Doctors Guide
Content
THE DOCTOR’S GUIDE TO WORKING IN AUSTRALIA & NEW ZEALAND
A free
ing think tors informatio nal guide for all doc ealand about working in Australia or New Z
Australasia’s Medical Recruitment Experts www.IMRmedical.com
"Australia has everything England has but with great weather and great food! Why would I possibly want to go back home!" Dr Woods, UK
Australasia’s Medical Recruitment Experts
"After 15 years in an inner city general practice in London, I took up a position as a GP on coastal Queensland. My family and I are very grateful to IMR for this opportunity...Thank you" Dr Leeson, UK
Do I need to take any exams to work in Australia or New Zealand? Can I stay there permanently? Can I work anywhere or do I have to work in ‘Areas of Need’? Can I become a permanent resident or citizen of Australia / New Zealand? How much do doctor’s get paid in Australia / New Zealand? What are the tax rates? Can I get into college accredited training programs? Do recruitment agencies charge any fees? Can I transfer my pension over? Do I have access to free public health treatment? Can my children attend school for free? Or do we have to pay school fees? How much does private schooling cost? Can I bring my family members across on my work visa? Can my partner work in Australia or New Zealand on my visa?
WHY AUSTRALIA AND NEW ZEALAND?
Many doctors choose to work in Australia and New Zealand because they offer: • Outstanding natural beauty, cleanliness, climate • and have an unrivalled lifestyle • Excellent standards of clinical practice • High salaries and offer an exceptional quality of life • Great opportunities for postgraduate training and medical career advancement
•
Low cost of living so the average doctor's disposable income is often more than it would
be in UK, USA, Ireland or Canada • Temporary positions for doctors of most specialties due to their demographics and geography • A welcoming, multicultural environment
Reasons to work and live in Australia and New Zealand
All Doctors: 1. Lifestyle – The attractive and unique features of Australian and New Zealand lifestyle play a signi cant role in the decision to live and work here. With a fantastic climate, pristine beaches, ample space, more time for family and an abundance of outdoor activities, you will never be short of things to do. If you’re looking for a change, look no further. 2. Hours of Work – In both Australia and New Zealand most doctors enjoy the bene ts of a standard 38 hour working week. Any time that is required in addition to this is usually compensated at a higher hourly rate (often double time), making the work-life balance much more enticing than many other countries. Doctors are usually able to have some level of choice in dictating how much work they undertake outside of standard hours, and the on-call requirements are generally much lower than what is found in other health systems. 3. General Treatment / Recognition / Respect – Doctors in Australia and New Zealand are respected as highly skilled professionals, and are treated as valuable assets not only to the hospital, but to the wider community as a whole. In addition to this, a large portion of senior hospital management and all clinical directors in hospitals are doctors themselves, meaning the interests of doctors are well represented at an executive level. Junior Doctors: 1. Training Opportunities – Training programmes in Australia and New Zealand are generally of an exceptional standard, with the added advantage of less competition for available places. With far less people applying for Registrar positions, doctors are more likely to get into the training programme of their choice without an excessive need for research, audit, publications or unaccredited years. 2. Workplace Structure – The workplace structure in Australia and New Zealand is much less hierarchical than in other areas of the world, with most junior doctors addressing their consultants on a rst name basis. Feedback tends to suggest 4. Job Opportunities – Due to high demand for Consultants of all specialties in Australia and New Zealand there are often more opportunities available allowing doctors more choice with regard to location and position. This of course can in turn lead to higher negotiating power when it comes to nalising contract terms and salaries. Senior Doctors (Consultants): 1. Private Practice – In Australia the private sector is far more lucrative than the public sector, with over 50% of Australians taking out private health insurance. Most Consultants will do some work in the private sector, where they are able to charge higher rates for their services and enjoy an income that is additional to their regular fulltime role. 2. Working at Multiple Facilities – Many Consultants choose to work at more than one facility. By doing this Consultants are able to charge per session and can avoid participating in non-paid services such as education, audit or committee work unless they choose to, in which case any such work is usually remunerated at their notional rate. 3. Less Politics – In Australia and New Zealand there are signi cantly less hierarchical tiers in the healthcare system. This allows process changes to be made relatively quickly and with much less hassle. In addition, hospitals do not restrict Consultants from working at other facilities whilst contracted in Australia or New Zealand. 3. Paid Overtime – Whilst the standard working week is usually based around 38 hours in Australia and New Zealand, doctors are required to submit a timesheet detailing all hours worked. This ensures that any extra hours (in addition to those rostered) can be paid accordingly at a higher rate. that junior doctors are able to work with far greater autonomy, and in addition can enjoy a much higher sense of value and recognition within their roles.
WILL I HAVE TO TAKE ANY EXAMS TO WORK IN AUSTRALIA OR NEW ZEALAND?
New Zealand: You will be eligible for medical registration and be exempt from sitting the New Zealand Registration Examination (NZREX) if you fall in to one of the following categories: 1. You have a Primary Medical Degree from one of the following: • New Zealand • UK • Australia • Ireland
2. You have a Specialist Quali cation recognised by the Medical Council of New Zealand as being eligible for specialist registration Australia: You may be eligible for temporary registration as a doctor without sitting any exams ever, if you have a primary medical degree from a "Comparable Health Care System". This includes primary medical quali cations from the United Kingdom, the USA, Ireland and Canada. In addition, doctors who have completed their PLAB, USMLEs or LMCC may also qualify for Australian Medical Board registration without ever having to sit exams. All other doctors may have to sit the AMC MCQ exam before gaining registration. • North America (Canada, USA) • Western Europe (Austria, Belgium, France, Germany, Greece, Iceland, Italy, Netherlands, Spain, Switzerland) • Scandinavia (Denmark, Finland, Norway, Sweden) • Other (Hong Kong, Israel, Singapore) 3. You have a medical degree (from a WHO recognised school) and have worked for 3 out for the last 4 years in one of the following comparable health systems:
CAN I GET IN TO TRAINING POSITIONS IN AUSTRALIA & NEW ZEALAND?
