RANZCOG NZ Pānui - 10 November 2020

Consultation closing 13 Nov: Primary Maternity Services Notice Review 2021

The Ministry of Health is consulting on proposed changes to the Maternity Services Notice. The draft notice plus a discussion document and feedback form are on the Ministry’s website. The consultation period is until 13 November 2020. Te Kāhui Oranga ō Nuku has met with the Ministry of Health in a consultation meeting and is finalising a submission.

Consultation: Health and disability services standard

Te Kāhui Oranga ō Nuku will prepare a submission on the public consultation on the Health and disability services standard. You can view or download the draft standard on the Standards New Zealand website . The closing date for submissions is 13 January 2021.

NZS 8134: 2008 – Health and disability services standard is designed as the minimum requirements necessary to present fair and equitable health and disability services that aim to improve the experience and outcomes of people and whānau and reduce care variation.

Following consultation with the sector, NZS 8134:2008 - Health and Disability Services Standards, NZS 8181:2007 - Fertility Services Standard, and NZS 8158:2012 - Home and Community Support Sector Standard, have been amalgamated to form NZS 8134:2021 – Health and Disability Services Standard, significantly reducing duplication across the three standards.

Abstract submission deadline 23 November for RANZCOG ASM 2021

The deadline for abstract submissions for the 2021 RANZCOG ASM, to be held virtually from 15-18 February is 5pm 23 November 2020. For further information see https://ranzcogasm.com.au/submit-abstract/. The RANZCOG ASM 2021 theme is: A vision for the future.

HDC news

HDC appoints new Commissioner

HDC has a new Health and Disability Commissioner. Morag Powell replaces outgoing HDC Anthony Hill. Te Kāhui Oranga ō Nuku will be meeting with the new HDC along with Deputy Commissioner Rose Wall and HDC staff at the end of their November meeting.

HDC reports

The Health & Disability Commissioner publishes its reports on the outcome of complaints investigated - see https://www.hdc.org.nz/decisions/.
Learn about recent decisions:

He Hono Wahine Hui 2020 

RANZCOG NZ Fellows and trainees, PGYs, medical students and others with an interest in hauora wāhine gathered for the RANZCOG He Hono Wāhine Hui-a-tau 2020 at Ōwhata Marae in Rotorua last month.

The huge amount of mahi by He Hono Wāhine members and others in putting on another successful Hui-a-tau is acknowledged.  Attendees provided feedback on their experience:
“I had such a great time…from a practical perspective the session on the marae ātea where O&G Doctors shared their journeys and tips was probably the most helpful in terms of getting me thinking about things that I could do or should be thinking about….I also really enjoyed the hapū wānanga sessions with Māori midwives…”
“I absolutely loved attending this weekend hui. Made a lot of good connections with people who could provide valuable insight into what O&G is like as a career option for me…”
“Just wanted to once again say a massive thank you…I felt very privileged to be there and left feeling both motivated and refreshed.” 
 “…as a student seeing Māori health professionals creating positive change within the field is so inspiring”

Women of Influence Awards 2020 finalists

RANZCOG New Zealand acknowledges 2020 Women of Influence Awards finalists Professor Beverley Lawton (He Hono Wāhine member) and Professor Suzanne Pitama (MIHI course facilitator) in the Innovation, Science & Health category.
The Women of Influence 2020 winners will be announced on November 17. For more information about the Awards, visit www.womenofinfluence.co.nz

Mercia Barnes Trust 2021 funding round

The Mercia Barnes Trust invites applications for 2021 research fellowships in the area of women's and reproductive health up to a value of $35,000 each. The Mercia Barnes Trust specifically supports New Zealand research with a focus on supporting young researchers.

Applications close 5pm Friday 5 March 2021. Application forms and the form for referees will be available on the NZ page of the RANZCOG website shortly. For further information please see the RANZCOG website or contact the RANZCOG NZ office at ranzcog@ranzcog.org.nz.

Medsafe updates

Updates to the Jadelle data sheet on the use in breastfeeding women

Medsafe advise that the New Zealand Data Sheet for Jadelle use in breastfeeding women has been updated. See www.medsafe.govt.nz/profs/Datasheet/j/Jadelleimplant.pdf.

