims - Director of training
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 630 9943
Email: josims@adhb.co.nz

Ophthalmology factsheet

Read more about Health Workforce New Zealand information on ophthalmology

Workforce

  • In 2014, there were 83 active ophthalmologists working in New Zealand.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand ophthalmologists talk about the reality of working within this field

Orthopaedic surgery

About orthopaedic surgery

Orthopaedic surgery is the specialty of surgery concerned with diseases of and injuries to the musculoskeletal system, namely the spine, upper and lower extremities. In order to receive vocational registration as an orthopaedic surgeon you must have gained comprehensive training in all aspects of the specialty. All surgeons, particularly those who work in provincial areas, must maintain breadth of knowledge to enable them to deal with a wide range of conditions. Surgeons who are based in larger metropolitan will often specialise in one or more aspects of the discipline, for example:

  • spine surgery
  • joint replacement surgery
  • knee surgery
  • upper extremity surgery.

Specialty contacts

For up-to-date information on training programmes

Royal Australasian College of Surgeons
New Zealand Office
Mrs Trish McLean
Specialist Training Administrator
PO Box 7451 Wellington
Tel: 04 385 8248
Fax: 04 385 8873

Tom Geddes – Orthopaedic department
Middlemore Hospital
Private Bag 93311
Otahuhu, Auckland
Tel: 09 276 000
Email: tgeddes@middlemore.co.nz

Hamish Crawford – Ascot Hospital
Private Bag 28912
Remuera, Auckland
Tel: 09 520 9633
Email: hcrawford@abjs.co.nz

Orthopaedic surgery factsheet

Read more about Health Workforce New Zealand information on orthopaedic surgery

Workforce

The New Zealand Orthopaedic Association and the Royal Australasian College of Surgeons attempt to tailor workforce requirements to training numbers. 

  • In 2005, there were 155 active orthopaedic surgeons in New Zealand, representing 29% of the total number of surgeons. There are 46 advanced trainees in orthopaedic surgery in 2007.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

Employment opportunities exist in the private sphere where rewards are generally higher but collegial activities and opportunities to teach are fewer. It is usual for specialists to divide their time between public and private practice.

New Zealand orthopaedic surgeons talk about the reality of working within this field

Otolaryngology

About otolaryngology – head and neck surgery

This specialty is known by many names including otorhinolaryngology or otolaryngology (ORL for short) and ear, nose and throat surgery (or ENT). As a result of expertise gained in dealing with the upper aerodigestive tract, the specialty has evolved to include surgery for tumours of the head and neck region. The official title is now ‘Otolaryngology - Head and Neck Surgery’ (ORL-HNS).

Specialty contacts

For up-to-date information on training programmes

Royal Australasian College of Surgeons
College of Surgeons’ Gardens
Spring Street Melbourne
Vic 3000, Australia
Tel: 00 61 3 9249 1200
Fax: 00 61 3 9249 1219
Website: surgeons.org

The Australian Society of Otolaryngology
Head & Neck Surgery Ltd
Suite 403, Level 4
68 Alfred Street Milsons Point
NSW 2061 Australia
Tel: +61 2 9954 5856
Fax: +61 2 9957 6863
Website: asohns.org.au

New Zealand Office
PO Box 7451 Wellington
Tel: 04 385 8248
Fax: 04 385 8873
Email: college.nz@surgeons.org

Martyn Fields - Chairman NZ-TEAC for ORL-HSN
Dunedin Hospital
201 Great King St
Dunedin New Zealand

John Chaplin - Auckland ORL supervisor  
Auckland City Hospital
Private Bag 92024
Tel:09 307 4949

Otolaryngology factsheet

Read more about Health Workforce New Zealand information on otolaryngology

Workforce

  • In 2000, there were 14 neurosurgeons active in New Zealand, representing 3% of the total number of surgeons.
  • In 2005, there were four specialist trainees in neurosurgery located in New Zealand.
  • The recommended specialist surgeon to population ratio for neurosurgery is 1:175,000. The actual ratio in New Zealand in 2000 was 1:272,643, indicating a significant shortage (The health workforce: A training programmed analysis, CTA, 2001, 101-104).

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand otolaryngology surgeons talk about the reality of working within this field

Paediatric surgery

About paediatric surgery

Paediatric surgery involves abdominal, thoracic and urological surgery for children under the age of 16 years. It also includes trauma, oncological and neonatal surgery, and surgery for children with a variety of congenital conditions.

Specialty contacts

For up-to-date information on training programmes

Royal Australasian College of Surgeons
Surgeons Gardens
Spring Street, Melbourne
Vic 3000, Australia
Tel: 00 61 3 9249 1200
Fax: 00 61 3 9249 1219
Email: rebecca.warnecke@surgeons.org
Website:surgeons.org

RACS New Zealand Office
PO Box 7451, Wellington
Tel: 04 385 8248
Fax: 04 385 8873
Email: racs@surgeons.co.nz

Professor Spencer Beasley - Paediatric Surgeon, Christchurch Hospital
PO Box 4710, Christchurch
Tel: 03 364 0432
Fax: 03 364 1584
Email: spencer.beasley@cdhb.govt.nz

Mr Philip Morreau – Paediatric surgeon
Starship Children’s Hospital
Private Bag 92 024, Auckland
Tel: 09 307 4949, ext 6098
Email: pmorreau@adhb.govt.nz

Workforce

  • In 2007, there were 14 paediatric surgeons active in New Zealand, representing 2% of the total number of surgeons.
  • In 2007, there will be five New Zealand based trainees different of stages of their training either in New Zealand, Australia, or further afield
  • The recommended specialist surgeon to population ratio for paediatric surgery is 1:250,000. The actual ratio in New Zealand in 2000 was 1:319,250, indicating a shortage of specialists in this field (The health workforce: A training programmed analysis, CTA, 2001, 101-104).
  • Safe hours of practice plus outreach commitments may mean additional appointments are required.
  • There are currently three consultant posts in Christchurch, Wellington and Hamilton and five in Auckland.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

There is some scope for private practice although remuneration levels depend on the number of hours that you work and are not as high as for other surgical specialities.