Certain
specialty
training
programmes
are
more
At the time of writing, these are the specialties which have the highest number of training opportunities: • Emergency Medicine • General or Subspecialty Medicine • ICU • General Practice
competitive than others in Australia and New Zealand. You should seek advice from the relevant specialty college or a reputable recruitment agency in Australasia before making a career move.
FOR FURTHER INFORMATION CONTACT THE SPECIALTY COLLEGES IN AUSTRALASIA:
Australian & New Zealand College of Anaesthetists ANZCA House 630 St Kilda Road Melbourne Vic 3004 Tel: +61 3 9510 6299 Fax: +61 3 9510 6786 www.anzca.edu.au Royal ANZ College of Obstetricians and Gynaecologists 254 - 260 Albert Street East Melbourne Victoria 3002 Australia Tel: +61 3 9417 1699 Fax: +61 3 9419 0672 www.ranzcog.edu.au Australasian College for Emergency Medicine 34 Jeffcott Street West Melbourne VIC 3003 Tel: +61 3 9320 0444 Fax: +61 3 9320 0400 www.acem.org.au Royal College of Pathologists of Australasia Durham Hall 207 Albion Street Surry Hills NSW 2010 Australia Tel: +61 2 8356 5858 Fax: +61 2 8356 5828 www.rcpa.edu.au Royal Australasian College of Physicians 145 Macquarie Street Sydney NSW 2000 Ph: +61 2 9256 5444 Fax: +61 2 9252 3310 www.racp.edu.au Royal Australian and New Zealand College of Psychiatrists 309 La Trobe Street Melbourne Vic 3000 Australia Tel + 61 3 9640 0646 Fax + 61 3 9642 5652 www.ranzcp.org Royal Australian College of General Practitioners RACGP College House 1 Palmerston Crescent South Melbourne VIC 3205 T: +61 3 8699 0414 F: +61 3 8699 0400 www.racgp.org.au Royal Australian and New Zealand College of Radiologists Level 9, 51 Druitt Street Sydney NSW 2000 Tel +61 2 9268 9777 Fax +61 2 9268 9799 www.ranzcr.edu.au Royal Australian College of Ophthalmologists 94-98 Chalmers Street Surry Hills NSW 2010 Phone : +61 2 9690 1001 Fax : +61 2 9690 1321 www.ranzco.edu Royal Australasian College of Surgeons 250-290 Spring Street East Melbourne VIC 3002 Phone: +61 3 9249 1200 Fax: +61 3 9249 1219 www.surgeons.org
DOCTOR’S SALARIES IN AUSTRALIA
Salaries in Australia vary slightly from state to state. Each state Government xes all doctors’ salaries. Here are approximate gures for basic salaries in Australia. After overtime and on-call work these salaries will be approximately 15-25% higher. Seniority Resident/SHO Registrar General Practitioner Consultant (Specialist) Approximate Basic Salary (Aus $) $60,000 - $75,000 $75,000 - $100,000 $150,000 - $350,000 $150,000 - $350,000 Estimated Salary After Average Overtime (Aus $) $70,000 - $90,000 $85,000 - $125,000 $170,000 - $450,000 $170,000 - $450,000 Grossed up Pay with Salary Packaging (Aus $) $80,000 - $100,000 $100,000 - $145,000 Not Applicable $195,000 - $515,000
1 Australian $ = GBP £0.55 and 1 Australian $ = USD $0.91 Salary Packaging is a tax minimisation strategy available to all public hospital employees in Australia. It allows you to access approximately 30% of your income as tax-free depending on the hospital you work in. This is a system used by almost all hospital employees to substantially increase your untaxed salary component.
TAX RATES IN AUSTRALIA
All public hospital employees can access approximately 30% of their income as tax-free through salary packaging, the remaining 70% will be taxable. Here are the rates of tax for residents in Australia for the remaining salary after salary packaging: Taxable Income (Australian $) $0 - $6,000 $6,001 - $35,000 $35,001 - $80,000 $80,001 - $180,000 $180,000+ Taxable Payable (Australian $) Nil Nil +15% of excess over $6,000 $4,350 + 30% of excess over $35,000 $17,850 + 38% of excess over $80,000 $55,850 + 45% of excess over $180,000
OTHER BENEFITS
In addition to salary packaging, most hospitals will give all 1. Sick Leave – up to 10 paid days per year 2. Annual Leave – up to 5 weeks paid leave per year 3. Superannuation (pension) – all doctors working in Australia receive superannuation payments to the value of at least 9% of their salary. This is paid in addition to your normal salary. All doctors who work temporarily in Australia
may cash in their superannuation earned when they leave to return to their home country.
4. Consultants will also often receive a CME allowance, travel and accommodation allowances.
DOCTOR’S SALARIES IN NEW ZEALAND
Here are approximate gures for basic salaries in New Zealand: Seniority Resident/SHO Registrar General Practitioner Consultant (Specialist) 1 NZ $ = GBP £0.43 Approximate Basic Salary (NZ $) $70,000 - $80,000 $80,000 - $90,000 $100,000 - $150,000 $150,000 - $230,000 Estimated Salary After Average Overtime (NZ $) $85,000 - $95,000 $95,000 - $105,000 $115,000 - $170,000 $170,000 - $265,000
TAX RATES IN NEW ZEALAND
Taxable Income (NZ $) $0 - $14,000 $14,001 - $48,000 $48,001 – $70,000 $70,000+ Taxable Payable (NZ $) 12.5% $1,750 + 21% of excess over $14,000 $8,890 + 33% of excess over $48,001 $16,150 + 38% of excess over $70,000
OTHER BENEFITS
In addition to salary packaging, most hospitals will give all doctors working in New Zealand the following bene ts: 1. Sick Leave – up to 10 paid days per year 2. Annual Leave – up to 5 weeks paid leave per year
3. Consultants will also often receive a CME allowance, travel and accommodation allowances
"We loved Sydney - it has the best nightlife in the whole of Australia...Thank you IMR for organising my placement so professionally." Dr Kruger, South Africa
Australasia’s Medical Recruitment Experts
"For all those who love skiing and want to continue medical practice, head to New Zealand as there is great snow and life as a physician is great." Dr Lee, USA
FINDING A JOB IN AUSTRALIA OR NEW ZEALAND
There are four options: • • • • Find a job advertised in the medical press and apply directly Apply through a Recruitment Agency Get a recommendation through a friend who has worked in Australia or New Zealand Any combination of the above
You can apply to hospitals directly and you may be given a list of vacancies available, however it is often difficult to
find the most appropriate contact person in the relevant department.
