Welcome to the PEN NZ iVe April 2018 newsletter.
This newsletter features: 
Nau mai ki te kawerongo mo te marama o Paengawhāwhā. Welcome to the April 2018 PEN NZ iVe newsletter.

Thank you to all of you who attended the NZ ASM in Nelson in early April and made it the successful and enjoyable event that it was.  You can read more below. The next RANZCOG all inclusive event for Fellows and trainees is the He Hono Wāhine Hui from 5-7 October 2018 in Christchurch - mark these dates on your calendar now. 

There is still space for Fellows and trainees to attend the Cultural Competence Course - Utilising the Hui Process / Meihana Model In Clinical Practice on 21 May in Christchurch - see further detail below under He Hono Wāhine news.

We also have spaces available on the Expert Witness Training Workshop on 29 June 2018 in Wellington.  Please get in touch with the NZ office if you wish to attend.

If you have ideas to share or would like to get involved with the NZ Committee, He Hono Wāhine, NZTAC, IMG assessment or NZ Annual Scientific Meetings please get in touch with JaneJudeMakiko or Lynn in the NZ office. We look forward to hearing from you.  
 

RANZCOG NZ 2018 ASM 

Thank you to all Fellows and trainees who participated in the ASM programme.  We received very positive feedback on the topics presented, organisation and venue.  For those delegates who chose to download and use the ASM app we received overwhelmingly positive feedback and both speakers and delegates liked the integrative focus the app allowed, which tied in beautifully with our theme Get Smart: Working better together!
 

Marae visit 

Members of He Hono Wāhine organised and facilitated a marae visit as part of the 2018 ASM workshop programme.  Attendees gained insight on pōwhiri, mihimihi/ pēpehā, waiata, te reo and Māori engagement. Feedback from attendees highlighted the need for this type of workshop to be oft repeated and built on.   

What attendees had to say:
"Really excellent and valuable experience. So glad I attended. I particularly liked the clinical tips on how to build rapoort with Māori patients. More of this would be good. I would have also liked tips on pronunciation of the language."
"Very educational and good introduction - should be repeated at other ASMs"
"RANZCOG, thank you for the opportunity to share in our culture. Key recommendation is to build on this and repeat it again, ensuring there is not a clash with other workshops - make it a priority"
"Excellent experience and great atmosphere. It will be great to add Māori perspective of women and women's health - beliefs; practices e.g. placenta /birth"
"Great presentation. Would be great to spend time on specific Māori cultural issues in relation to health at a future hui"
"Good background Te Ao Māori info. Maybe more on how to apply practically to our O&G patients"
"Thoroughly enjoyed - informative experience. Excellent speaker - bringing important issues from a personal perspective." 
 

Mercia Barnes Trust Auction 

The Mercia Barnes Trust fundraising auction held during the social programme of the ASM raised $3,685.70 which included the auction evening and the concurrent silent auction held as part of the ASM.
 
Many people and businesses contributed to the auction by way of donation of items and experiences for the auction, donation of time, providing discounts on items purchased for auction and donation of money at the auction itself.  Thank you to all!
 

Gala dinner 

The gala dinner was special this year as colleagues were able to farewell Fellow Kevin Hill with some entertaining stories and photos coming out of the woodwork!  The marae visit was also the catalyst for ASM Organising Committee Chair Don Wilson to recite his mihimihi at the dinner. An enjoyable night for all those that attended.
Photo: Fellows Don Wilson, Kevin Hill and Wayne Gillett with Kay Hill (on left) and Dianne Gillett.












2019 ASM 

The 2019 RANZCOG NZ Annual Scientific Meeting will be held in Hamilton in the first half of next year.  We will keep you updated. 
 

Mercia Barnes Trust funding round 

Three applications were received for the 2018 funding round. The Trust unanimously agreed to fund Dr Lisa Dawes' research on Optimising the care of women at high risk of preterm birth and Dr Kenny Chitcholtan's research study An in vitro study investigating anti tumour activity of a novel compound DpC in a mouse ovarian cancer cell line, ID-8 .  The Trust also awarded funding to Dr Michelle Wise to seek more substantive funding for a quality improvement project.

The objectives of the Mercia Barnes Trust are to:
  • encourage the study and advancement of the science and practice of obstetrics and gynaecology, and the study and teaching of the scientific aspects of human reproduction
  • promote knowledge in obstetrics and gynaecology and related subjects
  • further public education and promote the health and welfare of women and children.
 

