www.nzmsa.org.nz New Zealand Medical Students Association nzmsa@nzmsa.org.nz Howto: applyforahousesurgeonjob decidewhatDHBisforyou survivetheyear getthebestdealyoucan andmore! NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 1 Contents 1 2 3 5 7 8 8 10 10 11 11 12 12 13 13 13 15 15 16 16 18 22 22 22 22 23 28 30 31 34 38 Contents From NZMSA Top ten tips for House Officers The Ace Scheme Your future employer Northland DHB Auckland Region Waikato DHB Bay of Plenty DHB Lakes DHB Tarawhiti DHB Hawkes Bay DHB Taranaki DHB Whanganui DHB Mid-central DHB Wider Wellington Region Nelson Malborough DHB Canterbury DHB South Canterbury DHB Southland DHB Finances Legal stuff Medical liability The MECA contract Medicolegal matters Avoiding traps for young players Getting registered Professional representation A message from the Residents Doctors Association Looking after yourself Final words 1 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 1 uear 1ralnee lnLerns, CongraLulaLlons - afLer many years of sLudy, Lhe slgnlflcanL mllesLone of graduaLlngfrom medlcal school Lo becomlng a docLor ls on Lhe horlzon. l am sure you wlll all beexclLed Lo puL your Lralnlng lnLo pracLlce and embark on your medlcal career and Lhepromlslng fuLure LhaL awalLs you. 1he flrsL weeks as a new docLor can be challenglng. uurlng Lhls Llme, many young docLors flnd lL dlfflculL Lo malnLaln a balance beLween Lhelr new work llfe and Lhe need Lo look afLer Lhelr own wellbelng. WheLher lL ls ad[usLlng Lo full-Llme worklng hours for Lhe flrsL Llme, or comlng Lo Lerms wlLh Lhe responslblllLy assoclaLed wlLh provldlng care Lo paLlenLs as a fully-fledged docLor - Lhe medlcal sLudenL Lo docLor LranslLlon can be sLressful and aL Llmes overwhelmlng. WlLh Lhese challenges ln mlnd, nZMSA has prepared Lhls resource ln an aLLempL Lo make Lhe LranslLlon from medlcal sLudenL Lo docLor as smooLh as posslble. lllled wlLh experL lnformaLlon on a wlde varleLy of Loplcs relevanL for new docLors, such as uP8 proflles, managlng your flnances, medlco-legal lssues and more - Lhe nZMSA Culde Lo CraduaLlon ls a comprehenslve gulde Lo Lhe flrsL weeks and monLhs as a new docLor. Cn behalf of Lhe nZMSA LxecuLlve, lL has been a real pleasure Lo represenL you on Lhe key lssues affecLlng medlcal sLudenLs. l hope you flnd Lhe lnformaLlon conLalned ln Lhls resource useful, and l wlsh you all Lhe very besL for your fuLure careers. ?ours falLhfully, M|chae| Chen-ku nZMSA resldenL 2012 From NZMSA 2 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 2 Know your rights.lL ls lmporLanL LhaL you undersLand Lhe MLCA (your work conLracL) and whaL lL enLlLles you Lo llkeleave enLlLlemenLs, resLrlcLlons on worklng hours and Lhe llke. lf you declde Lo [oln Lhe 8esldenLuocLors AssoclaLlon (8uA) Lhey play a slgnlflcanL role ln helplng you wlLh your legal/employmenLrlghLs, and Lhey are youradvocaLe (so lf you have a problem wlLh Lhe 8MC Cfflce or ln Lhe workplace,Lhey can be your flrsL porL of call). 1here are oLher organlsaLlons LhaL can glve you advlce dependlng on Lhe conLexL, llke Medlcal roLecLlon SocleLy (agaln, lf you declde Lo [oln)and Lhe new Zealand Medlcal AssoclaLlon (nZMA). Know your responsibilities.lL ls lmporLanL, and so helpful, Lo read Lhe run descrlpLlons whlch your aLLachmenL ls obllged Lo glve you before you sLarL. noL many of us acLually read Lhls, buL lL can save you from belng dumped wlLh responslblllLles LhaL aren'L yours and clarlfy whaL ls expecLed of you (and whaL ls noL). Know where to find out.AfLer slx years of crammlng lnformaLlon lnLo your head, once you sLarL worklng Lhere ls very llLLle knowledge LhaL you acLually carry around wlLh you. CeL famlllar wlLh where you can go for more lnformaLlon and don'L be afrald Lo go Lhere when you need Lo! no one wlll Lhlnk less of you lf you Lake a mlnuLe Lo double check Lhe dose of a drug you're noL cerLaln of, or qulckly re-read your hosplLal's pollcy. Know that it's all worth it.1he [ob can be demandlng buL lL ls hlghly rewardlng lf you choose Lo Lake LhaL perspecLlve. 1here ls recognlLlon Lo be had from your paLlenLs and from colleagues - and Lhe pay ls preLLy awesome Loo! A healLhy perspecLlve ls one of Lhe besL ways of proLecLlng yourself from burn-ouL. Know that you will have to take the smooth with the rough.1he ma[or dlfference beLween Lhe work of a docLor and oLher healLh professlonals ls LhaL we are pald Lo geL Lhe [ob done - noL work an x-hour shlfL (wlLh Lhe caveaL LhaL we are noL abused ln dolng so). 1hls means LhaL Lhere may be Llmes when you work much harder Lhan everyone else, buL Lhere wlll (hopefully) be equally many Llmes when you can have a few exLra coffee breaks. 1here ls a season for everyLhlng ln llfe! Know that you are not alone. 1here ls no reason Lo freak ouL abouL havlng Lo make Lough calls by yourself or belng swamped wlLh an unbearable work-load. Senlors, colleagues and nurslng sLaff are all Lhere Lo help you lf you need. All you have Lo do ls ask. 3 Top ten tips for house officiers NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 3 Know that being nice takes you a long way.Work ls a loL easler wlLh Lhe goodwlll of nurslng sLaff especlally, and medlcal and allled healLh workers as well. noL Lo menLlon paLlenLs and Lhelr famllles. lL requlres paLlence buL lL's well worLh lL ln Lhe long run. Know that you are entitled to a ginormous tax refund at the end of the financial year. 8ecause you only sLarL work ln november, buL you geL Laxed as lf you have been worklng Lhe enLlre year, you are enLlLled Lo a Lax refund - dependlng on whlch uP8/pay caLegory you are worklng ln - ln Lhe couple Lhousand dollars mark. All you have Lo do ls call Lhe lnland 8evenue ueparLmenL (l8u) and requesL a personal Lax summary, lL Lakes abouL slx weeks Lo process, buL lL's well worLh lL! Conslder lL a bonus for geLLlng Lhrough your flrsL half year. Know that everyone will make mistakes, including you. lL's parL of belng human, lL's parL of Lhe arL of medlclne, and mosL lmporLanLly, lL's how we learn. So do [usL LhaL, learn from lL and become a beLLer docLor as a resulL. Know that vital signs are vital. lL's noL [usL Lalk. never brush off an acuLe change ln vlLals. 4 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 4 Key dates for ACE 2012 How to apply AppllcanLsshouldheadLowww.healLhcareers.org.nz/acewhlchwlllLake Lhem Lo Lhe ACL home page. ln Lhe Lop rlghL hand corner Lhere wlll be a box LhaLsays'Applynow-cllckhereLoapplyforflrsLyearPouseCfflcer poslLlonslnLhe2012Lralnlngyear'.AppllcanLsshouldcllckonLhlsand followLhelnsLrucLlonsLoapply.CnLheabovewebslLe,underLhe 'documenLs' secLlon, appllcanLs wlll flnd Lhe ACL AppllcanL Manual and Lhls wlllLakeLhemLhroughLheappllcaLlonprocessandanswerLhelrquesLlons. lfLheyaresLlllunsureLheycanconLacLLheACLCoordlnaLorvlaemallor phone and Lhey wlll asslsL. International students and the One Match process: WlLh Lhe lnLroducLlon ln 2011 of a one maLch process, all appllcanLs wlll be ranked ln one maLch. arL of Lhe uP8s ranklng process wlll lnclude 'ellglblllLy' and appllcanLs should be ranked ln Lhe order below.1.CraduaLes from new Zealand medlcal schools who are clLlzens or permanenL resldenLs of new Zealand/AusLralla. 2.CraduaLes from AusLrallan medlcal schools who are clLlzens or permanenL resldenLs of new Zealand/AusLralla. 3.AppllcanLs who have passed Lhe nZ8ex cllnlcal exam and are clLlzens or permanenL resldenLs of new Zealand/AusLralla or hold an uncondlLlonal work permlL Lo work ln new Zealand. 4.CraduaLes from new Zealand medlcal schools who are noL permanenL resldenLs of new Zealand/AusLralla. 3.AppllcanLs who have passed Lhe nZ8ex cllnlcal exam and are noL permanenL resldenLs of new Zealand/AusLralla. 6.CraduaLes from AusLrallan medlcal schools who are noL permanenL resldenLs of new Zealand/AusLralla. lnLernaLlonal sLudenLs should be aware LhaL Lhey may need Lo be flexlble wlLh Lhelr locaLlon and rank as many places as Lhey are prepared Lo work aL. Powever, ACL sLrongly recommends LhaL Lhey do noL rank a locaLlon LhaL Lhey are noL prepared Lo work aL as Lhe expecLaLlon ls LhaL all offered poslLlons wlll be accepLed. 1hey should also be aware LhaL a large volume of appllcanLs apply Lhrough ACL and Lhls number exceeds Lhe number of poslLlons avallable. 1o lmprove Lhelr chances of belng successful Lhey should: compleLe Lhelr appllcaLlon on Llme and Lo Lhe besL of Lhelr ablllLy. Cood ACL webslLe open for appllcaLlonslebruary 2012 uP8 8oad Show and nZMA sponsored 1ralnee lnLern ACL evenlnguunedln - 30 Aprll ChrlsLchurch - 01 May WelllngLon - 02 May Auckland - 03 May ACL appllcaLlons close23 !une 2012 ACL maLch31 !uly 2012 Cffer of employmenL senL by uP8s6 AugusL 2012 AppllcanLs accepL offer of employmenL by13 AugusL 2012 5 The Ace Scheme key information Key contact for ACE ACL CoordlnaLor ACL CandldaLe ConsulLanL hone: 0800 ACL CLn18L (0800 223 236) Lmall: ace[healLhcareers.org.nz Address:ACL CenLre rlvaLe 8ag 92189 Level 3 8ulldlng 14 Creenlane Cllnlcal CenLre Creenlane Auckland NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 5 solld references are essenLlal. ALLend Lhe ACL 8oad Show so LhaL Lhey can Lalk Lo as many uP8s as posslble.lf Lhey are unable Lo do Lhls Lhey should conLacL Lhe uP8s dlrecLly so LhaL Lhey are aware of who Lhey are when Lhe Llme comes for Lhem Lo rank References -ACL can hold up Lo flve references on your flle for you buL you may only submlL Lhree wlLh your ACL appllcaLlon. uo noL ask for more Lhan flve as Lhey wlll noL be sLored for you. -?ou may ooly requesL a reference from a ConsulLanL C/ConsulLanL SpeclallsL. lease do noL ask for a reference from someone who does noL flL lnLo Lhese caLegorles as you wlll noL be able Lo use lL. ?ou are able Lo geL references from overseas locum consulLanLs worklng ln new Zealand l.e. llsLed on Lhe Medlcal Councll of new Zealand (MCnZ) vocaLlonally reglsLered daLabase.-Cf your Lhree references Lwo musL come from your 1l year. 1he Lhlrd can elLher be a furLher 1l year reference or one from your flfLh year. ?ou may use a reference from your overseas elecLlve lf Lhe counLry you have worked ln ls on Lhe MCnZ llsL of comparable healLh sysLem counLrles. 1he llsL of counLrles can be found on Lhe MCnZ webslLe aL hLLp://www.mcnz.org.nz.