Welcome to the PEN NZ iVe June 2018 newsletter.
This newsletter features: 
Nau mai ki te kawerongo mo te marama o Pipiri. Welcome to the June 2018 PEN NZ iVe newsletter.
The NZ office hosted a visit from RANZCOG Education and Training staff during June, workshops were held for Trainee Supervisors and trainees and preparation work is continuing on the upcoming He Hono Wāhine Hui in Christchurch in three months time, which is open to all Fellows and trainees.
We have had a fantastic response to the call for second hand medical O&G texts to send to Papua New Guinea - a big thank you to all those involved!

Jane, Jude, Makiko and Lynn in the NZ office and your committees (New Zealand Committee, He Hono Wāhine, NZTAC and ASM) are here to assist members and advocate on your behalf to get the best possible outcomes for excellence in women’s health.  Contact the NZ office at any time.

He Hono Wāhine news

2018 Hui: 5-7 October, Onuku marae, Akaroa

All Fellows and trainees are invited to the He Hono Wāhine 2018 Hui at Onuku marae in Akaroa from 5-7 October.  Akaroa is approximately 1 hour's drive from Christchurch. 

The Hui will build on from the Marae visit workshop at the 2018 Annual Scientific Meeting and the RANZCOG pilot Cultural Competence Course Utilising the Hui Process/Meihana Model in Clinical Practice. The Hui will be a learning / sharing space for whakaaro around Māori engagement and resourcing in hauora wahine Māori. More detail to follow. Reserve these dates now! 

Te Aitanga a Tiki: Māori resources on sexual and reproductive health

Te Whāriki Takapou has launched an online collection of te reo Māori and English language resources related to sexual and reproductive health. Te Whāriki Takapou provides Māori sexual and reproductive health promotion and research services and collaborates with organisations in the health, education and research sectors to improve sexual reproductive health of rangatahi, whānau and Māori communities.

The collection, Te Aitanga a Tiki: Māori dimensions of sexuality, is designed to provide teachers and health promoters in schools, kura and communities with resources on Māori approaches to sexuality education for rangatahi Māori.

The resources address topics such as healthy relationships, ārai hapūtanga (contraception), and kia takaroa i te pā kūwhā me te piringa ai (delaying sexual activity and sexual relationships until you feel ready). With each resource there is also a key topic, health promotion messages, suggested uses, background information, a glossary and references.

Health Quality & Safety Commission news

Perinatal and Maternal Mortality Review Committee Twelfth annual report released

The twelfth annual report of the Perinatal and Maternal Mortality Review Committee (PMMRC) has a new format from previous reports. It addresses neonatal mortality and neonatal encephalopathy in depth. The PMMRC plans to analyse and report maternal mortality in detail every three years. Specific topics will be chosen each year for in-depth analysis and commentary.

Early recognition and response to sepsis in pregnancy key

The Second annual report of the Maternal Morbidity Working Group (MMWG) found severe sepsis in pregnant women could be reduced with earlier recognition and response. The MMWG is a sub-group of the Perinatal & Maternal Mortality Review Committee (PMMRC). It is notified whenever a woman is admitted to a high dependency unit (HDU) or intensive care unit (ICU) while pregnant, or within 42 days of the end of the pregnancy. By reviewing these cases the MMWG aims to reduce the frequency and severity of serious illness in pregnant women.

Fellows outreach 

Fellowship Updates

Infection in pregnancy and post puerperal sepsis 

The next Fellowship Update to be held throughout the regions is about infections in pregnancy and post puerperal sepsis. Dates and registration details to come. For further information please contact Makiko Wimbush.

Register for Expert Witness Training workshop 

Please let Lynn Gestro know if you wish to attend the 7 December 2018 Expert Witness Training workshop in Wellington.  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 RANZCOG Excellence in Report Writing and Expert Witness Training workshops are facilitated by Claro Law and explore what is expected and required from an expert’s report.

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.

2019 Annual Scientific Meeting - Perspectives from the past, foundations for the future 

The NZ 2019 Annual Scientific Meeting: Perspectives from the past, foundations for the future 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. 

Pacific Health News

PSRH Honorary CEO stepping down   

Alec Ekeroma is stepping down after one year as the Honorary CEO of Pacific Society for Reproductive Health. Dr Ekeroma said he had been the CEO for one year and the de facto CEO for the last 11 years.  Dr Ekeroma remains the Head of the Secretariat. 

Urogynaecology in-country training

NZ MFAT has supported a project scoping the extent of urogynaecology issues in Fiji and doing a needs assessment on how to upskill health professionals in this field. It is a multidisciplinary approach with upskilling of nurses, midwives, primary care doctors as well as O&G specialists. Fellow Dr Jackie Smalldridge recently spent a week at Port Vila in Vanuatu with Drs Harry, Tungu and Damutalau assisting in prolapse surgery and teaching the midwives and student midwives about perineal suturing.

