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

We have just come through the quarterly round of meetings for the NZ Committee, NZTAC, and the Council of Medical Colleges. The NZ Committee hosted the RANZCOG Board for the May meeting and there was a lot of good discussion, including about our unique bi-national partnership. We also held the ITP interviews in May with 21 successful candidates being welcomed to the FRANZCOG Training Programme.

Matariki marks the passing of the old year and the beginning of the New Year, according to the Māori lunar calendar.  Marked by the rising of the Matariki star cluster, it is a time for reflection, renewal and celebration - read more under He Hono Wāhine news below. 

Thank you for keeping in touch. Contact JaneJudeMakiko or Lynn in the NZ office at any time.  

Medical texts needed for Papua New Guinea - can you help? 

Do you have second hand medical texts that you are willing to donate to the Papua New Guinea medical school?
Dr Deborah Panao of Papua New Guinea and the 2018 recipient of the RANZCOG NZ Pacific Scholarship attended the 2018 RANZCOG NZ Annual Scientific Meeting in Nelson in April. During discussions with Dr Panao she indicated that the PNG medical school would be keen to receive donated second hand textbooks as they have hardly any medical texts in the medical school library or the Department of O&G.
Please email Lynn in the NZ office the names of the books you wish to donate and we will liaise with Dr Panao and Professor Glen Liddell Mola at the CSM School of Medicine and Health Sciences in PNG to confirm which books would be useful.
We hope to be able to deliver books to PNG trainees attending the RANZCOG ASM in Adelaide in September. Thank you in advance!

Fellows outreach 

Early Career Fellow representative on NZ Committee  

Congratulations to Fellow Kirsten McSweeny who has been coopted to the New Zealand Committee as its Early Career Fellow representative.  This role was created by the Committee to encourage the participation of new Fellows and in response to suggestions made at the highly successful Early Career Fellows evening held last year.

Fellowship Updates

Preeclampsia and Fetal Growth Restriction lecture videos available 

Update your knowledge with the latest evidence by accessing the videos from the 11 May 2018 NZAPEC programme Preeclampsia and Fetal Growth Restriction on CLIMATE. Use your my.ranzcog login details to access. See https://www.climate.edu.au/course/view.php?id=277. The videos include: 
  • Preventing, identifying and managing preeclampsia – what you need to know (including the new NZ hypertension in pregnancy guidelines) by Associate Professor Katie Groom
  • Analysing severe maternal morbidity in preeclampsia-eclampsia: what we can learn from a national review of cases by Dr Jane MacDonald
  • Can we improve our detection and prevention of SGA babies? By Professor Lesley McCowan and Joyce Cowan.
  • The SGA baby: management, role of scanning and when to deliver by Dr Ngaire Anderson

Infection in pregnancy and post puerperal sepsis 

In the latter part of the year we will be offering a free Fellowship Update in a number of regions about infections in pregnancy and post puerperal sepsis. Dates and registration details will be sent to you by Makiko Wimbush.

Reminder about adherence to Aseptic technique

A Fellow wrote to RANZCOG to register concern about this.  In response we remind you of the following statement and guideline which recommend aseptic technique in relation to instrumental vaginal birth and perineal tears:
  • RCOG (Green top guideline 29) recommendation in relation to perineal repair, specifically the management of third and fourth degree tears, that these repairs are attended to in theatre to provide a sterile environment.   

RANZCOG NZ 2018 ASM - scientific programme video and slides available

You can now access the RANZCOG NZ 2018 ASM scientific programme day 1 and 2 video and slides on CLIMATE - see https://www.climate.edu.au/.  Go to My modules / 2018 events / NZ ASM 2018.

2019 ASM - dates confirmed 

The NZ 2019 Annual Scientific Meeting will be held in Hamilton from Wednesday 22 to Friday 24 May with pre and post workshops on the Tuesday, Wednesday and Saturday.  Reserve these dates in your calendars now.

2019 Women's Health Forum - Hamilton 

The NZ Committee will host a Women's Health Forum on the afternoon of Tuesday 21 May 2019 in Hamilton. A range of expert speakers and prominent guests will be invited to work with us to establish women's health priorities for 2020 (election year) and beyond.  Please contact Jane Cumming for further information or if you would like be involved. 