Also, hospitals are often not able to advertise up and coming vacancies until the vacancy has 'officially' become available, therefore it is very beneficial to register with an agency to get a full list of up and coming vacancies. A recommendation from a friend is always useful as they have rst hand experience of that speci c job and so can usually give you great detail.
The medical press advertise some jobs, such as in the BMJcareers journal or on the BMJcareers website. Many vacancies are not advertised in the mainstream press so you are almost obliged to register with an agency to get full listings of vacancies.
Australasia’s Medical Recruitment Experts
WHAT DO I ORGANISE FIRST?
A common question is what order to do things when organising work in Australasia - here is the answer: 1. Find a Job – All the other factors depend on having a job rst. You can not be registered as a international medical graduate in Australia or New Zealand unless you have found a job completed the AMC / NZREX examinations). 2. Get Medical Registration – This is state or territory based in Australia, so for example if you want to work in Queensland, then you must be registered speci cally in Queensland. Each state has slightly different registration requirements. New Zealand is slightly different again and has a national registration system, so it is very important to have the correct rst. (The only exception to this is if you have unconditional registration which is granted to all doctors who are graduates of Australasian medical schools or you have
paperwork ready before your submit your application.
3. Get Work Visa – Work visas are linked to your place of work and you will need sponsorship by your hospital / practice that you are working for. You will require: Australia: 457 (Temporary Business – Long Stay) or New Zealand: 1015 (Work Visa / Permit). 4. Get a Provider Number / Prescriber Number 5. Get a Tax File Number (Australia) or IRD Number (New Zealand)
BRINGING MY FAMILY TO AUSTRALIA OR NEW ZEALAND
In Australia, if a doctor is traveling on a Temporary Business Long Stay Visa (subclass 457) their spouse is eligible to work. All New Zealand work permits granted to doctors allow their spouse to work in New Zealand. All dependent children under the age of 18 years are able to travel on your work visa / work permit in both Australia and New Zealand. Further information is available from: Department of Immigration And Citizenship (DIAC) www.immi.gov.au | Immigration New Zealand (INZ) www.immigration.govt.nz
EDUCATION IN AUSTRALIA AND NEW ZEALAND
In Australia and New Zealand schooling commonly starts at the age of ve, with two main options available when it comes to choosing a school. Both public and private options are available to all people, with public schooling provided free in both Australia and New Zealand. Private schooling is available at a fee which is generally charged on a yearly basis differing from state to state as well as between schools. There are four main components that make up the schooling structure in Australia, beginning with preschool (optional) between the ages 3-5, primary school from 6-12, secondary school from 13-18 followed by optional further studies comprising of various options including TAFE and University studies. New Zealand is based around a similar structure with an additional component known as intermediate schooling which is undertaken between the ages of 13-15. Education is compulsory in Australia between the ages of 5-15 and New Zealand between the ages of 6-16.
MIGRATION & PERMANENT RESIDENCY FOR AUSTRALIA AND NEW ZEALAND
Migration advice for permanent residency / citizenship to Australia and New Zealand can only be given by registered migration agents. In general, migration in to Australia and New Zealand is assessed on an individual basis looking at factors such as: • Medical registration in Australia or New Zealand • Job offer in Australia or New Zealand • Is your occupation on the Migration Occupation Demand List • Do you have relatives already in Australia or New Zealand • English pro ciency • Experience or quali cations in Australia or New Zealand Each factor contributes a certain number of points and if you meet the amount deemed necessary for permanent residency, then you will be granted permanent residency. Most doctors from overseas, work for an initial period on a temporary visa and then apply for permanent residency once in Australia / New Zealand when they have ful lled more criteria for obtaining points. Further information available from www.DrMigration.com – a website dedicated to helping doctor’s take their skills internationally from one country to another. There is a wealth "I would like to thank all the staff at IMR for finding me a wonderful job and arranging my medical registration and work visa in under 4 weeks...Your service was truly remarkable." Dr Schneider, Canada of information on applying for permanent residency in Australia or New Zealand based on quali cations, your spouse or employer sponsorship.
Australasia’s Medical Recruitment Experts
PERSONAL HEALTH COVER IN AUSTRALIA
It is now a requirement that individuals applying for a subclass 457 (Temporary Business) visa hold appropriate Private Health Insurance for the duration of their stay in Australia. This requirement ensures 457 visa holders have access to vital services during the period of their stay in Australia, with services including dental, allied health services, accommodation or treatment in a private hospital, medication not subsidised under the Pharmaceutical Bene ts Scheme, emergency ambulance transportation and more. Most waiting periods for overseas visitors can be waived if Private Health Insurance is taken up prior to or within 2 weeks of arriving in Australia. There are guidelines that govern the minimum level of cover required and Australian health insurance providers are able to provide advice on the best cover to meet your individual requirements. Most providers issue a visa compliance letter con rming your health insurance cover as soon as you apply.
(under the Australian Public Health System – Medicare)
RECIPROCAL AGREEMENTS – NEW ZEALAND & THE REPUBLIC OF IRELAND
The Australian Government has signed Reciprocal Health Care Agreements with New Zealand and the Republic of Ireland enabling citizens / residents of these countries who visit Australia immediate eligibility for the 457 visa without the need for Private Health Insurance. These agreements provide access to free treatment as a public hospital in-patient or out-patient at public hospitals, including subsidised medicines under the Pharmaceutical Bene ts Scheme. This arrangement covers any ill health or injury requiring treatment for the duration of your visa. However, citizens / residents of New Zealand and the Republic of Ireland are still strongly encouraged to obtain Private Health Insurance in addition to this reciprocal healthcare agreement, as this only provides limited cover.