Practice Visits - register your interest

The NZ Committee manages a practice visit programme for Fellows. Practice visits are confidential and focus on improving the practice environment and risk mitigation to contribute to the delivery of safe, quality healthcare outcomes for patients, their families, health professionals and the broader community.

Fellows of RANZCOG are able to receive a practice visit as part of their CPD. The visits provide Fellows with a confidential review by two of their peers of various aspects of their practice. The practice visit process incorporates interviews with the multidisciplinary team the doctor works with, as well as a review of the clinical work load, case mix and record keeping.
 
If you would like to receive a practice visit as part of your CPD for 2018 please contact Jude Kaveney.
 

He Hono Wāhine news

Cultural Competence Course 

Spaces are still available on the the Hauora Māori course Utilising the Hui Process/Meihana Model in Clinical Practice. All trainees and Fellows are invited to register. For further information and to register see https://www.ivvy.com.au/event/NZCC17/
 

2018 Hui 

All Fellows and trainees are invited to the He Hono Wāhine 2018 Hui from 5-7 October 2018 at Onuku marae in Akaroa, approximately 1 hour's drive from Christchurch.  Reserve these dates now. More detail to come. 
 

Register now for Expert Witness workshop - 29 June

The next RANZCOG Excellence in Report Writing & Expert Witness Training workshop is on 
29 June 2018 at RANZCOG NZ office in Wellington.

The workshops are facilitated by Claro Law and explore what lawyers and the court expect and require from an expert’s report. An expert’s report is a vital element in litigation. An excellent report is also one of the most effective marketing tools that an expert will have in their career.

The workshop is limited to 8 people.  Please email Lynn Gestro by 18 May 2018 if you would like to attend.
 

Online legal education for NZ health professionals

Claro, New Zealand’s specialist health sector law firm, have launched Clarify - a new e-learning platform that covers legal and ethical issues for people working in the New Zealand health sector.

www.clarify.co.nz aims to be an inexpensive and convenient way for health professionals to keep abreast of their legal obligations.
 
Claro Law are facilitators of the RANZCOG Expert Witness training workshops.
 

Can you write an obituary for deceased Fellow?

Would you be available to write an obituary for deceased New Zealand Fellow Dr Roger Geoffrey Foote who died earlier this year.  Please contact the NZ office if you are able to assist. Thank you.
 

Ministry of Health news

Nasal bone no longer in risk algorithm for antenatal screening 

The nasal bone measurement has been removed from the risk algorithm for Down syndrome and other conditions (DSOC) in New Zealand from 19 March 2018.  Nasal bone identification has only ever been an optional part of this screening, and has only been included in the risk algorithm if reported at the same time as the fetal nuchal translucency (NT) and crown rump length (CRL) ultrasound measurements.  Removing the inclusion of the nasal bone assessment is likely to increase the positive test rate and hence improve the detection rate and the quality of the risk result to enable women to make an informed choice.
 
See https://www.nsu.govt.nz/system/files/page/removal-measurements-nasal-bone-mar18_0.pdf.
 

Requirement for existing core workers to have a safety check by 1 July 2018 under the Vulnerable Children Act 2014

The Vulnerable Children Act 2014 requires all existing core workers have a safety check by 1 July 2018. Providers of primary maternity services are considered to be core children's workers and are required to meet the obligations of the Vulnerable Children Act. Confirmation of a successful safety check should be provided to the Ministry of Health by 1 July or any authorisation to claim for primary maternity services under Section 88 may be terminated and claims will therefore not be paid after 2 July 2018.

For further information see https://www.health.govt.nz/our-work/health-workforce/childrens-action-plan-childrens-worker-safety-checking-and-child-protection-policies/vca-safety-checks-primary-maternity-service-providers.
 

Medical Council of New Zealand news

New Zealand Medical Workforce in 2015 Survey report released

MCNZ has released the New Zealand Medical Workforce in 2015 report, which presents the results of the MCNZworkforce surveys for 2015. It contains information about changes in the medical workforce including retention rates for doctors.

Survey findings:
  • The proportion of house officers identifying themselves as Māori increased from 5.4 to 6.1 percent in 2015.
  • The proportion of New Zealand trained doctors in the workforce is now increasing after steadily decreasing for many years – international medical graduates (or overseas trained doctors) now only make up 40 percent of doctors compared with 42 percent in the previous year.
  • Women doctors make up nearly 44 of the medical workforce and now outnumber men amongst new doctors: 57 percent of house officers and 51 percent of registrars were women.
  • The average number of hours worked per week by doctors is 44.4, up from 43.6 in 2015.
  • On average, doctors working in rural areas tend to be older than those working in urban areas – the average age is 48.1 years in rural areas compared with 44.7 years in urban areas.
  • The average hours worked per week by GPs in rural areas is higher than those in urban areas – 37.2 hours per week in rural areas compared with 33.9 hours per week in main urban areas.
 

