RANZCOG NZ Pānui - 17 September 2021



In the past fortnight Te Kāhui Oranga ō Nuku has provided submissions on HPV Primary Screening Clinical Practice Guidelines and the Post-Partum Haemorrhage Consensus Guideline and Poster. RANZCOG continues to back the call for ACC cover for birth injuries and looks forward to hearing the Government’s announcement on this.

Videos promoting safe COVID-19 vaccination for hapū māmā 

He Hono Wāhine, Māori Fellows and the Aotearoa New Zealand office have joined together to produce a series of videos targeting wāhine Māori who are hapū, promoting safe vaccination for hapū māmā. These have been promoted via RANZCOG socials pages this week, celebrating Te Wiki o te Reo Māori 2021 but can be used by Fellows in their DHBs/ places of work as part of RANZCOG's messaging on COVID-19 vaccination and pregnancy. These videos are complimentary to the RANZCOG video by Fellow Michelle Wise and colleagues also promoting vaccination for pregnant women in Aotearoa New Zealand. Ngā mihi nui ki a koe to all involved! Check out the RANZCOG Facebook page https://www.facebook.com/ranzcog/ and share widely! 

Expression of Interest: RANZCOG Wellbeing Advocates 

RANZCOG is seeking expressions of interest for local wellbeing advocates to help to communicate RANZCOG wellbeing initiatives and support, provide specific goals for workplaces, and to ensure timely and specific feedback to the RANZCOG Wellbeing Working Group
Further information, including links to the EOI form and the Position Description can be found here: https://ranzcog.edu.au/members/member-support-and-wellbeing/wellbeing-advocates or contact RANZCOG Wellbeing Coordinator, Clare at wellbeing@ranzcog.edu.au for more information.

Doctors Stand Up for Vaccination

RANZCOG joins other medical colleges and health organisations including ASMS supporting an open letter written on behalf of doctors who want to present a united and evidence-based voice to the people of Aotearoa New Zealand in support of vaccination against Covid-19 for all eligible New Zealanders. Doctors Stand Up for Vaccination includes public health physicians, GPs, ICU physicians, urgent care, respiratory and infectious disease physicians, paediatricians, emergency specialists, obstetricians, gynaecologists, surgeons and more.
Doctors Stand Up for Vaccination are urging all doctors to sign the letter and have also put together some FAQs which can answer some commonly asked questions patients have about vaccination.
See https://www.doctors-stand-up-for-vaccination.com/ for more information and details on how to sign up and take part. To sign the letter you will need to provide your name, MCNZ number, qualification and specialty. That way each signature can be verified to ensure the legitimacy of the letter.


RANZCOG NZ Webinar Updates

Upcoming webinar update: 2 November 2021 12pm to 1pm

Postmenopausal Bleeding: the role of Outpatient Hysteroscopy Clinic - present and future

Presented by Dr Sikhar Sircar and Dr Cindy Ooi the webinar explores the practical aspect of setting up and running an out-patient hysteroscopy service. Frontline clinicians will discuss evidence based management of post-menopausal bleeding through out-patient hysteroscopy clinics. For further information and to register visit: https://ranzcog.eventsair.com/ranzcog-webinar-nz/

Be a webinar presenter!

The RANZCOG NZ webinar update programme provides a platform for you to share and promote the work you are doing. The webinars are professional updates online on topics that are relevant to O&G specialists in Aotearoa New Zealand. If you would like to volunteer as a webinar presenter or want to find out more get in touch.

Advanced Laparoscopy Workshop

The Department of Obstetrics and Gynaecology at Waikato Hospital is running an Advanced Laparoscopy Workshop on 3-4 December 2021 aimed at Senior Registrars, Fellows and Consultants with sound open suturing and basic laparoscopic skills. The two-day practical workshop will provide both dry and wet laboratory-based practice of advanced laparoscopy skills including suturing, endometriosis treatment and hysterectomy. Practical stations will have two participants supervised by one preceptor, with the focus on as much hands-on experience as possible. Day 2 will involve both observation and hands-on performance of actual live surgery. There are 12 places available to maintain a low ratio of supervision.

The course aims to:
  • refine laparoscopic suturing technique
  • improve confidence in laparoscopic operating
  • elevate minimal surgical skills to manage some of the surgical complications
The faculty will include Dr Tavaziva Mudzamiri, Dr Tarek Saleh, Dr VP Singh, Dr Lakshmi Ravikanti, Dr Pip Walker, and Dr Emily Twidale.

