GASBAG Issue 46

The New Zealand office of the College and Faculties relocated its premises in July to Level 7, Exchange Place, 5 – 7 Willeston Street in the CBD in Wellington. The new office was officially opened on Friday 23 November by the President of ANZCA, Dr Walter Thompson.

The ‘opening’ cocktail function provided an opportunity to promote the role of the College and Faculties in providing training, education, standards and research in anaesthesia, intensive care and pain medicine.

Guests included Fellows and trainees and representatives from Government and non-Government agencies with whom ANZCA, JFICM and FPM interact with in New Zealand. The Hon Mita Hirinui, Associate Minister of Health, represented the Prime Minister, the Rt. Hon Helen Clark. The Mayor of Wellington, Her Worship Kerry Prendergast also attended the opening.

The new office is closer to many of the agencies we interact with, compared with the previous office location in Elliott House. The office provides good IT and staff facilities and space for meetings and workshops. Exchange Place has a pleasant outlook across the waterfront and harbour.

Fellows and Trainees are welcome to use the facilities when in Wellington. The New Zealand National Committee and staff look forward to welcoming you to the National Office in Wellington.

Contact details for the new office are shown in the box at the beginning of this newsletter.

2. 2007 HIGHLIGHTS

As well as the relocation to the new office, the New Zealand Committee has had a wide range of issues to consider and progress during 2007. These have involved interactions and meetings with ANZCA Council, committees, Fellows and trainees, Joint Faculty of Intensive Care Medicine and Faculty of Pain Medicine as well as with ‘external’ organisations and individuals such as the Medical Council, Ministry of Health & DHBNZ, Council of Medical Colleges, Director General of Health, Health and Disability Commissioner, Chief Coroner, NZSA, NZ Anaesthetic Technicians Society, Nursing Council and Pharmac.

The New Zealand Committee of ANZCA has considered many ‘internal’ and ‘external’ discussion documents over the last twelve months. Over thirty submissions were prepared. Topics covered a wide range of anaesthesia practice and New Zealand health care issues, such as:

Review of the Health Practitioners Competence Assurance Act (HPCA Act)

New Zealand Therapeutic Products and Medicines Bill

Scopes of Practice for nurses, pharmacists, rural hospital doctors

Applications for regulation of anaesthetic technicians and perfusionists under the HPCA Act

Prescribing rights for nurses and pharmacists

ANZCA’s new CPD Program

MCNZ Performance Evaluation Programme

Registration of International Medical Graduates (IMGs)

Standards NZ draft standards (for example, infection control)

Nominations for HDC expert advisors, Health Practitioners Disciplinary Tribunal, Medical Council and its Education Committee, CMC Executive, Ministerial Medical Training Board

MoH & DHBNZ Workforce issues

Medsafe and Pharmac – medicines’ safety issues

All the College work could not be done without the voluntary commitment from ANZCA Council and committee members, examiners, assessors, the ASM committees and the dedication of supervisors of training, clinical directors and others in the anaesthesia departments and ANZCA staff. My thanks to everyone who has strived to ensure the training, education and standards for anaesthesia serve the public of New Zealand well.

Some of the 2007 and future activities are described in more detail below.

3. ANZCA NEW ZEALAND NATIONAL COMMITTEE

The New Zealand National Committee (NZNC) last met in Wellington on the 23 November. The President of ANZCA, Dr Wally Thompson, the new Director of Professional Affairs, Dr Steuart Henderson and the Director of Policy, John Biviano attended this meeting. Dr Mike Richards, CEO of the College joined the afternoon session. The opening of the new office followed the meeting.

2008 NZNC Meetings

NZNC has three scheduled meetings for 2008: 28 March, 25/26 July and 21 November.

NZNC Elections

2008 is an election year for NZNC. Call for nominations and the election details will be sent out to all NZ Fellows in March. NZNC work is interesting and rewarding, so consider putting your name forward.