New Zealand paediatric surgeons talk about the reality of working within this field

Plastic and reconstructive surgery

About plastic and reconstructive surgery

Plastic surgery involves repair and reconstruction due to trauma, or the correction of congenital defects. It aims to improve physical function as well as physical appearance. Cosmetic surgery is also a significant aspect of this specialty.

Specialty contacts

For up-to-date information on training programmes

Royal Australasian College of Surgeons
Surgeons Gardens
Spring Street, Melbourne
Vic 3000, Australia
Tel: 00 61 3 9249 1200
Fax: 00 61 3 9249 1219
Email: rebecca.warnecke@surgeons.org
Website: surgeons.org

Mr. Murray Beagley – Director of surgical training
Middlemore Hospital
Private Bag 93 311
Otahuhu, Auckland
Email: mbeagley@middlemore.co.nz

RACS New Zealand Office
PO Box 7451, Wellington
Tel: 04 385 8248
Fax: 04 385 8873
Email: racs@surgeons.co.nz

Workforce

  • In 2000, there were 31 plastic and reconstructive surgeons active in New Zealand, representing 6% of the total number of surgeons.
  • The recommended specialist surgeon to population ratio for plastic surgery is 1:100,000. The actual ratio in New Zealand in 2000 was 1:123,581 indicating a shortage of specialists in this area (The health workforce: A training programme analysis, CTA, 2001, 101-104).

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand plastics and reconstructive surgeons talk about the reality of working within this field

Urology

About urology

Urology is the surgical specialty that deals with the urinary system in males and females and the reproductive system in males. It is a broad-based specialty that includes:

  • oncology
  • kidney stone disease
  • incontinence
  • transplants
  • infertility.

Specialty contacts

For up-to-date information on training programmes

Royal Australasian College of Surgeons
Surgeons Gardens
Spring Street, Melbourne
Vic 3000, Australia
Tel: 00 61 3 9249 1200
Fax: 00 61 3 9249 1219
Email: rebecca.warnecke@surgeons.org
Website: surgeons.org

RACS New Zealand Office
PO Box 7451, Wellington
Tel: 04 385 8248
Fax: 04 385 8873
Email: racs@surgeons.co.nz

Mr Michael Rice - Urologist
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 027 4 80 1906
Email: rice@xtra.co.nz

Chairman - Board of Urology
Suite 512, Eastpoint 180 Ocean Street
Edgecliff, NSW 2027 Australia
Tel: 00 61 2 9362 8644
Fax: 00 61 2 9362 1433
Email: secretary@urosoc.org.au

Urology factsheet

Read more Health Workforce New Zealand information about urology

Workforce

  • In 2000, there were 14 neurosurgeons active in New Zealand, representing 3% of the total number of surgeons.
  • In 2005, there were four specialist trainees in neurosurgery located in New Zealand.
  • The recommended specialist surgeon to population ratio for neurosurgery is 1:175,000. The actual ratio in New Zealand in 2000 was 1:272,643 indicating a significant shortage (The health workforce: A training programme analysis, CTA, 2001, 101-104). 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand urologists talk about the reality of working within this field

Vascular surgery

About vascular surgery

Vascular surgery is the subspecialty that deals with all blood vessels outside the brain and chest.

Training information

The training programme is run through the Royal Australasian College of Surgeons. Doctors are eligible to apply in PGY2. The programme is five years and is bi-national. There are requirements in operative surgery, endovascular surgery, ultrasound, research and a final examination for FRACS (vascular). Usually trainees will be rotated through approved centres in Australia and New Zealand.

For up-to-date information on training programmes

Royal Australasian College of Surgeons
Surgical education and training
Email: college.nz@surgeons.org

Australia & New Zealand Society of Vascular Surgeons (ANZSVS)

Abby Richardson - Executive officer
- Board in Vascular Surgery
- Australian and New Zealand Society of Vascular Surgery
Website: anzsvs.org.au

Royal Australasian College of Surgeons - Australian Office
College of Surgeons' Gardens
Spring Street
Melbourne VIC 3000
Tel: +61 3 9249 1269
Fax: +61 3 9249 1240
Email: boardofvascular.surgery@surgeons.org

Mr Peter Vanniasingham - Supervisor, Vascular Surgery Training
Vascular Services
Vascular Surgery
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949, ext 23909
Fax: 09 375 4357
Email: peterv@adhb.govt.nz

Vascular surgery factsheet

Read more about Health Workforce New Zealand information on vascular surgery

Workforce

  • In 2014, there are 25 surgeons who are members of the Australian and NZ Society of Vascular Surgery.
  • Some of these perform general and vascular surgery. It is likely that most surgeons in the future will performing just vascular surgery, with an increasing amount of endovascular procedures.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

Consultant, private sector: $200,000–$500,000.

New Zealand vascular surgeons talk about the reality of working within this field

Specialties

Anaesthesia

Anaesthesia training - 2019 Auckland region RMO Careers Fair 

Anaesthesia training programme: A presentation by Dr Stacey Byers, Vocational Training Committee representative for the Australian and New Zealand College of Anaesthetists and Dr Elizabeth Dunn, Anaesthesia Fellow and Samuel Perrin, registrar in the anaesthetic training programme.

About anaesthesia

The role of the anaesthetist is to preserve and maintain the life of the patient during surgery and other procedures, and to supervise the patient during the recovery phase. Responsibilities include pre-anaesthetic assessment of the patient, constant supervision of the patient during anaesthesia and management of pain following surgery. The anaesthetist takes this role not only in relation to surgery in operating theatres but also for procedures in cardiac laboratories, endoscopy suites, imaging departments, labour wards and day surgery units. The role of the anaesthetist as a peri-operative physician is expanding. Anaesthetists work closely with surgeons, obstetricians, physicians and radiologists and are usually supported by anaesthetic technicians. Anaesthetics training involves a lot of supervision, particularly early on in the training scheme, and you should be prepared for frequent feedback in a constructive manner.