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 whānau /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.

Health Systems Law course

The University of Otago and Vida Law are offering a post-graduate focused course in Health Systems Law from 27-31 August 2018 in Wellington. The course is designed specifically for senior clinicians, board members, CEs and managers working in the New Zealand health sector.  For further information see https://www.otago.ac.nz/law/postgraduate/healthlawintensive/.

University of Otago - Postgraduate Scholarship in O&G 

The University of Otago is offering its 2018 postgraduate scholarship in O&G. The scholarship is open to medical graduates who will normally be Registrars undertaking the RANZCOG ITP or are Members or Fellows of RANZCOG. The scholarship is primarily to assist the holder to carry out research in O&G and Women's Health whilst enrolled for a research degree.  For further information see https://www.otago.ac.nz/study/scholarships/database/otago115047.html

Foundation Scholarships

RANZCOG Women's Health Foundation offers a number of research and travel scholarships annually to people practising in the field of obstetrics and gynaecology. Early-career support for high-quality researchers with a commitment to women’s health is promoted through the selection process.  Applications close on 30 June. For more information see https://www.ranzcog.edu.au/about/foundation/Research-Grants-and-Scholarships/Scholarship-Application-Process.

Informed consent - what every single health professional needs to know

Claro Law’s Jonathan Coates has written an article about informed consent.  His article can be viewed here http://www.clarolaw.co.nz/informed-consent-what-every-single-health-professional-needs-to-know/. The article was first published on HealthCentral.nz

Women's health specialist needed for blog 

The Wellness Docs are a group of four doctors providing evidence based health and wellness information through a blog, linking to Facebook and Instagram. Their mission is to provide evidence based answers and explanation on general health and wellness topics. To do this well they would like a women's health specialist to join them.  For further information please contact Dr Felicity Williamson at felicity.a.williamson@gmail.com or  027 5672161.


He Hono Wāhine news

Matariki – a time for reflection, renewal and celebration

Matariki marks the passing of the old year and the beginning of the New Year, according to the Māori lunar calendar. The Māori New Year begins with the rising of the Matariki star cluster (the Pleiades or Seven Sisters).  For 2018, June 7th is listed as the day Matariki sets and July 6-9th as the rising which is when you can see Matariki just above the horizon before the sun comes up. The two meanings of Matariki both refer to stars: mata ariki (eyes of god) and mata riki (little eyes).

How to find the Matariki star cluster – see https://www.tepapa.govt.nz/discover-collections/read-watch-play/maori/matariki-maori-new-year/how-find-matariki-star-cluster.

Second module of Cultural Competence Course pilot completed

Attendees are two thirds of the way through the RANZCOG pilot Cultural Competence Course with the face to face workshop Hauora Māori Utilising the Hui Process/Meihana Model in Clinical Practice receiving very positive informal feedback. The pilot course, facilitated by the Māori/Indigenous Health Institute (MIHI), is made up of 3 modules with 2 online modules either side of a face to face workshop. All trainees and Fellows attending this year's pilot course will feed back to RANZCOG which will help to inform and shape the course once established from 2019.

PRIDoC 2018  

He Hono Wāhine are presenting a poster at the upcoming Pacific Region Indigenous Doctors Congress (PRIDoC) 2018 in Hawaii from 12 -17 July.  The poster, titled He Hono Wāhine – Committee to Action demonstrates the commitment and journey of the New Zealand Committee and He Hono Wāhine with addressing indigenous health disparities, supporting the indigenous workforce and embracing a different world view which encompasses the need for cultural competency.

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.

RANZCOG NZ submissions

Mental Health and Addiction Inquiry

The NZ Committee recently made a submission to the Government Inquiry into Mental Health and Addiction, supporting the Council of Medical College's submission covering broader aspects of the NZ mental health system and gaps in service delivery and highlighting the special issues related to maternal mental health and maternal suicide.

Abortion Law Reform

The NZ Committee put forward a comprehensive submission on Abortion Law Reform.  The NZ Government has asked the Law Commission to review the criminal aspects of abortion law, the grounds for abortion and the process for receiving abortion services.  
RANZCOG NZ's submission is based on medical evidence concerning the safety and wellbeing of women seeking an abortion. It avoids philosophical and religious considerations. RANZCOG’s position supports the principle of moving abortion care to a medical jurisdiction rather than justice.

