All 423 medical graduates were accommodated by the district health boards (DHBs) for November 2015. This was an increase of 29 on the previous year. It is anticipated that in November 2016 there will be 485 medical graduates who will require a PGY1 post. The number is expected to stabilise in 2022 at 553.
Surveys in September 2015 showed a large reduction in numbers of PGY3s and PGY3+, and a decrease in numbers of international medical graduates, clearly indicating that there are more opportunities for movement through the medical pipeline for New Zealand citizens and permanent residents trained in New Zealand.
A Governance structure, comprising the Medical Council of New Zealand (Medical Council), Royal New Zealand College of General Practitioners and Health Workforce New Zealand (HWNZ) continues to oversee a work programme to meet the Medical Council’s requirement for all interns to undertake a 13-week community-based clinical attachment (CBA) from November 2020. The objective of 10 percent interns undertaking a CBA by the end of 2015 was surpassed and if all CBA placements available are now filled, this stands at 25 percent.
HWNZ and the DHBs are co-developing a revised funding model for medical vocational training. A set of principles have been agreed to guide the development. The Medical Workforce Taskforce is providing governance for the project. The funding model is being reviewed to ensure workforce sustainability and sector capacity and capability to address future health needs. The review of the funding model is a forerunner of changes to the way in which HWNZ invests in general and consequently will need to be considerate of likely subsequent reforms.
A forecasting tool, developed by HWNZ, is available. The tool uses age distribution, turnover data and specialists’ working patterns over a lifetime to allow finely tuned forecasting for each medical specialty.
In collaboration with the medical colleges, HWNZ recently updated the 50 medical specialty factsheets that support graduate doctors making career choices.