Health Quality & Safety Commission news

Co-design 

Co-design is about working with everybody who is involved in or impacted by the health care process and is an integral part of the Health Quality & Safety Commission’s Partners in Care consumer engagement programme.

Dr Lynne Maher, Director of Innovation at Ko Awatea, Counties Manukau Health, Honorary Associate Professor of Nursing at the University of Auckland, has led the co-design movement across New Zealand. She says co-design is about turning experience into action and a positive way to build confidence and competence in health care services. "Generally, when consumer voices are integrated into the design of health services, research has shown a number of benefits."

For more information on the HQSC’s Co-design Partners in Care programme see https://www.hqsc.govt.nz/our-programmes/partners-in-care/work-programmes/co-design/.
 

Revised Baby-Friendly Hospital Initiative Implementation Guidance released

WHO and UNICEF have released the revised Baby-Friendly Hospital Initiative Implementation Guidance – protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. See: http://www.who.int/nutrition/publications/infantfeeding/bfhi-implementation/en/.


Postgraduate programmes in Clinical Education - University of Auckland

The Centre for Medical and Health Sciences Education at the University of Auckland offers a comprehensive postgraduate degree programme in Clinical Education of particular relevance to all health professionals responsible for delivering education programmes and training to doctors, nurse and other health professionals. 

Course Subjects: Teaching and Learning, Assessing Clinical Performance, Learning in Small Groups, Curriculum and Course Design, Clinical Supervision, Simulation and Clinical Skills, Inter-professional Learning, E-learning, Research methods.  Courses are run online with optional face to face workshops. The University offers Post-graduate Certificates, Post-graduate Diplomas and Masters in Clinical Education. Full or part  time options available.

For further information please email pgclined@auckland.ac.nz or visit www.fmhs.auckland.ac.nz/cmhse.
 

Trainees' news

The new trainee representatives to sit on the New Zealand Training and Accreditation Committee (NZTAC) are:   

Choosing Wisely update

The second Choosing Wisely workshop - Putting the Theory into Practice - since the launch of Choosing Wisely 16 months ago, focused on what has been achieved to date and learning from each other’s experiences. 
 
The workshop included presentations on the evidence behind the Choosing Wisely guidelines, cognitive bias regarding risks and benefits and measuring Choosing Wisely.
 
Council of Medical Colleges Chair, Dr Derek Sherwood, observed that the workshop more than achieved its objective and showed the commitment of the health sector to strengthening Choosing Wisely’s work and improving the quality of care for New Zealanders.
 
Workshop presentations can be viewed here http://choosingwisely.org.nz/workshop-presentations/.
 

Research Reviews

Research Review publications are intended for NZ health professionals.  To subscribe for free to receive a research review on a regular basis go to www.researchreview.co.nz.
 

Māori Health Review

In Issue 72-2018 of the Māori Health Review there are relevant articles on: Ethnic disparities in breast cancer survival; Discrimination impacts on health; Racial/ethnic bias among medical students.
 

Fertility Research Review

In Issue 17-2018 of the Fertility Research Review there are articles on: IUI + ovarian stimulation increases live-birth rate; Switch to gonadotrophins increases live-birth rate; No impact of levothyroxine on live-birth rate; Reproductive consequences of dietary pesticide exposure; Day 5 blastocysts superior to day 6 blastocysts; Serum progesterone threshold for embryo transfer; Longer abstinence decreases live-birth rate; Natural conception vs IVF in gestational surrogates; Inferiority of vaginal vs IM progesterone; Impact of biopsy and vitrification -warming.

 

New and updated Cochrane summaries for O&G

Please see the latest summaries for obstetrics and Gynaecology from the Cochrane Library at www.cochranelibrary.com on: Metabolomics for improving pregnancy outcomes; Massage, reflexology and other manual methods for managing pain in labour;Relaxation techniques for pain management in labour; Antifibrinolytics (such as tranexamic acid) for treatment of heavy menstrual bleeding; Antidepressant medication for preventing postnatal depression; Follicular flushing during oocyte retrieval in assisted reproductive technology; Which drug is best for reducing excessive blood loss after birth?
 