Details: 7:30am to 5pm 3-4 December 2021 at Anglesea Hospital and Ruakura Research Centre, Hamilton.
Cost: $1200 Includes transport between workshop venues and a course dinner on 3 December.
Contact: Dr Lynelle Taylor at O&Geducation@waikatodhb.health.nz for details on how to register and process payment for this workshop. Payment is required to confirm registration.

World Patient Safety Day 2021

Today is World Patient Safety Day with the theme: Safe maternal and newborn care. The objectives of World Patient Safety Day 2021 are:
  • Raise global awareness on the issues of maternal and newborn safety, particularly during childbirth.
  • Engage multiple stakeholders and adopt effective and innovative strategies to improve maternal and newborn safety.
  • Call for urgent and sustainable actions by all stakeholders to scale up efforts, reach the unreached and ensure safe maternal and newborn care, particularly during childbirth.
  • Advocate the adoption of best practices at the point of care to prevent avoidable risks and harm to all women and newborns during childbirth.
Note Aotearoa Patient Safety Day 2021 has been postponed until later in the year while New Zealand is in elevated covid alert levels.

MCNZ news

Informed Consent Statement amendments

Two amendments to MCNZ Statement on Informed Consent have been made:
  • The first change is to make it clear that in situations where the doctor who obtains consent from a patient may not be the doctor who treats the patient, this should be discussed with the patient.
  • The second change is to make it clear that if a doctor who is training to undertake an interventional procedure will be performing part of that procedure, then this also should be discussed with the patient as part of the informed consent process.

HQSC news

Support for people working in health during the COVID-19 pandemic

HQSC have a number of clinical guidelines and resources for people working in health during the COVID-19 pandemic including: COVID-19: managing an obstetric emergency (THIS.Institute); Fostering human connection in the COVID-19 virtual health care realm (Academy of Communication in Healthcare); Saving Lives, Improving Mothers' Care (MBRRACE - UK). See the HQSC Covid Hub for further resources.

Maternity support for women during COVID-19 (poster for maternity services by PMMRC)

The poster highlights four important things maternity services can do to support women: Make contact early; Hospitals are safe; Make safe sleep devices available; Provide a clear discharge summary. The need for these reminders were identified by maternity specialists who reviewed the maternal deaths that occurred in Aotearoa New Zealand during the COVID-19 lockdown in the first half of 2020.

Te Ao Māori Framework

HQSC has developed a Te Ao Māori Framework in partnership with Māori health providers, Whānau Ora providers and participating DHBs across Aotearoa New Zealand. The aim of the framework is to improve the quality of care afforded to whānau Māori and advance the uptake and implementation of te ao Māori and mātauranga Māori concepts into general health system design and health practice for all. Read more here.

Updated guide on improving surgical teamwork and communication

HQSC has updated its guide intended to help project leads and their teams prepare for and implement the teamwork and communication interventions in their theatres and surgical teams. See Improving surgical teamwork and communication: A guide to preparing and implementing.

COVID-19 vaccination and pregnancy

New Zealand Registry of COVID-19 in Pregnancy 

Notify the registry for any COVID-19 in pregnancy case. Go to:

RANZCOG COVID-19 Information Hub

RANZCOG updates related to COVID-19 are ongoing. Please check in regularly to the RANZCOG COVID-19 Information Hub.

COVID-19 Information for Māori

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: Selective oestrogen receptor modulators (SERMs) for women with biopsy-proven endometriosisEffect of drugs to treat intestinal worms from contaminated soil in pregnant womenReducing nausea and vomiting in women having a caesarean birth with regional anaesthesiaChinese herbal medicines for subfertile women with polycystic ovarian syndromeEndometrial injury in women undergoing in vitro fertilisation (IVF); Low-dose oral misoprostol for induction of labourDouble versus single intrauterine insemination for subfertile couples

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.

Women's Health Research Review

In Issue 32-2021 of the Women's Health Research Review there are articles on: Managing bothersome bleeding associated with LARC; Adolescents and LARC: Beyond the basics; Impact of immediate postpartum LARC on interpregnancy intervals; HRT and breast cancer risk in BRCA carriers after RRSO; Does population screening reduce ovarian cancer mortality?; Impact of premenopausal RRBSO on sexual function; What is the anatomical basis of labiaplasty?; Diagnosing deep infiltrating endometriosis; Ovarian conservation vs elective oophorectomy in women undergoing benign hysterectomy; Hysterectomy with opportunistic salpingectomy vs hysterectomy alone.

