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.
More than 40% of doctors working in the New Zealand health system are trained overseas. Many who arrive have already trained, or part trained, in a speciality and are now developing new careers in a new country. Below are several case studies of international medical graduates who are on specialist training programmes.
Emergency medicine training programme
Anaesthetic training programme
Health management involves the managing of systems, personnel and resources that provide health care to people. Roles range from team leaders within clinical teams, to clinical directors or service managers, to chief executives of major health organisations like District Health Boards or the Ministry of Health. Practice is concerned with the systems and processes which support clinicians to provide health care, with a focus on groups of people (such as patients who require renal dialysis or people with chronic respiratory illness who live in central Auckland). Doctors who work in health management must balance the individualisation of treatment with the advantages of processes and systems that provide consistent quality of care and that best utilise available resources.
University of Auckland
Department of Health Systems
Senior Lecturer Health Management
Tel: 373-7599 ext 86590
Those who take on health management responsibilities within their specialty (such as clinical director or managing partner in a group practice) generally earn at a similar rate to their specialty salary for the time they devote to health management.
Positions in departments of public health or the Ministry of Health range across the specialist salary scale and depend on experience and seniority. Doctors who take up positions such as chief medical officer in a hospital would usually be paid near the top of the specialist salary scale. Doctors appointed to senior health management positions such as CEO of a DHB are currently paid about $200,000–$300,000.
There are a range of opportunities for doctors in health management in the private sector in consultancy roles and in pharmaceutical, IT and other companies. These positions can be paid $100,000–$250,000 or more, depending on the business and your level of experience.
According to the Medical Practitioners (Vocational Registration) Amendment Order 2001, medical administration means the branch of medicine that involves the performance of administrative or managerial functions that:
The Royal Australasian College of Medical Administrators
PO Box 10-233
99 The Terrace
Tel: 04 472 9183
Fax: 04 472 9184
Dr Andre Nel – Chief medical advisor
Nelson Marlborough District Health Board
Tel: 03 546 1084
Salary range: $100,000–$400,000, depending on the level of your position within the organisation.
This section discusses the role of medically qualified professionals who choose to spend some or all their time working in the information technology industry.
Health informatics is currently ‘coming of age’ with the growing understanding of the importance of clinical information systems the delivery of health care. As a result, there are increasing and diverse opportunities for clinicians to work in IT. Jobs tend to focus less on technical skills related to hardware design or software programming, and concentrate rather on information management, business analysis, systems implementation and behaviour change.
Individuals who have experience in both clinical practice and a relevant area of IT are of great value in this industry. Practitioners need to possess a good understanding of clinical and health management issues and are increasingly being required to undertake some level of formal training in IT.
Dr Michael WS Stanbridge
Chief Executive Officer,
Enigma Publishing Ltd
PO Box 302 432, NHPC Auckland
Tel: 09 486 4005
Remuneration in this field can vary widely. In the current climate, IT companies are being established and floated and the financial returns can be extremely high. There is, however, a degree of risk, and it is said to be difficult to generate returns approaching private sector consultant salaries unless you are part owner of a company or unless you are extremely successfully involved in the sales cycle.
This chapter describes the work of specialists who have gained qualifications in both medicine and law. The medico-legal area of specialty has arisen because of the increasing impact of the legal framework in health on the day-to-day clinical activities of doctors, reflected in particular in the trend towards increased accountability. Employment in the medico-legal field may take various forms, such as acting as a:
Dr Tim Cookson – Medical protection society
PO Box 109 111 Newmarket Auckland
No workforce statistics are currently available but it is interesting to note that The University of Auckland Faculty of Law offers the conjoint BHSc/LLB degree, which allows students to plan a programme offering a sound introduction to law and the health care sector, and possibly lead to a career in medical law, health policy, health management, or health care ethics.
This suggests a significant increase (or anticipated increase) in opportunities in the medico-legal field.
The salary range for work in this field is roughly $100,000–250,000, depending on your position or contract and your level of experience.
Having a medical degree does not limit you to working solely as a clinician. Some doctors combine their clinical practice with other areas of interest, such as information technology, and others work almost entirely in non-clinical areas. Below are several case studies of doctors who have chosen different career pathways within the health sector or related areas.
Medical Advisor, Service Integration & Improvement, Auckland District Health Board.
Clinical consultant and Product Manager, Orion Health.
Clinical Director/Innovation at ProCare and General Practitioner.
Doctoral Programme in Public Health at Oxford University.
Clinical Fellow in Performance Improvement at the Oxford Radcliffe Hospitals NHS Trust.
Barrister specialising in health.
Nautilus Health (a company he formed in 2008).