Specialty contacts 

Australian and New Zealand College of Anaesthetists
Vic 3004 Australia
Tel: 00 61 3 9510 6299
Fax: 00 61 3 9510 6786
Email: training@anzca.edu.au
Website: anzca.edu.au

New Zealand office
P O Box 25506
Featherston Street
Wellington 6146
Tel: 04 499 6013
Email: training@anzca.org.nz

Kim Jamieson (Auckland DHB) Chair Vocational Training Committee
Sarah Nicolson (Auckland DHB) Regional Education Officer
Sarah Allen (Auckland DHB) Supervisor of Training Anaesthesia - Cardio, Thoracic ICU
Tim Skinner (Auckland DHB) Supervisor of Training for Anaesthesia - National Women's
Nadia Forbes, Ivan Bergman and Amber Chisholm (Auckland DHB) Supervisor of Training for Anaesthesia - Level 8 Adult & ED Anaesthesia
Peggy Yip (v) Supervisor of Training for Anaesthesia - Starship Children's Hospital
Jennifer Taylor (CMDHB) Supervisor of Training
Clare Fisher (WDHB) Supervisor of Training

Anaesthesia factsheet

Read more about anaesthesia
Health workforce New Zealand. 

Workforce 

  • There were 341 anaesthesia specialists active in New Zealand in 2000. This represents a growth of 19 per cent from 1994 and makes anaesthesia the third largest hospital speciality group (if all subspecialities of surgery and medicine are grouped together).
  • Some workforce analyses have recommended a specialist to population ratio of 1:10,000. The New Zealand ratio in 2000 was 1:11,235, indicating a shortfall of roughly 40 specialists.
  • Regions that are particularly under supplied include Northland and Tairawhiti-Hawke’s Bay. 

Income

The income is relatively good, especially in private practice. Most anaesthetists combine public work with some proportion of private work.
Annual incomes:

  • Consultant, public sector: $150,500–216,500 for a 40 hour week as per the MECA (more for a senior consultant who works overtime) plus reasonable leave and $16000 CME expenses.
  • Registrar: $70,000–170,000 depending on seniority and roster workload. 

Due to individual contracts DHBs apply conditions and pay may vary. Call allowances are variable, but may add another $150 per year.

New Zealand anaesthetists talk about the reality of working within this field

College of urgent care

About the Royal New Zealand College of Urgent Care (RNZCUC)

Urgent care is the study of urgent medical care from community urgent care clinics. Urgent care clinics are open seven days until at least 8pm, have x-ray services on site and manage urgent medical problems and accidents. Urgent care's ‘nearest neighbours’ are emergency medicine and general practice.

Urgent care is the 13th largest of the 35 branches of medicine that the Medical Council of New Zealand recognises.

It is the second largest branch by face-to-face patient consultations, with more than 2 million consultations per annum.

Some urgent care physicians work in hospital emergency departments, but with a collegial relationship (as defined by the MCNZ) with an emergency medicine specialist. The advantages of urgent care as a career include:

  • The ability to begin work and earn immediately.
  • ‘Free training’ (out-of-pocket training costs covered in most cases, see cost of training below).
  • A training programme designed to be able to be done part-time, for example while raising a family.
  • Flexible work hours.
  • The option of owning and running a business, partial ownership, or salaried/consultancy terms with no ownership.

The RNZCUC runs the urgent care training programme. It has about 300 members - 30% hospital based and 70% community based.

Specialty contacts

110 Lunn Ave
Remuera
Auckland
Tel: (09) 527 7966
Email: info@rnzcuc.org.nz 

Dr Ainsley Goodman - Director of Clinical Training
Email: ainsley_goodman@hotmail.com

Vocational registration enquiries:

David Gollogly - Chairperson Convenor Board of Censors
Email: dag@xtra.co.nz

Training information

The RNZCUC training programme leads to a fellowship in urgent care. It is designed with the needs of part time trainees in mind. Fellowship criteria include four years and 3000 hours of experience. Up to 1500 hours of prior experience can be recognised.

The main parts of the programme are:

  • the urgent care course and UCPEX examination
  • three university papers
  • an accreditation process. 

Eligibility

Doctors must be fully registered with the MCNZ or other RNZCUC-approved registration body and providing urgent care from a facility approved by RNZCUC for training. Trainees are accepted from the end of PGY1 onwards. PGY2 trainees must have a RNZCUC-approved study plan.

To join the college training programme, complete the online application form on the RNZCUC website.

Cost of training

New Zealand residents are generally eligible for Health Workforce New Zealand (HWNZ) funding which aims to covers all trainees' main out-of-pocket expenses (including those listed below).

For doctors who don't have HWNZ funding (general non-residents), as at February 2014, the main costs are about: 

  • UCC: $7165
  • UCPEX: $520
  • RNZCUC Membership / training fee: $800 per annum
  • University papers (*3): $1,200 each paper for residents; $4,000 for non-residents. 

These costs are approximate, exclude GST, and are subject to change. 

Doctors with overseas or alternative urgent care qualifications 

Holders of qualifications such as a fellowship in an emergency medicine may be eligible for RNZCUC's accelerated pathway to fellowship.

Urgent care factsheet

Read more about urgent care
Northern Regional Alliance.

Workforce

RNZCUC analysis indicates that only a quarter of urgent care consultations are provided by urgent care doctors. In RNZCUC’s view, urgent care fellow numbers need to at least double. RNZCUC expects that there will be strong demand for urgent care fellows for at least the next 10 years.

Income

Trainees generally earn well from the outset of training. For information about income, contact RNZCUC.

Emergency medicine

Emergency Medicine - RMO Careers Fair 2018

About emergency medicine

Emergency medicine is a unique specialist field of medicine that deals with the care of patients requiring urgent medical attention.

The emergency medicine specialist has the responsibility for managing all patients in the emergency department, regardless of their underlying presentation, which can range from the mundane to the critically ill across all age ranges.