-1here are Lwo ways LhaL you can requesL an ACL reference. AL www.healLhcareers.org.nz/ace ln Lhe documenLs secLlon, Lhere ls a LemplaLe LhaL you can elLher prlnL or emall for your referee. AlLernaLlvely, you can Lype Lhelr deLalls lnLo your ACL appllcaLlon, maklng sure you flll ln every secLlon (lf you don'L have all Lhe deLalls Lype '18C' ln any empLy boxes) and follow Lhe lnsLrucLlons for a referee requesL Lo be senL. lease be aware LhaL lf you choose Lhe second opLlon Lhe ACL compuLer programme requlres all Lhe boxes ln all Lhree referee secLlons Lo be fllled ln - lf Lhls ls noL done correcLly Lhe page wlll noL save and Lhe reference requesL wlll noL be senL.1o check LhaL Lhls has worked, refresh Lhe page. lf Lhe lnformaLlon ls sLlll Lhere Lhen you have compleLed Lhe exerclse correcLly. Making your application easier for you and theACE Coordinator! -llll ln as much as posslble of Lhe personal deLalls as early as you can, lL wlll make lL easler for you Lo be conLacLed and your appllcaLlon can begln Lo be processed qulcker. -1here ls only one ACL Co-ordlnaLor, noL a whole Leam, so unless your quesLlon ls urgenL, emall ls Lhe besL meLhod of conLacL. ?our emall wlll be replled Lo wlLhln 24 hours, buL usually much qulcker Lhan LhaL. -uon'L leave your references Lo Lhe lasL mlnuLe - your references are llkely Lo be beLLer lf you haven'L rushed Lhe consulLanL. lf you do noL have Lhree references by Lhe deadllne daLe your appllcaLlon cannoL be enLered lnLo Lhe maLch. -1he ACL deadllne ls a naLlonally flxed daLe and Lhere ls no flexlblllLy wlLh lL - all appllcaLlons musL be compleLed by 3pm on Lhe deadllne day. lallure Lo do Lhls wlll resulL ln Lhe appllcaLlon belng decllned. Special circumstances Pairedappl icati ons ?ou can choose Lo apply wlLh a parLner Lhrough Lhe ACL programme and Lhere are a few deLalls LhaL you should be aware of. 1. ?our parLner musL be a 1l Loo - ACL cannoL asslsL a [olnL appllcaLlon wlLh anyone ln a hlgher year. 2. uP8s musL rank you nexL Lo each oLher on Lhelr llsLs and Lhey are advlsed Lo rank palrs ln llne wlLh Lhe lowesL ranklng score of Lhe Lwo. 3. ?ou musL ensure LhaL your llsL of ranked uP8s maLches Lhe llsL of your parLner's exacLly, by Lhe deadllne daLe, or you wlll noL be ranked as a palr. Sharedappli cations ?ou are able Lo apply Lhrough ACL ln a [ob share capaclLy and Lhere are a few deLalls LhaL you should be aware of. 1. ?ou should conLacL Lhe hosplLals you are lnLeresLed ln worklng aL Lo explaln your slLuaLlon and ensure LhaL Lhey have Lhe capaclLy Lo fully asslsL your Lralnlng on a parL-Llme basls. 2. uP8s musL rank you nexL Lo each oLher on Lhelr llsLs and Lhey are advlsed Lo rank palrs ln llne wlLh Lhe lowesL ranklng score of Lhe Lwo. 3. ?ou musL ensure LhaL your llsL of ranked uP8s maLches Lhe llsL of your parLner's exacLly, by Lhe deadllne daLe, or you wlll noL be ranked as a palr. 6 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 6 RMO units at a glance DHB profiles 1he followlng lnformaLlon abouL each uP8 and hosplLal has been sourced from a prevlous or currenL 8MC where posslble. 1he lnformaLlon glven ls purely sub[ecLlve and we encourage graduaLes Lo Lry and source as much lnformaLlon as posslble. Lach year Lhe 8uA puL ouL a Lhorough revlew of each uP8 - flnd more lnformaLlon aL hLLp://www.nzrda.org.nz. Your future employer 8 7 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 7 Aucklandregion Wa|takere nosp|ta| ur. vlkash aLel - C?1 2011/2012 nesLled ln Lhe WesL of Auckland ls a small hosplLal aLLached Lo WalLemaLa uP8 known as WalLakere PosplLal. lL ls malnly Ceneral Medlclne based wlLh four gen med wards buL does now have a 24hr Lu, A1+8 and some elecLlve CrLhopedlcs and CasLroscoples.lL ls a preLLy frlendly place wlLh everyone qulckly becomlng famlllar faces. ln medlclne, Lhere ls an lnLeresLlng sysLem where by only one Leam Lakes new paLlenLs and Lhe cap for admlsslons on a weekday ls 23 and on Lhe weekend lL ls 13 each day - everyone else, or all slck paLlenLs go Lo norLh Shore as Lhere ls no Puu aL WalLakere. All Lhe consulLanLs are frlendly and helpful, wlLh some presenLlng aL Lhe weekly [ournal club. 1hey seem Lo swap beLween WalLakere and Lhe shore every slx monLhs. 1he house offlcer Leachlng and grand round are boLh unforLunaLely vldeo-llnked whlch ls less Lhan ldeal. ?our meal cholce aL Lhe cafe ls a blL llmlLed buL Lhe cooked opLlon ls normally LasLy and very good, wlLh real gems llke chlcken kebabs on couscous. 8eware of Lhe basll pesLo qulche Lhough. 1he sLaff are awesome and ofLen sLarL maklng your coffee as soon as you walk Lhrough Lhe door. ln Lerms of CerlaLrlcs, Lhere are around four Leams wlLh no on-call durlng Lhe week buL you cover one half of Lhe gen med wards on Lhe weekends. WlLh Lwo or more house offlcers on each Leam and only havlng Lo do a 10 day sLreLch lnsLead of 12, Lhe slower paced llfe of WalLakere makes lL a good desLlnaLlon. uon'L be fooled Lhough, you wlll run lnLo your falr share of work and plle of dlscharge summarles. unforLunaLely Lhe 8MC room ls so far from Lhe wards LhaL lL ls rarely vlslLed - lL does however have Sky and a flaL screen 1v. 1he only runs for flrsL years are general medlclne, gerlaLrlcs, and psychlaLry so you wlll lnevlLably spend Llme aL Lhe hosplLal's blg broLher - norLh Shore - as well. Ln[oy. North Shore nosp|ta| ur. ?anan Pu AfLer belng excepLlonally lmpressed by my only run as a sLudenL aL norLh Shore PosplLal, l declded Lo work Lhere ln my C?1 year. lL was a declslon l have yeL Lo regreL. MyLhs abouL norLh Shore have exLlngulshed over Lhe years and lL ls now one of Lhe besL uP8s Lo work aL as an 8MC. 8uns on offer as a flrsL year PC lnclude general medlclne, general surgery, cardlology, gerlaLrlcs, psychlaLry, orLhopaedlcs, and psych gerls. AlLhough belng a large LerLlary hosplLal ln Auckland, norLh Shore exerLs Lhe frlendllness and relaxed aLmosphere of perlpheral hosplLals. 1he consulLanLs (wheLher your own or oLher speclalLles) are exLremely approachable and are always a phone-call away. All Lhe oLher sLaff members are also lnflnlLely helpful when you need someLhlng done.nosp|ta|Number of os|t|ons (2011) North Shore + Wa|takere 31 Auck|and48 M|dd|emore41 1ota|140 9 Northl andDHB Whangarel PosplLal ConLacL: 1anla valle C 8ox 9742, Whangarel h: +64 9 430 4101 exL 7399 lax: +64 9 470 0028 Lmall: Lanla.valle[norLhlanddhb.org.nz Web: www.norLhlanddhb.org.nz Whangare| nosp|ta| number of poslLlons ln 2011: 10Auckland, Mlddlemore, norLh Shore and WalLakere hosplLals no81P (norLhern 8eglon 1ralnlng Pub)rlvaLe 8ag 92189, Creenlane h: +64 9 631 0707 lax: +64 9 623 4644 Lmall: rmorecrulLmenL[norLh.co.nz Web: www.aucklanddocLors.co.nz 8 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 8 1eachlng aL norLh Shore ls abundanL. 1here ls a seL Lwo hours of house offlcer Leachlng (wlLh greaL food provlded, alLhough lL's Lhe same every Llme) every week and Loplcs wlll range from how Lo puL ln caLheLers Lo palllaLlve care. Lach deparLmenL wlll also have Lhelr own weekly grand rounds, [ournal clubs, radlology conferences and much more. All Lhe reglsLrars are very wllllng Leach as are mosL of Lhe consulLanLs. Llvlng ln Auckland brlngs many advanLages and dlsadvanLages. MosL are self-explanaLory. norLh Shore PosplLal ls easy Lo commuLe Lo even lf you llve on Lhe oLher slde of Lhe brldge (Lhe clLy cenLre slde) as you're golng agalnsL Lhe Lrafflc rush boLh ways. 1he hosplLal ls slLuaLed mlnuLes away from beauLlful beaches and nlce cafes, and whaL's more, Lhere's a lake rlghL ouLslde Lhe cafeLerla compleLe wlLh ducks, swans and pukekos. WhaL's qulLe surprlslng when l sLarLed work here ls how supporLlve Lhe 8MC unlL ls. 1hey genulnely Lry Lo look afLer Lhe welfare of everyone and work hard Lo glve you whaL you ask for ln Lerms of leave and payroll lssues. lL ls only afLer you sLarL work LhaL you reallse how lmporLanL Lhese Lhlngs are. ln general, my experlence aL norLh Shore PosplLal has been noLhlng buL pleasanL excepL for Lhe food Lhey serve aL Lhe cafeLerla. 1he hosplLal has sLeadlly lmproved over Lhe lasL few years and you would feel well supporLed worklng Lhere as a new grad. Auck|and nosp|ta|ur. 1hallb Mow[ood Cn reflecLlng back on my year aL Auckland ClLy PosplLal l reallse LhaL much of whaL has made my experlence Lhere mosL dlfferenL Lo whaL l mlghL have experlenced aL any oLher hosplLal has been, for beLLer or worse,a consequence ofLhe sheer slze of Lhe place. lL ls, afLer all, Lhe counLry's largesL hosplLal, houslng some 700 beds. 8elng a LerLlary-referral cenLre, many of Lhe hosplLal's deparLmenLs are cenLres of excellence, and lL has been a pleasure belng a parL of Leams LhaL have dellvered such excellenL sLandards of care Lo Lhe paLlenLs l have been lnvolved wlLh. Such cenLres of excellence Lend Lo aLLracL leaders ln Lhelr flelds who are, on Lhe whole, very capable ln sharlng Lhelr skllls and knowledge. AuP8's cllnlcal educaLlon and Lralnlng unlL (CL1u) does a parLlcularly good [ob of uLlllslng Lhese experLs for Lhe dellvery of hlgh quallLy formal Leachlng sesslons. 1here ls a hlgh level of supporL avallable from senlor 8MC's and consulLanLs. AfLer hours, cllnlcal nurse advlsors are excepLlonally helpful ln provldlng advlce and pracLlcal supporL. As resulL, l have rarely felL ouL of my depLh." unforLunaLely, such a large lnsLlLuLlon ls lnevlLably super-speclallsed, whlch ln Lurn llmlLs Lhe breadLh of cllnlcal exposure for [unlor docLors. lor example, Lhere ls only one house offlcer ln Lhe deparLmenL of general surgery aLLached Lo a Leam LhaL ls Lruly general ln lLs scope of pracLlce. erhaps even more frusLraLlng, ls Lhe lnordlnaLe amounL of Llme spenL dolng low-level admlnlsLraLlve Lasks (dlscharge summarles, requesLlng lnvesLlgaLlons eLc) whlle 8MCs pursulng Lhelr sub-speclalLy Lralnlng do Lhe real medlclne." 1haL sald l feel LhaL my year aL AuP8 has malnLalned my enLhuslasm for cllnlcal medlclne and seL me up wlLh Lhe skllls l need Lo Lake on hlgher levels of cllnlcal responslblllLy. M|dd|emore nosp|ta| ur A. Anna Chol Mlddlemore may one of Lhe buslesL hosplLals ln Lhe counLry, buL aL Lhe same Llme lL ls one of Lhe frlendllesL, llvellesL, lovellesL places Lo work ln. 1he unspoken work eLhos ls one of, "we're ln lL LogeLher." 1he facL LhaL ls has such a hlgh-Lurnover of paLlenLs ls whaL aLLracLs some of Lhe mosL renowned consulLanL speclallsLs Lo Mlddlemore, and Lhe unlque communlLy we serve ls whaL keeps every day so very lnLeresLlng!

