Welcome to the RANZCOG NZ Pānui for July 2019
In this pānui: 

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 elections@ranzcog.edu.au.
 

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 mwimbush@ranzcog.org.nz.
 

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 jkaveney@ranzcog.org.nz.
 

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
Christchurch
email: peter.sykes@otago.ac.nz
 
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 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.
 

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 stillbirthMethods for monitoring blood glucose in pregnant women with diabetes to improve outcomesTime-lapse systems for embryo incubation and embryo assessment for couples undergoing in vitro fertilisation and intracytoplasmic sperm injectionNo evidence was available for the comparison of different interventions for women with Paget's disease of the vulvaIs there an increased risk of ovarian cancer in women treated with drugs for subfertility?Medical treatment for early fetal death (less than 24 weeks).
 

Upcoming Events

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
See http//:ngoc2019.com 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 buddenastrid2@gmail.com . To book please email Tracey Dench at tracey.dench@nztravelbrokers.co.nz
 

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. 
Website: https://www.somanzasm.org/
 

Serious Problems, Simple Solutions   

24-26 October 2019, Gdańsk, Poland
Congress: Serious Problems, Simple Solutions
See Scientific Programme
 
Further information: info@spsscongress.eu.
 

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.

See https://www.limeconnection.net.au/ 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.” 
 
See www.aofog2019.com for further details or email inquiries to info@aofog2019.com


Australasian Association of Bioethics and Health Law and New Zealand Bioethics Conference

21-23 November 2019, Dunedin
See http://aabhlnzb2019.w.events4you.currinda.com/# 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/


Preventing Overdiagnosis

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.

See http://www.aspire-reproduction.org/aspire-masterclass/
 

14th World Congress on Endometriosis (WCE)

8-11 May, 2020, Shanghai, China
Organised by the World Endometriosis Society https://endometriosis.ca/.
 

Vacancies

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

Specialist Obstetrician and Gynaecologist 

Women's Health, Counties Manukau Health

0.8 FTE 
Applications Close: 19 August 2019
Job Number: CMH05636

With a growing population base and a commitment to research, innovation and quality, Counties Manukau Health (CM Health) has many attractive opportunities. As big as CM Health is, we are a team of talented individuals working together to make a positive difference to the people we serve, to the communities we work in, and to each other.
 
We are currently seeking interest for Consultant positions in Obstetrics & Gynaecology for generalists, and those with a special interest which may be part of the generalist continuum, to become part of our specialist team. We are interested in a range of skills and experience in a part-time (0.8 FTE) capacity, including acute after-hours work on duty.
 
You would work collaboratively with other Obstetricians and Gynaecologists, Midwives and Nurses and, as part of this multidisciplinary team, you would provide support, clinical care and management for women in our diverse community. As we are also a teaching hospital you would be expected to teach and promote the development of clinical skills particularly with junior medical staff including Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) trainees. We are unique in terms of the diverse population we serve and provide a great environment for clinical practice, team work and career development.
 
Suitable applicants must be a qualified specialist in obstetrics & gynaecology by commencement of the position and therefore senior trainees who are near completion of training will be considered.
 
This is a great opportunity to be part of a work place where the community is at the heart of everything we do and you can make a difference in someone’s life.
 
You are required to hold, or be eligible for, vocational registration within this scope of practice with the New Zealand Medical Council.
 
If you are excited about this opportunity and would like more information, please contact: Amy Varcoe in the Recruitment Centre on 09 259 3640 or amy.varcoe@middlemore.co.nz or apply on-line at www.countieshealthjobs.co.nz
 
To view a copy of the Job Description please click here
 
At Counties Manukau Health people and their lives matter to us.  We are a values based and inclusive organisation that is committed to delivering the best health outcomes for our community.  To help us achieve this we need a workforce that reflects the population we serve.  We strongly encourage applications from all backgrounds who share our values and have a passion to work in our community and would greatly value seeing applicants from our Maaori and Pacific communities. 

Our values are:
  • Valuing Everyone- Whakawhanaungatanga 
  • Kind –Manaakitanga  
  • Together –Kotahitanga  
  • Excellent- Rangatiratanga   
If these are your values too, then join us today.

Obstetrics and Gynaecology Registrars 

Hawkes Bay DHB

Ehara taku toa i te toa takitahi. Engari, he toa takitini.
Success is not the work of one, but the work of many.

 
There are exciting opportunities for O&G Registrars to join the Hawke’s Bay District Health Board in full time positions. Applications are invited for the position of O&G Registrars for 2019 training year commencing July and December 2019. The O&G Department offer supportive working conditions and are committed to excellent teaching.
 
Our District Health Board is large enough to provide variety and depth of work experience, with good support and supervision, yet small enough to be a friendly team with good social interaction. Hawke's Bay Hospital is a 400 bed hospital providing acute and elective care for the Hawke's Bay region. We have strengthening Primary and Community health services and an increasingly integrated approach to health and health care.

Working within a team of eight Registrars, you will have the full support of seven Specialist Consultants and work closely with eight House Officers. While enjoying a wide variety of inpatient cases, you will also be expected to attend Women’s Outpatients and work in the Surgical Ward, Operating Theatre, Acute Admissions Unit, Emergency Department, Early Pregnancy Clinic. There may also be some need to attend outpatient clinics in peripheral units within the DHB.

