AMD eBulletin 5 February 2021

President's Post

Greetings to all from sunny Alice Springs, where I have been working this past month. I wish everyone a Happy New Year and hope that you were able to take some time out to recharge after a very challenging year.

I would like to start this message by highlighting the many and varied contributions made by our membership to the ongoing health crisis – contributions that will, no doubt, carry well into this year. In its recent COVID-19 Learnings and Opportunities Report, the College recognised the important role that many of our members, including experts across the Division and in specialty societies, have played in providing expert advice to the government and community during the crisis. The report notes that College members delivered a significant, positive impact on the suppression of COVID-19 across Aotearoa New Zealand and Australia. I would like to echo the findings of this report and commend the contributions made by all our members.

It is also worth calling out the contribution our members made last year in relation to advocacy around telehealth. As most members will be aware, the pandemic led to the rapid introduction of new Medicare Benefits Schedule (MBS) items in March, covering both phone and videoconferencing. College advocacy in this area ensured that both a sufficiently broad range of MBS items was included, and that access to these items was maintained beyond the initial period committed to by the Federal Government. Thank you to everyone who contributed to the College’s advocacy in this area. More information about College advocacy during 2020 can be found in this report.

In Aotearoa New Zealand, although outpatient clinics and primary care are ‘back to normal’, many practitioners continue to offer patients a telehealth option following the cessation of face-to-face consultations due to the COVID-19 lockdowns in 2020. The New Zealand Telehealth Forum and Resource Centre remains at the forefront of telehealth practices in Aotearoa New Zealand and has many resources for clinicians to implement telehealth services as part of their clinics and to keep their skills up-to-date.

The following College resources may also be of value in providing information around telehealth and digital healthcare:

In addition to these existing resources, there will also be an informative session on digital health held on Thursday, 29 April 2021 as part of RACP Congress 2021. This session, Digital Health: telemedicine and virtual hospitals, can be attended either in person or virtually. I encourage you to register for Congress and to attend both this session, and many others. I would particularly like to draw your attention to the Clinical Updates that many specialty societies will be providing, and to the AMD stream, which includes virtual sessions such as the Impact of the pandemic on leading causes of death in Australia (on Friday, 30 April 2021), and An Introduction in Leadership and Management (on Thursday, 6 May 2021).

Dr Michael Ryan, Executive Director, WHO Health Emergencies Programme, will serve as Cottrell Orator at the opening day of this year’s Congress in Brisbane, Queensland. When Congress comes to Melbourne on Wednesday, 5 May 2021, Professor Sharon Lewin, inaugural Director of the Peter Doherty Institute for Infection and Immunity, will deliver the Priscilla Kincaid-Smith Oration.

I look forward to joining you all at Congress 2021.

Some reflections from Alice Springs as I reach the end of a month here in general medicine. Tonight, while on call, a decision had to be made whether to retrieve a woman who had a stroke from hundreds of kilometres away. Dusk was falling: was she outside the window for intervention? Was it safer to bring her in tonight, or wait until morning? The local airstrip is daylight only and the nearest night strip a 90-minute, four-wheel drive away. The availability of transport, as well as the safety of pilots and drivers, also had to be considered.

The impact of social determinants – including geography – on health is amplified and self-evident here every hour, every day. As well as the clinical, there is a range of deeply challenging decisions that have to be made about broader factors that will impact patient outcomes. All expertise is contextual, and this context is like no other.

It has been a privilege to work for the first time with an Indigenous woman doctor on her own country. Two neurologists will commence visiting practice here this year, both women. As the College’s Indigenous Strategic Framework states, “There is growing evidence that Indigenous doctors, whether in mainstream or Indigenous community-controlled services, contribute to improved access to appropriate health care services, culturally safe patient experiences, and improved health outcomes for Indigenous people”. Growth of the Indigenous physician workforce is one of the AMD’s major priorities for 2021-2022, and I am working to support this initiative in any way I can.