The mix of patients is one of the many aspects of emergency medicine that many junior doctors find attractive. Medical, surgical, paediatric, psychiatric and subspecialty patient presentations can all be seen during the same working day. Investigation, diagnosis and management of these patients is often done with limited information and may involve rapid life preserving decisions to be made despite a level of diagnostic uncertainty.

There is also the ability to sub-specialise within emergency medicine in many exciting fields such as:

  • toxicology
  • expedition medicine
  • hyperbaric medicine
  • retrieval
  • pre-hospital medicine.

Doctors who are well suited to emergency medicine tend to be good at multi-tasking, decision-making and work well within teams. They have good communication skills and cope well within stressful environments and situations. They enjoy variety within their workload and enjoy a good puzzle as many emergency medicine patients are not clear cut diagnostically. Finally, they must be able to cope with the demands of shift work as weekend and afterhours work is the norm for the emergency medicine specialist.

Specialty contacts 

Australasian College of Emergency Medicine
Website: acem.org.au

The directors of emergency medicine training are always happy to be contacted by anyone interested in working in the emergency department or joining the training scheme: 

Auckland City Hospital

Bernard Foley
Email: bernardf@adhb.govt.nz

Gina De Cleene
Email: ginadc@adhb.govt.nz 

Middlemore Hospital

Terri Prest
Email: prestt@middlemore.co.nz

Matthew Clarke
Email: clarkem@middlemore.co.nz 

North Shore Hospital

Emma Batistich
Email: emma.batistich@waitematadhb.govt.nz

David Peak
Email: david.peak@waitematadhb.govt.nz

Emergency medicine factsheet

Read more about emergency medicine at Northern Regional Alliance

Workforce

This is a relatively new specialty that is undergoing rapid growth. Nationally, the workload of the emergency services continues to increase, inevitably requiring an increase in staffing numbers all hours of the clock. Because of this increase, emergency medicine has experienced a surge in SMO numbers over recent years.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand emergency medicine specialists talk about the reality of working within this field

RMO Careers Fair

The RMO Careers Fair was held at Auckland City Hospital on March 23 & 24, 2015.  Speakers on the Emergency Medicine panel were Dr David Peak, Dr Jeremy Dryden and Dr Louis Mason. Click the link below to view this session.

General practice
GP Training Careers Fair 2021A presentation by Matthew Buck, Dr Jason Tuhoe (RNZGP Clinical Lead North), Dr Sophie Ball (RNZGP Lead Medical Education South Auckland) and Dr Hazel Wilks (General Practice Education Programme Year 1 South Auckland).

About general practice

General practitioners are expert specialists in the overall physical and mental wellbeing of all New Zealanders.

As a GP you have the power to make a real difference in communities. You will constantly be challenged by complex medical presentations and experience a wide range of clinical, ethical, legal and socio-cultural diversity.

It is the medical specialty with great job satisfaction, variety, community involvement and flexibility. Every day is different and every day is inspiring.

The Royal New Zealand College of General Practitioners website has more information. 

Specialty contacts 

The Royal New Zealand College of General Practitioners
National Office
PO Box 10 440
Wellington
Tel: 04 496 5972
Fax: 04 496 5997
Email: rnzcgp@rnzcgp.org.nz
Website: rnzcgp.org.nz 

Dr Kim Bannister - GP VTC Chair
Email: kbannister@gmail.com

Dr Margaret Goodey - GPEP1 liaison
Email: m.goodey@vodafone.co.nz

General practice factsheet

Read more about general practice at Northern Regional Alliance

Workforce

In 2009, there were more than 4000 GP members of the college. About 2800 are Fellows of the College and therefore may be registered by the Medical Council of New Zealand in the vocational scope of general practice.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

The pay is reasonable, although overheads can impact on earnings if you own a practice.

New Zealand GPs talk about the reality of working within this field

Intensive care medicine

Intensive Care - Careers Fair 2021 A presentation by Dr Sara Allen, Dr Andrew van der Poll, Dr Simon Versteeg, Dr Bevan Vickery, Dr Jonathan Gunther, and Dr Anna Mulvaney.

About intensive care medicine

Intensive care medicine includes the assessment, resuscitation and ongoing management of patients with life-threatening organ system failure. Work is not confined to the intensive care unit, since patients are usually admitted to the unit from the care of a primary team elsewhere within the hospital. Intensive care specialists are also frequently involved in transporting and assisting with the management of seriously ill patients who may not eventually end up in the intensive care unit.

Specialty contacts

Juliette Adlam - Administrative officer
College of Intensive Care Medicine
Tel: 04 499 1213
Email: cicm@cicm.org.nz
Website: cicm.org.au

Dr Janet Liang - Intensive care specialist
North Shore Hospital Auckland
Tel: 09 489 0523
Email: janet.liang@waitematadhb.govt.nz

Dr Les Galler - Intensive care specialist
Auckland City Hospital
Private Bag 92 024 
Auckland
Tel: 09 307 4949, ext 7460
Email: lesg@adhb.govt.nz

Dr Peter Dzendrowskyj - Intensive care specialist
Middlemore Hospital
Private Bag 93 311 
Otahuhu
Auckland
Tel: 09 276 0112
Email: peter.dzendrowskyj@middlemore.co.nz

 Dr Fiona Miles - Intensive care specialist
Starship Children’s Hospital
Private Bag 92 024 Auckland
Tel: 09 3074903
Email: fionam@adhb.govt.nz 

Training information

General

  • All intensive care training is supervised by the College of Intensive Care Medicine (CICM).
  • It is possible to obtain an endorsement in paediatric intensive care by completing the training requirements and sitting the fellowship examination in that subspecialty.
  • Further information on training is available in the faculty publication Objectives of Training in Intensive Care and on the faculty website. 

Entry requirements and application

Applicants must be registered with the Medical Council of New Zealand and must have at least two years of postgraduate hospital experience, of which no more than six months can be in general practice or any combination of anaesthesia, intensive care or pain medicine. 

Length of training

Training lasts a minimum of six years. The programme is divided into three years of basic training and three years of advanced training: core intensive care training (two years), clinical anaesthesia (one year), clinical medicine (one year). 