OTHER AGREEMENTS
The Australian Government has also signed Reciprocal Health Care Agreements with Finland, Italy, Malta, the Netherlands, Sweden and the United Kingdom. This agreement does NOT meet the requirements for individuals to be approved as eligible for a 457 visa. Applicants will need to purchase additional Private Health Insurance in order to comply with the conditions set for visa approval. These reciprocal agreements provide citizens / residents of the associated countries access to necessary emergency healthcare during their stay in Australia. For any additional services e.g. dental, allied health services, accommodation or treatment in a private hospital or medication not subsidised under the Pharmaceutical Bene ts Scheme, individuals will need to hold private health insurance. Please contact [email protected] for further information on providers and an obligation free quote on your required Private Health Insurance cover. Companies that provide Private Health Insurance in Australia are: 1. Australian Unity 2. Australian Health Insurance 3. Medibank Private Citizens / residents from the United Kingdom, Sweden, Finland and the Netherlands are covered for the duration of their approved stay in Australia. Citizens / residents in Malta and Italy are covered for a period of six months from the date of their arrival in Australia.
NEW ZEALAND HEALTH SERVICES COVER
New Zealand Citizens, Permanent Residents and all temporary residents holding a two year work permit (from any country) are entitled to full health care coverage for all publicly funded health services in New Zealand. Category
New Zealand citizen & Permanent Resident Work Permit Holders (Most doctors in employment in NZ will come under this category) United Kingdom citizens who are living in the UK and who visit New Zealand on a temporary basis
Eligibility Criteria Requirements
New Zealand citizens Hold a current work permit
Services Provided
All services All services
Hold a United Kingdom passport
Urgent medical treatment as specified in the New Zealand/UK Reciprocal Health Agreement
PRIVATE HEALTH INSURANCE IN NEW ZEALAND
Although the standard of the public health system in New Zealand is exceptionally high, some may elect to hold private health insurance allowing them greater choice in choosing a hospital, specialist, allied health practitioner or dentist. There are 2 main private health insurance companies in New Zealand: 1. Accuro Health Insurance – www.accuro.com.nz 2. Southern Cross Healthcare – www.sxhealth.co.nz
RENTAL ACCOMMODATION
IN AUSTRALIA
Most rental properties in Australia are unfurnished properties and usually include a built in oven, dishwasher, wardrobes, carpets, curtains and blinds, heating and air-conditioning. Rental contracts are available from 6 months but more commonly rent contracts are for 12 months. Many houses are quite large and spacious due to the vast amount of available land in Australia. The average weekly rental prices are:
Apartments 1 - 3 bedrooms Houses 3 - 5 bedrooms AUD $150 - $550 AUD $300 - $750
Accommodation websites in Australia:
www.realestate.com.au www.realestateview.com.au www.domain.com.au
IN NEW ZEALAND
The majority of doctors entering New Zealand choose to rent a initially renting a house give you the opportunity to learn which locations are more suitable to your needs, are commutable to your social networks, are close to places of employment, and are nearer to education facilities. For these reasons, short or medium term rental allows you freedom to move to different parts of a suburb, town, city or even the country without being committed to one location.
The average weekly rental price for a standard 3 bedroom house in NZ dollars is:
Auckland Central Auckland North Auckland South Auckland West Wellington Lower Hutt Wellington Upper Hutt Wellington Mt Victoria Nelson Central $490 $370 $285 $320 $350 $245 $435 $270 West Coast Buller Christchurch Riccarton Christchurch Central Christchurch Papanui Dunedin Mosgiel Dunedin St Clair Queenstown Invercargill $142 $280 $350 $300 $220 $245 $380 $195
Accommodation websites in New Zealand:
www.realestate.co.nz www.bayleys.co.nz www.harcourts.co.nz www.ljhooker.co.nz
TRANSFERRING PENSIONS TO AUSTRALIA
Who do I transfer my pension to in Australia? You need to transfer your pension to a complying Australian Superannuation Fund licensed to receive your funds. For more information and a list of available funds please contact us on [email protected] Is there a time limit for me to transfer my pension to an Australian complying superannuation fund? Yes, once you become a resident of Australia for Australian taxation purposes you have 6 months to transfer your funds to minimise any Australian taxation on transfer. When should I start the process of transferring my pension to Australia? Due to the possible time delays associated with Australian taxation recommend that you begin the process of transferring your pension immediatly upon your arrival in Australia. What happens if I don’t transfer my pension within 6 months of my residency in Australia? If you do not transfer your pension within 6 months, then the increase in value of your pension will be subject to an Australian tax of 15%. Self Funding - Whether employed or self employed you can Do I have to transfer my pension to Australia? No, you can leave it as is, but there are detrimental taxation consequences when you eventually retire or bring those funds into Australia either as a regular .
pension or a lum sum payment.
Can I add to my pension once it is transferred to an Australian complying superannuation fund?
. I decide to transfer my pension to Australia what If do I have to do before I leave? You must obtain an up to date statement from your pension manager. If you have an employer sponsored pension please make sure your pension manager is in possession of your termination date of employment. You also need to notify your pension manager in writing of your intentions to migrate to Australia and give them a forwarding address in Australia.
Yes. There are several ways that this can be achieved: Employment – In Australia if you are an employee and earn over $450 per month your employer is required by law to put 9% of your gross salary into your complying Superannuation Fund. Self Employed – Self employed people can contribute any amount to their own complying superannuation fund but there may be restrictions on the tax deductible amount of your contributions.
contribute to your complying superannuation fund at any time.
TRANSFERRING PENSIONS TO NEW ZEALAND
Does New Zealand have a compulsory superannuation scheme like Australia? No. Kiwisaver is the Government pension (superannuation) scheme and is voluntary. Can I transfer my pension over to New Zealand? Yes. Free advice from the New Zealand Government is available on www.Kiwisaver.govt.nz
WHY USE INTERNATIONAL MEDICAL RECRUITMENT TO FIND YOU A JOB?