4. RECENT APPOINTMENTS

ANZCA Director of Professional Affairs (DPA)

Dr Steuart Henderson has been appointed as an ANZCA DPA to undertake primarily the Assessor role and to have responsibility for reviewing and updating the Regulations for Council. He will contribute to the work of NZNC regarding New Zealand issues of interest to ANZCA. Dr Henderson is a past-Council member, based just outside Wellington, who served as Assessor and Chair of the Education and Training Committee during his term of office.

Medical Training Board

Dr Malcolm Futter, FANZCA, has been appointed by the Minister to this newly formed Board which we hope will bring some sense to the workforce planning discussions. Malcolm Futter has held key positions within the New Zealand National Committee, as Chairman of the New Zealand National Committee, National Education Officer and New Zealand Assessor. He has also been an examiner for ANZCA and for the Royal College of Anaesthetists in the UK.

During the period of 1989 to 2005, Malcolm Futter was Chairman of the Anaesthetic Vocational Training Committee for the Auckland Region and the ANZCA Regional Supervisor of Training for the northern rotation in New Zealand.

Malcolm Futter is currently the Interim Director of Capital and Coast DHB Anaesthesia, Intensive Care and Pain Medicine.

Director of Education

Medical Educator, Ms Mary Lawson, will join the ANZCA head office staff in February to take up her appointment as Director of Education. Ms Lawson’s experience in both clinical and educational environments in Australia and the UK, and her research activity, will be of great relevance to her new position.

5. EXAMINATIONS AND TRAINING

Examination Successes

Congratulations to all the successful 2007 exam candidates. Forty-seven New Zealand trainees passed the final exam.

Final Examination Venues

In 2008 the written/clinical examinations will be held in Brisbane, Sydney, Melbourne, Adelaide, Perth, Auckland and Hong Kong. The vivas will be held in Melbourne (May) and Sydney (October).

Exam dates for 2008

Dates for the 2008 Primary and Final exams can be found on the ANZCA website at http://www.anzca.edu.au/trainees/examination-dates/. The new ANZCA website has a great amount of useful information on the FANZCA training. Trainees have complimented staff on this improved site.

6. ANZCA MOPS/NEW CPD PROGRAM

NZNC submitted the new ANZCA CPD Program to MCNZ for approval and this was confirmed in December.

The CPD Program began on 1^st January 2008, replacing the MOPS Program. It is a Triennial rather than Annual program. All MOPS participants were sent a hard copy of the CPD Program booklet. It is also available electronically on the ANZCA website: http://www.anzca.edu.au/news/announcements/cpd-launched.html

People will find it useful to print out the Framework Table from the booklet (when printing from the PDF booklet, specify pages 7 and 8) as this gives an ‘at-a-glance’ run-down of types of activities, examples and the credits to claim. In fact, participants should be able to follow the Program using just these two pages, in much the same way as the whole MOPS booklet was used for the MOPS program. (The remainder of the CPD Booklet is more for reference or for the Toolkits when participants need them.)

CPD Portfolio

The online and offline versions of the CPD Portfolio are now available on the website. All the relevant web pages, text boxes or forms can be accessed online. These items will make up participants’ CPD Portfolios, along with any hard copies of supporting documentation for activities undertaken during the triennium. Currently ANZCA is aiming to have a facility for online storage for documents (e.g. emails confirmations and PDF documents) as a part of the portfolio.

Transition to the new CPD Program

The Toolkits have been developed in order to assist Fellows with each element of the new Program. These should be read carefully – if adhered to, participants should be able to meet the specific requirements of the Program with little difficulty.

A list of FAQ’s will be published on the website and this should cover the majority of questions, however the CPD Unit may be contacted at ANZCA House if further assistance is required. Phone (+61 3) 9510 6299. Email: cpd@anzca.edu.au

Record-Keeping

It would be useful for participants if attendance lists or certificates for departmental meetings, or workshops, and so on, are made available. Supporting documentation such as this should be retained by Fellows throughout the triennium.