ACC news

More DHBs using NOC/NEWS tool to identify at-risk newborns

ACC advise five DHBs are implementing the Newborn Observation Chart and Newborn Early Warning Score (NOC/NEWS) tool for identifying newborn babies at risk of neonatal encephalopathy (NE) with another 14 in the planning phase. The aim is to have all 20 DHBs using this system in 2021.
The early warning system enables primary and secondary care maternity care providers to work together with women and their babies as one team. The NOC/NEWS tool is a core part of ACC’s wider NE prevention programme, helping to identify babies that might benefit from cooling early, potentially reducing the severity of long-term impacts on the baby.

Lesley Long, ACC NOC/NEWS Project Manager, can be contacted with any queries at Lesley.Long@acc.co.nz.


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.

Ovarian Cancer Research Review

In the 11-2020 issue of Ovarian Cancer Research Review there are articles on: Association between breastfeeding and ovarian cancer risk; Validation of models to diagnose ovarian cancer; Cytoreductive surgery with or without HIPEC for stage III epithelial ovarian cancer; Detection of TP53 clonal variants in Papanicolaou test samples collected up to 6 years prior to high-grade serous epithelial ovarian cancer diagnosis; Apixaban vs enoxaparin for preventing postoperative venous thromboembolism in women undergoing surgery for gynaecologic malignant neoplasm; Quality-of-life results for weekly vs 3-weekly platinum-based chemotherapy for newly diagnosed ovarian cancer; Guidelines for the management of adolescents and young adults with non-epithelial ovarian cancers; Bevacizumab and platinum-based combinations for recurrent ovarian cancer; COVID-19 outcomes of patients with gynaecologic cancer in NY; GNRH agonists for the prevention of chemotherapy-induced ovarian insufficiency in patients with malignant ovarian germ cell tumours; Impact of dose reductions and delays on PFS in ovarian cancer treated with three-weekly or dose-dense carboplatin and paclitaxel regimens.

In the 12-2020 issue of Ovarian Cancer Research Review there are articles on: ASCO guideline for PARP inhibitors in the management of OC; Efficacy of maintenance olaparib for newly diagnosed advanced OC with a BRCA mutation; Binimetinib vs physician’s choice chemotherapy in recurrent or persistent LGSC; Nomogram to determine long term survival outcomes of stage I mucinous OC; Safety of surveillance in stage IA-C G1-3 Its; Trajectories and predictors of persistent symptoms and poor wellbeing after primary chemotherapy for OC; Efficacy and toxicity of extended duration PLD in women with recurrent EOC; Nivolumab vs nivolumab and ipilimumab for recurrent or persistent OC; Olaparib and durvalumab for recurrent OC.

ESMO 2020 Conference Review - focus on Ovarian Cancer

In the Australian Research Review there is a review of the European Society for Medical Oncology (ESMO) Congress which was held online from 19-21 September 2020. Articles include: IMagyn050 fails to confirm a benefit to the addition of atezolizumab to a bevacizumabbased regimen in EOC; Mature ICON8 results confirm no advantage to weekly dosing versus three-weekly chemotherapy for EOC; Olaparib maintenance confers a substantial clinical benefit in newly diagnosed, advanced, BRAC-mutated OC; MEDIOLA shows a benefit to olaparib/ durvalumab/bevacizumab in relapsed non BRAC-mutated OC; Subsequent chemotherapy for patients with BRCA1/2-mutated OC progressing on olaparib; RETOLA confirms the real-world efficacy of olaparib maintenance for BRCA-mutated relapsed EOC; Efficacy of platinum-based chemotherapy in platinum-resistant OC; Gemcitabine, cisplatin and bevacizumab for first recurrent and refractory ovarian clear-cell carcinoma.