Ideal applicants should have at least 2 Years post graduate experience and have completed at least a six month placement at Registrar level within an Obstetrics and Gynaecology service.
We are big enough to offer variety, challenge, quality learning and development opportunities and collegial support. At the same time we are small enough that friendships flourish, commuting can be fun (nearly 200km of cycle trails connect the main centres of Napier, Hastings and Clive) and we take your work/leisure life balance seriously (supporting staff wellness is an organisational KPI). The combination of fantastic weather, stunning scenery, beaches, world-class trout-fishing, easy access to the outdoors and the Central Plateau ski-fields, established food and wine experiences and a high performing hospital make Hawke’s Bay an ideal work/lifestyle destination.
 

Eligibility

  • You will have eligibility for general or provisional general registration with the Medical Council of New Zealand. Information on the process of application for this can be found on their website at http://www.mcnz.org.nz/
  • You will need to be a NZ or Australian citizen or resident, or have an appropriate visa to be eligible to live and work in NZ. The Immigration NZ website can be found at https://www.immigration.govt.nz/new-zealand-visas
Interested parties are to apply online and should include:
  • Up to date CV with cover letter.
  • 3x referee contact details

For further information please contact:

Michelle Deacon, RMO Consultant
Email: michelle.deacon@hbdhb.govt.nz
 

The Values of the Hawke’s Bay health sector are:

He kauanuanu - Respect
Ākina - Improvement
Rāranga te tira - Teamwork
Tauwhiro - Care

Obstetrics and Gynaecology Registrar 

Dunedin Hospital, Dunedin - Southern DHB


Southern DHB is currently seeking applications from RMOs looking for non training O&G Registrar opportunities in Dunedin, New Zealand. 
 
Dunedin Hospital is a tertiary level hospital of 400 beds located in central Dunedin, New Zealand, servicing the city of Dunedin and the wider Otago region.
 

Where do I fit?

The values of the SDHB, Kind – Manaakitanga, Open – Pono, Positive – Whaiwhakaaro, and Commmunity – Whanaungatanga, reflect the essence of the people in Dunedin and Otago.  You’ll find us friendly and welcoming, and your multi-disciplinary team caring and supportive.
 
You will be part of the O&G team of 10 Consultants with a range of skills including Generalists, Urogynaecologists and Gynae Oncologists who are dedicated to Registrar training and support. The Obstetrics Unit is busy, with increasing numbers of high-acuity cases. Every effort is made to provide experience in major and minor Gynaecological surgery. As a registrar you will be provided with the necessary orientation, along with weekly protected teaching time and a high level of supportive Consultant supervision. We are a RANZCOG training site for ITP trainees and have very strong links with RANZCOG and the University of Otago Medical School.
 

What’s in it for me?

  • A lifestyle that is hard to beat!  Dunedin is a wonderful place for families, with great educational facilities (primary through tertiary) and many activities available for all ages.  From Dunedin you’ll have easy access to incredible adventures, with ski-fields, lakes, rainforests and resorts all within an easy drive.  Locally, the opportunity for wildlife encounters and recreational activities are right at your doorstep.  To find out more about living here please click the following link https://www.dunedinnz.com/
  • Culture! Dunedin’s culture is woven from the old and the new – a mix of heritage and innovation, history and creativity.  You’’ find a busy café and restaurant scene amongst street art, heritage buildings and a lively night-life.  The best international musical acts come to you.

What do I need?

You’ll be a non-trainee registrar with an interest in working in Women’s Health.
 
We are interested in hearing from RMOs with a minimum of two years’ post qualification experience and some experience working in a Women’s Health role.
 
You must be legally entitled to work in New Zealand, and be eligible for general or provisional general registration with the Medical Council of New Zealand.  You can check your eligibility for registration by visiting the Council’s website at www.mcnz.org.nz.
 

Where do I apply?

If you are interested in applying for this role please click here.
 
Please note that your application must contain the following:
  • Up to date electronic copies of your CV and cover letter
  • Contact details for three Consultants we may contact directly for references.  These Consultants should have supervised your day-to-day clinical work and one of the referees provided must be from your current or most recent employer.  Please ensure you advise your referees of their nomination so they are aware they will be contacted by Southern DHB.
The Medical Council of New Zealand (the Council) recently introduced a new method of primary source verification using the Educational Commission for Foreign Medical Graduates' Electronic Portfolio of International Credentials (ECFMG's EPIC) service.  Please visit the NZMC website for more details about these changes and information on enrolling. We encourage you to begin this process as soon as possible.

If you have any questions about the role, the application or the recruitment provess please contact the REcruitment Team at rmo.recruitment@southerndhb.govt.nz.
Staff Contacts

phone +64 04 472 4608

Catherine Cooper
Manager
ccooper@ranzcog.org.nz 

Jude Kaveney
Training Coordinator
jkaveney@ranzcog.org.nz

Makiko Wimbush
Events & SIMG Coordinator
mwimbush@ranzcog.org.nz

Lynn Gestro
Communications Coordinator
lgestro@ranzcog.org.nz

RANZCOG NZ webpage

For advice on local matters, please contact the RANZCOG New Zealand office in the first instance. If you wish to contact the Australian office an 0800 number is available: 0800 170 133
Our mailing address

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

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