The Medicine Department in Alice Springs is looking for a four to six-month specialist physician locum, preferably a General Physician with a (sub) specialty interest. Interested? Contact the AMD Secretariat, at adult.med@racp.edu.au.

Change comes, often supported by registrars on rotation, who work enthusiastically with the resident consultant physicians to implement guidelines that reflect changing expectations and standards. Greater numbers of rural trained doctors are coming through, and this is all part of a changing landscape. Rural graduates prefer to work in rural Australia and Aotearoa New Zealand. Physician training is going to have to accommodate this change. Telehealth is changing our practice as well – will it change physician training?

The Divisional Clinical Examination is now underway using a new format, with all long cases due to be completed by Wednesday, 31 March 2021 and short cases by Friday, 30 April 2021. I would like to thank trainees, examiners, hospitals, and staff for their resilience, patience, and ability to adapt to quickly changing circumstances. I wish all trainees the very best during this period, as they aim to move to the next phase of their training. The College has advice on preparing for the day of exam and what to do should an issue arise for candidates, patients, and examiners and hospitals. I would encourage you to use this resource.

Finally, I would like to wish all our members a safe 2021.

If you have any questions or feedback for me, you are welcome to contact me via the Adult Medicine Division secretariat at adult.med@racp.edu.au.

Professor Don Campbell
Adult Medicine Division President

AChSHM President’s Post

Welcome back to another year. I hope you have had a restful Christmas/New Year break.

I am pleased to let you know that the program for the AChSHM 2021 Annual Scientific Meeting (ASM) is shaping up to be a great mix of presentations from enthusiastic and engaging speakers. Highlights include:

  • What Genomics adds to STIs – Professor Deborah Williamson
  • MG update on resistant guided care – Professor Catriona Bradshaw
  • Persistent Candidiasis – Dr Anna McNulty
  • Recurrent BV – Associate Professor Deborah Bateson
  • Controversies about transmission in MSM and the oropharynx – Associate Professor Eric Chow.

We are also looking forward to presenting a session on the ways in which different services have managed COVID-19 and the changes we would like to retain in 2021 and into the future. Register now to secure your spot at the ASM.

I would like to bring to your attention that the Melbourne Sexual Health Centre at Alfred Hospital and Monash University is offering a fully funded PhD scholarship in sexual health. More details on this great opportunity are available on this webpage.

The next AChSHM Committee meeting will be held on Wednesday, 3 March 2021. If there are any issues you would like to raise with the Committee, or if you have any feedback for us, please feel free to contact us through our secretariat at shmed@racp.edu.au.

Professor Kit Fairley
President
Australasian Chapter of Sexual Health Medicine

AChPM President’s Post

I hope everyone had a wonderful Christmas break.

I am very excited to announce the release of the Chronic Breathlessness in Advanced Illness eLearning resource, which can be accessed on the RACP website. We would like to thank members of the Chronic Breathlessness in Advanced Illness Working Group and the College’s continuing professional development (CPD) team for their support of the development of this excellent resource.

To get a sense of the resource, please watch this video from the online course that explores something many of us find challenging: answering sensitively and truthfully when a patient wants to know how they’re going to die.

I would like to thank the volunteers who have signed up to join the marking panel, and once again highlight that the Training Committee in Palliative Medicine is seeking Chapter Fellows to join the pool of case study and project markers for Advanced Trainees and Clinical Diploma trainees. Markers can nominate how frequently they wish to receive assessments and periods when they are unable to assist with marking. Fellows can also claim CPD credits for marking assessments. For more information or to obtain an expression of interest form, please contact PalliativeMedTraining@racp.edu.au.

The Training Committee in Palliative Medicine is currently seeking Expressions of Interest from Palliative Medicine Fellows who have trained via the FRACP pathway to join the Training Committee as the Lead in Assessment (Division). I encourage those who are interested to apply for the role.