Australasia’s largest Medical Recruitment company Access to hundreds of unadvertised vacancies Unlimited free advice on any aspect of working in Australia or New Zealand Free organisation of medical registration and work visas Travel expenses reimbursed for many jobs Royal College Approval for training positions Your own nominated personal recruitment consultant State and Federally approved medical recruitment company RCSA and AMRANZ corporate level member
Visit our website for further information or phone us for a free confidential discussion:
UK: (0871) 284 7100 | Aus: +61 3 8506 0185 | USA: 1800 961 0342
Australasia’s Medical Recruitment Experts www.IMRmedical.com
A free
ing think tors informatio nal guide for all doc ealand about working in Australia or New Z
Australasia’s Medical Recruitment Experts www.IMRmedical.com
"Australia has everything England has but with great weather and great food! Why would I possibly want to go back home!" Dr Woods, UK
Australasia’s Medical Recruitment Experts
"After 15 years in an inner city general practice in London, I took up a position as a GP on coastal Queensland. My family and I are very grateful to IMR for this opportunity...Thank you" Dr Leeson, UK
Do I need to take any exams to work in Australia or New Zealand? Can I stay there permanently? Can I work anywhere or do I have to work in ‘Areas of Need’? Can I become a permanent resident or citizen of Australia / New Zealand? How much do doctor’s get paid in Australia / New Zealand? What are the tax rates? Can I get into college accredited training programs? Do recruitment agencies charge any fees? Can I transfer my pension over? Do I have access to free public health treatment? Can my children attend school for free? Or do we have to pay school fees? How much does private schooling cost? Can I bring my family members across on my work visa? Can my partner work in Australia or New Zealand on my visa?
WHY AUSTRALIA AND NEW ZEALAND?
Many doctors choose to work in Australia and New Zealand because they offer: • Outstanding natural beauty, cleanliness, climate • and have an unrivalled lifestyle • Excellent standards of clinical practice • High salaries and offer an exceptional quality of life • Great opportunities for postgraduate training and medical career advancement
•
Low cost of living so the average doctor's disposable income is often more than it would
be in UK, USA, Ireland or Canada • Temporary positions for doctors of most specialties due to their demographics and geography • A welcoming, multicultural environment
Reasons to work and live in Australia and New Zealand
All Doctors: 1. Lifestyle – The attractive and unique features of Australian and New Zealand lifestyle play a signi cant role in the decision to live and work here. With a fantastic climate, pristine beaches, ample space, more time for family and an abundance of outdoor activities, you will never be short of things to do. If you’re looking for a change, look no further. 2. Hours of Work – In both Australia and New Zealand most doctors enjoy the bene ts of a standard 38 hour working week. Any time that is required in addition to this is usually compensated at a higher hourly rate (often double time), making the work-life balance much more enticing than many other countries. Doctors are usually able to have some level of choice in dictating how much work they undertake outside of standard hours, and the on-call requirements are generally much lower than what is found in other health systems. 3. General Treatment / Recognition / Respect – Doctors in Australia and New Zealand are respected as highly skilled professionals, and are treated as valuable assets not only to the hospital, but to the wider community as a whole. In addition to this, a large portion of senior hospital management and all clinical directors in hospitals are doctors themselves, meaning the interests of doctors are well represented at an executive level. Junior Doctors: 1. Training Opportunities – Training programmes in Australia and New Zealand are generally of an exceptional standard, with the added advantage of less competition for available places. With far less people applying for Registrar positions, doctors are more likely to get into the training programme of their choice without an excessive need for research, audit, publications or unaccredited years. 2. Workplace Structure – The workplace structure in Australia and New Zealand is much less hierarchical than in other areas of the world, with most junior doctors addressing their consultants on a rst name basis. Feedback tends to suggest 4. Job Opportunities – Due to high demand for Consultants of all specialties in Australia and New Zealand there are often more opportunities available allowing doctors more choice with regard to location and position. This of course can in turn lead to higher negotiating power when it comes to nalising contract terms and salaries. Senior Doctors (Consultants): 1. Private Practice – In Australia the private sector is far more lucrative than the public sector, with over 50% of Australians taking out private health insurance. Most Consultants will do some work in the private sector, where they are able to charge higher rates for their services and enjoy an income that is additional to their regular fulltime role. 2. Working at Multiple Facilities – Many Consultants choose to work at more than one facility. By doing this Consultants are able to charge per session and can avoid participating in non-paid services such as education, audit or committee work unless they choose to, in which case any such work is usually remunerated at their notional rate. 3. Less Politics – In Australia and New Zealand there are signi cantly less hierarchical tiers in the healthcare system. This allows process changes to be made relatively quickly and with much less hassle. In addition, hospitals do not restrict Consultants from working at other facilities whilst contracted in Australia or New Zealand. 3. Paid Overtime – Whilst the standard working week is usually based around 38 hours in Australia and New Zealand, doctors are required to submit a timesheet detailing all hours worked. This ensures that any extra hours (in addition to those rostered) can be paid accordingly at a higher rate. that junior doctors are able to work with far greater autonomy, and in addition can enjoy a much higher sense of value and recognition within their roles.
WILL I HAVE TO TAKE ANY EXAMS TO WORK IN AUSTRALIA OR NEW ZEALAND?
New Zealand: You will be eligible for medical registration and be exempt from sitting the New Zealand Registration Examination (NZREX) if you fall in to one of the following categories: 1. You have a Primary Medical Degree from one of the following: • New Zealand • UK • Australia • Ireland
2. You have a Specialist Quali cation recognised by the Medical Council of New Zealand as being eligible for specialist registration Australia: You may be eligible for temporary registration as a doctor without sitting any exams ever, if you have a primary medical degree from a "Comparable Health Care System". This includes primary medical quali cations from the United Kingdom, the USA, Ireland and Canada. In addition, doctors who have completed their PLAB, USMLEs or LMCC may also qualify for Australian Medical Board registration without ever having to sit exams. All other doctors may have to sit the AMC MCQ exam before gaining registration. • North America (Canada, USA) • Western Europe (Austria, Belgium, France, Germany, Greece, Iceland, Italy, Netherlands, Spain, Switzerland) • Scandinavia (Denmark, Finland, Norway, Sweden) • Other (Hong Kong, Israel, Singapore) 3. You have a medical degree (from a WHO recognised school) and have worked for 3 out for the last 4 years in one of the following comparable health systems:
CAN I GET IN TO TRAINING POSITIONS IN AUSTRALIA & NEW ZEALAND?
Certain
specialty
training
programmes
are
more
At the time of writing, these are the specialties which have the highest number of training opportunities: • Emergency Medicine • General or Subspecialty Medicine • ICU • General Practice
competitive than others in Australia and New Zealand. You should seek advice from the relevant specialty college or a reputable recruitment agency in Australasia before making a career move.