Paediatric Vaccines Research Review 

In Issue 47-2021 of the Paediatric Vaccines Research Review there is a relevant article on: Immune response to COVID-19 vaccine in breastfeeding women

Breast Cancer Research Review

In Issue 34-2021 of the Breast Cancer Research Review there are articles on: Mindfulness-based interventions; Menopausal symptoms, sexual problems, and mood disturbances; Introducing SentiMag in a rural setting; Margin width and local recurrence after neoadjuvant chemotherapy; Duration of adjuvant aromatase inhibitor therapy; Real time remote symptom monitoring; Adjuvant olaparib for patients with BRCA1/2 mutations; Adjuvant pertuzumab and trastuzumab in early HER2+ breast cancer; Niraparib for aBC with germline BRCA1/2 mutations.

Ovarian Cancer Research Review

In issue 18-2021 of the Australian Ovarian Cancer Research Review there are articles on: Presurgical imaging underestimates peritoneal disease extent; Achieving complete gross resection more important than timing of interval surgery in high-grade OC; Factors associated with response to NACT in advanced stage OC; Impact of the time interval between primary debulking surgery and adjuvant chemotherapy; Ovarian cancer population screening does not save lives; PHAEDRA: durvalumab has clinical activity in dMMR advanced endometrial cancer; JAVELIN Ovarian 200 finds no survival benefit to avelumab for platinum resistant/refractory OC; No benefit to atezolizumab for newly diagnosed stage 3 or 4 OC in IMagyn050; Should adjuvant therapy be omitted in patients with POLE-mutated endometrial cancer? Maintenance PARP inhibition confers a PFS benefit in platinum-sensitive, recurrent OC.

Upcoming NZ and online events

2021 Australian and New Zealand Prevocational Medical Education Forum

18-19 October 2021, virtual event

Travelling forward together – He waka eke noa

Hosted by the Medical Council of New Zealand.
Further info: https://www.prevocationalforum2021.com/

FIGO 2021 World Congress

21 - 28 October 2021, online

Further info: https://figo2021.org/

RANZCOG NZ Webinar Update

2 November 2021, 12pm-1pm, online

Postmenopausal Bleeding: the role of Outpatient Hysteroscopy Clinic - present and future

with Dr Sikhar Sircar and Dr Cindy Ooi
For further info and to register see: https://ranzcog.eventsair.com/ranzcog-webinar-nz/

New Zealand Familial Breast and Ovarian Cancer Group (NZFBOC) conference

5 November 2021, Wellington

Kia tū ko taikākā / We are all in this journey together

Further information: https://www.nzfboc.org.nz/

HQSC’s Quality Improvement scientific symposium 2021

17 November, Christchurch

Whakahohe, whiria te muka tangata | Recharge, inspire and connect

Further info: https://hqsc.eventsair.com/qiss2021/

New Zealand Sepsis Conference 2021

18-20 November 2021, Rotorua

Challenges for New Zealand

For health care professionals with an interest in the management of sepsis and infectious diseases. The conference is a combined meeting between the Sepsis Trust New Zealand and the New Zealand Conference for the Australasian Society for Infectious Disease (ASID). See www.sepsis.org.nz/conference/ for further information.

Advanced Laparoscopy Workshop

3-4 December 2021, 7:30am - 5:00pm, Anglesea Hospital and Ruakura Research Centre, Hamilton

Practical workshop run by the Department of Obstetrics and Gynaecology at Waikato Hospital. The faculty will include Dr Tavaziva Mudzamiri, Dr Tarek Saleh, Dr VP Singh, Dr Lakshmi Ravikanti, Dr Pip Walker, and Dr Emily Twidale. The course aims to: refine laparoscopic suturing technique; improve confidence in laparoscopic operating and elevate minimal surgical skills to manage some of the surgical complications. 

Contact Dr Lynelle Taylor at O&Geducation@waikatodhb.health.nz for further information. 

RANZCOG Symposium 2022

28 February - 1 March 2022, Melbourne and virtual (Hybrid)

New Perspectives

Click here for further information and to register.


26-28 April 2022, Kaiteriteri

Theme: A New Hope

For further information and to register contact Per Kempe Per.Kempe@midcentraldhb.govt.nz

NZ Women in Medicine Conference

12-14 May 2022 

Celebrating strength in our unity, supporting our community / Kotahitanga me Manaakitanga

Further information: https://www.nzwimconference.nz/ 
Register here.