10 9 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 9 1he good: Cenulne, approachable, down-Lo-earLh consulLanLs -- who are up for Lhe challenge and are aL Mlddlemore by cholce! lrlendly, llvely envlronmenL, where everyone smlles and says hello Lo one anoLher ln Lhe corrldor, from orderlles Lo cafe sLaff, Lo allled healLh professlonals, Lo medlcs aL all levels. 8eglsLrars who know Lhelr sLuff. And who are, on Lhe whole, amazlngly approachable and helpful. 1here ls olwoys someone you can ask for help, you are never alone, you are never wlLhouL someone you can call, and Lhe emergency Leam (made up of lCu reg, med reg, med house offlcer, and speclallsL nurses) are only a phone call away. Amazlng paLhology, condlLlons, laLe-presenLlng dlseases, all confounded by many co-morbldlLles. 1haL, and Lhe hlgh Lurnover of paLlenLs mean you wlll see and learn more Lhan you could ever lmaglne ln your flrsL year. "CeLLlng down Lo Lhe nlLLy grlLLy" - everyone ls busy so Lhey [usL geL on wlLh lL and geL Lhe [ob done. A real sense of servlce Lo Lhe communlLy. CreaL for geLLlng Lo "know Lhe players" for varlous vocaLlonal paLhways (especlally for Lhe surglcal dlsclpllnes, lmpresslng Lhem ls Lhe nexL challenge!). roLecLed house offlcer Leachlng Llme one hr/week (whlch Lhe organlsaLlon ls really pushlng Lo geL lngralned lnLo work/ward culLure), and Lhree Lwo-day workshops LhroughouL Lhe year whlch ls proLecLed Llme off Lhe wards (PC1Shop = house offlcers as Leachers workshop, SMA81Shop =healLh and wellbelng workshop, and 8CShop = professlonal developmenL workshop). 1eachlng hosplLal, wlLh close Lles Lo SouLh Auckland Cllnlcal School Llvlng ln a blg clLy llke Auckland has lLs appeal: glgs, shows, fesLlvals, Lhe maln lnLernaLlonal alrporL makes Lravelllng overseas LhaL much slmpler, warmer weaLher... arklng for $7.30/week! 1raln sLaLlon llLerally aL Lhe doorsLep of Lhe hosplLal.

1he noL-so-good: lL ls noL uncommon for Lhe hosplLal Lo be aL 120 capaclLy durlng Lhe wlnLer. 8usy hosplLal means long hours. And wlLh whaL seems llke a consLanL shorLage of docLors no doubL you wlll have some long weeks. 8MC unlL on-slLe sLruggles wlLh hlgh Lurnover of sLaff, meanlng varylng levels of experlence and helpfulness (we're worklng on Lhls!). lor Auckland ClLy PosplLal and Mlddlemore, worklng Lhe weekend means 12-days ln a row. Leave ls dlfflculL Lo geL - so geL your requesLs ln early, and be perslsLenL. l have loved worklng aL Mlddlemore, buL when people ask me lf l would recommend lL my response ls laden wlLh cauLlous opLlmlsm - yes, l would recommend Mlddlemore, hands-down, buL only lf you know whaL you're geLLlng yourself ln Lo! ?ou wlll be busy, buL Lhere ls a real sense of camaraderle, and afLer dolng your flrsL year of work aL Mlddlemore, very llLLle wlll phase you for Lhe resL of your career. BayofPlentyDHB Whakatane nosp|ta| ur. Lmlly Clll Wai katoDHB ConLacL: aul Mlller embroke SLreeL, PamllLon 3240 h: +64 7 838 0946 exL 4946 lax: +64 7 383 0941 Lmall: paul.mlller[walkaLodhb.org.nz Web: www.walkaLodhb.org.nz nam||ton Wa|kato nosp|ta| number of poslLlons ln 2011: 2210 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 10 WhakaLane, belng a small hosplLal, has a wonderful communlLy feel.?ou know everyone, and even recognlse Lhelr volces over Lhe phone! My flrsL lmpresslon was Lhe LelephonlsL comlng ouL behlnd her desk Lo greeL me, wlshlng me well and Laklng me Lo Lhe 8MC unlL.

!oy, Lhe 8MC coordlnaLor, has a wonderful personallLy wlLh 8MC lnLeresLs aL hearL.Powever, WhakaLane managemenL ls dlcLaLed by 1auranga whlch makes Lhlngs Lrlcky aL Llmes. lor lnsLance declslons abouL rosLerlng, leave approval and Lhe llke musL have 1auranga approval.

Slnce WhakaLane ls small, your experlence depends on your peers. lf you're frlends wlLh all Lhe house surgeons and you are all soclal, WhakaLane ls a fabulous place Lo begln your medlcal career.Llkewlse, Lhe supporL from Lhe SMCs depends on Lhe collecLlon of SMCs aL Lhe Llme. unforLunaLely, a hlgh Lurn-over raLe of SMCs means many are locums for only one year. As of 2011, Lhere were some greaL SMCs. 1he nurslng sLaff ls more sLable, wlLh many excellenL, experlenced and lovely people Lo Leach you loads. 8y and large, Lhe nurses undersLand Lhe role of [unlor docLors.

1he uP8 ls deLermlned Lo provlde a good Leachlng envlronmenL. 1here ls slgnlflcanL efforL made Lo have dally lunch-Llme Leachlng and nurslng sLaff do appreclaLe Lhls proLecLed Llme. lndeed !oy holds Lhe pagers. 1eachlng can be varlable, dependlng on Lhe collecLlon of SMCs aL Lhe Llme. 1here ls sLrong pollLlcal wlll Lo make WhakaLane an excellenL Leachlng faclllLy buL sLaff shorLages can prohlblL Lhls.

?ou'd be hard pressed Lo flnd a nlcer spoL Lo llve! 1here's beaches, bush-walks, an hour's drlve Lo many greaL spoLs (llke 8oLorua, 1auranga, LasL Cape) and even a good range of resLauranLs. lf your fellow house surgeons are a soclal bunch, Lhere's plenLy Lo do. Many docLors pay a blL more and llve on Lhe beauLlful beach of Chope. 8elng a small Lown, Lhere aren'L many young professlonals, buL several house surgeons l knew found reasonable flaLLlng slLuaLlons. A Llp, Lhough, ls Lo look for accommodaLlon once you've arrlved. 1rade Me doesn'L seem Lhe besL way Lo flnd a flaL ln WhakaLane. 8eLLer Lo use newspaper, word-of-mouLh or go Lo a real-esLaLe agenL. TarawhitiDHB G|sborne nosp|ta| ur. MaLL 8owe Clzzy (aka Clsborne") ls as close as you can geL ln C?1 Lo llfesLyle and work paradlse. lor Lhe prlce of a mouldy SouLh Auckland dungeon you can llve ln a nlce house, rlghL on Lhe beach, [usL 10mlnuLes drlve from work. 1here are ample cafe's/bars ln Lown and on Lhe waLerfronL, plus all Lhe necessary shops, amenlLles and sporLs clubs Lo keep you happy.

Clzzy ls a hands-on [ob, you spend heaps of Llme ln Lu or ln LheaLre, and wlLh no reglsLrars you do Lhe pleural Laps/chesL dralns/Ls/[olnL asplraLes/resus calls, lf you're keen a few of you wlll even do lnLubaLlons/cenLral llnes eLc. no reglsLrars nosp|ta|Number of os|t|ons (2011) 1auranga16 Whakatane4 1ota|20 12 1auranga nosp|ta| ConLacL: !an Slmeon rlvaLe 8ag 12024, 1auranga h: +64 7 379 8342 lax: +64 7 379 4323 Lmall: [an.slmeon[bopdhb.govL.nz Web: www.bopdhb.govL.nz Whakatane nosp|ta| ConLacL: !oy Sunlch C 8ox 241, WhakaLane h: +64 7 306 0830 lax: +64 7 306 0973 [oysunlch[bopdhb.govL.nz www.bopdhb.govL.nz LakesDHB ConLacL: !o hlpps rlvaLe 8ag 3023, 8oLorua h: +64 7 343 8711 lax: +64 7 349 7663 Lmall: [o.phlpps[lakesdhb.govL.nz Web: www.lakesdhb.govL.nz kotorua nosp|ta| number of poslLlons ln 2011: 10ConLacL: naLalle 8arreLL rlvaLe 8ag 7001, Clsborne h: +64 6 869 0300 exL 8026 lax: +64 6 869 0333 Lmall: naLalle.barreLL[Ldh.org.nz Web: www.Ldh.org.nz G|sborne nosp|ta| number of poslLlons ln 2011: 8 11 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 11 also means you work dlrecLly wlLh Lhe consulLanLs, lL's noL scary lL's ldeal, and all of Lhem excepL maybe one, are really supporLlve, approachable and keen Lo Leach. ?ou also geL hands-on paeds experlence ln Lu and on Lhe wards when you cover paeds on long days and weekends. lus Lhe 8MC coordlnaLor ls greaL and very rarely denles your leave requesLs.