FOR FURTHER INFORMATION CONTACT THE SPECIALTY COLLEGES IN AUSTRALASIA:
Australian & New Zealand College of Anaesthetists ANZCA House 630 St Kilda Road Melbourne Vic 3004 Tel: +61 3 9510 6299 Fax: +61 3 9510 6786 www.anzca.edu.au Royal ANZ College of Obstetricians and Gynaecologists 254 - 260 Albert Street East Melbourne Victoria 3002 Australia Tel: +61 3 9417 1699 Fax: +61 3 9419 0672 www.ranzcog.edu.au Australasian College for Emergency Medicine 34 Jeffcott Street West Melbourne VIC 3003 Tel: +61 3 9320 0444 Fax: +61 3 9320 0400 www.acem.org.au Royal College of Pathologists of Australasia Durham Hall 207 Albion Street Surry Hills NSW 2010 Australia Tel: +61 2 8356 5858 Fax: +61 2 8356 5828 www.rcpa.edu.au Royal Australasian College of Physicians 145 Macquarie Street Sydney NSW 2000 Ph: +61 2 9256 5444 Fax: +61 2 9252 3310 www.racp.edu.au Royal Australian and New Zealand College of Psychiatrists 309 La Trobe Street Melbourne Vic 3000 Australia Tel + 61 3 9640 0646 Fax + 61 3 9642 5652 www.ranzcp.org Royal Australian College of General Practitioners RACGP College House 1 Palmerston Crescent South Melbourne VIC 3205 T: +61 3 8699 0414 F: +61 3 8699 0400 www.racgp.org.au Royal Australian and New Zealand College of Radiologists Level 9, 51 Druitt Street Sydney NSW 2000 Tel +61 2 9268 9777 Fax +61 2 9268 9799 www.ranzcr.edu.au Royal Australian College of Ophthalmologists 94-98 Chalmers Street Surry Hills NSW 2010 Phone : +61 2 9690 1001 Fax : +61 2 9690 1321 www.ranzco.edu Royal Australasian College of Surgeons 250-290 Spring Street East Melbourne VIC 3002 Phone: +61 3 9249 1200 Fax: +61 3 9249 1219 www.surgeons.org
DOCTOR’S SALARIES IN AUSTRALIA
Salaries in Australia vary slightly from state to state. Each state Government xes all doctors’ salaries. Here are approximate gures for basic salaries in Australia. After overtime and on-call work these salaries will be approximately 15-25% higher. Seniority Resident/SHO Registrar General Practitioner Consultant (Specialist) Approximate Basic Salary (Aus $) $60,000 - $75,000 $75,000 - $100,000 $150,000 - $350,000 $150,000 - $350,000 Estimated Salary After Average Overtime (Aus $) $70,000 - $90,000 $85,000 - $125,000 $170,000 - $450,000 $170,000 - $450,000 Grossed up Pay with Salary Packaging (Aus $) $80,000 - $100,000 $100,000 - $145,000 Not Applicable $195,000 - $515,000
1 Australian $ = GBP £0.55 and 1 Australian $ = USD $0.91 Salary Packaging is a tax minimisation strategy available to all public hospital employees in Australia. It allows you to access approximately 30% of your income as tax-free depending on the hospital you work in. This is a system used by almost all hospital employees to substantially increase your untaxed salary component.
TAX RATES IN AUSTRALIA
All public hospital employees can access approximately 30% of their income as tax-free through salary packaging, the remaining 70% will be taxable. Here are the rates of tax for residents in Australia for the remaining salary after salary packaging: Taxable Income (Australian $) $0 - $6,000 $6,001 - $35,000 $35,001 - $80,000 $80,001 - $180,000 $180,000+ Taxable Payable (Australian $) Nil Nil +15% of excess over $6,000 $4,350 + 30% of excess over $35,000 $17,850 + 38% of excess over $80,000 $55,850 + 45% of excess over $180,000
OTHER BENEFITS
In addition to salary packaging, most hospitals will give all 1. Sick Leave – up to 10 paid days per year 2. Annual Leave – up to 5 weeks paid leave per year 3. Superannuation (pension) – all doctors working in Australia receive superannuation payments to the value of at least 9% of their salary. This is paid in addition to your normal salary. All doctors who work temporarily in Australia
may cash in their superannuation earned when they leave to return to their home country.
4. Consultants will also often receive a CME allowance, travel and accommodation allowances.
DOCTOR’S SALARIES IN NEW ZEALAND
Here are approximate gures for basic salaries in New Zealand: Seniority Resident/SHO Registrar General Practitioner Consultant (Specialist) 1 NZ $ = GBP £0.43 Approximate Basic Salary (NZ $) $70,000 - $80,000 $80,000 - $90,000 $100,000 - $150,000 $150,000 - $230,000 Estimated Salary After Average Overtime (NZ $) $85,000 - $95,000 $95,000 - $105,000 $115,000 - $170,000 $170,000 - $265,000
TAX RATES IN NEW ZEALAND
Taxable Income (NZ $) $0 - $14,000 $14,001 - $48,000 $48,001 – $70,000 $70,000+ Taxable Payable (NZ $) 12.5% $1,750 + 21% of excess over $14,000 $8,890 + 33% of excess over $48,001 $16,150 + 38% of excess over $70,000
OTHER BENEFITS
In addition to salary packaging, most hospitals will give all doctors working in New Zealand the following bene ts: 1. Sick Leave – up to 10 paid days per year 2. Annual Leave – up to 5 weeks paid leave per year
3. Consultants will also often receive a CME allowance, travel and accommodation allowances
"We loved Sydney - it has the best nightlife in the whole of Australia...Thank you IMR for organising my placement so professionally." Dr Kruger, South Africa
Australasia’s Medical Recruitment Experts
"For all those who love skiing and want to continue medical practice, head to New Zealand as there is great snow and life as a physician is great." Dr Lee, USA
FINDING A JOB IN AUSTRALIA OR NEW ZEALAND
There are four options: • • • • Find a job advertised in the medical press and apply directly Apply through a Recruitment Agency Get a recommendation through a friend who has worked in Australia or New Zealand Any combination of the above
You can apply to hospitals directly and you may be given a list of vacancies available, however it is often difficult to
find the most appropriate contact person in the relevant department.