If you would like to read a copy of either of these submissions please email the NZ office.

Workshops for trainees

Anatomy Workshop, 29-30 September, Dunedin - only 2 places left

The programme includes cadaver dissection and clinical anatomy presentation.
Please register online https://www.ivvy.com.au/event/NZAW18/

Fertility Associates Registrars Day - Fertility And Endocrinology - All you need to know

7 July 2018 9am - 4pm - Novotel, Greenlane, Auckland.
This event is FREE to all Obstetrics & Gynaecology Registrars and has been designed to provide you with the latest advice, diagnosis and treatment information.
Topics Include: Ovarian & Sperm Physiology, Intro to Fertility: hx, exam, tests, stats, Male Infertility, Surgery & Infertility, Fertility Preservation, An Overview: Thyroid, The Latest Fertility Technologies & Tour of Embryology Laboratory, Non IVF Treatments, IVF and Complications.
Presenters  include: Dr Mary Birdsall, Dr John Peek, Dr Olivia Stuart, Dr Phill McChesney, Dr Megan Ogilvie. Dr Elizabeth Hammond will take the tour of the Embryology Laboratory
Please register online at https://www.fertilityassociates.co.nz/events/registrars-day/

Anatomy of Pelvic Surgery – Cadaveric Workshop

Wednesday 4 July – Auckland University Hospital
Review detailed pelvic anatomy;  Develop your dissection skills ; Explore the retroperitoneal space; Surgical techniques for hysterectomy, BSO, ureteric dissection. 

For information on how to register, please contact Dr Emma Jackson Emma.Jackson@cdhb.health.nz


Ministry of Health news

Change of timing to upcoming improvements to the cervical screening programme  

The Ministry of Health is extending the transition to full HPV primary screening, to allow time to develop a more robust IT system to underpin the National Cervical Screening Programme (NCSP).
The decision to stagger the timeline means the plan to raise the screening start age to 25 years will still take place in 2019, reducing the potential harm of overtreatment for women in this age group.
A date for a full transition to HPV primary screening is still to be decided.

Health Quality & Safety Commission news

Advanced Care Planning (ACP) programme

Advanced care planning (ACP) discussions are an opportunity for clinicians to understand what matters to someone including what sort of care and treatment they would like in their last weeks and days of life.

ACP helps clinicians, other health care workers and families/whānau make treatment and care decisions on a person's behalf if the situation arises - particularly if the patient cannot speak for themselves.

Advice care plans can be a verbal discussion, or they can be written down in the advance care plan document available on the ACP website: www.advancecareplanning.org.nz. There is a free online learning module available for clinicians.

Choosing Wisely update

The Choosing Wisely campaign encourages health professionals to question current practice and to talk to patients about the potential risks and benefits of undergoing tests, treatments and procedures.

You can view Choosing Wisely resources here http://choosingwisely.org.nz/resources/.  There is also a literature synopsis to download - see http://choosingwisely.org.nz/wp-content/uploads/2018/04/CW-Literature-Synopsis-_by-topic_9th-June-2018.pdf which provides comprehensive reading.

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: HPV vaccination to prevent cancer and pre-cancerous changes of the cervix; Induction of labour in women with normal pregnancies at or beyond term; Pain relief for women undergoing oocyte retrieval for assisted reproduction; Hormone replacement therapy (HRT) for women previously treated for endometrial cancer; Epidural with intermittent (automated mandatory bolus) versus constant delivery (basal infusion) for maintaining pain relief in childbirth; Immersion in water in labour and birth; Modern combined oral contraceptives for treatment of pain associated with endometriosis; Epidurals for pain relief in labour; Aromatase inhibitors for subfertility treatment in women with polycystic ovary syndrome; Time-lapse systems for embryo incubation and embryo assessment for couples undergoing IVF and ICSI.

Upcoming Events

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

PMMRC conference 

26 June 2018, Wellington
Coming together to be better is the theme of the Perinatal and Maternal Mortality Review Committee (PMMRC) annual conference being held at Te Papa, Wellington.
For further information contact the Health Quality & Safety Commission: info@hqsc.govt.nz.