ln Clzzy you'll also geL a unlque rlchness of culLure, every second paLlenL ln Lu ls Maorl, and many of Lhem have Lravelled hours from Lhe easL coasL, a sLreLch of coasLllne loaded wlLh gems. lus everyone who comes Lo Clzzy ls cool, so come here and you'll have a greaL Llme! TaranakiDHB New |ymouth nosp|ta| ur. 8yan 1aLnell kla ora from 1aranakl! Worklng ln 1aranakl ls much llke Lhe weaLher: wake up on a weL mornlng, Lake an afLernoon nap ln Lhe sunshlne. A few changes Lo make ln llfesLyle and some accllmaLlsaLlon may be requlred, buL can be specLacular lf lL's your Lhlng. 1he good PosplLal -LxLremely supporLlve 8MC unlL, probably one of Lhe besL around. -SweeL hosplLal cafe, llke. damn.-Closely knlL hosplLal communlLy, Lrue sense of Leamwork, colleglallLy, and everyone worklng LogeLher (usually) for Lhe common lnLeresLs. -Senlors who Lry Lo make your llfe easler (usually). -8lg enough Lo geL your feeL weL, buL noL blg enough Lo lose sense ln subspeclalLy. CreaL opporLunlLles for learnlng on Lhe [ob. 1he reglon -Surf, beaches, mounLalns, blklng, hlklng, and a communlLy LhaL loves Lhe ouLdoors. -unchlng-above-lLs-welghL cafe and bar scene. -When lLs summer: Lhere's no place you'd raLher be. 1he less good:PosplLal -lL's small.-lf you don'L cllck wlLh a personallLy, lL may be lmposslble Lo escape. -lormal Leachlng ls a blL average. 1he reglon -lL's a Lown of 70,000 populaLed prlmarlly by worklng class farmers, manufacLurlng and Lradespeople and employees of Lhe peLrochemlcal lndusLry. uon'L expecL an Auckland, ChrlsLchurch, Welly or uunner's soclal scene. -lf you're from ouL-of-Lown lL can be hard Lo leave famlly and frlends.-When lL's wlnLer: lf you don'L llke snow sporLs, l hope you llke knlLLlng. Cverall, 1uP8 ls greaL and Lhe good far ouLwelghs Lhe downsldes. 8uL lL may noL sulL everyone, so come on down (or up) wlLh an open mlnd and a brlghL smlle! We wlll make you feel welcome! ConLacL: karllna nlckson rlvaLe 8ag 2016, new lymouLh h: +64 6 733 6139 exL 8829 lax: +64 6 733 7860 Lmall : karllna.nlckson[Ldhb.org.nz Web: www.Ldhb.org.nz New |ymouth nosp|ta| number of poslLlons ln 2011: 1012 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 1 HawkesBayDHB nast|ngs nosp|ta| ur !un kwon l'm [usL a flrsL year house surgeon parLway Lhrough my flrsL run, so everyLhlng l wrlLe needs Lo be Laken wlLh a graln of salL, buL l've been really happy wlLh my cholce Lo come Lo Pawke's 8ay Lhls year. 1he good -roLecLed Leachlng Llme one hr/week for C?1 + weekly grand rounds, reglsLrar presenLaLlons on general medlclne, and radlology Leachlng. -Lveryone ls really frlendly and approachable, lncludlng consulLanLs from all speclalLles. 8elaxed work envlronmenL. -Cheap llvlng cosLs. Cheap renL compared Lo Auckland/WelllngLon. A group of flrsL years are paylng $130 for a modern manslon, on Lhe hlll looklng over Lhe clLy, wlLh a swlmmlng pool. -Medlcal house surgeons see and clerk paLlenLs ln Lu whlle on call, a greaL learnlng experlence. -8MC unlL generally ok granLlng leave, Lhough Lhere have been dlspuLes. -SweeL colleagues who hang ouL LogeLher. -WeaLher ls awesome - brlng your sunnles for lunchLlme when you slL ouL ln Lhe sun. -Cood food aL Lhe cafe - no moneLary resLrlcLlons on food, Lhough cholces can be low aL dlnnerLlme.-8lg enough Lo have reglsLrars for supporL, small enough so everyone knows everyone. -SweeL docLor's mess - old, buL spaclous, wlLh Sky 1v, Wll, Lable Lennls, snooker Lable, washlng machlne and dryer, klLchen, frldge, compuLers, bedrooms for on call regs. -Pawke's 8ay ls a really awesome parL of nZ - wlne, walks, beaches, sun, good blklng courses (loLs of docs blke lnLo work). -Lasy parklng, someLlmes. Secured car parks are a blL dlfflculL Lo geL, buL Lhere ls plenLy of on sLreeL parklng near Lhe hosplLal. -8ural pay scale (desplLe belng less busy on average Lhan oLher cenLres). 1he bad -8osLers always come ouL aL Lhe lasL mlnuLe. -PasLlngs (where Lhe hosplLal ls) ls raLher quleL. MosL docs llve ln napler, a 20-30mln commuLe (or 30mln blke rlde). -Workload flucLuaLes - buL usually you can flnlsh aL 4pm. -Clder persons healLh has no reglsLrars, and wlLh only Lwo consulLanL rounds a week, lL can be daunLlng for Lhe house surgeon runnlng Lhe shlp. 13 ConLacL: 8arbara 8owe rlvaLe 8ag 9014, PasLlngs h: +64 6 878 8109 exL 3884 lax: +64 6 878 1301 Lmall: barbara.rowe[hawkesbaydhb.govL.nz Web: www.Ldh.org.nz number of poslLlons ln 2011: 3 WhanganuiDHB ConLacL: Llsa llood rlvaLe 8ag 3003, Whanganul h: +64 6 348 3436 lax: +64 6 348 1316 Lmall : Llsa.llood[wdhb.org.nz Web: www.wdhb.org.nz Whanganu| nosp|ta| number of poslLlons ln 2011: 3 Mi d-centralDHB ConLacL: Molra LaLhorne rlvaLe 8ag 11 036, almersLon norLh h: +64 6 330 8849 exL 3884 lax: +64 6 330 8627 Lmall: 8mo.vacancles[mldcenLraldhb.govL.nz Web: www.mldcenLraldhb.govL.nz a|merston North nosp|ta| number of poslLlons ln 2011: 14 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 2 CapitalandCoast,HuttValleyandWairarapaDHB We|||ngton, nutt and Masterton hosp|ta|s ur. 8avl MlsLry Llke many house surgeons ln WelllngLon l enLered Lhe worklng llfe Lhere as an easy passage Lhrough my cllnlcal years aL Lhe WelllngLon School of Medlclne. 1he repuLaLlon LhaL WelllngLon PosplLal en[oyed aL LhaL Llme was mlxed, buL Lhe aLLracLlon remalned due Lo Lhe fanLasLlc clLy backdrop. now, havlng nearly puL my flrsL year behlnd me, l feel LhaL l can honesLly recommend WelllngLon and her hosplLal as a greaL clLy for work and play. 1he new hosplLal ls large and modern wlLh nearly all ma[or subspeclalLles avallable. Pere you have Lhe opporLunlLy Lo work alongslde greaL senlors, many sLemmlng from a medlcal educaLlon background. 8uL belng a large LerLlary hosplLal, lL lnevlLably leads Lo Lhe Llme old lssue of llmlLed conLacL wlLh consulLanLs. A loL of Lhls has been greaLly helped by havlng a large populaLlon of keen reglsLrars who can be easlly goaded Lo Leach. And desplLe Lhe percelved dlsLance from Lhe consulLanLs, many of Lhem remaln very keen Lo asslsL [unlors and also Lo encourage Lhose who show any lnLeresL or sparkle. Cbvlously egos do exlsL, and some deparLmenLs are noLorlous for Lhls, buL overall Lhey remaln an excepLlon raLher Lhan Lhe rule. ln addlLlon lssues seem Lo be Laken relaLlvely serlously by Lhe new seL of lnLern supervlsors (who also happen Lo be an lnvolved and supporLlve bunch). More slgnlflcanL problems do exlsL. rocedures are more scanL for C?1s, buL Lhe opporLunlLles exlsL lf you show lnlLlaLlve. 1here are some very real runs of concern where supporL ls scarce and opporLunlLles Lo exerclse any supporLed medlclne even rarer. Pavlng sald LhaL, Lhese runs are well known and Lhere are moves Lo lmprove Lhelr sLafflng. Some house surgeons even speak poslLlvely of Lhese runs ln reLrospecL. 1he formallsed Leachlng sesslons seem Lo have had an overhaul buL are of varlable quallLy ln comparlson Lo Lhe slsLer uP8s of PuLL valley and Walrarapa. Cood accommodaLlon can be a sLraln Lo flnd due Lo Lhe anomalous sLarLlng daLe of C?1. 1he ma[orlLy of 8MCs end up llvlng ln Lhe surroundlng newLown or ln Lhe clLy proper. 1he renL can be more exLravaganL Lhan you mlghL expecL and Lhe cosL of llvlng ls hlgh. 1hls ls perhaps noL fully palred Lo Lhe clLy pay scale - especlally ln comparlson Lo some of Lhe smaller provlnclal hosplLals where you probably won'L be worklng as hard. 1he fllpslde ls LhaL Lhe clLy ls compacL and can be easlly uLlllsed by people wanLlng Lo make Lhe mosL of Lhe urban llfesLyle, or en[oy Lhe surroundlng ouLdoors. WelllngLon ls a hands down greaL place Lo work. lf you're wllllng Lo go Lhe exLra mlle you wlll sLand Lo galn much Lechnlcal medlcal knowledge and solld fundamenLals as a [unlor. ln addlLlon you geL Lhe sLar aLLracLlon of llvlng ln a greaL accesslble clLy, whlch boasLs a Lrendy nlghLllfe, well known annual evenLs and varlous culLural and cullnary fesLlvals. lf you are wllllng Lo go Lhe exLra mlle l recommend you puL WelllngLon on your dlfferenLlal! ur. LllzabeLh Carr Worklng aL CCuP8 and PvuP8 has offered me a good foundaLlon for medlclne and has exLended my skllls and experlences. AlLhough a busy hosplLal, Lhe WelllngLon general medlcal and general surglcal wards are well used Lo flrsL year house surgeons, and Lhere ls supporL from Lhe oLher sLaff as you learn Lhe varleLy of skllls requlred Lo be successful(boLh medlcal and non-medlcal). Slnce Lhe hosplLal ls busy, you wlll flnd LhaL you need Lo be proacLlve and organlsed Lo geL Lhe mosL ouL of your Llme, buL lf you can do Lhls Lhere are many opporLunlLles Lo be had. 16 ConLacL: 8ussell Polder rlvaLe 8ag 7902, WelllngLon h: +64 4 806 2331 lax: +64 4 383 3371 Lmall: rmo_recrulLmenL[ccdhb.org.nz Web: www.caplLalhealLhcareers.org.nz We|||ngton, nutt and Masterton hosp|ta|s number of poslLlons ln 2011: 40 14 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 3 1here are a large number of house surgeons around Lo help ouL - cerLalnly on busy days lL was nlce Lo have an exLra helplng hand, and lL ls usually easy Lo organlse shlfL swaps. ?ou geL Lo eaL lunch and "debrlef" wlLh Lhe house surgeons and reglsLrars whlch adds Lo Lhe feellng of camaraderle. 1here ls also Lhe medlcal school on slLe so Lhere are medlcal sLudenLs on your Leam and Lhe medlcal llbrary ls also avallable lf needed. ?ou need Lo apply early for leave, buL l was able Lo geL leave for ChrlsLmas, a hollday ln !anuary and also ln !une wlLhouL any Lrouble. lL ls worLh Lalklng Lo recenL house surgeons as some runs are noLorlously busy and oLhers more sedaLe. Some people seem Lo flL some runs beLLer Lhan oLhers and lL ls worLh knowlng whaL wlll make you happy and Lrylng Lo organlse Lhe runs you wanL Lo do. Llvlng ln WelllngLon ls a loL of fun and Lhere ls always heaps golng on - sLarLlng ln november means you geL Lhe besL of Lhe summer when you flrsL arrlve. llaLLlng ln newLown ls affordable and wlLhln walklng dlsLance of Lhe hosplLal. 1here are many houses whlch are noL sLudenL flaLs and are qulLe nlce! 1he orlenLaLlon week has been vasLly lmproved ln recenL years and now lncludes boLh a refresher of Lhe C8 course and Lhe ALL81 course whlch are very helpful Lralnlng for your flrsL days on call. 1eachlng ln flrsL year ls relaLlvely ad hoc, alLhough Lhere have been slgnlflcanL lmprovemenLs recenLly. 1here ls proLecLed house surgeon Leachlng Llme (as per Lhe MLCA conLracL) whlch ls reasonably useful. Cnly occaslonally are Lhere cllnlcal skllls Leachlng sesslons and Lhese geL booked ouL qulckly. 1he 8MC unlL ls sLaffed by a wonderfully supporLlve Leam who really Lry Lo help you flnd your place ln Lhe hosplLal. 1he lnLern supervlsors are also approachable and are avallable for a range of useful advlce and supporL. Cverall, WelllngLon and PuLL valley have been whaL l expecLed from Lalklng Lo medlcal sLudenLs and recenL house surgeons wlLhouL any ma[or surprlses. l have en[oyed a very good work llfe balance, have been able Lo underLake a dlploma paper on Lop of worklng and have felL supporLed whenever Lhere were cllnlcal lssues l couldn'L solve for myself. 1here have been busy and sLressful days (and even a couple of whole sLressful weeks) buL cerLalnly lL has been very manageable overall. l would recommend WelllngLon as a solld place Lo sLarL your early years as a docLor. CanterburyDHB Chr|stchurch nosp|ta| ur. Sheng-Pul Wong ChrlsLchurch ubllc ls a large busy Leachlng hosplLal wlLh 600+ beds. 1he Cood: -Large hosplLal, plenLy of cases and advanced cases Lo be seen LhaL may be Lransferred away from smaller hosplLals. -MulLlple subspeclalLles Lo Lry, greaL lf you're lnLeresLed ln geLLlng lnLo LhaL speclalLy Lo Lry and geL your face known Lo Lhe crowd. -Large paLlenL load, you're busy buL you learn plenLy on Lhe [ob and how Lo manage your [ob efflclenLly. Cnce you can manage a busy Leam, you can manage anyLhlng. -MosL speclalLles have reglsLrars or oLher senlor house surgeons floaLlng around so you have someone Lo Lurn Lo lf you have quesLlons. 