Māori and Pasifika medical graduates were found to have low interest in ophthalmology training in a mixed-methods study using retrospective analysis and prospective semi-structured interviews. Retrospective analysis of Medical Schools Outcomes Database and Longitudinal Tracking Project for 2012–2017 found that only 64 (6.7%) medical graduates from the University of Auckland and the University of Otago ranked ophthalmology among their top three preferred training specialties; six graduates (9.3%) identified as Māori/Pasifika. Intellectual content, procedural skills, specialty exposure and mentorship were ranked as highly influential factors irrespective of ethnicity. Additional insights to improve the representation of Māori/Pasifika ophthalmologists in New Zealand were gained from semi‐structured qualitative interviews with six Māori/Pasifika medical postgraduates. These insights included promoting Māori/Pasifika connections and clarifying training pathways for future graduates.
Of particular relevance given the outcry from health leaders, workers and students about the proposed end to the Māori and Pacific pathways at Otago medical school. As one student raised – have we achieved equity already? In speaking with Māori surgical trainees, racism is a major issue for them, and the idea of working in a toxic environment is not attractive to anyone!
Independent commentary by Dr. Matire Hardwood
Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.
Research Review publications are intended for New Zealand health professionals.
Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.