I would like to extend my congratulations to Professor Douglas Bridge for being awarded the College Medal. This medal acknowledges his significant contribution to medical specialist practice and community health. I would also like to congratulate Professor Stephen Clarke OAM on being awarded the John Sands Medal, for his significant contributions to the welfare of the RACP.

Lastly, I would like to bring your attention to two upcoming ANZSPM events:

  • ANZSPM Aotearoa 2021 Trainee and New Fellow Day – 4 March 2021 (Christchurch, NZ)
    This is a full-day of training workshops, lectures, and discussion for trainee and palliative care professionals. The day includes sessions on non-pharmacological methods for managing breathlessness, pain examination and interventions, management of psychosis and agitation and much more.
  • ANZSPM Aotearoa 2021 Multi-Disciplinary Retreat – 5 to 7 March 2021 (Hanmer Springs, NZ)
    This unique event brings together speakers from diverse backgrounds with experience in end-of-life settings. The aim of the conference is to stimulate debate and ‘out of the box’ thinking, whilst also providing a context for reflection, renewal and restoration.

The first Chapter Committee meeting of the year will take place on Friday, 19 February 2021 via teleconference.

Do you have a question for the President or a member of our Committee? We welcome any feedback or comments, so please feel free to contact us through the Chapter secretariat at PallMed@racp.edu.au.

Dr Michelle Gold
President
Australasian Chapter of Palliative Medicine

AChAM President’s Post

Welcome to a new year. I hope you have had an opportunity to take a break over the Christmas/New Year period.

The Chapter is looking forward to a busy year, delivering against a number of work plan priorities for 2021. These priorities include a strong focus on policy and advocacy work, such as the development of an RACP drug policy. This work will be led by a joint AChAM/Australasian Faculty of Public Health Medicine Drug Policy Working Group.

One of our other major priorities is, of course, the biennial International Medicine in Addiction Conference, which will take place from Friday, 26 February to Sunday, 28 February 2021. International speakers will present on topics such as club drugs, behavioural addictions, and gender differences in substance use disorders. I encourage you all to view the program and to register now if you have not already done so. If you have already registered, please forward a link to the event to colleagues who may be interested in attending.

I would like to take this opportunity to advise that Dr Clara Dawkins is the current Trainee Representative in the Australasian Chapter of Addiction. If you have any feedback or comments for Dr Dawkins, please feel free to contact her through the Chapter secretariat at PallMed@racp.edu.au.

I’d also like to encourage all Chapter members to log in to MyRACP and complete your work profile. This is a College-wide project that seeks to establish a baseline database of the physician workforce. This is important for our planning and support of trainees. Its success is dependent on College members completing the survey so that the data is both available and meaningful. Completion of the survey only takes five to ten minutes, so please take the time.

The AChAM Committee will next meet on Tuesday, 6 April 2021 via videoconference. If you have any feedback, questions, or comments for the Committee, please get in touch via our secretariat at AddictionMed@racp.edu.au.

Professor Nicholas Lintzeris 
President 
Australasian Chapter of Addiction Medicine

Fellows honoured

Aotearoa New Zealand New Year 2021 Honours 

Member of the Order of New Zealand (ONZ)

  • Emeritus Professor Sir Mason Harold Durie KNZM, FRACP (Honorary) – For services to New Zealand.

Companion of the New Zealand Order of Merit (CNZM)

  • Professor Stephen Thomas Chambers FRACP – For services to infectious disease research.
  • Distinguished Professor Ian Reginald Reid FRACP – For services to medicine.

Member of the New Zealand Order of Merit (MNZM)

  • Dr Gagrath (Joe) Pradeep Singh FRACP – For services to health.