Examinations and milestones 

  • The College of Intensive Care Medicine administers the primary exam. Further information on the content and format of this exam can be found in the CICM website.
  • The CICM has its own primary examination, but this can be exempted if the applicant has a completed fellowship, from ANZCA, FRACP and ACEM.
  • The fellowship examination in intensive care consists of written exams (two short answer question papers) and oral exams (clinical discussions, a cross-table viva and an objective structured clinical exam). The oral exam consists of two patient-oriented cases, cross table vivas, equipment and communication stations.
  • There are various courses available in Australia and New Zealand for candidates preparing for the two exams.
  • The faculty also requires that trainees complete a formal research project. This can be undertaken at any stage during training but should be completed before the final advanced training year.
  • In-training assessments are performed twice each year to monitor each registrar’s progress.
  • Some FANZCA, FRACP or FACEM training can be accepted as basic ICU training. This is reviewed by the CICM censor. If the fellowship is completed and the primary exam exempted, the applicant needs to complete only advanced training, comprising 24 months of advanced ICU training, 12 months of anaesthesia and 12 months of medicine and the final ICU exam and a formal project (see above) to be awarded FCICM. If the fellowship in another specialty is not completed, the CICM primary exam is required before advanced training is entered. 

Application procedures

Application forms are available from the CICM website. Documentation of hospital rotations completed must be supplied. At the time of applying it would be worthwhile discussing your plans with an intensive care specialist (preferably a supervisor of training) who can advise on how best to plan your training programme. This is particularly important if dual training is being considered. 

Posts available

For the purposes of training the faculty recognises several categories of ICU, defined in terms of maximum number of months that would be recognised towards the ICM Fellowship (typically 24 months, 12 months and 6 months). The faculty requires that during fellowship training, half of the core ICU training period should be an unbroken 12 month period spent in one core training ICU. This definitely requires early discussion and planning with the ICU in question. Each of the New Zealand ICUs that offers 12‒24 months of recognised training has a limited number of registrar posts, many of which are filled by other specialty trainees (including those in anaesthesia, internal medicine, paediatrics and emergency medicine) who are gaining elective or compulsory ICU experience.  

As at November 2014, the CICM accredits intensive care training undertaken at the following locations in New Zealand:

Auckland

  • Auckland Hospital.
  • Middlemore Hospital.
  • Starship Hospital.
  • North Shore Hospital.

Nationally

  • Christchurch Hospital.
  • Waikato Hospital.
  • Wellington Hospital.
  • Hawke's Bay Hospital. 

Intensive care medicine factsheet

Read Health Workforce New Zealand information about intensive care medicine

Workplace

Intensive care medicine is a very rewarding career. However, with the high number of intensive care trainees now completing ICU training and the limited number of specialist positions available worldwide, there is increasing demand for these limited specialist positions. For those undertaking dual training, the requirement to complete the demands of two specialties requires a high level of commitment and focus. It is important for any trainee considering this to discuss the expectations and requirements fully with a supervisor of training to ensure an appropriate program. In Auckland, the local CICM Vocational Training Committee also provides oversight, guidance and teaching to those seeking to undertake intensive care medicine as a career.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

Although there is very little private ICU work available in New Zealand yet, Australia does offer a significant amount. Locum work is available in public ICUs.

New Zealand intensive care specialists talk about the reality of working within this field

Musculoskeletal Medicine

Specialists in Musculoskeletal Medicine are trained in assessment and non-operative treatment of all musculoskeletal conditions including pain management.

They are trained and experienced in motivating and helping patients to get physically active and having them take responsibility for their own rehabilitation.

Trained in particular interventions, such as manual therapy, therapeutic injections and interpretation of high tech imaging, they can additionally certify under the international Spine Intervention Society for administer spinal injections.

Speciality Contact admin@nzamm.org.nz or brenda.evitt@nzamm.org.nz

New Zealand Association of Musculoskeletal Medicine (NZAMM) and the Australasian Faculty of Musculoskeletal Medicine (AFMM)

  • The Musculoskeletal Medicine Training Programme is convened by NZAMM under the supervision of the Censor-in-Chief. The Australasian Faculty of Musculoskeletal Medicine has members on the NZAMM Education and Training Committee and provides input into the content and quality of training, examination, evidence-base and post-qualification skills training.
  • NZAMM is the body recognised by the Medical Council of New Zealand (MCNZ) as the Vocational Education Advisory Body to manage the vocational branch of medicine “Musculoskeletal Medicine”. This is gazetted with the NZ Government.
  • The CAMM (Certificate of Attainment in Musculoskeletal Medicine) is the qualification recognised by MCNZ to practice in the scope of practice of Musculoskeletal Medicine in New Zealand.

Membership of NZAMM is open to all medical practitioners and will give you access to:

  • Australasian Musculoskeletal Journal free one issue per year
  • CME at reduced prices within NZAMM and at selected Australasian Faculty of Musculoskeletal Medicine 
    (AFMM) retreats
  • Peer Support for your practice in musculoskeletal medicine
  • An online business listing through the NZAMM website directory.
Obstetrics and gynaecology

Obstetrics and Gynaecology - Careers Fair 2021. A presentation by Dr Ernest Mavuso, Dr Samuel Holford, Dr Kirsten McSweeney, Dr Wendy Burgess and Dr Grace Kennedy.

About obstetrics and gynaecology

Although obstetrics and gynaecology are separate branches of medicine, they are usually merged into one service, incorporating pregnancy and infertility care and other gynaecology services. The obstetrician provides medical care before, during and after childbirth. Gynaecologists diagnose, treat and aid in the prevention of disorders of the female reproductive system.