Also, hospitals are often not able to advertise up and coming vacancies until the vacancy has 'officially' become available, therefore it is very beneficial to register with an agency to get a full list of up and coming vacancies. A recommendation from a friend is always useful as they have rst hand experience of that speci c job and so can usually give you great detail.
The medical press advertise some jobs, such as in the BMJcareers journal or on the BMJcareers website. Many vacancies are not advertised in the mainstream press so you are almost obliged to register with an agency to get full listings of vacancies.
Australasia’s Medical Recruitment Experts
WHAT DO I ORGANISE FIRST?
A common question is what order to do things when organising work in Australasia - here is the answer: 1. Find a Job – All the other factors depend on having a job rst. You can not be registered as a international medical graduate in Australia or New Zealand unless you have found a job completed the AMC / NZREX examinations). 2. Get Medical Registration – This is state or territory based in Australia, so for example if you want to work in Queensland, then you must be registered speci cally in Queensland. Each state has slightly different registration requirements. New Zealand is slightly different again and has a national registration system, so it is very important to have the correct rst. (The only exception to this is if you have unconditional registration which is granted to all doctors who are graduates of Australasian medical schools or you have
paperwork ready before your submit your application.
3. Get Work Visa – Work visas are linked to your place of work and you will need sponsorship by your hospital / practice that you are working for. You will require: Australia: 457 (Temporary Business – Long Stay) or New Zealand: 1015 (Work Visa / Permit). 4. Get a Provider Number / Prescriber Number 5. Get a Tax File Number (Australia) or IRD Number (New Zealand)
BRINGING MY FAMILY TO AUSTRALIA OR NEW ZEALAND
In Australia, if a doctor is traveling on a Temporary Business Long Stay Visa (subclass 457) their spouse is eligible to work. All New Zealand work permits granted to doctors allow their spouse to work in New Zealand. All dependent children under the age of 18 years are able to travel on your work visa / work permit in both Australia and New Zealand. Further information is available from: Department of Immigration And Citizenship (DIAC) www.immi.gov.au | Immigration New Zealand (INZ) www.immigration.govt.nz
EDUCATION IN AUSTRALIA AND NEW ZEALAND
In Australia and New Zealand schooling commonly starts at the age of ve, with two main options available when it comes to choosing a school. Both public and private options are available to all people, with public schooling provided free in both Australia and New Zealand. Private schooling is available at a fee which is generally charged on a yearly basis differing from state to state as well as between schools. There are four main components that make up the schooling structure in Australia, beginning with preschool (optional) between the ages 3-5, primary school from 6-12, secondary school from 13-18 followed by optional further studies comprising of various options including TAFE and University studies. New Zealand is based around a similar structure with an additional component known as intermediate schooling which is undertaken between the ages of 13-15. Education is compulsory in Australia between the ages of 5-15 and New Zealand between the ages of 6-16.
MIGRATION & PERMANENT RESIDENCY FOR AUSTRALIA AND NEW ZEALAND
Migration advice for permanent residency / citizenship to Australia and New Zealand can only be given by registered migration agents. In general, migration in to Australia and New Zealand is assessed on an individual basis looking at factors such as: • Medical registration in Australia or New Zealand • Job offer in Australia or New Zealand • Is your occupation on the Migration Occupation Demand List • Do you have relatives already in Australia or New Zealand • English pro ciency • Experience or quali cations in Australia or New Zealand Each factor contributes a certain number of points and if you meet the amount deemed necessary for permanent residency, then you will be granted permanent residency. Most doctors from overseas, work for an initial period on a temporary visa and then apply for permanent residency once in Australia / New Zealand when they have ful lled more criteria for obtaining points. Further information available from www.DrMigration.com – a website dedicated to helping doctor’s take their skills internationally from one country to another. There is a wealth "I would like to thank all the staff at IMR for finding me a wonderful job and arranging my medical registration and work visa in under 4 weeks...Your service was truly remarkable." Dr Schneider, Canada of information on applying for permanent residency in Australia or New Zealand based on quali cations, your spouse or employer sponsorship.
Australasia’s Medical Recruitment Experts
PERSONAL HEALTH COVER IN AUSTRALIA
It is now a requirement that individuals applying for a subclass 457 (Temporary Business) visa hold appropriate Private Health Insurance for the duration of their stay in Australia. This requirement ensures 457 visa holders have access to vital services during the period of their stay in Australia, with services including dental, allied health services, accommodation or treatment in a private hospital, medication not subsidised under the Pharmaceutical Bene ts Scheme, emergency ambulance transportation and more. Most waiting periods for overseas visitors can be waived if Private Health Insurance is taken up prior to or within 2 weeks of arriving in Australia. There are guidelines that govern the minimum level of cover required and Australian health insurance providers are able to provide advice on the best cover to meet your individual requirements. Most providers issue a visa compliance letter con rming your health insurance cover as soon as you apply.
(under the Australian Public Health System – Medicare)
RECIPROCAL AGREEMENTS – NEW ZEALAND & THE REPUBLIC OF IRELAND
The Australian Government has signed Reciprocal Health Care Agreements with New Zealand and the Republic of Ireland enabling citizens / residents of these countries who visit Australia immediate eligibility for the 457 visa without the need for Private Health Insurance. These agreements provide access to free treatment as a public hospital in-patient or out-patient at public hospitals, including subsidised medicines under the Pharmaceutical Bene ts Scheme. This arrangement covers any ill health or injury requiring treatment for the duration of your visa. However, citizens / residents of New Zealand and the Republic of Ireland are still strongly encouraged to obtain Private Health Insurance in addition to this reciprocal healthcare agreement, as this only provides limited cover.