All together better health conference 

3-6 September, Auckland
The 2018 All Together Better Health IX (ATBH IX) conference is an opportunity for participants to discuss ideas and devise and test strategies to mobilise concerted action to improve health and wellbeing for individuals, families and communities across the world. ​ The conference theme is Transforming the Landscape of Healthcare – Ohomairangi te Hauora Manaaki.
See https://www.atbhix.co.nz/ for more information. 

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


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

SMO Locum positions / Fixed term contracts

Counties Manukau Health

Dear Colleagues,
CM Health is one of the largest Birthing units in Australasia (7000+ per annum). We are currently offering a variety of locum positions/ fixed term contracts (with a view to possible extension with the right fit candidate to the department) over the next 6 months, offering a wide range of experience at senior medical officer (SMO) level with guaranteed SMO back-up. The positions will include predominately acute work, plus antenatal clinic experience, including diabetes in pregnancy, plus some elective gynaecology. Please express any interest to Dr Sarah Tout (touts@middlemore.co.nz) Tel 0211150505.
We are very interested in hearing from you.
Kind regards

Specialist Obstetrician and Gynaecologist

Waikato DHB, Fixed term until December 2019, Full time
Closing date:  Open until filled
Job Number: WAI06226
Position description

At Waikato District Health Board (DHB) we are on an incredible journey to become the best Women’s Health Service in New Zealand. We want you to join us at this pivotal time of growth and change.  Every day you will have the chance to improve the health outcomes of our patients, while developing your skills and expertise along the way.  We are offering you the opportunity to balance a rewarding career with the great lifestyle you have always dreamed about.  
We are seeking enthusiastic specialty doctors and consultants to join our dedicated team in Women’s Health at Waikato Hospital based in Hamilton, New Zealand.  We are recruiting to permanent positions and encourage applications from generalists and those with a special interest.  A commitment to patient centred care and multi-disciplinary teamwork is essential.  Applicants must be both flexible in their approach and be willing to contribute positively to a service undergoing transformation. The applicant will hold FRANZCOG or equivalent and be eligible for specialist registration in New Zealand.
We have 5th and 6th year medical students from the University of Auckland and midwifery students from Wintec. We are looking to improve training for both undergraduates and RANZCOG trainees. Participation in training and teaching would be a key component of the job plan. Candidates with research interests could enjoy on campus support from the University of Auckland’s Waikato Clinical Campus and Waikato DHB’s Clinical Audit Support.
We provide a collaborative and supportive learning environment which encourages excellence and innovation.
Why us?
Waikato DHB is one of New Zealand’s largest tertiary and secondary healthcare providers. We provide tertiary services to a region of 900,000 and secondary services to a local district of 375,000.  We have approximately 5,500 deliveries per year in the district and 3,500 of these are at Waikato Hospital.  Facilities include a seven bed delivery suite, two high dependency beds, a women’s acute assessment unit, antenatal, postnatal and gynaecological inpatient wards, a dedicated outpatients service and modern theatres.  The O&G team consists of 15 consultants, 15 registrars and 8 senior house officers.
Hamilton is New Zealand’s fourth largest city and is also one of the fastest growing.  It is situated on the banks of the Waikato River.  It is surrounded by beautiful countryside and is close enough to beaches, mountains and forests for a range of outdoor activities.  Living in Hamilton and the Waikato region gives you reasonably priced housing, excellent public and private schools and an easy commute to work.  It has all the benefits of a big city without the stress.
If you are looking for a fabulous environment to raise your family or an opportunity for exciting outdoor leisure pursuits, then we would welcome your application.

Theme “People at Heart” – Te iwi Ngakaunui
  • Give and earn respect - Whakamana
  • Listen to me; talk to me – Whakarongo
  • Fair play – Mauri Pai
  • Growing the good – Whakapakari
  • Stronger together – Kotahitanga

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.

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.

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

Jude Kaveney
Training Co-ordinator

Makiko Wimbush
Events & SIMG Co-ordinator

Lynn Gestro
Communications Co-ordinator

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

You are receiving this email because you are a current Fellow, trainee or member of RANZCOG

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