Fellows should be prepared for participation in the random annual audit, by ensuring that their supporting documentation is compiled appropriately.

Departmental Activities

The Objectives of the ANZCA CPD Program include:

To promote and facilitate the participation of Fellows in effective CPD within the scope of their practice

As the new Program focuses on individual practice, it would be appropriate for departments to facilitate activities that are relevant to the individual’s requirements.

To encourage a culture of self-directed learning, review, and reflection on professional practice among Fellows;

Departments may decide to organise meetings in which Fellows may focus on reflection of their professional practice. Whilst evaluation should be an ongoing activity through the triennium, in the final year ‘evaluation of participation’ is an activity for which Fellows may claim 3 Credits per hour (under Category 3 – Practice Assessment Activities, Level 2 – Self-Directed QA Activities).

7. PERIOPERATIVE MORTALITY REVIEW COMMITTEE ESTABLISHMENT

Recently ANZCA representatives met with the Director General of Health, Stephen McKernan and Ministry officials (Dr Dave Galler and Gillian Bohm) to progress the idea of establishing a Perioperative Mortality Review Committee. The Ministry now seems in favour of progressing this. ANZCA is currently gathering more information to help move this idea forward.

8. NZ ANAESTHESIA EDUCATION COMMITTEE (NZAEC) NEWS

NZ Anaesthesia ASM - Auckland

On behalf of the New Zealand National Committee of the ANZCA, I congratulate and express thanks to Helen Frith, Alan McLintic and the others on the organizing committee from Middlemore Hospital for bringing together such an exciting programme in Auckland in November for the combined scientific meeting of the New Zealand Committee of ANZCA and the New Zealand Society of Anaesthetists.

The programme based on the theme, ‘Facts, fads and folklore’ challenged and entertained the large number of attendees who were able to consider how the evidence presented impacts on how we deliver safe and effective anaesthesia.

An exceptional faculty of international and local experts addressed this issue over a broad range of topics. In addition, throughout the meeting, there were thought provoking contributions from scientists outside anaesthesia, including world authorities on global warming and sports doping.

My thanks also go to the New Zealand Anaesthesia Education Committee (NZAEC) and Rose Chadwick for providing guidance to the organisers of the ASM. A number of NZAEC led meetings during the ASM allowed:

Past, present and future ASM convenors to share information

Trade representatives to meet with ANZCA, NZSA and the ASM committee members

Representatives from New Zealand Departments of Anaesthesia to share ideas of continuing professional development (CPD) activities and to discuss the new ANZCA CPD Program.

NZAEC Chairman

I wish to congratulate Dr Ross Kennedy who has recently been appointed Associate Professor of Anaesthesia in Christchurch, an honour which recognises his long interest in research, education and teaching. He has relinquished the position of Chair of NZAEC following his resignation from the NZSA Executive. Ross has made a significant contribution to NZAEC and will continue to use his expertise as convenor for the 2010 ANZCA ASM in Christchurch. We wish to thank Ross Kennedy for his commitment and leadership.

NZAEC recently elected Dr Brian Lewer as the new Chair of NZAEC. Brian is a member of ANZCA NZNC and is one of the NZNC representatives on NZAEC. Congratulations to Brian on this appointment.

BWT Ritchie scholarship

The BWT Ritchie Scholarship selection committee has awarded two Scholarships for 2008, to Dr Nick Abbott and to Dr Rachael Glew.

Dr Nick Abbott is completing his provisional fellowship at Middlemore Hospital this year and has been offered a fellowship position at the Alfred Hospital in Melbourne next year. Dr Abbott is particularly looking forward to developing his skills in the areas of transplant anaesthesia (especially heart and lung, as well as ventricular assist devices) and major trauma, and to consolidating his skills in anaesthesia for otolaryngology, facio-maxillary and airway management. Dr Abbott has identified several CME meetings in Australia that he is interesting in attending while there.