Upcoming Events

Please see the Events section of the RANZCOG website for information on all local and international events. Highlighted events are listed below.
 

HealthTech Week 2018

11-15 June 2018. Auckland
Visit the HealthTechWeek site https://healthtechweek.nz to view the speaker programme for the conference and the other exciting events on during the week.
 

PMMRC conference 

26 June 2018, Wellington
Save the date for the Perinatal and Maternal Mortality Review Committee (PMMRC) conference being held at Te Papa, Wellington.
For further information contact the Health Quality & Safety Commission: info@hqsc.govt.nz.
 

NZSOG meeting

September / October 2018, Tonga
Planning is underway for the 2018 NZSOG (aka Gynae Club) Conference in Tonga.
 
Further detail to come.  The conference is open to fellows and final year trainees.
 

7th International Conference on Fetal Growth 

3-5 October, Milan, Italy
For further details, please visit www.fetalgrowth.org
 

Vacancies

In addition to the following advertised vacancies please see the RANZCOG website for trainee and Fellow employment opportunities.

Associate Professor/Senior Lecturer in Obstetrics at Middlemore Hospital South Auckland

BACKGROUND TO THE POSITION
The University of Auckland is New Zealand’s pre-eminent research-led University. The South Auckland Clinical Campus of the University of Auckland is based at Middlemore Hospital which has a catchment of almost 500,000 with 40% of the population <25 years old.  In order to further strengthen clinical research aimed to improve perinatal, maternal and child health in the region, the Faculty of Medical and Health Sciences and Counties Manukau Health wish to appoint a Senior Lecturer/Associate Professor with a clinical and research interest in obstetrics, at Middlemore Hospital in South Auckland.

The mission of the Faculty of Medical and Health Sciences is “to improve the health of our local, national and global communities through excellence in teaching, research and service”. The University of Auckland in partnership with Counties Manukau Health (CMH), recognise the importance of clinical research and academic leadership in Obstetrics in the South Auckland region. This role will bring together the strengths of both organizations to further strengthen an academic programme that will champion research to improve the health of our women, mothers and their babies.

The University of Auckland’s Department of Obstetrics and Gynaecology is New Zealand’s pre-eminent academic Obstetrics and Gynaecology Department and has a long-standing track record of undertaking high calibre world class clinical and basic science research. Furthermore Auckland has been voted the third most liveable city in the world.

CMH’s Middlemore Hospital and associated three primary maternity units have about 8000 births and 4800 acute and elective gynaecology cases per year.  The Obstetrics and Gynaecology service at CMH is one of the largest in Australasia and is known for its high acuity and complex clinical, cultural and social case mix with low intervention rates.  Two thirds of the multi-ethnic birthing population (23% Maori, 39% Pacific, 13% Asian/Indian and 25% European) live in areas of high deprivation.

The current academic team in Obstetrics and Gynaecology at CMH comprises a part-time Professor who also heads the University Academic Department of Obstetrics and Gynaecology and a Senior Lecturer with particular research interests in Pacific Women’s Health.  Further academic staff in the Department of Obstetrics and Gynaecology, are based at National Women’s Health (Auckland City Hospital) and North Shore Hospital. CMH has a comprehensive Obstetrics and Gynaecology undergraduate and postgraduate teaching program, which is contributed to by many of the hospital employed obstetricians and gynaecologists.  There are twenty four specialist Obstetricians and Gynaecologists and four fellows supervising 17 Obstetrics and Gynaecology Registrars and 10 Senior House Officers. A number of these non-university employed obstetricians and gynaecologists also undertake clinical research.

The ethnic and social mix makes Counties a fascinating place to work.  Complex pathology is common and the clinical department prides itself on the experience that it offers students, trainees and senior staff and also on the teamwork between members of multi-disciplinary professional teams.

There is huge potential capacity for additional O&G clinical research to be undertaken in CMH. This academic role, which is 0.5 FTE University and 0.5 FTE clinical, will be instrumental in helping to fulfil these aspirations.  

Current areas of research activity in the O&G department at CMH include: interventions in obese pregnant women aimed to improve maternal and offspring metabolic health, studies to identify modifiable risk factors for stillbirth, trials in diabetes in pregnancy and fetal movements, research in uro-gynaecology (both physiological and clinical studies).

We are seeking an Associate Professor/Senior Lecturer who also has a passion for high risk obstetrics to join our vibrant team.  Look forward to a mix of research, teaching and clinical work which enables you to maintain your clinical expertise while expanding your research portfolio.