Australia Day 2021 Honours

Officer (AO) in the General Division of the Order of Australia

  • Professor Alan Cass FRACP – For distinguished service to medical research, particularly to the prevention and management of chronic kidney disease, to improved Indigenous clinical care and health outcomes, and as a mentor.
  • Professor Susan Ruth Davis FRACP – For distinguished service to medicine, to women's health as a clinical endocrinologist and researcher, and to medical education. 
  • Professor Peter Jeffery Leedman FRACP – For distinguished service to medicine, health and medical research as a physician-scientist, to professional societies, and to tertiary education.
  • Professor Robert Francis Moulds FRACP – For distinguished service to medicine, to clinical pharmacology and medical education, and to the development of therapeutic guidelines.
  • Professor Roger Robert Reddel FRACP – For distinguished service to biomedical research in the field of adult and childhood cancer and genetics, and to tertiary education.

Member (AM) in the General Division of the Order of Australia

  • Associate Professor Anne Marie Brooks FRACP – For significant service to ophthalmology, and to eye health organisations.
  • Associate Professor Douglas James Brown FAFRM, FRACP – For significant service to medicine, particularly to spinal cord injuries.
  • Dr Paul Craft FRACP – For significant service to medicine, to oncology, and to professional organisations.
  • Emeritus Professor Ronald Douglas McEvoy FRACP – For significant service to medical research, particularly to respiratory and sleep health.
  • Dr Patrick John Phillips FRACP – For significant service to medicine, and to diabetes organisations.
  • Dr Gerard Francis Ryan FRACP – For significant service to respiratory medicine, and to people living with cystic fibrosis.
  • Professor Markus Joachim Seibel FRACP – For significant service to medical research, and to endocrinology.

Medal (OAM) of the Order of Australia in the General Division

  • Dr Ruth Hope Arnold FRACP – For service to medicine as a cardiologist.
  • Dr Christopher Robert Schull FRACP – For service to thoracic and tropical medicine, and to the community.
  • Dr Sheryl Anne Van Nunen FRACP – For service to medicine, particularly to clinical immunology and allergy.

Update on Computer-Based Testing

After a rigorous tender process, we have selected Elumina eLearning to provide computer-based testing (CBT) for the upcoming May 2021 Australasian Faculty of Rehabilitation Medicine (AFRM) Module 1 examination and the limited rollout of the Divisional Written Examination (DWE) in October 2021.

The Elumina platform is modern, easy to use and provides several benefits to candidates. They also have excellent back up processes and contingency plans to minimise any disruptions.

More information about Elumina and the benefits they provide are on our website.

The CBT project is on track and preparations are going well.

We have set January to March 2021 for rigorous testing. This includes User Acceptance Testing, and we will also run an end-to-end mock exam in live test centres.

COVID-safe measures and contingency plans will be in place in case the pandemic impacts exam day.

2021 DWE

The CBT DWE will be held on Tuesday, 26 October 2021. This exam will be limited to 250 Adult Medicine and 80 Paediatrics & Child Health places.

The College Education committee has agreed that the October CBT exam will not count as an official attempt.

Registrations will open after the February DWE results have been released. If we receive more registrations than places, we will run a ballot to allocate positions. This will be overseen by independent adjudicators to make sure it is fair for everyone who has applied.

The exam will be run in most Australian capital cities as well as Christchurch and Auckland in Aotearoa New Zealand.

We will continue to keep you updated on preparations for the CBT exam. More information is also available on our website.

2021 AChSHM Exit Assessment

The 2021 AChSHM Exit Assessment will be held on Friday, 27 August 2021.

Applications will open on Monday, 3 May 2021.

More details about the exam, including key dates, venue and contingency plans in the event of issues due to COVID-19, are available on our website.

Sexual Health Clinical Education Sessions

The Clinical Education Sessions are now available and run from February to December 2021 via Zoom.

The sessions provide an update on important emerging developments in HIV and STIs, discuss the applicability of results from a journal article to patient population, and give opportunities for clinicians to integrate the latest evidence on a range of clinical topics into diagnosis and management strategies in their clinical settings.

These sessions have been developed by the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine in collaboration with the Sydney Sexual Health Centre (SSHC).

They include:

  • The Journal Club which is held weekly and provides the latest updates in the field of HIV, sexual health, reproductive health and viral hepatitis, provides evidence-based commentaries on specified topics and is open to everyone working in the field, inclusive of clinicians and non-clinicians.

