This job is sometimes referred to by alternative titles
Physicians are medical specialists who provide non-surgical advice and treatment to patients referred to them by other doctors.
Trainee physicians usually earn
$70K-$175K per year
Experienced physicians usually earn
$151K-$600K per year
Source: Association of Salaried Medical Specialists and Resident Doctors' Association.
Pay varies for physicians and for registrars (those in training), depending on seniority, hours, location and frequency of on-call or emergency cover.
- Registrars working for a district health board (DHB) usually earn between $70,000 and $175,000 a year.
- Qualified physicians working for a DHB usually earn between $151,000 and $212,000.
- Physicians working in the private sector can earn more than this. Those at the top level may earn up to $600,000.
Sources: Association of Salaried Medical Specialists (ASMS), '2013 to 2016 National DHB Collective Agreement (MECA)'; Resident Doctors' Association, '2012 to 2013 DHB Collective Agreement.'
(This information is a guide only. Find out more about the figures and diagrams in our job information).
What you will do
Physicians may do some or all of the following:
- examine patients and investigate and identify complex medical problems, such as those involving multiple organs and systems
- consult with other medical professionals about patient care and treatment
- advise on medical treatment and discuss this with patients or their caregivers
- provide medical treatment, check patients' progress and provide follow-up care
- keep medical records and send final reports to general practitioners
- care for emergency referral patients, such as patients with critical illnesses
- teach medical students and trainee physicians
- carry out research.
Skills and knowledge
Physicians need to have knowledge of:
- anatomy and how the human body works
- different diseases and illnesses
- medicines and treatments
- diagnostic skills
- research, treatments and practices
- medical ethics and law.
Physicians also need skills and knowledge specific to their area of specialisation. For instance, cardiologists need skills and knowledge related to treating diseases of the heart.
- often work long and irregular hours, including evenings, nights and weekends
- work in hospitals, clinics and private practices
- work in conditions that may be stressful, as they deal with seriously ill patients
- may travel locally to visit hospitals in their region or overseas to attend conferences.
To become a physician you need to:
- complete the Health Sciences First Year programme at University of Otago, or the first year of either the Bachelor of Health Sciences or Bachelor of Science in Biomedical Science at Auckland University
- complete a five-year Bachelor of Medicine and Bachelor of Surgery (MBChB) degree at Otago or Auckland
- work for two years as a house officer (supervised junior doctor) in a hospital
- complete another six years of specialist training and examinations to become a Fellow of the Royal Australasian College of Physicians.
You also need to be registered with the Medical Council of New Zealand.
- University of Otago website - information about the Health Sciences First Year programme
- University of Otago website - information about the Bachelor of Medicine and Bachelor of Surgery
- University of Auckland website - information about the Bachelor of Medicine and Bachelor of Surgery
- Royal Australasian College of Physicians website - information about physician training
- Medical Council of New Zealand website - information about physician training
The Vulnerable Children Act 2014 means that if you have certain serious convictions, you can’t be employed in a role where you are responsible for, or work alone with, children.
NCEA Level 3 is required to enter tertiary training. Useful subjects include maths with calculus and/or statistics, chemistry, physics, biology and English.
Physicians need to be:
- motivated and disciplined
- able to work well under pressure
- able to make good decisions, and solve problems
- good time managers
- excellent at analysis and interpretation
- good at report writing
- good at communicating and inspiring confidence in others
- understanding of other cultures' attitudes to medical treatment.
What makes a good neurologist? The first thing is the ability to listen, to understand and to observe.
Dr Kong Chung
Useful experience for physicians includes:
- work in hospitals or other health-related work, such as in a clinic
- work involving caring for people.
Physicians need to be registered with the Medical Council of New Zealand.
Find out more about training
- Health Careers
- Medical Council of New Zealand (MCNZ)
- 0800 286 801 - www.mcnz.org.nz
- Royal Australasian College of Physicians
- (04) 472 6713 - email@example.com - www.racp.edu.au
What are the chances of getting a job?
Number of factors contribute to shortage of physicians
The shortage of physicians is due to:
- New Zealand's growing and ageing population, which means increasing demand for physicians to deal with illnesses and diseases
- an ageing workforce – nearly a third of specialist doctors, including physicians, are over 55 years old and due to retire in the next 10 years
- some physicians moving overseas for better pay and working conditions
- a worldwide shortage of specialist doctors, which means that it can be hard for New Zealand to attract physicians from overseas to work here.
General and many specialist physician roles appear on Immigration New Zealand's immediate and long-term skill shortage lists.
Extra payment for graduates working in hard-to-staff locations, and for physicians specialising in internal medicine
The Ministry of Health runs a voluntary bonding scheme, with additional payments, to encourage more graduate doctors to work in locations that are hard to staff, such as rural areas, and specialist areas that are hard to staff, such as internal medicine, which some physicians specialise in.
Physicians work for public and private hospitals
Physicians work in public or private hospitals, or a combination of both, and may also work in university medical schools.
- District health boards employ all physicians who work in public hospitals.
- Private hospitals usually employ physicians on a casual basis.
- The Medical Schools at the Universities of Auckland and Otago employ physicians in teaching and research roles.
- Association of Salaried Medical Specialists, ‘Taking the Temperature of the Hospital Specialist Workforce, August 2014’, accessed November 2014. (www.asms.org.nz).
- Immigration New Zealand, 'Immediate Skill Shortage List', accessed November 2014, (www.immigration.govt.nz).
- Immigration New Zealand, 'Long-term Skill Shortage List', accessed November 2014, (www.immigration.govt.nz).
- Medical Council of New Zealand, 'The New Zealand Medical Workforce in 2011', accessed November 2013, (www.mcnz.org.nz).
Progression and specialisations
Physicians may progress to teach students and trainee physicians at larger hospitals. They can also become senior consultants responsible for their department, or clinical directors, combining an administrative role with a physician role.
Physicians can specialise in a number of areas, including:
- Cardiologists specialise in diseases of the heart.
- General and Acute Care Physician
- General and acute care physicians diagnose and manage conditions that may be complex, difficult to diagnose, or involve multiple organs and systems of the body.
- Intensive Care Physician
- Intensive care physicians diagnose and treat patients with acute, severe and life-threatening disorders of internal vital systems.
- Medical Oncologist
- Medical oncologists specialise in the treatment of cancer.
- Neurologists specialise in diseases of the nervous system, including the brain.
- Paediatricians specialise in the medical care of infants, children and adolescents.
Last updated 22 August 2017