Specialty contacts

For up-to-date information on training programmes, see:
Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG)
College House
254–260 Albert Street East Melbourne,
Vic 3002 Australia
Tel: 00 61 3 9417 1699
Fax: 00 61 3 9419 0672  
Email: ranzcog@ranzcog.edu.au
Website: ranzcog.edu.au 

AUCKLAND

Sue Belgrave (WDHB) - O&G VTC Chair and Lead Training Supervisor
Dr Mahesh Harilall (Auckland DHB) - Lead Training Supervisor
Jenny McDougall (Auckland DHB) - Training Supervisor
Sarah Tout (CMDHB) - RANZCOG Northern Training Co-ordinator/Lead Training Supervisor

Jude Kaveney (RANZCOG Training co-ordinator
)
Email: jkaveney@ranzcog.org.nz 

Obstetrics and gynaecology fact sheet

Read more about obstetrics and gynaecology at Northern Regional Alliance

Workforce

  • There were about 160 active specialists in obstetrics and gynaecology in New Zealand in 2000. These numbers remained stable throughout the period 1994–2000.
  • The recommended specialist to population ratio (for women over the age of 15) is about 1:10,000. The current New Zealand ratio is about 1:9,500, so there is no shortfall at present.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand obstetricians and gynaecologists talk about the reality of working within this field

Paediatric and child health

Paediatrics - Careers Fair 2021. A presentation by Dr Genevieve Ostring, Dr Eoghan Rudtledge, Dr Jonathan Bishop, Dr Sophie Springer and Dr Hannah Noel.

About paediatrics and child health

Paediatrics and child health is the specialty that deals with diseases and disorders of growth and development, from new-born to young adults. Most paediatricians in New Zealand are generalists but there are opportunities to sub-specialise (see training information).

The role of the paediatrician is complex, since the work involves treating patients who may not be able to make decisions regarding their own health and may not understand the necessity for treatment. For these reasons, paediatricians must establish the trust of patients as well as their caregivers. Paediatric and child health services are administered in hospitals, in outpatient clinics and in the community. Auckland has two specialist stand-alone paediatric hospitals: Starship Children’s Hospital in Grafton and Kidz First Children’s Hospital in Otahuhu. There is also the Rangitira Unit at Waitakere Hospital.

Training information

Advanced training is offered in:

Cardiology

cardiology@racp.org.nz

Clinical Genetics

clinicalgenetics@racp.edu.au

Clinical Pharmacology

clinicalpharmacology@racp.edu.au

Community Child Health

communitychildhealth@racp.edu.au

Dermatology

dermatology@racp.org.nz

Endocrinology

endocrinology@racp.org.nz

Gastroenterology

gastroenterology@racp.org.nz

General Paediatrics

generalpaediatrics@racp.org.nz

Haematology

haematology@racp.org.nz

Immunology / Allergy

immunologyallergy@racp.org.nz

Infectious Diseases

infectiousdiseases@racp.org.nz

Infectious Diseases & Microbiology

idmicro@racp.edu.au

Medical Oncology

medicaloncology@racp.org.nz

Neonatal / Perinatal Medicine

neonatalperinatal@racp.edu.au

Nephrology

nephrology@racp.org.nz

Neurology

neurology@racp.org.nz

Paediatric Emergency Medicine

paedemergency@racp.edu.au

Palliative Medicine

palliativemedtraining@racp.edu.au

Respiratory & Sleep Medicine

respiratorysleep@racp.org.nz

Rheumatology

rheumatology@racp.org.nz

Child & Adolescent Psychiatry*

psychiatrydftp@racp.edu.au

Applications for basic training should be sent to:

Royal Australasian College of Physicians
New Zealand Office
PO Box 10 601 Wellington
Tel: 04 472 6713
Fax: 04 472 6718
Email: racp@racp.org.nz
Website: racp.edu.au

Specialty contacts 

Dr Simon Rowley (Auckland DHB) Paediatrics VTC Chair and Director of Paediatric Training-Auckland DHB (National Women's)
Director of Paediatric Education
Email: srowley@adhb.govt.nz

Sharon Wong (WDHB) - Director of Paediatric Training-WDHB
Raewyn Gavin (Auckland DHB) - Director of Paediatric Training-Auckland DHB (Starship)
Ross Nicholson (CMDHB) - Director of Paediatric Training-CMDHB

Postgraduate diploma contacts 

University of Auckland – Diploma in paediatrics
The Administrator
Tel: 09 373 7599 x 891717
Email: dippeads@auckland.ac.nz
Website: auckland.ac.nz

University of Otago – Diploma in child health
Distance Learning Co-ordinator
Dunedin School of Medicine
P.O. Box 913, Dunedin
Tel: 64 3 474 7825
Email: medical-faculty@otago.ac.nz
Website: otago.ac.nz

Paediatric and child health fact sheets

Read more about Healthforce New Zealand information on paediatric and child health

Read more about paediatric and child health at Northern Regional Alliance

Workforce

  • There were about 218 active paediatric and child health specialists in New Zealand in 2010.
  • The recommended specialist to population ratio is 1:5,400. The current New Zealand ratio is about 1:5,566.
  • There is an under supply of paediatric and child health specialists in some rural areas and in some subspecialties.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

There is not much private practice in this field, so pay rates tend to be fairly low in comparison with those in other specialties.

A New Zealand paediatrician talks about the reality of working within this field

Pain medicine

About pain medicine

Pain medicine is a multidisciplinary field of specialist medical practice which has only recently come of age. Severe persistent pain is now recognised as one of the most prevalent and most costly health care problems worldwide - it has major impact on (and significant financial consequences for) individuals, families and the community at large. The field spans the specialised management of severe problems in the three major areas of acute pain, chronic pain and pain related to cancer.

Specialty contacts

Faculty of Pain Medicine Australian and New Zealand College of Anaesthetists
630 St Kilda Road Melbourne,
Vic 3004 Australia
Tel: 00 61 3 9510 6299
Fax: 00 61 3 9510 6786
Email: painmed@anzca.edu.au
Website: anzca.edu.au

Dr Kieran Davis - Clinical Director
The Auckland Regional Pain Service
Auckland Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949
Email: kierand@adhb.govt.nz

Pain medicine factsheet

Read Health Work New Zealand information on pain medicine

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

There is substantial demand for specialist opinion in the medico-legal field and this work tends to be well remunerated.

