RANZCOG NZ happenings
Representatives from Te Kāhui Oranga ō Nuku and the Manager, NZ office met with our NZCOM colleagues this month as part of our usual stakeholder engagement to discuss maternity issues and tackle the pathways needed to increase resource and get the best possible outcomes for wāhine and their pēpi. A number of joint initiatives are being worked on as a result.
RANZCOG NZ provided feedback this month to the Medical Council of New Zealand (MCNZ) on their revised cultural competence and Māori health statements. We will provide you with a url link to these when they have been finalised.
Your feedback is currently sought on the proposed new Induction of Labour Guidelines - see more below.
A response was received from Associate Minister of Health Julie Anne Genter in July regarding implementation of the HPV screening programme and advising the ongoing work the Ministry of Health is doing in this area and acknowledging the work RANZCOG is doing for women's health in New Zealand.
And you will have heard this week the government has released details of a Bill which would remove abortion from the Crimes Act and instead treat it as a health issue. RANZCOG made a submission to the Law Commission in 2018 on Abortion Law Reform, strongly supporting the decriminalisation of abortion.
Please contact the RANZCOG NZ office at any time. New Zealand office staff, Te Kāhui Oranga ō Nuku and He Hono Wāhine are dedicated to promoting equitable access for all wāhine to health services in Aotearoa and advocate on your behalf to get the best possible outcomes for excellence in hauora wāhine.
Reminder – Election ballot for Te Kāhui Oranga ō Nuku Fellow representatives closes 12 August
A reminder to Fellows that the election ballot for Fellow Representatives to Te Kāhui Oranga ō Nuku for the September 2019 to September 2021 term close 12 Noon AEST 12 August 2019. All queries to email@example.com.
Consultation on proposed Induction of Labour clinical practice guideline - please feedback by 16 August 2019
The IOL Clinical Guidelines Panel is inviting feedback on the proposed clinical practice guideline for induction of labour (IOL) at term in the Aotearoa New Zealand context. The purpose of the guideline is to provide a summary of the research evidence to support clinical decision-making and consistency of practice. The IOL Clinical Guidelines Panel is requesting input to the final draft, prior to requesting ratification to the Ministry of Health. Te Kāhui Oranga ō Nuku of RANZCOG has provided feedback. Fellows individual feedback is also welcome.
See: Draft Clinical Practice Guideline on Induction of Labour in New Zealand
To provide feedback, by 16 August:
Early career Fellows forum
An interactive session for RANZCOG early career Fellows will be held at RANZCOG's Wellington office on Sunday 25 August 2019. This is an annual event to engage and inspire early career Fellows about the scope of work RANZCOG is involved with in improving women's health outcomes in New Zealand through collaboration with allied health stakeholder organisations and groups.
Senior Fellows will be at the Forum to share their personal experiences. A dinner will be held at the conclusion of the Early career Fellows forum to celebrate Fellows with a 35-year Fellowship with RANZCOG.
If you have any queries about the event please contact Makiko Wimbush firstname.lastname@example.org
Celebratory dinner for Fellows with a 35 year Fellowship
As indicated above a celebratory dinner to acknowledge the service of RANZCOG Fellows with a 35 year Fellowship will be held on 25 August 2019 at the conclusion of the Early career Fellows forum in Wellington.
If you believe you have been a RANZCOG Fellow for 35 years but have not received information about the upcoming celebratory dinner please get in touch with the NZ office
ASM presentations available on CLIMATE
Videos of the 2019 RANZCOG NZ ASM presentations are now available on CLIMATE for all Fellows and trainees. See presentations on a range of topics including managing cultural disparities in health-care, transgender health, management of endometriosis and preterm birth prevention. CLIMATE can be accessed through my.RANZCOG or as below:
- Login to eLearning site: https://www.climate.edu.au
- Enter your my.ranzcog ID and password
- Select My Modules / 2019 Events / NZ ASM 2019
He Hono Wāhine Hui, 2-4 November 2019 - all welcome
The 2019 He Hono Wāhine Hui will be held at Rapaki Marae from 2-4 November. All Fellows, trainees and their whānau are welcome and encouraged to attend. Rāpaki Marae is a 30 minute drive from Christchurch /Ōtautahi CBD. The small settlement of Rāpaki sits on the shores of Whakaraupō (Lyttelton Harbour) and is one of of four Banks Peninsula rūnanga based around marae. The Hui precedes the LIME Network conference
, also in Ōtautahi, from 5-8 November 2019.
2020 Annual Scientific Meeting - campaigning for equity in women's health
The 2020 Annual Scientific Meeting - Campaigning for Equity in Women's Health
will be held in Wellington from 10-12 June. Reserve these dates in your diaries now. A call for abstracts will be put out in due course but please give some thought to how your research can link to our theme. If you have topic ideas we would love to hear from you - please contact Makiko Wimbush
Equity and Choosing Wisely
Choosing Wisely New Zealand should be focusing on embedding equity into its programme says Associate Professor Sue Crengle, keynote speaker at the recent Choosing Wisely forum held in Wellington in May. Assoc Prof Crengle says the Choosing Wisely approach has the potential to reduce, maintain or increase inequities so deliberate consideration of equity is needed with more equity focused recommendations.
