7th June 2022
J Thomas-Maude
Private/Individual
Email:
[FYI request #19499 email]
Dear J
Official Information Act Request for – House Officer Information
I write in response to your Official Information Act request received by us 30th May 2022, you
requested the following information:
I would like to make a request under the Official Information Act (1982) for the fol owing data.
Please could I ask that al the data be broken down year by year, rather than as a total for al the
years in question.
1. The total number of PGY1 House Officer positions fil ed by the ACE matching system for each
year between 2018 and 2022, and a breakdown of these by country of training of the
candidate (e.g. New Zealand, Australia).
2. The total number of PGY1 House Officer positions fil ed in by NZREX graduates for each year
between 2018 and 2022.
3. The total number of PGY1 House Officer positions fil ed in by candidates from a Comparable
Health System (e.g. U.K., Ireland, U.S.A., Canada etc.) for each year between 2018 and 2022.
4. The total number of PGY1 House Officer positions that were available and advertised outside
of the ACE matching system for each year between 2014 and 2022 (please note this is a wider
time range than the three requests above).
Counties Manukau Health Response:
For context Counties Manukau Health (CM Health) employs over 8,500 staff and provides health and
support services to people living in the Counties Manukau region (approx. 601,490 people). We see over
118,000 people in our Emergency Department each year, over 490,000 outpatient appointments each
year, and over 2,000 visitors come through Middlemore Hospital daily.
Our services are delivered via hospital, outpatient, ambulatory and community-based models of care.
We provide national, regional and supra-regional specialist services i.e. for orthopaedics, plastics, burns
and spinal services. There are also several specialist services provided including tertiary surgical services,
medical services, mental health and addiction services.
In response to your request we note the fol owing:
• The response to the OIA includes al appointments up to 31 May 2022 (date of the OIA).
• Prior to 2021 the House Officer training year which includes PGY1 positions commenced in November
each year.
• In 2020 the RMO training year dates changed from November each year to January each year. As part
of the transition this resulted in the end date for the 2019/2020 training year being changed from
29/11/2020 to 17/01/2021.
Counties Manukau Health
Private Bag 93311, Otahuhu, Auckland
T: 09 276 0000 | cmdhb.org.nz
• The ACE matching process is completed prior to the commencement of the RMO training year and in
responding to this OIA we have provided details on which training year the ACE process relates to for
the year specified.
• The training year dates covered by the information requested in the OIA were as fol ows:
Training Year
Dates
ACE Process (Year)
2014/2015 Training Year
25/11/2014 to 23/11/2015
2014
2015/2016 Training Year
23/11/2015 to 27/11/2016
2015
2016/2017 Training Year
28/11/2016 to 26/11/2017
2016
2017/2018 Training Year
27/11/2017 to 25/11/2018
2017
2018/2019 Training Year
26/11/2018 to 24/11/2019
2018
2019/2020 Training Year
25/11/2019 to 17/01/2021
2019
2021 Training Year
18/01/2021 to 16/01/2022
2020
2022 Training Year
17/01/2022 to 15/01/2023
2021
1. The total number of PGY1 House Officer positions fil ed by the ACE matching system for each
year between 2018 and 2022, and a breakdown of these by country of training of the
candidate (e.g. New Zealand, Australia).
Training Year Dates
ACE Process
NZ
Australia
Total
Counties Manukau DHB
27/11/2017 to 25/11/2018
2017
52
1
53
26/11/2018 to 24/11/2019
2018
61
0
61
25/11/2019 to 29/11/2020
2019
57
0
57
18/01/2021 to 16/01/2022
2020
64
0
64
17/01/2022 to 15/01/2023
2021
62
0
62
2. The total number of PGY1 House Officer positions fil ed in by NZREX graduates for each year
between 2018 and 2022.
This provides for each DHB the number of PGY1 House Officer positions filled by NZREX
graduates hired by year from 2018 to 2022 (includes all new appointments up to 31 May 2022).
Training Year
Training Year Dates
Counties Manukau
DHB
2017/2018
27/11/2017 to 25/11/2018
7
2018/2019
26/11/2018 to 24/11/2019
0
2019/2020
25/11/2019 to 17/01/2021
3
2021
18/01/2021 to 16/01/2022
2
2022
17/01/2022 to 15/01/2023
1
3. The total number of PGY1 House Officer positions fil ed in by candidates from a Comparable
Health System (e.g. U.K., Ireland, U.S.A., Canada etc.) for each year between 2018 and 2022.
The PGY1 positions filled by IMGs from Comparable Health countries (CHS) from 2018-2022
were Australian Medical Graduates. When determining comparable health countries, we have
used the Medical Council of New Zealand list of comparable health countries. This includes all
new appointments up to 31 May 2022 and excludes any PGY1 positions fil ed by NZREX.
Training
Training Year Dates
Counties Manukau
Year
DHB
2017/2018
27/11/2017 to 25/11/2018
1
2018/2019
26/11/2018 to 24/11/2019
0
2019/2020
25/11/2019 to 17/01/2021
0
2021
18/01/2021 to 16/01/2022
0
2022
17/01/2022 to 15/01/2023
0
4. The total number of PGY1 House Officer positions that were available and advertised outside
of the ACE matching system for each year between 2014 and 2022 (please note this is a wider
time range than the three requests above).
Recruitment for RMO positions is undertaken regionally across the three Auckland metro DHBs
(Auckland, Counties Manukau and Waitemata DHBs) and this is facilitated by the Northern
Regional Alliance.
• Once a year the nationwide annual recruitment cycle (ARC) is used to coordinate external
advertising for House Officer positions at PGY2/PGY2+ levels. Once a year the Auckland
region recruits all of the required PGY1 positions via the ACE RMO process.
• PGY1 positions are reserved initially for New Zealand graduates from Medical Schools via
the ACE process. Information regarding the national ACE matching process can be found
on the ACE website
https://rmo.acenz.net.nz/
• From time to time vacancies occur at PGY1 level during the training year and outside of the
ACE process. NZREX graduates are considered where suitable for such vacancies. NZREX
doctors are encouraged to register online
at www.aucklanddoctors.co.nz and maintain an
up to date CV and details to enable them to be considered when vacancies become
available.
• Available vacant positions are advertised through-out the year on the Auckland Doctors
website.
Prioritisation of preference criteria for any additional PGY1 positions not filled via the ACE match,
involves reviewing the ACE talent pool of non-matched ACE candidates and NZREX who have applied
to the Auckland region, in the order of:
• Category 1 – graduates from NZ Medical schools who are citizens of NZ or Australia
• Category 2 – graduates from Australian medical schools who are citizens or permanent
residents of NZ or Australia
• Category 3 – graduates from NZ medical schools but are not permanent residents or
citizens
• NZREX applicants are prioritised on the basis of NZ Citizen/Permanent resident status
I trust this information answers your request. You are entitled to seek a review of the response by the
Ombudsman under section 28(3) of the Official Information Act. Information about how to make a
complaint is available at
www.ombudsman.parliament.nz or Freephone 0800 802 602.
Please note that this response or an edited version of this may be published on the Counties Manukau
Health website. If you consider there are good reasons why this response should not be made publicly
available, we will be happy to consider this.
Yours sincerely
Dr Peter Watson
Acting Chief Executive Officer
Counties Manukau Health