Why Parity is Not the Goal: Increasing Aboriginal and Torres Strait Islander Representation in Non-General Practice Specialties.

Abstract

Aboriginal and Torres Strait Islander doctors remain under-represented in non-general practice specialties. Although parity is often used as a benchmark for workforce reform, targets alone cannot address the structural challenges that constrain entry, progression and retention. Specialist training systems must be redesigned through Indigenous leadership, shared authority, culturally safe workplaces, protected mentorship and recognition of cultural labour. Parity is not the goal; it is the consequence of systems that are equitable, accountable and grounded in Aboriginal and Torres Strait Islander self-determination. Building such systems will strengthen specialist care and improve outcomes for Aboriginal and Torres Strait Islander patients and communities.