MIGRATION OF SPECIALISTS NEW ZEALAND THIRD INTERNATIONAL CONFERENCE

MIGRATION OF SPECIALISTS: NEW ZEALAND THIRD INTERNATIONAL CONFERENCE OF DOCTORS’ UNIONS 26 -28 September 2018 Ian Powell Executive Director, ASMS

MIGRATION TO NEW ZEALAND (2016) International Medical Graduates (gained their initial medical qualification overseas) • 42. 4% of all practising doctors (43. 6% specialists) were IMGs • Most IMGs (55%) worked in rural areas (including specialists in public hospitals.

SPECIALTIES WITH MORE THAN 50% IMGS • Psychiatry • Obstetrics & gynaecology • Emergency medicine • Radiation oncology Approaching 50%: • Pathology • Anaesthesia

NEW ZEALAND DOCTORS PRACTISING OVERSEAS (FIRST MEDICAL QUALIFICATION IN NEW ZEALAND) • By far the largest destination is Australia • Traditionally, the UK has been the second most popular destination • But now USA (2 nd), UK (3 rd) and Canada (4 th).

BREAKDOWN OF NZ DOCTORS OVERSEAS: OECD (2016) • 2, 029 NZ doctors in Australia (conservative compared with Australian data) • 232 in the USA • 203 in the UK • 111 in Canada • Plus small number of NZ doctors were practising in other countries (0. 5%) • Approximately 18% of the medical workforce practising in NZ in 2016.

FUTURE DIRECTION • • • 50% burnout rate High levels of presenteeism Specialist shortages of around 20 -25% Roughly 800 -1, 000 specialists currently needed Increasing dependence on international recruitment for next few years at least.