New and updated Cochrane summaries for COVID-19 and O&G


Please see the latest summaries for COVID-19 from the Cochrane Library at www.cochranelibrary.com on: Does quarantine, alone or in combination with other public health measures, control coronavirus (COVID-19)?How effective is screening for COVID-19?Can travel-related control measures contain the spread of the COVID-19 pandemic?Does the use of antimicrobial mouthwash or nasal spray by people who are not actively suspected of having COVID-19 - or by their healthcare workers - protect their healthcare workers when they undertake 'aerosol-generating procedures' on them?What are the benefits and risks of healthcare workers using antimicrobial mouthwashes or nasal sprays to protect themselves when they treat people with COVID-19?What are the benefits and risks of people with COVID-19 using antimicrobial mouthwashes or nasal sprays to improve their health and protect healthcare workers who treat them?How accurate is chest imaging for diagnosing COVID-19?Is plasma from people who have recovered from COVID-19 an effective treatment for people with COVID-19?.


Please see the latest summaries for obstetrics and gynaecology from the Cochrane Library at www.cochranelibrary.com on: Preimplantation genetic testing for abnormal chromosome numbers for couples undergoing in vitro fertilisationIntrauterine progesterone-releasing system for treatment of endometrial hyperplasiaCervical stitch (cerclage) in combination with other treatments for preventing premature or early birth of single babies.

COVID-19 in pregnancy case? Remember to notify the registry  
New Zealand Registry of COVID-19 in Pregnancy 

Upcoming NZ and online events


AOFOG Webinar

COVID-19 & Fertility Care

14 November 2020 9:00pm to 11:00pm NZ time, online
Organised by the Reproductive Endocrinology & Infertility (REI) Committee of AOFOG.
For further information and to register see: http://bit.ly/2GYHGXg

Aotearoa Patient Safety Day webinar

17 November 2020 12:00pm - 1:00pm, online
The Health Quality & Safety Commission is hosting a webinar focusing on mental health and wellbeing, as part of activity for Te Rā Haumaru Tūroro o Aotearoa | Aotearoa Patient Safety Day 2020.
To register: https://hqsc.zoom.us/webinar/register/3016019445387/WN_G3Hytf1iS-WD6qLA2spssA.

NPM International Indigenous Research Conference 2020

A Gathering of Indigenous Minds

18-20 November 2020, online
Ngā Pae o te Māramatanga are holding their 2020 Indigenous Research Conference online to enable Indigenous researchers and scholars worldwide to share their research via an interactive programme with live audiences and opportunities for Q&A, chats and social connections. 
Register at http://indigenousresearchconference.ac.nz/

RANZCOG NZ Cultural Competency Course

Online modules followed by face to face workshop 23 November 2020.

Post-graduate course: Utilising the Hui Process/Meihana Model in Clinical Practice by MIHI (University of Otago)

Further information: Utilising the Hui Process/Meihana Model in Clinical Practice or contact Jude Kaveney jkaveney@ranzcog.org.nz.

Ō tatou hiranga │What matters to us

Shared decision-making and advance care planning virtual hui

2-3 Dec 2020, online
HQSC is hosting this hui for health care workers and managers.
See https://hqsc.eventsair.com/acp2020/ for further information and to register.
Queries to acp@hqsc.govt.nz


15-18 February 2021, online

Theme: A vision for the future

Program: https://ranzcogasm.com.au/virtual-program/

RANZCOG NZ Webinar Update   

Growth Assessment Protocol (GAP) Update 

23 February 2021, 12:00pm - 1:00pm, online
Presented by Professor Lesley McCowan and Joyce Cowan
See: https://ranzcog.eventsair.com/ranzcog-webinar-nz/ for further information.

NZ PROMPT Train the Trainer course 

25 - 26 March 2021, Christchurch 
See the PROMPT New Zealand website www.promptnz.org or contact Martin Sowter at martinsowter@xtra.co.nz for further details.  

RANZCOG NZ Annual Scientific Meeting

21-22 June 2021, Museum of New Zealand Te Papa Tongarewa, Wellington

He Kakari Taurite mo te Oranga Wāhine / Campaigning for Equity in Women's Health

See www.nzasm.org.nz for further information or contact Makiko Wimbush mwimbush@ranzcog.org.nz 


In addition to the following advertised vacancies please see the dedicated RANZCOG Jobs Board for Fellow and trainee employment opportunities. See jobs.ranzcog.edu.au/