OTHER AGREEMENTS
The Australian Government has also signed Reciprocal Health Care Agreements with Finland, Italy, Malta, the Netherlands, Sweden and the United Kingdom. This agreement does NOT meet the requirements for individuals to be approved as eligible for a 457 visa. Applicants will need to purchase additional Private Health Insurance in order to comply with the conditions set for visa approval. These reciprocal agreements provide citizens / residents of the associated countries access to necessary emergency healthcare during their stay in Australia. For any additional services e.g. dental, allied health services, accommodation or treatment in a private hospital or medication not subsidised under the Pharmaceutical Bene ts Scheme, individuals will need to hold private health insurance. Please contact [email protected] for further information on providers and an obligation free quote on your required Private Health Insurance cover. Companies that provide Private Health Insurance in Australia are: 1. Australian Unity 2. Australian Health Insurance 3. Medibank Private Citizens / residents from the United Kingdom, Sweden, Finland and the Netherlands are covered for the duration of their approved stay in Australia. Citizens / residents in Malta and Italy are covered for a period of six months from the date of their arrival in Australia.
NEW ZEALAND HEALTH SERVICES COVER
New Zealand Citizens, Permanent Residents and all temporary residents holding a two year work permit (from any country) are entitled to full health care coverage for all publicly funded health services in New Zealand. Category
New Zealand citizen & Permanent Resident Work Permit Holders (Most doctors in employment in NZ will come under this category) United Kingdom citizens who are living in the UK and who visit New Zealand on a temporary basis
Eligibility Criteria Requirements
New Zealand citizens Hold a current work permit
Services Provided
All services All services
Hold a United Kingdom passport
Urgent medical treatment as specified in the New Zealand/UK Reciprocal Health Agreement
PRIVATE HEALTH INSURANCE IN NEW ZEALAND
Although the standard of the public health system in New Zealand is exceptionally high, some may elect to hold private health insurance allowing them greater choice in choosing a hospital, specialist, allied health practitioner or dentist. There are 2 main private health insurance companies in New Zealand: 1. Accuro Health Insurance – www.accuro.com.nz 2. Southern Cross Healthcare – www.sxhealth.co.nz
RENTAL ACCOMMODATION
IN AUSTRALIA
Most rental properties in Australia are unfurnished properties and usually include a built in oven, dishwasher, wardrobes, carpets, curtains and blinds, heating and air-conditioning. Rental contracts are available from 6 months but more commonly rent contracts are for 12 months. Many houses are quite large and spacious due to the vast amount of available land in Australia. The average weekly rental prices are:
Apartments 1 - 3 bedrooms Houses 3 - 5 bedrooms AUD $150 - $550 AUD $300 - $750
Accommodation websites in Australia:
www.realestate.com.au www.realestateview.com.au www.domain.com.au
IN NEW ZEALAND
The majority of doctors entering New Zealand choose to rent a initially renting a house give you the opportunity to learn which locations are more suitable to your needs, are commutable to your social networks, are close to places of employment, and are nearer to education facilities. For these reasons, short or medium term rental allows you freedom to move to different parts of a suburb, town, city or even the country without being committed to one location.
The average weekly rental price for a standard 3 bedroom house in NZ dollars is:
Auckland Central Auckland North Auckland South Auckland West Wellington Lower Hutt Wellington Upper Hutt Wellington Mt Victoria Nelson Central $490 $370 $285 $320 $350 $245 $435 $270 West Coast Buller Christchurch Riccarton Christchurch Central Christchurch Papanui Dunedin Mosgiel Dunedin St Clair Queenstown Invercargill $142 $280 $350 $300 $220 $245 $380 $195
Accommodation websites in New Zealand:
www.realestate.co.nz www.bayleys.co.nz www.harcourts.co.nz www.ljhooker.co.nz
TRANSFERRING PENSIONS TO AUSTRALIA
Who do I transfer my pension to in Australia? You need to transfer your pension to a complying Australian Superannuation Fund licensed to receive your funds. For more information and a list of available funds please contact us on [email protected] Is there a time limit for me to transfer my pension to an Australian complying superannuation fund? Yes, once you become a resident of Australia for Australian taxation purposes you have 6 months to transfer your funds to minimise any Australian taxation on transfer. When should I start the process of transferring my pension to Australia? Due to the possible time delays associated with Australian taxation recommend that you begin the process of transferring your pension immediatly upon your arrival in Australia. What happens if I don’t transfer my pension within 6 months of my residency in Australia? If you do not transfer your pension within 6 months, then the increase in value of your pension will be subject to an Australian tax of 15%. Self Funding - Whether employed or self employed you can Do I have to transfer my pension to Australia? No, you can leave it as is, but there are detrimental taxation consequences when you eventually retire or bring those funds into Australia either as a regular .
pension or a lum sum payment.
Can I add to my pension once it is transferred to an Australian complying superannuation fund?
. I decide to transfer my pension to Australia what If do I have to do before I leave? You must obtain an up to date statement from your pension manager. If you have an employer sponsored pension please make sure your pension manager is in possession of your termination date of employment. You also need to notify your pension manager in writing of your intentions to migrate to Australia and give them a forwarding address in Australia.
Yes. There are several ways that this can be achieved: Employment – In Australia if you are an employee and earn over $450 per month your employer is required by law to put 9% of your gross salary into your complying Superannuation Fund. Self Employed – Self employed people can contribute any amount to their own complying superannuation fund but there may be restrictions on the tax deductible amount of your contributions.
contribute to your complying superannuation fund at any time.
TRANSFERRING PENSIONS TO NEW ZEALAND
Does New Zealand have a compulsory superannuation scheme like Australia? No. Kiwisaver is the Government pension (superannuation) scheme and is voluntary. Can I transfer my pension over to New Zealand? Yes. Free advice from the New Zealand Government is available on www.Kiwisaver.govt.nz
WHY USE INTERNATIONAL MEDICAL RECRUITMENT TO FIND YOU A JOB?
Australasia’s largest Medical Recruitment company Access to hundreds of unadvertised vacancies Unlimited free advice on any aspect of working in Australia or New Zealand Free organisation of medical registration and work visas Travel expenses reimbursed for many jobs Royal College Approval for training positions Your own nominated personal recruitment consultant State and Federally approved medical recruitment company RCSA and AMRANZ corporate level member
Visit our website for further information or phone us for a free confidential discussion:
UK: (0871) 284 7100 | Aus: +61 3 8506 0185 | USA: 1800 961 0342
Australasia’s Medical Recruitment Experts www.IMRmedical.com
