• Charlotte Chambers, Chris Frampton, and Murray Barclay.
• The Association of Salaried Medical Specialists, Wellington.
• N. Z. Med. J. 2017 Jan 27; 130 (1449): 10-21.

AimTo estimate rates of presenteeism in the New Zealand senior medical workforce and identify reasons why this workforce feels pressured to work through illness.MethodsA cross-sectional survey was returned by 1,806/3,740 publically employed senior doctors and dentists (48%). Relationships between rates of presenteeism, sick leave and demographic factors were explored alongside views on cultural and professional norms.ResultsPresenteeism was reported by 88% of respondents. Women and younger doctors had highest rates of presenteeism. Reasons for presenteeism included difficulties accessing short-term sickness cover and concern for the impact of sick leave on patients as well as sociocultural norms.ConclusionsPresenteeism is a widespread behavioural norm in this medical workforce. Choosing whether to work through illness reflects the high value placed on duty of care, but also tensions around defining responsible behaviour in this regard.

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