1hls ls also greaL lf you're on call. NelsonMarlboroughDHB Ne|son nosp|ta| ConLacL: LoreLLa MaLheson rlvaLe 8ag 18, nelson h: +64 3 346 1873 lax: +64 3 346 1811 Lmall: loreLLa.maLheson[nmhs.govL.nz Web : www.nmdhb.govL.nz number of poslLlons ln 2011: 8 Wa|rau nosp|ta| ConLacL: lp SmlLh C 8ox 46, 8lenhelm h: +64 3 320 9677 Lmall: plp.smlLh[nmdhb.govL.nz Web: www.nmdhb.govL.nz number of poslLlons ln 2011: 3 ConLacL: karen Schaab rlvaLe 8ag 4710, ChrlsLchurch h: +64 3 364 1383 lax: +64 3 364 0897 Lmall: karen.schaab[cdhb.govL.nz Web: www.cdhb.govL.nz Chr|stchurch nosp|ta| number of poslLlons ln 2011: 32 15 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 4 -Lase of access Lo lnvesLlgaLlons. Many whlch can easlly be requesLed by house surgeons raLher Lhan havlng Lo go Lhrough someone more senlor. -Weekly Wednesday Leachlngs. ur !ohn 1hwalLes ls Lhe 8MC co-ordlnaLor and ls hugely supporLlve of nurLurlng 8MCs. -CreaL lf you already know Lhe place. lL's always a sLeep learnlng curve Lo undersLand a new sysLem, new guldellnes, new geography and new people from a hosplLal. SLaylng ln ChrlsLchurch lf you're from here wlll Lake LhaL sLress facLor away and leL you focus on geLLlng used Lo your new [ob. -8MC acLlvlLles, Lhere are weekly sporL groups e.g. neLballs, Louch and annual LalenL shows and even [olnlng ln good old nZMSA/CMSA sLudenL evenLs e.g. Lhe MASdebaLe whlch ls always good fun. -1ls. ln a Leachlng hosplLal, ofLen you geL palred up wlLh one. lf you happen Lo geL a good one, noL only do you half your workload buL Lhey're also a greaL coffee buddy. -Coffee. 8oaLshed cafe ouLslde Lhe hosplLal ls fanLasLlc. ?ou also have 2 oLher opLlons lnslde Lhe hosplLal lf you're shorL of Llme. -Advanced compuLer sysLem, ConcerLo. Cnly when you don'L have lL do you reallse how nlce lL ls Lo have everyLhlng on one log ln and Lo have Lhe ablllLy Lo access old cllnlcal noLes ln one cllck. -LxLra duLles. 1here are plenLy of opporLunlLles floaLlng around lf you wanL some exLra moolah for LhaL nlce skl Lrlp! -arklng faclllLles. arklng buldllngs were Laken down durlng Lhe blg evenL. Powever, Lhey made a new one whlch ls free Lo all and only abouL 3-10mlns walk away. -8ased ln a large clLy wlLh a number of acLlvlLles, resLauranLs, cafes and shopplng opporLunlLles. WesLfleld 8lccarLon mall ls one of Lhe blggesL and besL malls LhaL all Lhe blg brands clLy goers love. -Close Lo surroundlng ouLdoor acLlvlLles. ClLy close Lo Lhe beach, Lhe mounLalns for skllng and Panmer for Lhe hoL sprlngs. lllghLs Lo oLher clLles and counLrles are also very reasonable. 1he 8ad: -no one can deny ChrlsLchurch ls affecLed by Lhe blg evenL". Some speclalLles are more affecLed Lhan oLhers e.g. general medlclne whlch ls spllL lnLo Lwo slLes. Some people may flnd Lhls dlfflculL Lo work wlLh.-1he cenLral clLy ls also affecLed so surroundlng Lrafflc can be congesLed buL Lhere are enough acLlvlLles around Lhe clLy Lo keep you lnLeresLed. -8MC unlL ls a busy place managlng a large number of docLors. Pence ofLen LlmeLables and paychecks can be lncorrecL or less Lhan ldeal. As wlLh mosL places, know your 8uA rlghLs and be sure Lo make sure you're LreaLed rlghL. -Large hosplLals have reglsLrars and oLher senlor colleagues around. Powever, on Lhe downslde, Lhls means less hands on experlence for you. ?ou wlll need Lo work Lwlce as hard lf you wanL some LheaLre Llme. -aperwork ls someLhlng you have Lo puL up wlLh everywhere. Powever, large busy hosplLals also mean an especlally large amounL of paperwork. -lL also means lL's hard Lo flnlsh on Llme especlally ln general surgery and medlclne.l'd see lL has a huge bonus lf you ever flnlsh on Llme. -3rd quarLer. Already shorL sLaffed ln mosL places, belng ln a LerLlary hosplLal such as Chch wlll deflnlLely make you work for you money. -lood: reasonably large selecLlon, however mosL people don'L rave abouL lL. SLlll, free food ls beLLer Lhan no food. -?ou wlll lnevlLably need Lo puL up wlLh Lhe good ol shakes! 8uL Lhey're noL Loo bad once you geL used Lo Lhem. ChrlsLchurch could always do wlLh more help from Lhose who are keen. SouthCanterburyDHB ConLacL: Maree Mackenzle rlvaLe 8ag 911, 1lmaru h: +64 3 687 2389 lax: +64 3 687 2369 Lmall: mmackenzle[scdhb.healLh.nz Web: www.scdhb.co.nz 1|maru nosp|ta| number of poslLlons ln 2011: 6 16 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 5 SouthernDHB Duned|n nosp|ta| ur !ane ?eo[eong So 1he good -1eachlng hosplLal: all abouL evldence based medlclne and Leachlng ward rounds and weekly medlcal rounds and [ournal clubs eLc.-CenLre of 8AC exam Lralnlng programme: you geL a gllmpse aL whaL ls lL llke Lo prepare for physlclans' exams. -lrom whaL l heard, all our surgeons are nlcer and more approachable compared Lo oLher clLles. -LveryLhlng ls wlLhln walklng dlsLance from Lhe hosplLal, you can go Lo Lhe bank on your lunch break! -Cheaplsh accommodaLlon buL you may have Lo flghL wlLh Lhe sLudenLs lf you wanL Lo llve ln Lown! -Close Lo beaches and CueensLown/Wanaka. -8easonably easy Lo geL leave. -1he 8MC Cfflce ls qulLe good aL followlng MLCA buL lL may soon change as we have had a blg Lurnover ln 8MC offlce recenLly. -8MC offlce ls really good ln flnanclally supporLlng you lf you wanL Lo Lake CbsCyn dlploma, ophLhalmology course eLc.

1he bad -no room for house surgeon Lo admlL paLlenLs excepL on nlghLs. -Llke many LerLlary hosplLals, loLs of paper work (from chesL paln paLhways Lo sLroke paLhways...). -LlmlLed resources ln 8MC room, we only have couple of couches, dusLy sLereo, 1v/Sk? and compuLer/prlnLer aL end of Lhelr llves. no locker, shower or bed. 1heoreLlcally Lhere ls a room on each floor for Pouse Surgeons Lo drop off Lhelr bags buL lL's abouL Lhe slze of a dlsabled LolleL aL lLs besL, Lhere ls no compuLer or desk (and lL's Loo nolsy wlLh all Lhe compuLer cables golng Lhrough anyway!). -arklng geLs dlfflculL once unl sLarLs ln full swlng. -8MC wlll Lry Lo ask female house offlcers abouL Lhelr famlly plannlng. -MlcromanagemenL from consulLanLs -- can be good or bad, Lhey really llke Lo know everyLhlng, and l mean everyLhlng, and wanL Lo be called aL nlghL. Duned|n nosp|ta| ConLacL: nlna Clles rlvaLe 8ag 1921, uunedln h: +64 3 474 0999 exL 8403 lax: +64 3 474 7713 Lmall: nlna.glles[souLherndhb.govL.nz Web: www.souLherndhb.govL.nz number of poslLlons ln 2011: 21 Invercarg||| nosp|ta| ConLacL: !en Allen C 8ox 828, lnvercarglll h: +64 3 218 1949 exL 8338 lax: +64 3 214 7242 Lmall: [en.allen[souLherndhb.govL.nz Web: www.souLherndhb.govL.nznumber of poslLlons ln 2011: 6 17 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 6 Cne of Lhe besL Lhlngs abouL sLarLlng work ls Lhe freedom you galn from earnlng your own money.lL's easy Lo feel overwhelmed by Lhe flnanclal declslons you need Lo make as you embark on a busy year, so here are our Lop Llps for new graduaLes. A LITTLE TIME NOW MEANS A BIG PAY OFF INTHE FUTURE Spend some Llme revlewlng your flnances or dlscusslng wlLh a MAS advlser - Lhe earller you seL up a plan, Lhe easler lL wlll be Lo sLay on Lrack. DEBT MANAGEMENT More Lhan 73 of medlcal sLudenLs graduaLe wlLh over $30,000 of debL, so don'L sLress! 8ulld a plan. ay off your hlgh lnLeresL debL flrsL. 1alk Lo your MAS advlser abouL consolldaLlng your debL or helplng you deslgn a paymenL plan LhaL ls wlLhln your budgeL. 8emember: noL all debL ls bad. SmarL debL bullds on your asseLs, for example your educaLlon or a home. SomeLlmes lL ls necessary Lo borrow money - buL lf you seL up a reallsLlc paymenL Lerm and sLlck Lo lL, you are bulldlng your fuLure credlL hlsLory. Make sure you undersLand Lhe Lerms and condlLlons of any loan, lncludlng Lhe lnLeresL charged, relaLed fees, and Lhe consequences lf you are unable Lo make paymenLs. Student loanlf you earn more Lhan Lhe repaymenL Lhreshold of $19,084 (abouL $367 per week) for Lhe Lax year (1 Aprll Lo 31 March), you are requlred Lo sLarL maklng repaymenLs Loward your loan. lf you pay vla your employer, 10 cenLs of every dollar you earn over Lhe repaymenL Lhreshold wlll be deducLed from your salary or wages. lf you go overseas, you wlll need Lo keep l8u lnformed of your conLacL deLalls.lnLeresL applles on your loan whlle you are away (lf you are overseas for 184 days or more ln LoLal ln Lhe year), alLhough you may be enLlLled Lo a sLudenL loan repaymenL hollday for up Lo Lhree years. More lnformaLlon can be found aL hLLp://www.lrd.govL.nz. Credit cardsWhen managed well, credlL cards can be a convenlenL way Lo pay: Lhey're useful lf you don'L have enough savlngs, wanL Lo pay onllne, or ln an emergency. 8uL lf you fall Lo pay Lhem off ln full each monLh - or you spend more Lhan you can afford - you can geL lnLo Lrouble. 1he longer you leave an unpald credlL card balance, Lhe more expenslve lL geLs. Finances Step 1 Financial assessment: Where am I now? llnd ouL your sLarLlng salary and whaL oLher enLlLlemenLs your employmenL Lerms lnclude such as holldays, slck leave, bonuses and commlsslon. ?our employmenL conLracL wlll conLaln Lhls and oLher lmporLanL lnformaLlon - Lake Lhe Llme Lo read lL. Step 2 Goal setting: Where do I want to be? 8efore you spend all of your flrsL pay, lL ls worLh Lhlnklng abouL whaL you wanL Lo achleve. Step 3 Financial plan: How do I get there? A good flnanclal plan wlll cover Lhree maln areas. - uebL ManagemenL - Savlngs & lnvesLmenL - 8lsk ManagemenL 18 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 7 Make sure you check Lhe fees, lnLeresL raLes and reward schemes lncluded ln any credlL card agreemenL.lf you Lhlnk you mlghL have Lrouble conLrolllng your credlL card spendlng, you may flnd LhaL a deblL card ls a beLLer soluLlon, ln LhaL Lhere ls less chance of spendlng more Lhan you can afford. SAVINGS & INVESTMENTS Make sure your money ls worklng as hard as posslble for you. 8aLher Lhan leavlng any spare cash ln an everyday cheque or savlngs accounL, seL up a hlgh lnLeresL earnlng accounL.Check ouL opLlons LhaL allow for Lax savlngs where posslble. An accounL or lnvesLmenL seL up as a orLfollo lnvesLmenL LnLlLy (lL) ls a greaL opLlon because you pay Lax on lnvesLmenL lncome based on your prescrlbed lnvesLor raLe (l8), raLher Lhan your sLandard Lax raLe. Savers who beneflL Lhe mosL are Lhose on a 30 or 33 lncome Lax raLe, because a lL caps your Lax raLe aL 28. lor new graduaLes Lhe l8 ls based on eltbet of your lasL Lwo years of Laxable lncome. As your 1ralnee lnLern Lax-free granL does noL counL as Laxable lncome, your C?1 and C?2 years l8 could be as low as 10.3. lf you have money LhaL you are prepared Lo lock away for a perlod of Llme, you can geL even hlgher lnLeresL raLes ln a debenLure or Lerm deposlL. Make Lhe mosL of your spendlng. Some credlL cards can be llnked Lo reward schemes llke lly8uys - lnvesLlgaLe Lhe opLlons avallable Lo you. ?ou should also Lhlnk abouL reLlremenL savlngs now. SLarLlng early ls Lhe best way Lo save money ln Lhe long run. As a docLor worklng for a uP8, you may be enLlLled Lo subsldlsed superannuaLlon. 1he 2012 MLCA agreemenL allows for up Lo 6 of your salary Lo be maLched by a glven uP8. ?ou have Lhe opLlon of a sLandard superannuaLlon plan (subsldlsed by your uP8) or klwlSaver, whlch ls subsldlsed by your employer and by Lhe CovernmenL. ?our superannuaLlon funds are lnvesLed ln your cholce of porLfollo and managed by a Leam of experLs. 1hls ls a slmple way Lo lnvesL ln your reLlremenL over Lhe long Lerm. SpllLLlng your conLrlbuLlons beLween sLandard superannuaLlon and klwlSaver ls a good way Lo geL Lhe mosL from boLh schemes. 8ecause superannuaLlon ls a long-Lerm lnvesLmenL, you should conslder Lhe beneflLs and resLrlcLlons of each Lype of producL. 1alk Lo a MAS advlser before you slgn up. RISK MANAGEMENT Make a plan Lo proLecL whaL you already have. SLarL by dolng a rlsk assessmenL. When you conslder your asseLs, you may Lhlnk of your car, your possesslons and your savlngs - buL once you graduaLe, you lnsLanLly have a new one. ?our ablllLy Lo earn lncome as a docLor ls your mosL valuable asseL, and lL ls lmporLanL LhaL you proLecL lL. ?our [ob pays an lncome LhaL allows you Lo malnLaln a cerLaln llfesLyle. ?our lncome glves you cholces - Lo buy, Lo save and Lo borrow. Ask yourself these five questions: What are your potential risks?1hese rlsks could lnclude a flre ln your home, your car geLLlng sLolen, you falllng lll and noL belng able Lo work, or even deaLh.