Considering the scope of this role, it’s essential you are an obstetrician who is also passionate about research and research-led teaching. Your experience in research should be backed by an appropriate qualification (PhD, MD or equivalent) and the ability to obtain New Zealand medical registration.

To learn more about this impressive opportunity and for a confidential discussion please contact Professor Lesley McCowan ph: +64 9 923 9192, e-mail:  l.mccowan@auckland.ac.nz.

Closing Date: 11 June 2018 

Maternal Fetal Medicine Fellow

National Women's Hospital, Auckland has an exciting opportunity for a motivated trainee or Fellow to join our MFM subspecialty training programme. This is a fixed term one year position in the Maternal Fetal Medicine Service starting February 2019. You should be within 1 year of reasonable expectation of vocational registration in O&G with the Medical Council of NZ. As a NZ Integrated Training Programme trainee of RANZCOG, you will either have been awarded FRANZCOG within the past 2 years or eligible for FRANZCOG within 12 months of appointment.
 
Preference will be given to trainees who have been accepted into the FRANZCOG MFM training programme for 2019.

The maternal fetal medicine service is located at Auckland City Hospital with over 7500 births per year. We provide both a regional and a national service for both fetal and maternal medicine.
 
The fetal medicine service serves a catchment of 40,000births per year.  A multidisciplinary team of paediatric cardiologists, nurse specialists, fetal medicine midwives, sonographers and MFM specialists provide the national fetal cardiology service. We are the national fetal therapy service, providing the following: 
  • Fetal Blood Sampling and In-utero transfusion
  • Fetal shunt placement
  • Selective Fetoscopic Laser Photocoagulation
  • Cord Occlusion
  • Intra-Fetal Vessel occlusion eg for TRAP and Sacrococcygeal Teratoma
  • Intra-amniotic treatment eg: thyroxine
  • Ex-Utero Intrapartum treatment (EXIT)
The Maternal medicine service is well recognised as one of the best in Australasia, provided by a multidisciplinary team including obstetric physicians, neonatologists, obstetric anesthetists, high risk midwives and other specialists. The following is a typical, but not exhaustive list of conditions we manage: 
  • Hypertensive and autoimmune disease
  • Renal Disease
  • Transplants
  • Cardiac conditions: includes congenital cardiac anomalies and rheumatic heart disease and heart valve replacements
  • Respiratory conditions
  • Inflammatory Bowel disease
  • VTE
  • Haemotological disorders
  • Infectious disorders: includes Hepatitis B needing anti-virals and HIV
  • Malignancy in pregnancy
  • Preterm Labour
  • Severe Pre-eclampsia
For more information about this opportunity, please contact Audrey Long, Lead Clinician at Audreyl@adhb.govt.nz.
 
How to apply: If this sounds like you, we would love to receive your application. Please ‘apply now’ below and attach your current CV and cover letter.
 
Click here for the current position description
 
Applications close: Wednesday 27th June 2018 
Interviews (TBC): Wednesday 4th July 2018
 
For further information regarding the recruitment process please email Briar Turvey, Recruitment Consultant via BriarTurvey@adhb.govt.nz  and reference job number 0CEN06830
 
Auckland DHB is committed to the application of the Vulnerable Children Act 2014 and its intent to improve the safety of all children. This position is a Core Children’s Worker as defined by the Act.

Obstetrics & Gynaecology Advanced Trainee Position 

Nelson Marlborough District Health Board
This post offers:
  • Hands on clinical training and gynaecological surgery
  • 12 months in Nelson with easy access to three National Parks, beaches, lakes, mountains, vineyards and skiing
We have a position for an Advanced Trainee to join our Obstetric and Gynaecological team in December 2018. Our team comprises four Consultants, and a SHO doing their Diploma in Obstetrics. Trainee Interns from Christchurch join the run through the year.

Rostered duties include one period of 24 hour call through the week, and one period of eight hour call. Weekend cover is one in four as part of the Consultant roster, with backup Consultant cover.

Nelson Hospital has 147 beds, and serves a population of 90,000 people. There are 1100 births per year. It is a secondary level hospital with Level 2 New Born Unit.