New Zealand pain specialists talk about the reality of working within this field

Pathology

2017 Auckland region RMO Careers Fair

Pathology training programme: A presentation by Dr Mike Watson and Dr Simeon Barker

About pathology

Pathology is the branch of medicine involved in understanding causes and processes of disease. Pathology encompasses the following disciplines; anatomical pathology, chemical pathology, haematology, immunology, laboratory genetics, and microbiology/ virology. Investigations are made by performing tests on various tissues including blood and other body fluids, and samples taken during surgery or as part of a medical examination. Pathologists interpret the results of these tests, which may show the cause or severity of illness or may be used to monitor treatment once diagnosis has been made.

Specialty contacts

The Royal College of Pathologists of Australasia
Durham Hall
207 Albion Street
Surry Hills, NSW 2010 Australia
Tel: 00 61 2 8356 5858
Fax: 00 61 2 8356 5828
Email: boc@rcpa.edu.au
Website: rcpa.edu.au 

Dr Mike Watson - Chair, Vocational Training Committee
Training Programme
Private Bag 92024, Auckland
Tel: 09 367 0000
Email: mwatson@adhb.govt.nz 

Dr Alan King - Chair, Vocational Training Committee
Department of Pathology Middlemore Hospital
Private Bag 93 311 Otahuhu Auckland
Tel: 09 276 0154
Email: aking@middlemore.co.nz 

Sub-Specialties

Dr George Chan - Haematology
3rd Floor, Auckland Hospital
Private Bag 92024, Auckland
Tel: 09 307 4949
Fax: 09 375 4321
Email: georgec@adhb.govt.nz

Dr Mike Watson - Histopathology
Auckland DHB
Private Bag 92024, Auckland
Tel: 09 367 0000
Email: mwatson@adhb.govt.nz

Dr Sally Roberts - Microbiology, Immunology, Virology
Laboratory Services
Auckland DHB
Private Bag 92024, Auckland
Tel: 09 630 9785
Email: sallyrob@adhb.govt.nz

Dr Don Love - Laboratory Genetics
Auckland DHB
Private Bag 92024, Auckland
Tel: 09 367 0000
Email: donaldl@adhb.govt.nz

Pathology factsheet

Read Health Workforce New Zealand information on pathology

Workforce

  • There were 218 pathologists active in New Zealand in 2001, of whom 29% were female. There are currently 51 trainees in pathology in New Zealand, of whom 59% are female.
  • Specialists include: 44% anatomical pathologists, 7% chemical pathologists, 8% general pathologists, 22% haematologists, 11% microbiologists and 8% other (Workforce analysis: Pathologists in New Zealand 2001, RCPA, 62).
  • Numbers were stable between 1994‒2000, but there was a significant increase in workload over that period.
  • There is no agreed specialist to population ratio but this field is seriously under supplied, particularly in the subspecialties of anatomical pathology and cytopathology (The health workforce: A training programme analysis, CTA, 2001, 53-55).

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

Pathology is not highly paid in comparison with some specialties but the hours are relatively good.

New Zealand pathologists talk about the reality of working within this field

Psychiatry

Psychiatry - RMO Careers Fair 2018

Hear about psychiatry specialty training from the specialists and trainees themselves at the Auckland region RMO Careers Fair 2018

About psychiatry

Psychiatry is a branch of medicine specialising in the prevention and treatment of mental disorder and the promotion of mental health in the community. By virtue of their specialist training psychiatrists bring a comprehensive and integrated bio-psychosocial approach to the diagnosis, assessment, treatment and prevention of psychiatric disorder and mental health problems.

Psychiatrists treat patients and work with the patient’s general practitioner and other primary health care providers, families and carers of patients and the general community. The work of psychiatrists includes the prevention, management, and relief of suffering caused by a range of developmental, emotional, behavioural and cognitive disorders.

Specialty contacts

Auckland Regional Psychiatric Registrar Training Programme
Website: psychtraining.org.

Auckland      

For enquiries about the Auckland programme:

Dr Felicity Plunkett 
Auckland Regional Psychiatric Registrar training centre
Level 6, Building 14
Greenlane Clinical Centre
Private Bag 92189
Greenlane, Auckland
Tel: 09 307 4949 Ext 26545
Fax: 09 638 0344
E-mail c/o Rosalynn Williams, Administrator: rosalynnw@adhb.govt.nz
Email: felicityp@adhb.govt.nz         

Registrar training posts
aucklanddoctors.co.nz
The main intake is in December, with applications for interviews being received by NoRTH in June and July.
There is a much smaller intake in June of each year.

For details of the other training programmes around NZ, contact the RANZCP NZ National Office:
RANZCP
PO Box 10-669
Wellington
Tel: 04 472 7247
Fax: 04 472 7246
Email:  nzoffice@ranzcp.co.nz
Website: ranzcp.org

Applications should be sent to:

Royal Australian and New Zealand College of Psychiatrists
National Office
PO Box 10-669 Wellington
Tel: 04 472 7247
Fax: 04 472 7246
Email: nzoffice@ranzcp.co.nz

Psychiatry factsheet

Read more about psychiatry at Northern Regional Alliance

Workforce

  • In 2003 there were 302 psychiatrists holding annual practising certificates for that year (ratio 1:13,000).
  • There is still an overall workforce shortage of psychiatrists, especially in some subspecialties such as child and adolescent psychiatry.

Being a consultant psychiatrist is an important and necessary job, with secure career prospects.
Source: Clinical Training Agency Strategic Intentions document 2004 – 2013.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

New Zealand psychiatrists talk about the reality of working within this field

Public health medicine

Public Health - Careers Fair 2021. A presentation by Dr Doone Winnard, Dr Nick Eichler and Dr Carrie Bryers.

About public health medicine

Public health is commonly defined as ‘the organised efforts made by society to prevent disease, promote health and prolong the life of the population (R. Beaglehole: ‘Prospects for Public Health in New Zealand’, New Zealand Medical Journal, 105,1992, 29–31)

Public health medicine is defined as "that branch of medical practice which is primarily concerned with the health and care of populations. It is concerned with the promotion of health and the prevention of disease, with the assessment of a community’s health needs and with the provision of services to communities in general and to specific groups within them". ( Australasian Faculty of Public Health Medicine. Advanced Training Handbook. Sydney: AFPHM, 2004).