Tax refund AL Lhe end of Lhe flnanclal year (31 March) of your flrsL Pouse Cfflcer year, you wlll have worked slnce november of Lhe prevlous year. ?ou may be enLlLled Lo a Lax refund as you only worked for parL of LhaL year. 1o flnd ouL how Lo apply for Lhls refund, conLacL an l8u represenLaLlve by phone or look onllne aL hLLp://www.lrd.govL.nz. 19 Voluntary repayment bonus lf you pay off your sLudenL loan fasLer Lhan requlred, you mlghL be ellglble for a 10 repaymenL bonus. volunLary repaymenLs are made on Lop of whaL you are requlred Lo repay Lo lnland 8evenue over a Lax year. 1o quallfy for Lhe repaymenL bonus, a surplus lump sum (or smaller paymenLs) musL LoLal $300 or more ln a glven Lax year (1 Aprll Lo 31 March). 1he bonus only applles Lo repaymenLs made Lo l8u - noL lf you repay wlLh SLudyLlnk prlor Lo Lhe end of your course. NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 8 What are the chances of these risks occurring?1here ls probably only a small rlsk of a flre ln your home, buL lL wlll cosL a loL lf lL happens. 1he chances of your car geLLlng damaged or sLolen are much hlgher, buL Lhe cosLs wlll noL be as greaL as loslng your home. ?our rlsk of geLLlng slck and noL belng able Lo work are also qulLe low - buL lL mlghL noL Lake much Lo render you unable Lo work as a docLor, as opposed Lo someone ln lower skllled work. ?our rlsk of deaLh ls qulLe low lf you are young and healLhy. What would happen?lf Lhere was a flre ln your home, you could lose Lhe house (lf you own lL), and all of your possesslons lnslde lL, slmllar Lo your car. lf you goL slck and could noL work, your famlly mlghL have Lo supporL you, and you mlghL noL be able Lo conLlnue savlng for Lhe Lhlngs you planned. Would your famlly have Lo glve up work Lo look afLer you?lf you dled, your famlly would have Lo arrange a funeral and Lend Lo your affalrs. How much would it cost?Would you have enough money saved Lo cover Lhese cosLs? Would you wanL Lo dlp lnLo your reLlremenL savlngs Lo cover Lhem? lf you are unable or do noL wanL Lo afford Lhe consequences of Lhese rlsks, you should conslder lnsurance cover. lor lnsLance, you would mosL llkely lnsure a car lf you already own one. Powever lf you do noL own your home or have mlnlmal belonglngs, you may be LempLed Lo noL purchase house and conLenLs lnsurance. WhaL many people do noL conslder ls whaL happens lf your landlord's properLy ls accldenLally damaged by you or your flaLmaLes. lf you cause a flre, you could be charged Lens, or hundreds of Lhousands of dollars for Lhe repalr. ?ou should conslder Laklng ouL a small conLenLs lnsurance pollcy wlLh a personal llablllLy componenL. lf your parenLs are lnsurlng you, make sure Lhe lnsurance company ls aware - oLherwlse you mlghL noL be covered ln Lhe evenL of a clalm. lncome securlLy or lncome proLecLlon lnsurance wlll pay you an lncome lf you cannoL work due Lo lllness or ln[ury. lL ls easler Lo seL up when you are young, as your appllcaLlon ls based on your healLh now. 1he same goes for your lnsurlng your llfe. Llfe lnsurance ls a lump sum paymenL made when you dle. lL ls used Lo ensure LhaL your debL ls pald off and your dependenLs are provlded for. ?ou mlghL noL Lhlnk you need Lo worry abouL lL aL Lhls sLage ln your llfe, buL lL ls a good ldea Lo seL a pollcy up early so LhaL you do noL have Lo face excluslons laLer down Lhe Lrack. What will you do if you need surgery or you make a mistake at work? llnally do noL forgeL general healLh lnsurance and your professlonal lndemnlLy cover. IN SUMMARY SeL aslde some Llme Lo compleLe a flnanclal assessmenL.1hlnk abouL your shorL and long Lerm goals. lnvesLlgaLe your enLlLlemenLs, work on a reallsLlc monLhly budgeL and make a long Lerm flnanclal plan. ay off any hlgh lnLeresL debL. SeL up regular savlngs as well as long-Lerm savlngs. 1hlnk abouL your asseLs and make a plan Lo proLecL Lhem. ?ou can also flnd some useful savlngs and budgeLlng Lools aL www.sorLed.org.nz. lf you need help or have quesLlons, conLacL a MAS flnanclal advlser Loday by phonlng 0800 800 627 or emall lnfo[mas.co.nz. 20 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 9 Your degree willtake you places.The MAS New Professionals Pack will help you get there.Graduation is a perfect time to start planning your nancial future. The MASNew Professionals Pack delivers trimmed down costs and free advice. Life insurance. A premium discount for up to ve years after you graduate.1Finance. Enjoy nance at a reduced interest rate with no fees for up to veyears after you graduate.2Income Security insurance. A premium discount for up to three years afteryou graduate.1And, your future could look even better with Medical Assurance SocietyKiwiSaver Plan and Retirement Savings Plan investment options, which qualifyfor employer superannuation contributions.3 MAS. With you every step of the way.Call us todayEmail info@mas.co.nzVisit us online at www.mas.co.nz1 Full terms, conditions and exclusions are contained in the policy documents which are available by calling us on 0800 800 627. Normal underwriting criteria apply to all insurances. 2 Medical Securities Limiteds (MSL) normal lending criteria apply for all credit and loans, and your application is subject to acceptance by MSL. 3 For a copy of the latest registered prospectus or investment statement for our investment products, please call 0800 800 627.MAS Graduates Ad A4 Feb12_1F.indd 1 3/02/12 12:43 PM NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 10 Medical liability All docLors requlre medlcal pracLlce lndemnlLy whlch can be obLalned Lhrough Lhe Medlcal roLecLlon SocleLy, Lhe new Zealand Medlcal rofesslonals' Medlcal lndemnlLy lnsurance, or Lhe new Zealand 8esldenL uocLors' AssoclaLlon's professlonal llablllLy lnsurance programme. 1he cosLs of pracLlce lndemnlLy for hosplLal docLors wlll be meL by Lhe employlng uP8. The MECA contract All ulsLrlcL PealLh 8oards use Lhe 8esldenL uocLors' AssoclaLlon and ulsLrlcL PealLh 8oards MulLl Lmployer CollecLlve AgreemenL (8uA MLCA). 1hls agreemenL conLalns Lhe Lerms and condlLlons of employmenL for house surgeons employed aL uP8s ln new Zealand. under new Zealand employmenL law, lf a workplace uses a MLCA, all new employees musL be employed under LhaL MLCA for Lhe flrsL LhlrLy days of Lhelr employmenL. All new house surgeons musL be employed under Lhe 8uA MLCA for Lhelr flrsL 30 days of employmenL.1herefore, when you are offered a poslLlon aL a uP8, Lhe conLracL you wlll be presenLed wlLh wlll be a copy of Lhe 8uA MLCA. ?ou wlll be auLomaLlcally slgned up Lo Lhls MLCA and your employmenL wlll be covered by Lhe Lerms and condlLlons ouLllned ln Lhe documenL. 1he purpose of Lhls 30 day 'wlndow' ls Lo glve new employees Llme Lo make Lhe declslon wheLher or noL Lo [oln Lhe 8uA (Lhe unlon). lf you choose Lo [oln Lhe 8uA wlLhln Lhe flrsL 30 days, your employmenL wlll conLlnue under Lhe MLCA. lf you have noL [olned Lhe 8uA wlLhln Lhe 30 days, you wlll be requlred Lo slgn an lndlvldual employmenL agreemenL (lLA).1he uP8 wlll supply you wlLh a copy of Lhls lLA. 1he lLA ls based on Lhe MLCA, so Lhe same Lerms and condlLlons wlll apply. ?ou can also choose Lo [oln Lhe 8uA aL any Llme ouLslde Lhe 30 days, even lf you have slgned an lLA. ln Lhls slLuaLlon, as soon as you [oln Lhe 8uA, you wlll auLomaLlcally be covered by Lhe MLCA and your lLA wlll no longer be ln place. Cne of Lhe roles of any unlon ls employee represenLaLlon. lf you become a unlon member, Lhe unlon wlll represenL you lf you have any employmenL lssues or need employmenL advlce. 1he new Zealand Medlcal AssoclaLlon wlll also provlde Lhelr members wlLh employmenL advlce, buL Lhey do noL offer a represenLaLlon servlce for employmenL lssues. Medico-legal matters ut Aloo uotls of tbe MeJlcol ltotectloo 5oclety explolos wby MeJlco-leqol mottets ote so lmpottoot, ooJ bow to ovolJ commoo ttops fot yoooq ployets. Medlco-legal prlnclples underpln cllnlcal pracLlce. lL ls ofLen cases where Lhere are eLhlcal or legal dllemmas whlch are Lhe mosL challenglng and lnLeresLlng. Powever, ln all cases lL ls lmporLanL LhaL docLors apply cllnlcal knowledge ln a way LhaL ls legally and eLhlcally approprlaLe, Lo consulL senlor colleagues and avold worklng ln a vacuum. Slmple Lhlngs llke wrlLlng conclse and accuraLe records, geLLlng valld consenL from paLlenLs and knowlng when Lo seek advlce can help you pracLlse safely. Legal stuff 22 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 11 All healLh provlders need Lo be famlllar wlLh Lhe Code of PealLh and ulsablllLy Consumers 8lghLs. 1he Code seLs Lhe sLandards of servlce LhaL a consumer has Lhe legal rlghL Lo recelve, and a docLor has a duLy Lo provlde. When someLhlng goes wrong wlLh Lhe care of a paLlenL lL ls Lhese rlghLs and duLles whlch wlll be referred Lo lf Lhere ls a revlew by an auLhorlLy such as Lhe PealLh and ulsablllLy Commlssloner. 1he Medlcal Councll of new Zealand ls responslble for ensurlng LhaL docLors are flL Lo pracLlce and seLs sLandards of conducL and compeLence whlch musL be adhered Lo. lf a docLor does noL meeL Lhe sLandards seL by Lhe Medlcal Councll Lhen Lhere ls a rlsk of resLrlcLlons belng placed on Lhe docLor's scope of pracLlce, or even loslng reglsLraLlon compleLely. 1hls ls a very hlgh prlce Lo pay glven Lhe many years of dedlcaLlon and work requlred Lo galn reglsLraLlon as a docLor ln Lhe flrsL place. Avoiding traps for young players uocLors aL Lhe sLarL of Lhelr career face some parLlcular medlco-legal hazards and so you may flnd some Llps Lo avold Lhe flve mosL common ones helpful. Consent ?ou should noL feel pressured Lo do anyLhlng beyond your knowledge, experlence and compeLence, Lhls lncludes obLalnlng consenL for a procedure LhaL you are noL famlllar wlLh. Always geL a senlor Lo explaln or demonsLraLe lL as parL of Lralnlng. lallure Lo Lake consenL properly can lead Lo medlco-legal problems lncludlng complalnLs and dlsclpllnary proceedlngs. lf your acLlons are scruLlnlsed you'll need more Lhan a slgnaLure on a consenL form Lo flghL your corner. ConsenL ls a process, raLher Lhan a form-fllllng exerclse. Survlval Llps -Always acL ln your paLlenL's besL lnLeresLs. -8ecord ln Lhe noLes whaL a paLlenL has been Lold.use your common sense - consenL ls paLlenL-speclflc and depends on Lhe lndlvldual's clrcumsLances, lncludlng age, llfesLyle, occupaLlon, sporLlng lnLeresLs, expecLaLlons eLc.