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

Expressions of Interest invited for role of RACS Global Health O&G Specialty Coordinator

In collaboration with RACS, RANZCOG is seeking Expressions of Interest for the role of RACS Global Health O&G Specialty Coordinator (Pro-bono). This position supports RACS Global Health O&G activities in the Asia-Pacific region.
RANZCOG Fellows with global health experience are invited to submit an EoI by Thursday 30 September. Expressions of Interest must include a CV and a cover letter with responses to the selection criteria. RANZCOG will review all EoIs and nominate three candidates to RACS. The RACS Global Health Steering Group will select 1-2 candidates for the position.
For more information, including the position Terms of Reference, and to apply: https://www.cognitoforms.com/RANZCOG/ExpressionOfInterestForRACSGlobalHealthOGSpecialtyCoordinator

Obstetrician & Gynaecologist Consultant

Permanent 1.15 FTE (Full time, including on call)

Lakes DHB

Closing Date : Open

We are seeking a generalist Obstetrician and Gynaecologist, to join our team of 8 Specialists. This position is full time, however applications from specialist seeking part time employment will also be considered.
A special interest in minimal access (laparoscopic) gynaecological surgery is desirable but not essential. There would be an opportunity to develop a special interest which would be supported by the DHB. We have a stable experienced team and would be happy to consider applications from newly qualified specialists seeking a supportive environment to commence their consultant career.
The successful candidate will provide services in Rotorua and Taupo, participate in a 1:6 acute call roster and enjoy excellent support from our Anaesthetic, Surgical, Radiology and Intensive Care teams. The O&G Team consists of eight specialists (two job share), two registrars and dedicated SHO support. We also provide attachments/teaching for 5th and 6th year medical students from Auckland Medical School.
Lakes District Health Board provides healthcare for a population of 108,000 people through our hospitals located at the centre of the North Island of New Zealand, at two stunning settings next to Lake Rotorua and Lake Taupo. Rotorua, Taupo and Turangi are internationally acclaimed for trout fishing and Mt Ruapehu for snow skiing. The district is also well known for its other outdoor recreational options including tramping, cycling, mountain biking as well as lake and river water sports such as boating and kayaking. Rotorua is less than one hours drive from the Bay of Plenty coast that offers lots of sun, good surf, boating, fishing and deep sea diving. Rotorua is the tourist centre of the North Island of New Zealand.
The hospital has modern ward areas, ICU and theatres, and a state of the art ambulatory outpatient area for Gynaecology, to facilitate outpatient hysteroscopy and Colposcopy/LETZ.
Membership of RANZCOG (or equivalent) is required. Applicants must hold or be eligible for vocational registration with the Medical Council of New Zealand.
For further information email Carleen Dahya, Medical Staff Recruiter carleen.dahya@lakesdhb.govt.nz ph: +64 7 343 8711 or Simon Ewen, HOD O&G simon.ewen@lakesdhb.govt.nz ph:+64 7 348 1199.

Obstetrician & Gynaecologist Specialist


Closing Date : Open
ShoreBirth is looking for an O&G Specialist to join their team of six dedicated private obstetricians. We work closely with our experienced practice midwives.

Joining ShoreBirth would be suitable for an O&G specialist with an interest in general obstetrics and medical complications of pregnancy, who wish to work part time or full time in private practice.

We are an experienced obstetrics team and applications would be considered from relatively newly qualified O&G specialists who are seeking a supportive environment to commence their consultant career.

Our rooms for antenatal clinics are located at 104 Rosedale Road in Albany and we deliver at North Shore DHB hospital.

The expectation for an O&G Specialist joining ShoreBirth would be one antenatal clinic per week, with on-calls in a rotating roster including weekends.

For any O&G specialist joining ShoreBirth, a 6 month trial period would be required, with a commitment to remaining in the practice long-term.
There is the opportunity to practice private gynaecology within the other side of the business, ShoreWomen, if desired.

Fellowship of RANZCOG (or equivalent) and vocational registration with MCNZ is required.

Expressions of interest should be emailed with your current CV to our ShoreBirth Practice Manager, Kathy Reeves at office@shorebirth.co.nz. You are welcome to approach any of our current Obstetricians, in confidence, if desired.

Aotearoa New Zealand office  

RANZCOG NZ webpage

Catherine Cooper
Head of Aotearoa New Zealand Office
ccooper@ranzcog.org.nz or +64 4 886 0202 or 021 137 0748

Bailey Parata
Hauora Wāhine Māori Advisor
bparata@ranzcog.org.nz or +64 4 280 3972

Jude Kaveney
Training Advisor
jkaveney@ranzcog.org.nz or +64 4 886 0203

Libby Barnett 
Training Coordinator
lbarnett@ranzcog.org.nz or +64 4 280 3974

Makiko Wimbush
Events and SIMG Coordinator
mwimbush@ranzcog.org.nz or +64 4 886 0556

Lynn Gestro
Communications Coordinator
lgestro@ranzcog.org.nz or +64 4 886 0559

Katie McFetridge
kmcfetridge@ranzcog.org.nz or +64 4 887 0201

Gerry Westhuis

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

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

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