The successful candidate will be based at Nelson Hospital. He/she will have one gynaecology (including Colposcopy) and one obstetric clinic per week (with Consultant back-up). These will involve responsibility for your own patients and the decision making related to this. He/she will have good exposure to general Obstetrics and Gynaecology, and the surgery related to
this through being involved with four operating lists per week with the Consultants. He/she will also be responsible for their own operating lists where available. There is a weekly ultrasound scanning session available. Teaching duties will include the SHO and Trainee Intern. There is a monthly Perinatal Morbidity and Mortality meeting, and a departmental teaching session.

Applicants should be post-Membership, and be working as an advanced trainee. Further information about this position is available through: Dr David Leadbetter, Obstetrician & Gynaecology david.leadbetter@nmhs.govt.nz or Loretta Matheson, Recruitment Coordinator, Nelson Hospital loretta.matheson@nmdhb.govt.nz ph: +64 3 5461875 or fax: +64 3 5461747.

Gynaecological Oncologist Specialist, CDHB 

An opportunity has arisen for a Gynaecological Oncologist Specialist to take up a position at Christchurch Women’s Hospital (CWH). The FTE is negotiable between 0.7 and 1.0 FTE and applications will be considered for candidates able to take up the position within the next two years.

Christchurch Women’s Hospital is the tertiary gynaecological oncology centre for the South Island of New Zealand (population approximately 1.1 million) and provides a comprehensive range of services. 

You will need to have completed subspecialty training in Gynaecological oncology (FRANZCOG or equivalent and CGO or equivalent) and must be eligible for vocational registration with the New Zealand Medical Council. Eligibility to live and work in New Zealand is also required. Relocation expenses are available in line with CDHB relocation policies.

Outside of work, there are many exciting opportunities in Christchurch as the city rebuilds following the earthquakes of 2010 and 2011. Boarded by beautiful beaches, Banks Peninsula and with the mountains of the Southern Alps less than 100 kilometres away, Christchurch residents enjoy water and snow sports on their doorstep.

If you’re looking for an exciting new opportunity and would like to know more about working with us, then please contact Tracey Sutherland tracey.sutherland@cdhb.health.nz for a confidential discussion.

Please visit our careers website www.cdhbcareers.co.nz to find out more about this, or any other roles.

Obstetrician & Gynaecologist Consultant 

Permanent 1.2 FTE (Full time, including on call)
 
We seek a generalist Obstetrician and Gynaecologist, to join our team of 7 Specialists. This position has become available as a result of SMO planned retirement.
 
 A special interest is desirable but not essential. There would be an opportunity to develop a special interest which would be supported by the DHB. We have a stable experienced team and would be happy to consider applications from newly qualified specialists seeking a supportive environment to commence their consultant career.
 
The successful candidate will provide services in Rotorua and Taupo, participate in a 1:5 acute call roster and enjoy excellent support from our Anaesthetic, Surgical, Radiology and Intensive Care teams. The O&G Team consists of seven specialists (two job share), two registrars and dedicated SHO support. We also provide attachments/teaching for 5th and 6th year medical students from Auckland Medical School.
 
Lakes District Health Board provides healthcare for a population of 108,000 people through our hospitals located at the centre of the North Island of New Zealand, at two stunning settings next to Lake Rotorua and Lake Taupo. Rotorua, Taupo and Turangi are internationally acclaimed for trout fishing and Mt Ruapehu for snow skiing. The district is also well known for its other outdoor recreational options including tramping, cycling, mountain biking as well as lake and river water sports such as boating and kayaking. Rotorua is less than one hours drive from the Bay of Plenty coast that offers lots of sun, good surf, boating, fishing and deep sea diving. Rotorua is the tourist centre of the North Island of New Zealand.
 
The hospital underwent a rebuild in 2013 including new ward areas, ITU and theatres, and a state of the art ambulatory outpatient area for Gynaecology, to facilitate outpatient hysteroscopy and Colposcopy/LETZ.
 
Membership of RANZCOG (or equivalent) is required. Applicants must hold or be eligible for vocational registration with the Medical Council of New Zealand.
 
For further information email Carleen Dahya, Medical Staff Recruiter carleen.dahya@lakesdhb.govt.nz ph: +64 7 343 8711 or Simon Ewen, HOD O&G simon.ewen@lakesdhb.govt.nz ph:+64 7 348 1199.
 
Closing Date: Open

2019 Training Year – Obstetrics & Gynaecology Advanced Training & Subspecialty Fellowships

Swipe right for Auckland
These fellowship positions are intended for trainees who have completed their RANZCOG core training.  They offer general O&G training at a senior level whilst developing an area of special interest/ sub-specialty.  They include opportunities for professional development to facilitate completion of specialist training and preparation to becoming vocationally registered and a practicing O&G Specialist.  This may include developing and leading the teaching of the junior medical staff, assistance with their training and roster co-ordination, audit and guideline development. A research project is also encouraged during this year. 
 