-lL may well be LhaL you are noL ln a poslLlon Lo advlse fully, for example wlLh professlonal sporLs people. -Lnsure LhaL lnformaLlon glven Lo paLlenLs ls ln a form whlch Lhey can undersLand. -aLlenLs are presumed compeLenL Lo consenL unless proved oLherwlse. -A compeLenL adulL can refuse LreaLmenL. -1he law concernlng lncompeLenL adulLs, who are unable Lo glve valld consenL, ls more compllcaLed. lf you are ln doubL consulL senlor colleagues. -8emember Lhere are clrcumsLances where a chlld can glve consenL wlLhouL reference Lo a parenL - lf ln doubL consulL a senlor colleague. Prescribinglf you are unsure abouL a prescrlpLlon, or mlshear on a ward round, always seek clarlflcaLlon, never guess. Usefu| ||nks Medlcal Councll of new Zealand - hLLp://www.mcnz.org.nz/. 1he 8esources" Lab leads Lo a number of sLandards and guldellnes publlshed by Lhe Councll. PealLh and ulsablllLy Commlssloner - hLLp://www.hdc.org.nz/. 1he Code of PealLh and ulsablllLy Consumers 8lghLs can be found here as well as a range of lnformaLlon abouL Lhe Commlssloner's offlce and coples of lnvesLlgaLlons carrled ouL. Usefu| ||nks 1he Medlcal Councll's sLaLemenL on lnformaLlon and ConsenL:hLLp://www.mcnz.org.nz/porLals/0/publlcaLlons/2011-lnformaLlon and ConsenL.pdf. 23 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 12 When prescrlblng, Lhe hazard warnlng llghLs ln your braln should be flashlng perslsLenLly. 1hls ls one of Lhe mosL dangerous areas for all cllnlclans. lrom over-prescrlblng, Lransferrlng lncorrecLly Lo new charLs and prescrlblng for Lhe wrong paLlenL, Lo forged prescrlpLlons and overdoses, lncorrecL dosages, lnLeracLlons, and allergles, prescrlblng ls fraughL wlLh compllcaLlons. lL ls lmperaLlve LhaL you have a good knowledge of Lhe pharmacology and Lhe leglslaLlon surroundlng drugs, and Lhe hosplLal proLocols and conLrolled drug rouLlnes - lf unsure, ask. Always documenL allergles and double check names, doses, frequency and, ln some cases, (llke anLlconvulsanLs), brand names. ?ou should noL feel pressured Lo do anyLhlng beyond your compeLence - always ask a senlor for advlce. lf a paLlenL ls admlLLed and Lhere ls any doubL regardlng Lhelr currenL medlcaLlon Lhen consulL Lhe ward pharmaclsLs or Lhe C. Pandovers are anoLher Lrlcky area. 1eams musL work LogeLher ln Lhe alloLLed Llme Lo ensure LhaL Lhe cllnlcally unsLable paLlenLs are ldenLlfled, plans for furLher care are puL ln place and Lasks noL yeL compleLed are clearly undersLood by senlors and [unlors. Make sure LhaL Lhe paLlenL lnformaLlon ls wrlLLen clearly for Lhe handover Leam. Survlval Llps -rescrlpLlons should clearly ldenLlfy Lhe paLlenL, Lhe drug, Lhe dose, frequency and sLarL/flnlsh daLes, be wrlLLen or Lyped, and be slgned by Lhe prescrlber. -8e aware of a paLlenL's drug allergles. -Cood handovers requlre good leadershlp and communlcaLlon. -lf you seek and recelve advlce from a senlor abouL a prescrlpLlon, wrlLe LhaL advlce ln Lhe noLes.-8efer Lo Lhe 8rlLlsh naLlonal lormulary or slmllar reference manual. -verbal prescrlpLlons are only accepLable ln emergency slLuaLlons and should be wrlLLen up aL Lhe flrsL avallable opporLunlLy. arLlcular care should be Laken LhaL Lhe correcL drug ls used. ConfidentialityuocLors who break a paLlenL's confldence undermlne LrusL ln Lhe medlcal professlon. As well as Lhe common law duLy of confldenLlallLy, docLors need Lo ablde by Lhe prlvacy leglslaLlon and Lhe PealLh lnformaLlon rlvacy Code (PlC). rlvacy lssues ofLen cause dlfflculLles for docLors who can easlly be caughL ln Lhe mlddle beLween Lhelr paLlenL, famllles and Lhlrd parLles such as employers, lnsurance companles or Lhe ollce. 1he rlvacy Commlssloner has helpfully summarlsed Lhe PlC Code for healLh provlders as follows. 1.Cnly collecL healLh lnformaLlon lf you really need lL. 2.CeL lL sLralghL from Lhe people concerned where posslble. 3.1ell Lhem whaL you're golng Lo do wlLh lL. 4.8e conslderaLe when you're geLLlng lL. 3.1ake care of lL once you've goL lL. 6.eople can see Lhelr healLh lnformaLlon lf Lhey wanL Lo.7.1hey can correcL lL lf lL's wrong. 8.Make sure healLh lnformaLlon ls correcL before you use lL. 9.CeL rld of lL when you're done wlLh lL. 10.use lL for Lhe purpose you goL lL.11.Cnly dlsclose lL lf you have a good reason. 12.Cnly asslgn unlque ldenLlflers where permlLLed. Usefu| ||nks 1he Medlcal Councll's sLaLemenL on prescrlblng: hLLp://www.mcnz.org.nz/porLals/0/publlcaLlons/good20prescrlblng20pracLlce20aprll202010.pdf. A gulde Lo safe prescrlblng ln chlldren from 8esL racLlce" !ournal:hLLp://www.bpac.org.nz/magazlne/2010/[uly/mederrors.asp. And aL Lhe oLher end of Lhe age specLrum:hLLp://www.bpac.org.nz/magazlne/2008/february/prescrlblng.asp. Usefu| ||nks 1he rlvacy Commlssloner has publlshed a LoolklL" for healLh provlders:hLLp://prlvacy.org.nz/healLh-prlvacy-LoolklL/. 24 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 13 1he sLarLlng polnL should be LhaL lnformaLlon you recelve abouL a paLlenL's healLh should noL be dlsclosed Lo anyone noL dlrecLly lnvolved wlLh LhaL person's healLh care wlLhouL Lhe paLlenL's consenL. lf you dlsclose lnformaLlon wlLhouL Lhe paLlenL's consenL you musL have a clear [usLlflcaLlon for Lhls. Survlval Llps -8efore breachlng confldenLlallLy, always conslder obLalnlng consenL. -1ake advlce from senlor colleagues. -lf conslderlng passlng a paLlenL's healLh lnformaLlon Lo anoLher parLy wlLhouL Lhe paLlenL's consenL, have a clear undersLandlng of your [usLlflcaLlon for dolng so flrsL wlLh reference Lo Lhe PealLh lnformaLlon rlvacy Code. -uocLors are requlred Lo reporL Lo varlous auLhorlLles a range of lssues, lncludlng noLlflable dlseases (e.g. 18).-1he courLs can requlre docLors Lo dlsclose lnformaLlon, alLhough lL would be a good ldea Lo conLacL MS lf you flnd yourself presenLed wlLh a courL order or a pollce requesL for paLlenL lnformaLlon. -Plgh-rlsk areas where lnadverLenL breaches of confldenLlallLy can occur are llfLs, canLeens, compuLers, prlnLers, wards, cllnlc recepLlon areas, paLlenL walLlng areas, A&L deparLmenLs, pubs, and resLauranLs. -8e careful noL Lo leave memory sLlcks or handover sheeLs lylng around. -8e sure noL Lo dlsclose any paLlenL ldenLlflable healLh lnformaLlon on soclal medla, lacebook, 1wlLLer eLc. Record keepingkeeplng good noLes provldes you wlLh Lhe besL backup should your care be called lnLo quesLlon aL some polnL ln Lhe fuLure, Lhough leglble noLes musL be kepL prlmarlly Lo asslsL Lhe paLlenL when recelvlng LreaLmenL. noLes are a reflecLlon of Lhe quallLy of care glven so geL lnLo Lhe hablL of wrlLlng comprehenslve and conLemporaneous noLes. Survlval Llps -Always daLe and slgn your noLes, wheLher wrlLLen or on compuLer. uon'L change Lhem. lf you reallse laLer LhaL Lhey are facLually lnaccuraLe, add a correcLlon, buL do noL deleLe Lhe orlglnal enLry. -Any correcLlon musL be clearly shown as an alLeraLlon, compleLe wlLh Lhe daLe Lhe amendmenL was made, and your name. -Maklng good noLes should become hablLual. -uocumenL any declslons made, any dlscusslons, lnformaLlon glven, relevanL hlsLory, cllnlcal flndlngs, paLlenL progress, lnvesLlgaLlons, resulLs, consenL and referrals. -uo noL wrlLe anyLhlng ln Lhe noLes LhaL you would noL be comforLable saylng dlrecLly Lo Lhe paLlenL.-8emember LhaL emall communlcaLlons beLween colleagues abouL a paLlenL may be made avallable Lo Lhe paLlenL lf an lnformaLlon requesL ls made by Lhem or Lhelr famlly. -Cnly lnclude Lhlngs LhaL are relevanL Lo Lhe healLh record. -8e wary of lncludlng 'Lhlrd parLy' lnformaLlon ln Lhe healLh record (for example, lnformaLlon abouL a relaLlve of Lhe paLlenL). -aLlenLs have a rlghL Lo access Lhelr own medlcal records, and many exerclse Lhls rlghL. Probity1he publlc expecLs docLors Lo have Lhe hlghesL sLandards of honesLy, lnLegrlLy and eLhlcal behavlour, and Lhe Medlcal Councll requlres Lhls. 8emember also LhaL Lhere can be professlonal accounLablllLy for behavlour ln your prlvaLe llfe, such as any crlmlnal convlcLlon. uocLors musL be honesL and LrusLworLhy when slgnlng forms, reporLs and oLher documenLs and any documenLs Lhey wrlLe or slgn musL noL be false or mlsleadlng. 1hls means LhaL docLors musL Lake reasonable sLeps Lo verlfy Lhe Usefu| ||nks Medlcal Councll sLaLemenL on malnLenance and reLenLlon of paLlenL records: hLLp://www.mcnz.org.nz/porLals/0/publlcaLlons/MalnLenance20and20reLenLlon20of20records.pdf. A useful arLlcle on managlng requesLs for Lhe healLh lnformaLlon of a chlld: hLLp://www.medlcalproLecLlon.org/newzealand/casebook-[anuary-2010/chllds-play. 25 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 14 lnformaLlon ln Lhe documenLs, and musL noL dellberaLely leave ouL anyLhlng relevanL. ?ou may encounLer famllles who don'L wanL cerLaln lnformaLlon vlslble on Lhe deaLh cerLlflcaLe, buL docLors have a legal and professlonal obllgaLlon Lo compleLe Lhe cerLlflcaLe LruLhfully. Survlval Llps -lf you are uncerLaln double check your work wlLh a senlor. -1ake sLeps Lo verlfy whaL you are saylng. never slgn a form unless you have read lL and you are absoluLely sure LhaL whaL you are saylng ls Lrue. -roblLy means belng honesL and LrusLworLhy and acLlng wlLh lnLegrlLy. -8e honesL abouL your experlences, quallflcaLlons and poslLlon. -8e honesL ln all your wrlLLen and spoken sLaLemenLs, wheLher you are glvlng evldence or acLlng as a wlLness ln some legal process. -?ou musL be open and honesL wlLh any flnanclal arrangemenLs wlLh paLlenLs and employers, lnsurers, and oLher organlsaLlons or lndlvlduals. -Assume LhaL all records wlll be seen by Lhe paLlenL and/or oLhers, e.g. coroner, PealLh and ulsablllLy Commlssloner. 1here are medlco-legal aspecLs Lo all cases, and Lhese should be vlewed as lnLeresLlng and challenglng, Lhough very lmporLanL Lo geL rlghL. lf uncerLaln consulL wlLh a senlor colleague or geL experL advlce from one of Lhe medlco-legal advlsers aL MS (0800 22 33 677). Usefu| ||nks 1he Medlcal Councll's foundaLlon documenL on sLandards for docLors ls aL:hLLp://www.mcnz.org.nz/porLals/0/guldance/goodmedpracLlce.pdf. 26 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 15 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 16 lf you expecL Lo work as a docLor ln new Zealand afLer you flnlsh your medlcal degree, you musLapply for reglsLraLlon wlLh Medlcal Councll of new Zealand (MCnZ). ?ou can flnd Lhe reglsLraLlonappllcaLlon form on Lhe MCnZ webslLe aL Lhe followlng llnk: hLLp://www.mcnz.org.nz/8eglsLraLlon/lormspollclesandfees/8eglsLraLlonappllcaLlonforms /Labld/100/uefaulL.aspx. ?ou musL fully compleLe your appllcaLlon form and send lL wlLh Lhe requlred fee as sLaLed on Lhe appllcaLlon form Lo MCnZ so LhaL lL all reaches Lhe MCnZ offlce ln WelllngLon early ln CcLober 2012.

