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NZRDA Hospital REVIEW JUNE 2020 Get in touch Unit E, Building 3 195 Main Highway, Ellerslie, Auckland 1051 PO Box 11369, Ellerslie, Auck- land 1542 P: 09 526 0280 www.nzrda.org.nz [email protected] facebook.com/nzresidentdoctor 2 Contents Introduction . 4 Trainee Interns . 5 Northland . 6 Whangarei Hospital Waitemata . 8 North Shore & Waitakere Hospitals Auckland ������������������������������������������������������������������������������������������������������������������ 10 Auckland Hospital & Starship Counties Manukau . 13 Middlemore Hospital Waikato �������������������������������������������������������������������������������������������������������������������� 14 Waikato Hospital Bay of Plenty �������������������������������������������������������������������������������������������������������������16 Tauranga & Whakatane Hospitals Lakes �������������������������������������������������������������������������������������������������������������������������19 Rotorua & Beyond Hastings . 20 Hawke’s Bay Hospital Midcentral ���������������������������������������������������������������������������������������������������������������� 22 Palmerston North Hospital Taranaki �������������������������������������������������������������������������������������������������������������������� 23 Taranaki Base Hospital Whanganui . 24 Whanganui Hospital Wairarapa . 26 Wairarapa Hospital Hutt Valley . 27 Hutt Hospital Capital & Coast . 28 Wellington Hospital & Kenepuru Nelson Marlborough ������������������������������������������������������������������������������������������������30 Nelson & Wairau Hospitals Canterbury . 32 Christchurch Hospital South Canterbury ����������������������������������������������������������������������������������������������������34 Timaru Hospital Southern . 35 Dunedin & Invercargill Hospitals 3 Introduction The RMO Viewpoint Dear Colleagues, Welcome to NZRDA’s annual Hospital Review. Daily Workload This is a subjective and unofficial assessment of the hospitals distributed across our beloved How reasonable for a first year? country. It’s written by RMOs for RMOs. Rosters We hope that this publication will give you an insight into what you might expect before Never get to see your children (or make any). .? commencing work. It might also help you choose where to work – given that you will shortly choose your allocations. RMO Lounge To all the Trainee Interns out there, please see General comfort and proximity to key the information on the facing page about RDA work areas; kitchen facilities, lounge area, membership and indemnity insurance. We are natural light; status of phone lines to enable here to help, so let us know if you have responsiveness. any questions. City Living And if you have further queries about working at a particular hospital, the first points Things to do (night life etc.), cost, transport, of call are your delegates (your RDA proximity to other places etc. representatives working across NZ). You can find out who your delegates are by heading to our website (www.nzrda.org.nz). Cafeteria General comments including cleanliness, Alternatively, get in touch with us here accessibility; meals including options, quality, at the RDA office and we will assist you! availability, and restrictions. In producing this document, RMOs were asked to comment on 10 categories, but also to contribute any other thoughts Car Parking and comments they considered relevant. Space availability, safety and security, proximity to main entrance for nights, To all those RDA delegates and RMOs who alternative arrangements if appropriate. contributed their time and effort to the production of this review – a big thank you. If you have any feedback on or questions about the Acute Demand content of this review, we’d be happy to discuss. On long day work volume, work quality and Review Criteria experience. RMO Unit The helpfulness, friendliness and support SMO Support (or otherwise) of RMO Unit staff. Educational opportunities/academic support; industrial support. MECA Compliance Frequency and severity of non-compliance; ease of solving disputes, etc. 4 Introduction Trainee Interns Written by RMOs for RMOs TI RDA Membership is Free training, work-life balance and wellness. We Beginning your first year as a house officer represent individual members who get into is always daunting. As well as coming to difficulty, and promote good change. grips with being a doctor, you also need to understand what it means to be an employee. Indemnity Insurance The RDA supports indemnity insurance The RDA is here to help you deal with “all that through NZMPI, a wholly New Zealand- contract stuff” and more. Membership for owned insurance company. This is TIs is free! indemnity insurance: a guaranteed contract Just visit the Membership page on our of cover for you if you get into difficulty, website at www.nzrda.org.nz/join, fill in which (without trying to make you gloomy) the form, and it’s done... but there is a you probably will - despite all the training, catch! To remain a member once you start you are human after all! This is free for work as an RMO, you will need to pay a RMOs: just tick the box usually called subscription fee - but not until your first “RDA insurance” or “NZMPI” when filling pay cheque! After this, it’s $40 per month. in the form for DHB employment. This insurance remains available to house We do encourage TIs to join; we produce officers and registrars, and continues into SMO regular updates dedicated to TIs, which and GP land when you get to that stage. provide “things you need to know” especially as the time approaches when you will To sum up start your working life as a doctor. We actively lobby for our members’ interests, comment publicly when appropriate, and What is the NZRDA? communicate with other medical The NZRDA (New Zealand Resident Doctors’ organisations in New Zealand and overseas. Association) – or the RDA for short – is by We work with politicians, government, and far the largest organisation in New Zealand the private sector. Through the RDA you representing RMOs (Resident Medical have the opportunity to have your say and Officers, which includes house surgeons, influence decisions that affect your future senior house officers and registrars) and and the future of healthcare in NZ! of course TIs. Disclaimer We are a union: a group of employees who This review is intended to provide an honest, come together to achieve strength and provocative and irreverent commentary on safety in numbers. We are run by resident the state of New Zealand hospitals from doctors for resident doctors. Our main the points of view of RMOs. All commentary purpose is to look after and promote the is opinion only, and we have been careful not to overly edit or dilute the voices interests of our members. This includes of our members in their assessments. taking care of doctors’ rights and interests Even when the commentary seems to at work, within the health sector and in the be stated as fact, it isn’t; it is opinion wider community. – but educated opinion, informed by the real life experiences of doctors working The philosophy of the NZRDA is based on within our District Health Boards. community, support and union principles such as a democratic structure and The NZRDA is always happy to discuss the service delivery. opinions that appear in our Hospital Review; if you have thoughts or comments, feel What do we do? free to contact us at [email protected] The RDA negotiates and enforces members terms and conditions of employment, and In producing this document, RMOs were we work to ensure your employment contract asked to comment on the aforemen- is honoured. tioned 10 review criteria categories, but also to contribute any other thoughts We also work to protect and enhance RMO and comments they considered relevant. 5 “There is a range of specialties with great collegiality amongst SMOs and Registrars in most departments.” 6 Northland Whangarei Hospital Known for its beaches, the North vegetarian and vegan options and food welcomes new arrivals. Whangārei itself runs out quickly. Car parking is up to is a small town with a reasonable cost of standard in terms of location and security. living and working at the hospital as a first year is an enjoyable The District Health Board and RMO experience. The workload is overall unit in particular are under resourced. manageable, there is good schedule ten Communication between the Unit compliance and rostering that supports and RMOs has significant room for a healthy personal life. There is a range improvement. It often feels like of specialties with great collegiality management does not listen to RMOs. amongst SMOs and Registrars There are ongoing MECA compliance in most departments. issues around annual leave, lieu days and failing to adhere to other requirements. But, the educational support from SMOs is best described as “passable” and Whangarei is only a little over two hours understaffing is a significant issue away from Auckland, but Whangarei itself in most departments impacting safety is more of a quaint small town than a city. especially at night. The cost of living is fair, and it’s perfect for those interested in outdoor activities. Surf Facilities are adequate. The RMO beaches are forty minutes from the town, lounge is located on the roof top there are multiple mountain bike routes, near the Helipad. It is small but has and ready access to Poor Knights Marine natural light and there are adequate Reserve. sleeping arrangements. Food is above average
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