Assoc Prof Crengle also recommends Choosing Wisely considers expanding the programme focus from reducing and avoiding low value and inappropriate interventions to include promoting high value and appropriate interventions being provided to groups that are currently under represented. See https://choosingwisely.org.nz/equity-and-choosing-wisely/
A paper Choosing Wisely means choosing equity
published in the latest New Zealand Medical Journal (7 June 2019) says the Choosing Wisely campaign must ensure the message 'more is not necessarily better' does not inadvertently worsen the under-treatment for Māori and other groups. The article, by Belinda Loring, Sue Ineson, Derek Sherwood and David Tipene-Leach, talks about the need for the health sector to understand how the issue of low-value and inappropriate care affects different ethnic and social groups. You can read the full paper here
Choosing Wisely New Zealand and Te ORA are currently undertaking a joint research project to improve shared decision making between health professionals and Māori consumers and their whānau, with the goal of supporting more equitable health outcomes for Māori.
2020 Cultural Competence course - save the date
All RANZCOG Fellows and trainees are invited to complete the cultural competency course Utilising the Hui Process/Meihana Model in Clinical Practice
on 11 May, 2020 in Christchurch. Save the date in your diaries.
The cultural competence course, mandatory for all FRANZCOG trainees since December 2018, is open to all Fellows and trainees. Facilitated by the Māori Indigenous Health Institute (MIHI) at Otago University, the course closely aligns with the strategic direction of the Medical Council of New Zealand (MCNZ)
on cultural competence, partnership and health equity.
Expressions of interest to Jude Kaveney at email@example.com
Ministry of Health News
Achieving Equity in Health Outcomes - Summary of a discovery process
The Ministry has released a report providing a brief summary of phase one of the Achieving Equity Work Programme: The Discovery Phase. The aim of the discovery phase was to identify where practical and coordinated effort could be undertaken to achieve a measurable shift in health equity in the next three to five years.
Report: Achieving Equity in Health Outcomes – Summary of a discovery process
New Zealand Maternity Clinical Indicators 2017
This report presents comparative maternity interventions and outcomes data for pregnant women and their babies by maternity facility and district health board region. It presents 20 indicators that reflect care during pregnancy and the postnatal period, severe maternal morbidity and outcomes for babies at birth.
This is the ninth report in the New Zealand Maternity Clinical Indicators series, with a focus on women giving birth and babies born in the 2017 calendar year.
Report: New Zealand Maternity Clinical Indicators 2017
Applications open for 2020-21 Harkness Fellowships in Health Care Policy and Practice
The Commonwealth Fund
and the Ministry of Health, as co-sponsors, are calling for applications for the 2020-21 Harkness Fellowships in Health Care Policy and Practice. Recipients are placed with leading experts at organisations such as Harvard University, Stanford University, Kaiser Permanente and the Institute for Healthcare Improvement to study things that support a high performing health care system. The aim is to produce the next generation of health policy leaders in participating countries.
October 7, 2019 is the deadline for receipt of applications from New Zealand. For more information visit the Harkness Fellowship website
The Gerald Duff Research Prize
The Gerald Duff Research Prize is an annual award that is made from a fund established at the request of Associate Professor Gerald Duff.
Associate Professor Duff was a dedicated training supervisor for the Royal Australia and New Zealand College of Obstetrics and Gynaecology and instituted this prize in order to promote and support Registrar research and collegiality.
All Obstetrics & Gynaecology Registrars who are currently training within the South Island of New Zealand, or have taken part in the South Island Training Scheme within the past five years, are eligible to apply.
The award is made to the Registrar who delivers the best presentation of their research. At the moment the Prize is set at $1000 and will be awarded if there is an applicant of suitable standard.
An abstract of your research, between 50 to 500 words, should be submitted, and if accepted the paper will need to be presented at a seminar at a time that is convenient for both the applicants and the University Department of Obstetrics & Gynaecology, Christchurch.
Abstracts should be submitted to:
Associate Professor Peter Sykes
Department of Obstetrics & Gynaecology
University of Otago Christchurch
Christchurch Women’s Hospital
Private Bag 4711
Applications must be received by 31st August 2019. (If you would like to submit your research but are unable to meet the deadline, please contact Associate Professor Sykes to discuss further).
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
NZ Women's Health Research Review
In In issue 27 of the Women’s Health Research Review there are articles on: Progestogen-only contraception does not cause depression; Postmenopausal bleeding and risk of endometrial cancer; Do women know about IUDs for emergency contraception?; Vasomotor symptoms in older women; Bioidentical menopausal hormone therapy: physician views and practices; 12-month discontinuation rates for LNG-IUS vs subdermal etonogestrel implant; Pain is a risk factor for failure of global endometrial ablation; A continuous-use ring-shaped vaginal pessary for advanced POP; Fatigue is a common symptom of endometriosis.
