Faculty of Radiation Oncology 2022 New Zealand Workforce Census

This study reports the findings of the 2022 Royal Australian and New Zealand College of Radiologists (RANZCR) workforce census, providing an updated overview of the New Zealand (NZ) radiation oncology workforce. The purpose was to assess workforce demographics, distribution, training, and service capacity, and highlight challenges that have persisted since the 2018 census. METHODS: A survey was distributed to all practicing radiation oncologists and trainees in NZ. Data were collected on demographics, qualifications, workload, practice setting, subspecialty involvement, training experiences, and the perceived impact of COVID-19. Responses were collated and descriptive analyses performed. RESULTS: The census recorded a workforce with a median age of 51 years (range 33-71), and 43% female representation. Most worked across both public and private sectors, with high reported working hours. Brachytherapy practice participation declined compared with previous censuses. Among trainees, concerns included workload, job availability, and work-life balance, with many indicating a preference for part-time and/or urban practice. COVID-19 was associated with delays in service delivery, though the majority reported no exam or fellowship disruptions. Anticipated increases in hypofractionation use were noted. CONCLUSIONS: The 2022 census highlights a workforce under strain from high clinical demand, limited growth, and looming retirements. Key challenges include inequitable representation of Māori and Pasifika clinicians, declining subspecialty capacity, and risks of burnout. Coordinated national workforce planning, with a focus on recruitment, retention, equity, and flexible models of training and employment, will be essential to ensure sustainable radiation oncology services in NZ. This census therefore reinforces the urgent need for coordinated national workforce planning to safeguard the future of radiation oncology services in NZ.