  • The Clinical Education Seminar which is run fortnightly, directly after Journal Club and is targeted at sexual health clinicians.

The SHM training committee strongly encourages all trainees to nominate themselves and work with their supervisor, to present on a Journal club theme. This is an opportunity to develop and display your skills in critical appraisal within a supportive audience as well as to network with your peers and future colleagues.

Please contact Dr Rick Varma for more information, or Samantha Ingram for allocation of date and Journal club topic.

RACP Congress 2021 Six Cities

RACP Congress 2021

The start of 2021 has brought with it a flurry of activity for RACP Congress 2021 as sessions continue to be finalised, the list of speakers grows, and each city is working hard to ensure the face-to-face events are as engaging and enjoyable as they have ever been.

The Division and Faculty program has been announced

Featuring a combination of live webinars, and on demand events, the Division and Faculty streams will no doubt be a highlight of Congress. The program will present a range of both adult medicine specific and more general topics. Sessions include:

  • Impact of the pandemic on leading causes of death in Australia
  • Inspiring leaders in healthcare
  • An introduction in leadership and management
  • Sustainable health: is it truly sustainable?
  • Achieving equity: Charting a practical course

To find out more about the program dates and time, as well as speaker bios, College events and the face-to-face events in your local city, visit the RACP Congress 2021 website

Don’t miss out on your CPD credits

Whether you attend in-person or virtually, attendance at RACP Congress Series 2021 can be claimed as CPD credits. The RACP provides the MyCPD program as an online service to Fellows to assist in meeting mandated continuing professional development (CPD) requirements.

IMiA21

IMiA21 – Meet your panels

With less than one month to go, the IMiA21 conference continues to bring together expert voices for a range of panel discussions. Augmenting the strong selection of keynote speakers, the panel discussions promise to be no less engaging as the list of speakers is finalised. With a three-day program packed with content, the breakout sessions are another great reason to attend this virtual event.

Read more about the panels speakers and register at the IMiA website.  

Australia’s doctors to examine addiction in wake of COVID-19 pandemic at IMiA21 conference

The Royal Australian College of General Practitioners released a media statement on 3 February 2021 about the IMiA21 conference being held from Friday, 26 February to Sunday, 28 February 2021. Professor Nick Lintzeris, President of the RACP's Australasian Chapter of Addiction Medicine is quoted.

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2021 Australasian Chapter of Sexual Health Medicine Annual Scientific Meeting 2021 – A program exploring complexity, challenges and change

March will see the AChSHM ASM arrive as a virtual experience. Presenting a packed program and a range of dynamic speakers, the final program will surely be one that should not be missed. To view the program and register for the virtual experience visit the AChSHM ASM website.

RACP Statement on Indigenous child health in Australia and Aotearoa New Zealand

We have released a landmark statement on Indigenous child health in Australia and Aotearoa New Zealand, providing concrete steps that paediatricians, health professionals and the healthcare system can take to improve the health of Indigenous children in Australia and Aotearoa New Zealand.

Dr Danny de Lore, Māori paediatrician, led the RACP working group that worked closely with Aboriginal, Torres Strait Islander and Māori people to develop a statement that provides tools and actions for health professionals to ensure more equitable health outcomes for Indigenous children in Australia and Aotearoa New Zealand.

The statement calls on physicians to:

  • recognise the strength and resilience of Aboriginal, Torres Strait Islander people and Māori communities.
  • understand how privilege and institutional racism operates within healthcare systems and be open to naming it.

All RACP members are encouraged to read the statement and implement the key messages in their practice and workplace.

Learn more

Improving your experience with the RACP website

We are undertaking an extensive project to help you find the information you need on the RACP website. The project is being delivered in two stages and will enhance and improve your experience in navigating our online services.

To help us improve the navigation on the RACP website, you’re invited to participate in this short online RACP Member Card Sort activity. Card sorting is a method that designers use to understand how people group information. The activity will take around 10 minutes.