Specialty contacts

For up-to-date information on training programmes:

New Zealand College of Public Health Medicine
Sarah Targett - Senior Executive Officer, New Zealand College of Public Health Medicine
PO Box 10 233 Wellington
Tel: 04 472 9183
Email: admin@nzcphm.og.nz

Website for training and working in New Zealand: nzcphm.org.nz

Mr Bruce R. Smith - Faculty Manager, Faculty of Medicine, University of Otago
Email: medical-faculty@otago.ac.nz
Website: www.otago.ac.nzl

Public health factsheet

Read more about Health Workforce New Zealand information on public health

Workforce

  • In 2014, there were about 200 Public Health Medicine professionals in New Zealand, making up 3.6% of the total medical workforce. 

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

Salaries are not very high in comparison with those in clinical medicine, especially if you are working in a university setting. During basic training, trainees are provided with a non-taxable study grant of $42,000. During advanced training, each trainee enters into an employment contract with the training site employer and there is no standardised salary level, although it would usually be similar to the RMO pay scale for a 40-hour week.

New Zealand public health specialists talk about the reality of working within this field

Radiation oncology

Radiation Oncology - Careers Fair 2021. A presentation by Dr Hedley Krawitz, Dr Ramesh Arunachalam and Dr Mollie Kain.

About radiation oncology

Radiation oncologists care for cancer patients and provide treatment through radiation therapy. Radiation oncologists work in a multidisciplinary environment with many other health care professionals including surgeons, medical oncologists, palliative care physicians, radiation therapists and medical radiation physicists. It involves direct patient care and exciting technological developments.

Specialty contacts

For up-to-date information on training programmes:
The Royal Australian and New Zealand College of Radiologists
PO Box 10 424 Wellington
Tel: 04 472 6470
Fax: 04 472 6474 
Email: nzbranch@ranzcr.org.nz
Website: ranzcr.edu.au

Dr Hedley Krawitz - Director of Training Radiation Oncology
Auckland City Hospital
Private Bag 92 024 Auckland
Tel: 09 307 4949
Email: hedleyk@adhb.govt.nz

Radiation oncology factsheet

Read more about Health Workforce New Zealand information on radiation oncology

Workforce

  • There are 49 radiation oncology specialists active in New Zealand in 2014.

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

Remuneration rates are comparable with those in other medical specialties and there is scope to undertake some private practice in this field.

New Zealand radiation oncologists talk about the reality of working within this field

Radiology

Radiology - RMO Careers Fair 2018

Hear about radiology specialty training from the specialists and trainees themselves at the Auckland region RMO Careers Fair 2018

About radiology

The radiologist is an expert in diagnosis through reviewing images such as x-ray, ultrasound, magnetic resonance imaging (MRI) and computerised tomography (CT). Radiologists advise doctors on the best examination for a patient, in some cases explaining the process to the patient and supervise the examination. They also interpret the results of the examination. In addition, radiologists may treat some diseases guided by imaging equipment. Using diagnostic radiology in therapeutic intervention is becoming more common as technology advances. Initiatives such as breast screening have increased the workload of radiologists in New Zealand in the past few years. (The Health Workforce: A Training Programme Analysis, CTA, 2001, 85).

Specialty contacts

For up-to-date information on training programmes:
The Royal Australian and New Zealand College of Radiologists
PO Box 10 424 Wellington
Tel: 04 472 6470
Fax: 04 472 6474
Email: nzbranch@ranzcr.org.nz
Website: ranzcr.edu.au

Sonja Bastin (Auckland DHB) - Radiology VTC Chair and Director/Supervisor of training at Auckland DHB
Graeme Anderson (CMDHB) - Supervisor/Director of Training
Penny Symes (WDHB) - Supervisor/Director of Training

Applications should be sent to:

Gail Le Claire – Executive officer
New Zealand branch office
The Royal Australian and New Zealand College of Radiologists
PO Box 10 424 Wellington
Tel: 04 472 6470
Fax: 04 472 6474
Email: nzbranch@ranzcr.org.nz
Website: ranzcr.edu.au

Radiology factsheet

Read more about Health Workforce New Zealand information on diagnostic and interventional radiology

Read more about radiology at Northern Regional Alliance

Workforce

The role of the radiologist is expanding and demand for services is increasing.

  • There were about 200 radiology specialists active in New Zealand in 2000, representing a growth of 21% in the period 1994–2000.
  • The recommended specialist to population ratio is 1:16,000; the current New Zealand ratio is 1:19,000.
  • There is inequitable distribution throughout the country, with significant shortages in Waikato and Otago/Southland (The health workforce: A training programme analysis, CTA, 2001, 85-88).

Income

See the New Zealand DHB Senior Medical and Dental Officers Collective Agreement 

The income increases if you undertake private practice.

New Zealand radiologists talk about the reality of working within this field

Sports medicine

About sports medicine

Sports medicine involves the practice of medicine as it is applied to all aspects of physical activity.

Specialty information

For up-to-date information on training programmes:
The Australasian College of Sports Physicians
Christine de Villeneuve
Suite 30, Level 6 
193 Macquarie St Sydney NSW 2000
Tel: +61 2 9223-4055
Fax: +61 2 9223-4066
Email: office@acsp.org.au
Website: acsp.org.au/

Dr Chris Hanna - New Zealand Training Coordinator, ACSP
Tel: 09 521 9811
Email: c.hanna@sportsmed.net.nz

Workforce

  • At the end of 2006 there were 13 qualified sports physicians in New Zealand and six registrars in training.
  • The current specialist to population ratio is 1:250,000. While the specialty is still relatively new, it is estimated that an appropriate ratio would be around 1:150,000. 

Income

Contact the Australasian College of Sports Physicians.

New Zealand sports medicine specialists talk about the reality of working within this field