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Te Huarahi Roa-The Long Road.
Nasya Thompson1, Ruth Herd2, Jonathan Koea3
1Department of Surgery, University of Otago Christchurch, Christchurch, New Zealand.
ANZ Journal of Surgery
|March 31, 2026
Summary
Māori doctors face significant barriers, including racism and lack of mentorship, in surgical training pathways. Strengthening culturally grounded support is crucial for improving Māori representation and equity in surgery.
Area of Science:
- Medical Education
- Surgical Workforce Diversity
- Health Equity
Background:
- Māori are underrepresented in Aotearoa's surgical health workforce, leading to health inequities.
- Understanding Māori doctors' experiences throughout their surgical training is limited.
Purpose of the Study:
- To explore Māori doctors' experiences in surgical training.
- To identify barriers, enablers, and opportunities for improving Māori pathways into surgery.
Main Methods:
- A qualitative study using a Kaupapa Māori approach.
- Online surveys with Māori medical students, junior doctors, and registrars.
- Semi-structured interviews with Māori surgical consultants.
Main Results:
- Key motivators include early surgical exposure, mentorship, and commitment to Māori health.
- Culturally grounded initiatives and Māori mentorship are strong supportive factors.
- Barriers include racism, limited Māori mentors, and cultural tensions in Pākehā-dominated environments.
Conclusions:
- This study offers continuum-wide insights into Māori doctors' surgical training experiences.
- Addressing systemic barriers and enhancing culturally grounded support is essential.
- Improving Māori representation and equity in the surgical workforce requires targeted interventions.
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