Chief Medical Officer - Ministry of Health 

Permanent, Wellington

Applications close 29 Nov 2020

With the whole world looking at New Zealand's Ministry of Health, here's your chance to see the view from the other side of the spotlight.
This is the culmination of all your years of experience in strategic and clinical leadership. Working alongside our Chief Nursing Officer and Chief Allied Health Professions Officer, and reporting directly to the Director-General of Health, your leadership and advice will guide the Ministry's health policy to ensure that clinicians are able and empowered to deliver the health services that every New Zealander deserves.
Make no mistake, this is an influential role. It's about looking to the future and shaping health policy at a systems and national level. It will be your expert advice that informs our direction and strategy, and helps the Ministry make the big decisions that ultimately achieve our health and wellbeing objectives.
Leadership and communication are mainstays of this role, along with extensive experience as a clinician and professional knowledge of national and international policy issues. You'll be someone who knows how important it is to build relationships with people from all sectors, cultures and communities and to work together strategically to manage issues. In short, every day you'll display the excellent communication our Ministry's become known for.
Over the years, you'll have built up a nationally respected profile within the medical profession, and a strong understanding of the complementary, and sometimes conflicting, roles played by the government, the private sector and professional organisations in healthcare. With a keen knowledge of, and commitment to, the principles of Te Tiriti o Waitangi, you'll boast a wealth of experience working successfully in a range of diverse cultural contexts, especially in delivering services for Māori and Pasifika.
The Ministry's current national and global recognition is unprecedented, which makes this role significant and high-profile, and there's a huge amount of important work to do. It's a chance for you to get to work on the other side of our health system, and for your clinical expertise to be at the very centre of decision-making and policy setting.
With so much going on, and so much important work to do, this is absolutely a career-defining role – and one where you can help set the course for the future of healthcare in New Zealand.
For further information regarding the role, please contact the Recruitment team at recruitment@health.govt.nz. 

For a position description and to apply go to: https://careers.health.govt.nz/jobs/MOH-1493771

O&G Registrar/Advanced Trainee Post 

Rotorua Hospital, Lakes DHB

Commencing 2 August 2021
Applications close 26 Dec 2020

In line with the National Recruitment Programme, we have an Advanced training O&G Registrar position available from 2 August 2021. We are very keen to hear from Obstetric & Gynaecology Registrars who are looking for a new challenge in an idyllic setting.

You will enjoy a high level of support and training from the O&G Consultants and other senior medical staff, and will also have the opportunity to teach SHOs and students. As the advanced trainee you will undertake directly and indirectly supervised clinics, and attend at least two theatre sessions per week to consolidate experience in major and advanced Gynaecological procedures (including abdominal, vaginal and minimal access surgery), as well as undertaking general ward work.

The after hours on-call component of this role will be aligned to the O&G consultant's on-call roster with the appropriate consultant support, and on call is one in five nights and week ends.

Your roster is such that you will have plenty of time off to enjoy all that Rotorua has to offer. Beautiful lakes, world class mountain biking trails, mineral pools and loads of outdoor adventure activities are what make Rotorua a fantastic lifestyle choice. Only 1 hour from the most beautiful beaches in NZ and 2.5 hours from the ski slopes.

All applications should include:- 
  • Up-to-date CV and completed Lakes DHB online application
  • 3 x referee reports (one of whom must be your most recent supervisor). Reports must be received by the above-stated closing date.
  • References should be attached to your application.
Unfortunately, incomplete applications cannot be considered

This is classified as a children's worker role, and is therefore subject to the safety check requirements of the Vulnerable Children Act 2014.

Any queries, please contact:
Carleen Dahya, Medical Staff Recruiter +64 7 3438711: carleen.dahya@lakesdhb.govt.nz
Dr Simon Ewen, Head of Department, O&G +64 7 348 1199: simon.ewen@lakesdhb.govt.nz

Staff Contacts

phone +64 04 472 4608

Catherine Cooper
ccooper@ranzcog.org.nz or 021 137 0748

Jude Kaveney
Training Coordinator

Makiko Wimbush
Events & SIMG Coordinator

Lynn Gestro
Communications Coordinator

Katie McFetridge

Gerry Westhuis

RANZCOG NZ webpage

RANZCOG Covid-19 Information Hub

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
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