Dr Rachael Glew has recently completed her fellowship in Liver and Cardiac Anaesthesia in Auckland and has secured a Clinical Fellowship in the ICU at Middlesex Hospital in London. A key focus for Dr Glew will be finding out more about the use of Transoesophageal Doppler in Goal directed therapy. Dr Glew notes that being located in a busy central London hospital will provide exposure to a wide and interesting case mix, with an opportunity to gain invaluable experience in perioperative and medical management of critical patients.

NZNC congratulates this year’s two Scholarship winners and invites other trainee anaesthetists to consider applying in 2008. The Scholarship is open to New Zealand trainees who have passed the final examination for the Diploma in of Fellowship of the ANZCA or in JFICM, and who wish to pursue a further year of study outside New Zealand in their final year of training, or the year following the completion of their Fellowship. Applications for 2009 will close at the end of June 2008. Details can be obtained from Rose Chadwick at the NZ office, email: nzaec@anaesthesia.org.nz . An advertisement will be placed in the next issue of Gasbag.

9. REPORT FROM THE HEALTH AND DISABILITY COMMISSIONER

NZNC received a copy of the following anonymised report prepared by the Health and Disability Commissioner's office on a case concerning inappropriate post-operative care by an anaesthetist, and misplacing of patient dentures causing respiratory arrest.

The case has been referred to us for the education of anaesthetists in New Zealand.

This anonymised report (case (05HDC02988) can be found on the Health and Disability Commissioner’s website. The link address is: http://www.hdc.org.nz/files/hdc/opinions/05hdc02988orthopaedic-surgeon.pdf

Summary of the event

The Health and Disability Commissioner received a complaint about the services provided by a private hospital to an elderly patient who was admitted for elective spinal surgery. The investigation was later extended to include both the orthopedic surgeon and the anaesthetist with regards to the appropriateness of the care and treatment provided. The Commissioner found that Right 4(1) – the right to services provided with reasonable care and skill - had been breached by the anaesthetist by failing to provide the patient with an appropriate standard of anaesthesia care in the immediate postoperative period. No breach was found for the private hospital or the surgeon. It was recommended by the Commissioner that the anaesthetist review his practice and apologise to the patient’s family.

Induction of anaesthesia was uneventful and the patient’s upper dental plate, being noticeably loose, was removed prior to intubation. Anaesthesia, positioning of the patient and surgery were all straightforward and the anaesthetist decided to recover the patient in the recovery room as it was the last case of the day. The patient was transferred with an endotracheal tube in situ attached to a T bag, his vital signs were satisfactory and oxygen saturations were maintained with assisted ventilation. However he was slow to breathe and was given naloxone by the anaesthetist in recovery. The anaesthetist left the patient for approximately 5 minutes around this time to check on patients operated on earlier in the day. The Commissioner was concerned that “the anaesthetist left the patient under the care of a nurse who was not comfortable accepting responsibility for a patient who she considered had not yet fully recovered the ability to breathe.”

The patient was extubated by the anaesthetist and returned to the ward, where his denture was still noted to be missing despite efforts to locate it. His respiratory condition subsequently deteriorated and he was treated for fluid overload and bronchospasm with limited improvement. Three days after his operation, the patient developed respiratory distress and subsequent arrest and on reintubation, the upper denture was discovered lodged in his pharynx. He was successfully resuscitated and transferred to a public hospital intensive care unit and was later transferred to another public hospital for rehabilitation. An MRI scan revealed a syrinx from T4 to the medulla and muscle wasting of his tongue, which were reported as long-term changes.

Despite extensive investigation into the private hospital it was not possible to establish who replaced the dentures or when this occurred. A serious underlying and undiagnosed neurological condition (syringomyelia) allowed the patient to tolerate his dentures in his pharynx leading to aspiration pneumonia, respiratory distress and ultimately arrest. The patient never fully regained his previous good health and was unable to continue living independently. He died two years after surgery from a pneumonia related condition.

10. REVIEW OF THE HEALTH PRACTITIONERS COMPETENCE ASSURANCE ACT

The NZNC submission covered many aspects of the Act.

