Phase One explored Māori trainees’ experiences in the FRANZCOG training program. Participants highlighted the importance of role models, supportive placements, and whanaungatanga in their decision to pursue O&G. While the application process was generally considered transparent, the interview structure was seen as misaligned with te ao Māori values. The study also identified cultural loading, racism, and a lack of formal cultural support systems as key retention challenges.
Phase Two examined when and why Māori doctors choose their specialisations. Survey data collected from members of Te ORA (Māori Medical Practitioners) showed most decisions are made during prevocational training, with clinical placements and mentoring from Māori professionals being highly influential. However, negative experiences, including bullying and unsafe environments, often deterred Māori students from choosing O&G.
Both reports captured many Māori experiences and voices using quotes throughout, which He Hono Wāhine Chair, Dr Leigh Duncan, shared during the first public presentation of this research at the recent Aotearoa ASM in Ōtepoti, Dunedin.
Both reports provide clear, actionable recommendations. These include enhancing whanaungatanga during FRANZCOG application processes, improving processes to support cultural safety in training placements, increasing visibility of Māori O&G role models, and strengthening support networks through He Hono Wāhine and other initiatives.
Together, the findings reinforce the importance of intentional, culturally appropriate approaches to supporting Māori into and through specialist training. RANZCOG is committed to progressing action for culturally safe and responsive training, CPD, and workforce, with the ongoing support and commitment of He Hono Wāhine, Māori health leaders, and RANZCOG members.
He Hono Wāhine extends their heartfelt thanks to all Māori trainees, Fellows, prevocational doctors, and medical students who generously shared their experiences and whakaaro as part of this research. Your voices and insights are at the heart of this kaupapa and will help guide meaningful change for future generations of Māori in obstetrics and gynaecology. Ngā mihi nui ki a koutou.
