Enhancing Māori and Pasifika graduate interest in ophthalmology surgical training in New Zealand/Aotearoa: Barriers and opportunities.

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dc.contributor.author Freundlich, Simone EN
dc.contributor.author Connell, Charlotte JW
dc.contributor.author McGhee, Charles NJ
dc.contributor.author Cunningham, William J
dc.contributor.author Bedggood, Antony
dc.contributor.author Poole, Phillippa
dc.coverage.spatial Australia
dc.date.accessioned 2021-11-11T04:41:16Z
dc.date.available 2021-11-11T04:41:16Z
dc.date.issued 2020-8
dc.identifier.issn 1442-6404
dc.identifier.uri https://hdl.handle.net/2292/57381
dc.description.abstract <h4>Importance</h4>Improving the representation of indigenous ophthalmologists in New Zealand.<h4>Background</h4>Māori, indigenous to New Zealand/Aotearoa and Pacific Peoples indigenous to Pacific Island Nations living in New Zealand, experience poorer health outcomes across several ophthalmic conditions. The Royal Australian and New Zealand College of Ophthalmologists have identified indigenous workforce development as a priority.<h4>Design</h4>Mixed-methods study, utilizing retrospective analysis of Medical Schools Outcomes Database and Longitudinal Tracking Project responses, and prospective interviews with Māori/Pasifika medical graduates.<h4>Participants</h4>This study involved 64 medical graduates from the University of Auckland (UoA) and the University of Otago, and six Māori/Pasifika medical postgraduates in New Zealand.<h4>Methods</h4>Retrospective analysis of medical graduate responses who ranked ophthalmology among their top-three preferred specialties in the Medical Schools Outcomes Database and Longitudinal Tracking Project. Prospective semi-structured interviews with Māori/Pasifika medical postgraduates.<h4>Main outcome measures</h4>Specialty training influencing factors and prevocational ophthalmology experience.<h4>Results</h4>A total of 64 (6.7%) out of 954 medical graduates from the UoA and University of Otago ranked ophthalmology among their top-three preferred training specialties (2012-2017). Of the 64 graduates, six (9.3%) identified as Māori/Pasifika. No significant difference in influencing factors between Māori/Pasifika and non-Māori/Pasifika students was identified. Both groups ranked intellectual content, procedural skills, specialty exposure and mentorship as highly influential. Qualitative interviews with Māori/Pasifika graduates highlighted positive experiences in ophthalmology but limited exposure overall. Negative anecdotes and unclear training pathways discouraged Māori/Pasifika interest in Ophthalmology training.<h4>Conclusions and relevance</h4>Māori/Pasifika graduate interest in ophthalmology training was relatively low. Valuable insights include enhancing specialty exposure, mentor development, promoting Māori/Pasifika connections and clarifying training pathways for future graduates.
dc.format.medium Print-Electronic
dc.language eng
dc.publisher Wiley
dc.relation.ispartofseries Clinical & experimental ophthalmology
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm
dc.subject Humans
dc.subject Retrospective Studies
dc.subject Prospective Studies
dc.subject Ophthalmology
dc.subject Oceanic Ancestry Group
dc.subject Australia
dc.subject New Zealand
dc.subject Māori health
dc.subject New Zealand/Aotearoa
dc.subject Pacific peoples health
dc.subject ophthalmology
dc.subject surgical specialty training
dc.subject Australia
dc.subject Humans
dc.subject New Zealand
dc.subject Oceanic Ancestry Group
dc.subject Ophthalmology
dc.subject Prospective Studies
dc.subject Retrospective Studies
dc.subject Science & Technology
dc.subject Life Sciences & Biomedicine
dc.subject Ophthalmology
dc.subject Maori health
dc.subject New Zealand
dc.subject Aotearoa
dc.subject ophthalmology
dc.subject Pacific peoples health
dc.subject surgical specialty training
dc.subject NEW-ZEALAND
dc.subject CAREER
dc.subject IMPACT
dc.subject 1608 Sociology
dc.subject Public Health
dc.subject 1103 Clinical Sciences
dc.subject 1113 Opthalmology and Optometry
dc.subject 1117 Public Health and Health Services
dc.title Enhancing Māori and Pasifika graduate interest in ophthalmology surgical training in New Zealand/Aotearoa: Barriers and opportunities.
dc.type Journal Article
dc.identifier.doi 10.1111/ceo.13766
pubs.issue 6
pubs.begin-page 739
pubs.volume 48
dc.date.updated 2021-10-17T23:25:24Z
dc.rights.holder Copyright: The author en
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/32335997
pubs.end-page 748
pubs.publication-status Published
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article
pubs.elements-id 802249
dc.identifier.eissn 1442-9071
pubs.online-publication-date 2020-5-19

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