  • Your responses will be kept confidential.
  • This activity is for RACP members only. Please don’t share the activity link with non RACP members.

Your time is appreciated and will go a long way to help us develop a website that meets your needs.  

If you have questions about the project or need assistance with the activity, please email Member Services.

Digital health

A series of digital health webinars has been developed to help you better understand digital health initiatives. The webinars cover My Health Record, available systems and compliance requirements. To find out more and to register visit this RACP webpage.

The webinars have been developed by the Australian Digital Health Agency, who are responsible for the delivery of Australia's National Digital Health Strategy. The Strategy's key pillars include driving innovation, education and workforce development, enhanced models of care, interoperability and data quality, medicines safety, My Health Record and secure messaging.

Find out more

More evidence for minimum unit pricing of alcohol – join our campaign for a minimum price in Western Australia

The Northern Territory has the highest rates of alcohol-related harm in the country. In recognition of this grim statistic, the NT Government became the first and, so far, the only jurisdiction in Australia to introduce a minimum unit price (MUP) for each standard drink of alcohol.  

A new study by Wright et al. on alcohol-related intensive care unit admissions to Alice Springs Hospital adds to the growing pool of evidence for the effectiveness of price-related interventions in minimising harms of alcohol. The study shows a nearly 40 per cent reduction in harmful alcohol use after alcohol reforms, including MUP, were introduced in 2018.

Both modelling and recent empirical research from Scotland shows that the heaviest drinkers and those with the lowest incomes are the biggest beneficiaries of the health gains attributable to MUP – heavy drinkers prefer the cheapest beverages and since they drink more alcohol, they also respond to price changes. A January 2021 study shows that the introduction of MUP in Scotland and Wales shifted purchases from higher to lower strength products – the alcohol by volume of beer dropped by 2 per cent and of cider by 7 per cent.  

Australian governments know that policies aimed at reducing alcohol’s availability via increasing pricing and reducing access save lives and dollars. The introduction of MUP and associated reforms in the NT indicated that the Government recognised the high price paid by its citizens and its budgets for alcohol-related harm. However, the NT Government’s recent bypassing of the usual liquor licensing process in favour of Endeavour Drinks Group’s push to open a ‘big-box’ Dan Murphy’s store within walking distance of three ‘dry’ Aboriginal communities shows that commercial pressures are already undermining progress.  

The RACP actively advocates for MUP and other evidence-based alcohol harm reduction policies. In 2021, we will be asking for member support as we push for MUP in Western Australia as part of our pre-election campaign. Learn more about the RACP campaign for MUP in our information sheet on the intervention.   

Low-value care during the COVID-19 pandemic

During COVID-19 it is more important than ever to reduce practices that may cause unnecessary harm or pose unnecessary risk of transmission. Evolve has shared recommendations and resources that are particularly relevant to physicians during this pandemic. View relevant recommendations on Twitter, Facebook and LinkedIn or search for #RACPEvolve.

COVID-19 has encouraged us to stop and reflect on what tests, procedures and practices are essential, and when it might be in the patients’ best interest to watch and wait. Do you think COVID-19 will change how we deliver medicine in the future? Read more in the latest edition of RACP Quarterly on pages 6 to 8.

If you are interested in shaping Evolve and being a leader in reducing low-value care email evolve@racp.edu.au to join the Evolve Policy Reference Group.

New Telehealth online course

Access all of the information and tools you need to prepare for and conduct culturally competent and patient-centred telehealth consultations in this new Telehealth online course. We understand you’re busy, so we’ve made sure RACP Online Learning Resources are accessible anywhere and optimised for mobile on-the-go learning. Our courses are designed to enable you to dip in and out, or just do the parts that are relevant to you.

Evolve Webinar Series 2021

This year, Evolve will host a series of webinars that will explore interesting topics relevant to low-value practice.