lf MCnZ requlres furLher lnformaLlon aL any sLage durlng Lhe processlng of your appllcaLlon Lhey wlll conLacL you dlrecLly. lL ls lmporLanL Lo provlde MCnZ wlLh a currenL and rellable emall address. 1he requlred fee enLalls Lhe processlng of your appllcaLlon and a Lhree monLh pracLlslng cerLlflcaLe (unLll 28 lebruary 2013). 1he recelpL for Lhls fee wlll be senL Lo you wlLh your flrsL pracLlslng cerLlflcaLe. Practicing Certificate When MCnZ has been advlsed dlrecLly by your conferrlng unlverslLy LhaL you have compleLed your degree, a pracLlslng cerLlflcaLe wlll be senL dlrecLly Lo Lhe uP8 where you wlll be worklng. ?our unlverslLy usually conflrms your quallflcaLlon abouL a week before you sLarL work. ?our pracLlslng cerLlflcaLe wlll be made avallable Lo you on your flrsL day of work. ?our pracLlslng cerLlflcaLe wlll speclfy Lhe name of Lhe uP8 aL whlch you work. lf you change employmenL, you musL noLlfy Lhe Councll so LhaL your pracLlslng cerLlflcaLe can be amended. ln uecember 2012, you wlll be senL anoLher appllcaLlon from MCnZ for a pracLlslng cerLlflcaLe whlch wlll puL you onLo your pracLlslng cerLlflcaLe cycle (from 1 March 2013 onwards). ?our cycle wlll be based on your daLe of blrLh. 1here are four posslble renewal daLes every year. Cnce you're on your pracLlslng cerLlflcaLe cycle you wlll be charged a yearly fee aL Lhe same Llme every year. Online medical register ?our reglsLraLlon number, name, reglsLered address, quallflcaLlons, reglsLraLlon sLaLus and reglsLraLlon daLes, as well as any condlLlons lmposed on your reglsLraLlon or annual pracLlslng cerLlflcaLe wlll be llsLed ln Lhe medlcal reglsLer, whlch ls avallable Lo Lhe publlc. 1hls lnformaLlon wlll be made avallable Lo Lhe MlnlsLry of PealLh under a daLa provlslon agreemenL for Lhe purposes of Lhe PealLh racLlLloners lndex. under Lhls agreemenL your daLe of blrLh and gender wlll also be made avallable for ldenLlflcaLlon purposes only. Getting registered keg|strat|on number ?our flrsL pracLlslng cerLlflcaLe wlll conLaln your reglsLraLlon number whlch you can use (ln addlLlon Lo your name) on prescrlpLlon forms, ACC forms eLc. ?our reglsLraLlon number wlll be clearly sLaLed on your pracLlslng cerLlflcaLe and you wlll be asked Lo quoLe lL on all fuLure correspondence wlLh Lhe Medlcal Councll. 28 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 17 ?ou wlll be able Lo check your reglsLer enLry (once you sLarL work) on Councll's onllne reglsLer. ?ou can flnd Lhe onllne reglsLer by golng Lo Lhe Councll's homepage: www.mcnz.org.nz. Your registered addresses 1he PealLh racLlLloners CompeLence Assurance AcL (PCAA) requlres docLors Lo noLlfy Councll of Lhree addresses: -resldenLlal address -work address -posLal address. ?ou musL choose one of Lhese addresses Lo be your reglsLered address. ?our reglsLered address ls publlcly avallable lnformaLlon. lor prlvacy reasons you may choose Lo use your work address as your reglsLered address. lease clearly lndlcaLe whlch address ls your chosen reglsLered address on Lhe enclosed appllcaLlon form. ?our posLal address may be Lhe same as elLher your work or resldenLlal address. Whlchever address you choose as your posLal address musL be rellable and accuraLe aL your november sLarL daLe (lf you do noL know where you wlll be llvlng selecL your work address as your posLal address). Cnce you are reglsLered you have a sLaLuLory obllgaLlon Lo noLlfy MCnZ prompLly of any change Lo your resldenLlal, work and posLal addresses. ?ou musL do Lhls ln wrlLlng, and can do lL onllne aL: www.mcnz.org.nz. 29 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 18 new Zealand's healLh sysLem ls undergolng change and consLanLly evolvlng - wlLh many lssueson Lhe horlzon LhaL dlrecLly affecL docLors ln Lralnlng. Who ls represenLlng your lnLeresLs andadvocaLlng on your behalf? 1he new Zealand Medlcal AssoclaLlon (nZMA) ls Lhe largesL medlcalprofesslonal organlsaLlon ln new Zealand wlLh approxlmaLely 3,000 members. lL ls pan-professlonalln LhaL lL represenLs member docLors from all dlsclpllnes wlLhln medlclne, aL every sLage of Lhelrcareers, lncludlng medlcal sLudenLs. 1he nZMA uocLors-ln-1ralnlng Councll (ul1C) ls made up of elecLed represenLaLlves LhaL work on behalf of Lralnee lnLern, 8MC and medlcal sLudenL members. 1he Councll has a busy Llme ahead as lL seeks Lo lnfluence and provlde lnpuL lnLo lssues such as: -Lhe proposed revamp of Lhe prevocaLlonal years -Lhe Careers lnLenLlon lan for C?1s -college-speclflc lssues LhaL may affecL Lhose looklng Lo apply Lo Lralnlng programmes -Lhe move Lowards generallsL Lype Lralnlng -poLenLlal lmpacL of physlclan asslsLanLs on docLors' work envlronmenLs. 1he underlylng goal behlnd Lhese lssues ls Lhe need Lo lmprove Lhe recrulLmenL and reLenLlon of docLors Lo ensure our counLry has a susLalnable, hlgh performlng healLhcare sysLem. 1o reLaln docLors ln new Zealand, Lhey need Lo feel valued by our healLh sysLem and for docLors-ln-Lralnlng lL ls parLlcularly lmporLanL LhaL servlce provlslon does noL compromlse Lralnlng. 1he quallLy of Lhe Lralnlng experlence musL remaln Lhe number one prlorlLy wlLh adequaLe Lralnlng Llme, menLorlng, supporL and supervlslon. 1he ul1C's members (whlch lnclude Lhe resldenL of Lhe nZMSA and a C?1 represenLaLlve) conLrlbuLe Lowards developlng submlsslons and poslLlon sLaLemenLs ln response Lo pollcy proposals and oLher healLh secLor lnlLlaLlves. Why belong to the NZMA? Surveys have shown LhaL Lhe ma[orlLy of nZMA members [oln Lo demonsLraLe Lhelr commlLmenL Lo Lhe professlon. A sLrong membershlp base enables Lhe AssoclaLlon Lo be an lnfluenLlal advocaLe for Lhe professlon and Lo help advance Lhe medlcal professlon and Lhe healLh of all new Zealanders. We encourage you Lo have lnfluence ln shaplng your fuLure and our healLh sysLem by keeplng up Lo daLe wlLh whaL Lhe ul1C ls dolng. We are also keen Lo hear your vlews and Lo know whaL lssues concern you mosL. 1he ul1C recognlses LhaL Lo be effecLlve, ongolng dlalogue wlLh lLs members ls essenLlal. We underLake onllne surveys Lo lmprove our undersLandlng of Lhe lssues LhaL affecL you and Lo ensure our advocacy ls represenLaLlve of your vlews. LasL year we ran a survey on prevocaLlonal Lralnlng whlch proved very valuable, as lL provlded a clearer ldea of whaL our members Lhlnk of PealLh Workforce new Zealand's (PWnZ's) proposed changes ln Lhls area. 8e|ow are examp|es of some of the D|1C's recent work. 5obmlssloos revocaLlonal Lralnlng requlremenLs for docLors ln new Zealand losltloo stotemeots LlmlLed prescrlblng rlghLs for Lralnee lnLerns 1he 8MC worklng envlronmenL kesootces 8ullylng and harassmenL resource Soclal medla gulde: malnLalnlng professlonallsm whlle uslng soclal medla Professional representation 30 NZMSA Guide to Graduation Draft The New Zealand Medical Students Association Incorporated C/- PO Box 156, Wellington 6140, New Zealand 19 Doctors-in-Training Council annual Trainee Forum Movlng from medlcal school Lo vocaLlonal Lralnlng brlngs wlLh lL new opporLunlLles and challenges. 1he ul1C hosLs a naLlonal 1ralnee lorum, aLLended by represenLaLlves of Lhe medlcal colleges, whlch enables Lralnee reps Lo share lnformaLlon and have lnpuL lnLo shaplng Lhelr Lralnlng experlence. ulalogue ls cruclal - Lhe Lralnee's volce ls ofLen hldden because of cllnlcal commlLmenLs and lack of access. AL Lhe lorum reps have Lhe opporLunlLy Lo dlscuss Lhe lssues wlLh PWnZ and Lhe Medlcal Councll of new Zealand and Lo hear from senlor colleagues. lL all adds up Lo meanlngful lnpuL lnLo lssues LhaL wlll affecL careers lnLo Lhe fuLure. Political representation matters ur Anna Chol, a former C?1 represenLaLlve on Lhe ul1C, arLlculaLed very well why pollLlcal represenLaLlon maLLers: "cotloq fot tbe potleot slttloq octoss ftom os lso't llmlteJ to tbose 15 mlootes of lotetoctloo, lt ls llokeJ to mocb btooJet lssoes of ttololoq, wotkfotce copoclty, ooJ pobllc pollcy. As loJlvlJool cllolcloos we bove o tespooslblllty to pottoke lo tbese lssoes, wbetbet by owoteoess, votloq fot tepteseototloo, ooJ/ot beloq o volce lo tbe Jebote. Find out more 8ead more abouL Lhe ul1C's acLlvlLles and meeL your represenLaLlves aL www.nzma.org.nz/uocLors-ln-1ralnlng. We also encourage you Lo connecL wlLh your peers on our lacebook page (search for nZMA uocLors-ln-1ralnlng Councll). ul1C represenLaLlves are always lnLeresLed ln hearlng abouL your experlences and polnL of vlew Lo beLLer represenL your lnLeresLs, so conLacL us aL dlLc[nzma.org.nz. Also, don'L forgeL Lo read 1lnnlLus - a succlncL and lnformaLlve newsleLLer LhaL we emall Lo all our docLors-ln-Lralnlng members LhroughouL Lhe year. A message from the Residents Doctors Association Welcome Lo Lhe professlon! 1he new Zealand 8esldenL uocLors' AssoclaLlon (nZ8uA or Lhe 8uA) ls Lhe represenLaLlve organlsaLlon LhaL was seL up by 8esldenL uocLors (also known as 8esldenL Medlcal Cfflcers - l.e. Pouse Surgeons and 8eglsLrars) over 23 years ago Lo provlde supporL, advocacy and lndusLrlal power Lo our group of docLors. lL ls governed by a naLlonal LxecuLlve made up of resldenL docLors from around Lhe counLry asslsLed by a neLwork of delegaLes from Lhe range of hosplLals and oLher work envlronmenLs (e.g. C) and Lralnlng speclalLles wlLhln whlch we work.31