NZ Midwifery Research Review
In issue 20 of the Midwifery Research Review there are relevant articles on:Vitamin D and pregnancy related hypertensive disorders; Lactation duration and progression to diabetes; Country of birth and obstetric anal sphincter injuries; Administration of oxytocin during spontaneous labour; Cognitive impairment during pregnancy; Acupuncture for pain in pregnancy; Foetal fibronectin testing for threatened preterm labour.
Obstetrics and Gynaecology Research Review
In issue three of the Australian Obstetrics and Gynaecology Research Review (see www.researchreview.com.au
) there are articles of interest on: Prenatal and infant exposure to pesticides and autism spectrum disorder; Maternal age and pregnancy history and risk of miscarriage; Association of maternal cigarette smoking with preterm birth; Prophylactic antibiotics for miscarriage surgery; > Interpregnancy interval and adverse birth outcomes in women with a previous stillbirth; Medically assisted reproduction and birth outcomes; Effect of postoperative partial bladder filling after minimally invasive hysterectomy on postanaethesia care unit discharge; Inherited predisposition to stillbirth; Prophylactic incisional negative pressure wound therapy reduces the risk of infection after caesarean section in obese women; LTAP versus LAI in laparoscopic excision of endometriosis.
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: Blood tests in late pregnancy to identify small babies and those at risk of stillbirth
; Methods for monitoring blood glucose in pregnant women with diabetes to improve outcomes
; Time-lapse systems for embryo incubation and embryo assessment for couples undergoing in vitro fertilisation and intracytoplasmic sperm injection
; No evidence was available for the comparison of different interventions for women with Paget's disease of the vulva
; Is there an increased risk of ovarian cancer in women treated with drugs for subfertility?
; Medical treatment for early fetal death (less than 24 weeks)
Please see the Events section of the RANZCOG website
for information on all local and international events. Highlighted events are listed below.
IIMHCO 2019 Global Summit
27-29 September 2019, Auckland
SOMCANZ (Symposium of Maternity Carers NZ) is now IIMHCO (International Integrative Maternity HealthCare Organisation). https://iimhco.com/
For further information on the IIMHCO 2019 Global Summit see: Global Summit
National Gynae-Oncology Conference 2019
3-6 October 2019, Kuala Lumpur, Malaysia
for further information
NZSOG Samoa 2019
6-8 October 2019, Western Samoa
NZSOG – 43rd Annual Conference at Saletoga Sands Resort & Spa
For further information please email Astrid Budden at firstname.lastname@example.org
. To book please email Tracey Dench at email@example.com
The Annual Scientific Meeting of the Society of Obstetric Medicine of Australia and New Zealand
11 - 13 October, Melbourne
Topics include: perinatal infections, hypertensive disorders in pregnancy and maternal mortality.
Serious Problems, Simple Solutions
24-26 October 2019, Gdańsk, Poland
Congress: Serious Problems, Simple Solutions
See Scientific Programme
Further information: firstname.lastname@example.org
LIME Connection VIII - Pouhine Poutama: Embedding Indigenous health Education
5-8 November 2019, Ōtautahi / Christchurch
Leaders in Indigenous Medical Education Network are holding their 2019 conference in Ōtautahi / Christchurch with the theme Pouhine Poutama: Embedding Indigenous health Education.
for more information.
26th Asia and Oceania Federation of Obstetrics and Gynecology (AOFOG) Congress
10-14 November 2019, Manila, Philippines
Theme: “Strengthening the Road to Women’s Health - Reaching New Heights.”
for further details or email inquiries to email@example.com
21-23 November 2019, Dunedin
Australasian Association of Bioethics and Health Law and New Zealand Bioethics Conference
for further information.
World Congress of Paediatric and Adolescent Gynaecology
30 Nov - 3 Dec 2019, Melbourne
For more information and to register: http://www.wcpag2019.org/
5-7 December, Sydney
Themes for the conference include:
- Commercial Drivers of Overdiagnosis / Commercial Determinants of Health
- Genomics and precision medicine: risks and benefits
- Overdiagnosis and the Media
- Addressing Overdiagnosis and Overtreatment in Musculoskeletal Conditions
- Screening and Overdiagnosis in the Asia Pacific Region
For programme information and to register see https://www.preventingoverdiagnosis.net/
Aspire Masterclass - Endometriosis
14-15 December 2019, Sri Lanka
This Masterclass on Endometriosis convened by Professor Neil Johnson (New Zealand), in conjunction with Professor Tzeng Chii-Ruey (Taiwan), Professor Yutaka Osuga (Japan) and Dr Rohana Haththotuwa (Sri Lanka) will examine the latest advances in endometriosis and give attendees the basic tools to develop a network of expertise for managing endometriosis in their setting.
14th World Congress on Endometriosis (WCE)
8-11 May, 2020, Shanghai, China
Organised by the World Endometriosis Society https://endometriosis.ca/
In addition to the following advertised vacancies please see the RANZCOG website
for trainee and Fellow employment opportunities.