The inaugural webinar will feature Professor Ian Scott who will be presenting on ‘Cognitive biases in clinical decision making’. The webinar will be held on Tuesday, 16 February 2021, 6pm to 7pm (AEDT) / 8pm to 9pm (NZDT).

Behavioural science tells us that our decision making is influenced by biases, and physicians are not immune to this. Join Professor Scott in a discussion about the cognitive biases that physicians experience in their clinical decision making and how this can play a role in the continued delivery of low-value care.  

Register for Evolve webinar

Pomegranate Podcast – Boosting public health in the Indo-Pacific

Ep67: Boosting Public Health in the Indo-Pacific

This is the fourth and final part in our series on Global Health Security. Australia’s Indo-Pacific Centre for Health Security was launched in 2017 to provide development assistance to health services as far-flung as Fiji, Cambodia and Timor L’este. Its mission is always tailored to the needs of the partner government. In Indonesia it has provided training to the veterinary sector to foster antimicrobial stewardship. The 2020 COVID-19 pandemic was a sudden shock to the development agenda and has forced a rapid redeployment of resources. Since recording this interview there has been an additional $500 million dollar commitment to fund doses of COVID-19 vaccine and technical assistance to the Pacific and Southeast Asia.

Listen now

RACP Fellows can claim CPD credits through MyCPD for listening to this episode and reading the resources at the website. To be the first to hear about the latest episodes of Pomegranate Health, subscribe in Apple PodcastsSpotify, any Android podcasting app or join our email alerts list.

Invitation to participate in Aotearoa New Zealand End of Life Choice Act Workforce Survey

The End of Life Choice Act 2019 (the Act) comes into force on 7 November 2021 in Aotearoa New Zealand . 

The Act gives people who experience unbearable suffering from a terminal illness, and who meet all the criteria for assisted dying set out in the Act, the option of legally asking for medical assistance to end their lives. The Act includes safeguards to ensure anyone seeking this assistance is making an informed decision of their own accord. 

The Aotearoa New Zealand Ministry of Health has established a new team to manage the implementation and oversight of the Act and is developing a work programme to manage all aspects of implementation.

Further information on the Act can be found on the Aotearoa New Zealand Ministry of Health's website

Implementation of the assisted dying service – workforce survey

One of the first priorities for the Ministry of Health's The End of Life Choice Act team is to better understand the views of Aotearoa New Zealand health practitioners with a specified role under the Act, in relation to assisted dying. A short survey for Aotearoa New Zealand health practitioners has been designed to give them an early indication of workforce knowledge, understanding and attitudes towards the Act.   

Learning about the number of health practitioners who may choose to have a role in the assisted dying service, the settings they currently work in and any specific concerns they may have in relation to the Act will help inform the design, planning and implementation of the system.  

Health practitioners have a right to conscientiously object to providing assisted dying services. It’s important to note that any response to this survey is not a confirmation of a choice to either participate in, or opt out of, the service. The results will help inform their approach to workforce development for an assisted dying service. Responses will not be individually identified by the Ministry.  

The survey for Aotearoa New Zealand health practitioners can be accessed online. The survey is optional and closes on Sunday, 28 February 2021.

More information about the implementation of the Act will be shared over the coming weeks. In the meantime, any questions regarding the survey or the implementation of the Act can be directed to eolc@health.govt.nz

Are you ready for active ingredient prescribing from 1 February 2021? 

Regulatory changes came into effect on 1 February 2021 bringing mandatory active ingredient listings on medicines, with some exceptions. The NPS MedicineWise active ingredient prescribing information hub contains a number of resources and useful links, including a fact sheet for prescribers outlining what you need to know and do to be ready for these changes, including ensuring your prescribing software is up-to-date. 

Conferences and events

The Royal Australasian College of Physicians publishes notices of events and courses as a service to members. Such publication does not constitute endorsement or mandating of any such events or courses.

Go to the events list at any time to see what events are coming up.

Career opportunities 

Please see the College website to view all medical positions vacant.

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