University of Auckland is offering an exciting opportunity to try an academic career pathway for 12 months.  This clinical fellowship will provide a unique learning opportunity for an individual (or two individuals in a job share arrangement) interested in pursuing a future academic career in Obstetrics and Gynaecology.  This position is best suited for a senior RANZCOG trainee(s) who will undertake supervised teaching and research duties in the Department of Obstetrics and Gynaecology, University of Auckland at one or more of the Auckland campuses (Grafton, South Auckland Clinical School or North Shore).
 
If a full-time university role is undertaken for 12 months, this will result in a year off the RANZCOG training programme and will require prospective approval from RANZCOG.  If agreement can be reached with the relevant DHB, it will be possible for the position(s) to be 50% clinical and 50% university and, if undertaken by an advanced trainee, can be counted for full-time RANZCOG training.  If you would like further information about this position, please contact Professor Lesley McCowan at l.mccowan@auckland.ac.nz
 
Auckland DHB
Is offering a Chief Resident Officer position (Fellowship in Clinical Leadership) with both a clinical and administrative role, commencing December 2018.  For more information about this opportunity and application process, click here or contact Angela Cross, Current Chief Resident Officer via email at angelaka@adhb.govt.nz 
 

Subspecialty Training Positions – Auckland DHB

Auckland DHBs offering a fixed term Fellowship position in its National Women’s Health Obstetrics and Gynaecology Service for the 2019 training year:
  • Reproductive Endocrinology and Infertility (REI) Fellow position, commencing December 2018.  For more information about this opportunity and application process click here or contact Service Clinical Director, Prof Cindy Farquhar at c.farquhar@auckland.ac.nz
  • Maternal Fetal Medicine Fellow position, commencing February 2019. For more information about this opportunity and application process click here. Contact Lead Clinician, Audrey Long at AudreyL@adhb.govt.nz 
Please note, this Fellowship is not administered through NRA.  Please get in touch with the nominated contact for this opportunity.
This position has been approved by RANZCOG as an accredited subspecialty training position.  Eligibility is determined by RANZCOG (www.ranzcog.edu.au)
 
Counties Manukau Health (CM Health)
Offers one-year positions in a busy Obstetrics and Gynaecology Service across several clinical areas.  Each position will include the opportunity to practice as the senior doctor in the acute team with available back-up from an SMO to assist the transition from trainee to specialist.
 
The Fellowship opportunities typically available during any given training year focus on the following clinical areas and are administered through NRA:
 
Urogynaecology – This position is recognised for sub-specialty training in urogynaecology. The position is primarily based at Middlemore Hospital with one day a week at Auckland City Hospital. A minimum of three operating lists per week, plus clinics, allows an excellent opportunity for development of surgical and clinical skills. Scanning, urodynamics, and a specialist OASIS clinic are included in the training with one day per week reserved for research (https://www.ranzcog.edu.au/Training/Subspecialist-Training).
 
Minimal Access Surgery (MAS) – This position is an accredited AGES Fellowship position in Gynaecological MAS.  The post will prepare you to independently undertake advanced laparoscopic and hysteroscopic procedures, as well as outpatient hysteroscopy, flexible cystoscopy and exposure to colorectal surgery.  Specific experience includes a minimum of 3 theatre lists per week and gynaecology clinics as part of the MAS team.  There is an expectation of at least 2 presentations or publications at national and international meetings and participation in the local educational programs for gynaecological surgery, including laparoscopic training courses.  More detailed information regarding this training position may be found at www.ages.com.au.
 
High Risk Obstetrics – This position reflects the complexities of practicing Obstetrics in a large unit with a varied population. You will have the opportunity to be involved in the multidisciplinary antenatal and postnatal care for women with a range of medical conditions through the Obstetric Medical Clinic, the Diabetes in Pregnancy clinic and by being a member of the Maternity ward medical team.  This position also involves a dedicated session of Obstetric ultrasound with the Fetal Medicine team.  The Obstetric Fellow is expected to lead the Obstetric Clinical Practice group which concentrates on guidelines and current Obstetric issues within the hospital.  If continued exposure to general gynaecology is required this position can include regular gynaecology outpatient clinics and theatre opportunities.
 