Pacific Perineal suturing programme

Fellows Dr Jackie Smalldridge and Dr Louise Tomlinson, with others, have been developing a programme in response to a need identified by Pacific midwives particularly from remote areas where referral can be difficult if perineal trauma is severe. To extend the scope of the perineal suturing workshops run at the PSRH meetings and across the Pacific at other opportunities the Fellows have developed a laminated flip chart with step by step information about how to identify and repair perineal trauma that can be practically useful on a day to day basis. The aim is to provide a set of instruments and appropriate sutures to use as well.  It is hoped the Pacific Perineal suturing programme will be launched at the next PSRH meeting in July 2019. If you are interested in becoming involved please contact Jackiesmalldridge@gmail.com.

Ministry of Health news

Immunisation Update   

The Ministry of Health advises that as they are seeing an increase in pertussis cases, keeping coverage high for pregnant women and young babies is important. Pregnant women can receive the pertussis immunisation at 28-38 weeks gestation - the vaccine is recommended and funded for each pregnancy.

Sleep on Side Campaign

The Sleep on Side stillbirth prevention campaign by the University of Auckland, Cure Kids and the Ministry of Health advises women who are pregnant to sleep on their side in the late stages of pregnancy.

The Sleep on Side campaign is currently highlighted on the RANZCOG NZ website and includes resources for health professionals to share the message "Sleep on side when baby's inside from 28 weeks of pregnancy".

See www.sleeponside.org.nz for further information.

Submissions invited on restricting marketing of formula products

The Commerce Commission has received an application from the Infant Nutrition Council Limited (INC) seeking authorisation for an arrangement allowing the INC to restrict its members from marketing formula products for children aged up to 12 months (see http://www.comcom.govt.nz/the-commission/media-centre/media-releases/2018/authorisation-application-received-from-infant-nutrition-council-/).

Public submissions on the application can be made in writing to registrar@comcom.govt.nz with the reference “Infant Nutrition Council” in the subject line of the email.

A public version of the application is available on the Commission’s Anti-Competitive Practices Authorisations Register (http://www.comcom.govt.nz/business-competition/anti-competitive-practices/authorisations-2/anti-competitive-practices-authorisations-register/).

New trial for medical management of early pregnancy loss

A new study, published in the New England Journal of Medicine, has highlighted the successful management of early pregnancy loss where there is pretreatment with mifepristone followed by treatment with misoprostol. The following link shows a short video clip summarising the study: 

ACOG: the late career O&G

In the June 2018, Volume 131 - Issue 6 of the American College of Obstetricians and Gynecologists’ (ACOG) journal, Obstetrics & Gynaecology there is an opinion piece on late career O&G.  See https://journals.lww.com/greenjournal/FullText/2018/06000/ACOG_Committee_Opinion_No__739___The_Late_Career.58.aspx.
ACOG recommends establishing systems-based competency assessments to monitor and address physicians' health and the effect age has on performance and outcomes and suggests workplace adaptations should be adopted to help obstetrician–gynecologists transition and age well in their practice and throughout their careers.

Liggins Institute public lecture series

The Liggins Institute research focuses on understanding the factors that influence long-term health and their public lectures are a chance to hear the latest discoveries. See their latest lectures below:
  • Healthy mothers, healthy babies - Treating fetal growth restriction, feeding preterm babies, understanding the composition of breast milk and more.
  • Research to reality - Improving life for kids with cerebral palsy, preventing low blood sugars in newborns: some of the ways scientific discoveries are translating into practice.
  • Determinants of a healthy life - How your DNA affects your long-term health and why your gut microbiome can be both a cause of and a treatment for obesity.
  • Nutrition for lifelong health - How do our nutritional needs change as we age and is fish oil taken in pregnancy actually good for your baby?

Upcoming Events

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

2018 VCA Speaker Series

September, Auckland, Wellington, Christchurch, Dunedin.
Topic:  Tragedy, Trauma and Grief: How Can I Help? 
Speakers: Vicki Culling, Jane Weekes
For further information about the workshop see http://vca.co.nz/workshops/speaker-series-workshops-2018/.  For information on Vicki Culling Associates (VCA) – see http://vca.co.nz/about/.

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.

RANZCOG 2018 Aboriginal and Torres Strait Islander Women’s Health Meeting Turning Tides 

15-16 September 2018, Adelaide
The RANZCOG 2018 Aboriginal and Torres Strait Islander Women’s Health Meeting Turning Tides includes workshops and presentations designed to provoke discussion and upskill in evidence-based obstetric and gynaecological issues specific to Aboriginal and Torres Strait Islander women. 

The meeting brings together Aboriginal health workers, midwives, general practitioners and obstetricians & gynaecologists working within the Indigenous community, with the aim to improve the health outcomes of Aboriginal and Torres Strait Islander women.
For further information about the meeting and to register see https://www.ranzcogasm.com.au/atsiwhm2018/

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.

PSRH Biennial Conference 6-11 July 2019, Papua New Guinea  

6-11 July, Papua New Guinea
Theme: “Pacific Experience for Pacific Solutions in Reproductive Health”


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

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.
Staff Contacts
phone +64 04 472 4608  

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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