Gynaecological oncology (non-tertiary) – This position encompasses general gynaecology at a senior trainee level with a focus on open surgery (including the obese and high risk patients) and gynaecological oncology (non-tertiary).  The position includes taking part in the regional MDT meeting and being part of the local "faster cancer treatment" initiative. It would be suitable for a trainee wishing to become a Generalist in O&G with a gynaecological oncology interest.
 

Maternal Fetal Medicine Subspecialty Fellow

This position is accredited for the RANZCOG subspecialty training in Maternal Fetal Medicine.  A new opportunity has been created for a trainee who is interested in Maternal Fetal Medicine and who is looking for an exciting experience working in a friendly multicultural environment. The successful applicant will be offered the opportunity to gain enormous experience in fetal scanning, invasive prenatal testing and high risk maternal medicine.  This position involves working within a multidisciplinary team structure with the support from neonatologists, obstetric physicians, obstetric anaesthetists, geneticists and midwifery staff.  The successful candidate will also be offered research time and an opportunity for leadership skill development.
Preference will be given to those who have been accepted into the RANZCOG MFM training programme for 2019
 
Please note: you will need to register your specific interest in one or more of the above Counties Fellowship positions as part of your formal application.
 
For more information about any of these opportunities, please contact Sarah Tout, Clinical Director of Women’s Health CMDHB at Sarah.Tout@middlemore.co.nz
 
To apply
To be considered, you must include all of the required documents with your application; only complete applications will be progressed to interview.

For application queries please contact Urszula Niemczyk, Recruitment and Allocations Consultant at Urszula.Niemczyk@nra.health.nz

Like what you see?
Send us your profile - send us your complete application during the application period (strictly between 16 April to 13 May 2018)
Let’s catch up: 21 June 2018 (this is when interviews take place) 
Seal the Deal: Monday 23 July 2018 (this is when offers go out nationally)
 
         Find the perfect match. Apply today!
Auckland Doctors. Training world class doctors!

Senior Lecturer/Associate Professor in Obstetrics and Gynaecology or Maternal Fetal Medicine

The University of Auckland, in partnership with the Auckland District Health Board, are bringing together the expertise of New Zealand’s preeminent research-led University and a leading Women’s Health clinical service to recruit an academic specialist in obstetrics and gynaecology or a sub-speciality area, particularly in maternal fetal medicine.

In order to further advance already flourishing education and research in O&G and to enhance the existing clinical expertise, we are seeking an Associate Professor/Senior Lecturer to join our team.  You can look forward to a mix of research, teaching, leadership and clinical work which enables you to maintain your clinical expertise while expanding your research portfolio.

It is essential that you are an obstetrician and gynaecologist (if appropriate with a relevant subspecialty qualification), are research active and committed to research-led teaching. Your experience in research should be backed by an appropriate qualification (PhD or similar research qualification) and the ability to obtain New Zealand medical registration (https://www.mcnz.org.nz/).

To learn more about this impressive opportunity and for a confidential discussion please contact Professor Lesley McCowan ph: +64 9 923 9192, e-mail:  l.mccowan@auckland.ac.nz.                    

New Principal, Private practice, Auckland 

New Principal needed for 525 Remuera Obstetrics and Gynaecology Auckland from July 2019.
Well established accredited practice since 2010. All systems in place.
Phone Dr Alec Ekeroma at 021 2767975 for more information.     

Medical Sector Newsletters

Relevant news from medical sector newsletters is included in the body of each PEN NZ iVe newsletter for your reference. For College news and announcements please see the RANZCOG website. Other useful news links include the Royal College of Obstetricians and Gynaecologists (RCOG) and the Medical Council of New Zealand (MCNZ).  If there are regular news updates you would like included from a particular source please let the NZ office know.
Staff Contacts

phone +64 04 472 4608  
fax: +64 04 472 4609

Jane Cumming
Manager
jcumming@ranzcog.org.nz

Jude Kaveney
Training Co-ordinator
jkaveney@ranzcog.org.nz

Makiko Wimbush
Events & SIMG Co-ordinator
mwimbush@ranzcog.org.nz 

Lynn Gestro
Communications Co-ordinator
lgestro@ranzcog.org.nz 


For advice on local matters, please contact RANZCOG New Zealand branch in the first instance.  If you need to reach the Australian branch an 0800 number is now available: 0800 170 133

Our mailing address is:
 


Royal Australian and New Zealand College of Obstetricians and Gynaecologists 
RANZCOG New Zealand office
PO Box 10611, The Terrace 
Wellington 6143 
New Zealand


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