The purpose of the Act is to protect public safety. The Act is partially achieving its purpose.

The regulatory authorities are good at identifying and enforcing the entry requirements into a given professional group for practitioners training within New Zealand.

From ANZCA’s perspective there are several areas where the implementation of the current Act fails to ensure its purpose is achieved. The main areas of concern that were highlighted in the NZNC submission were the need to improve the processes regarding:

Registration of International Medical Graduates (IMGs)
Regulation for new groups of registered health professionals
Overlapping Scopes of Practice - failure to ensure that overlapping Scopes of Practice provide the same standard of care
Ensuring competence.

11. NEW ZEALAND ANAESTHETIC TECHNICIANS – REGULATORY BODY

The previous Minister of Health, Pete Hodgson agreed that anaesthetic technicians are to be regulated as a health profession under the HPCA Act. A decision is awaited on which authority will regulate this group. I understand that this decision has been postponed pending the review of the HPCA Act.

12. NURSING COUNCIL MEETING

In October I met with the Chair and CEO of the Nursing Council to discuss roles for nurses in perioperative care. This was a very constructive meeting and I was able to clarify what the Nursing Council thoughts are on issues such as nursing scopes of practice and in particular the nurse practitioners’ scope, prescribing rights for nurses and roles of nurses in perioperative care.

13. ANAESTHESIA BIBLIOGRAPHIES

The College Office in Wellington still has copies of the CD of Dr Basil Hutchinson’s “Bibliography of anaesthesia-related articles in the New Zealand Medical Journal, 1887-2000”. This is available for $(NZ)13.50 + GST, or $(A)15.00. Dr Hutchinson has now completed a “Bibliography of anaesthesia-related articles in the New Zealand Dental Journal, 1905-2006” and this is available on the NZ Dental Association website at: www.nzda.org.nz/pub/resources/a_anaesthesiabiblio.htm

He has also compiled an Appendix which includes indexes of NZ authors of anaesthesia and related books, NZ anaesthetists with higher university degrees and obituaries of anaesthetists. It is hoped that ANZCA will also publish the Dental Journal bibliography and the Appendix. All three of these documents will be of interest to those delving into the history and development of anaesthesia and intensive care in New Zealand.

14. OXFORD MINIATURE VAPORISER

Wanted - Oxford Miniature Vaporiser

Wayne Morris of Christchurch Hospital is planning to run a Remote Situations, Difficult Circumstances, Developing Country Anaesthesia course in Christchurch in early 2009. The course will be similar to very successful courses run in the UK and Australia.

Part of the course involves hands-on teaching of drawover anaesthesia and he is currently looking for one or two Oxford Miniature Vaporiser (OMVs) and asks whether any department has an OMV. He is also looking for a set of Oxford self-inflating bellows.

If you can help, please contact Wayne Morris by email: wayne.morriss@cdhb.govt.nz or phone 021 395 605.

15. CONSULTATION DOCUMENTS CONSIDERED AND SUBMISSIONS COMPLETED BY NZNC SINCE THE JULY NZNC MEETING. (due dates in brackets)

MoH/DHBNZ A Career Framework for the Health and Disability Workforce in New Zealand Consultation Document (31 July)

http://www.moh.govt.nz/moh.nsf/indexmh/workforce-career-framework-consultation-jun07?Open

Pharmacy Council Proposed Advanced Scope of Practice and Qualifications for Pharmacists (3 August) http://www.pharmacycouncil.org.nz/index.asp

Standards New Zealand - DZ8141 (Committee P8134) Health and Disability Services (Restraint) Standard - Draft. (21 August). Did not submit.

http://www.standards.co.nz/webshop/?action=viewDraft&mod=drafts&draftId=DZ8141

Standards New Zealand - DZ8134 (Committee P8134) Health and Disability Services (Core) Standard - Draft. (21 August) Did not submit.

http://www.standards.co.nz/web-shop/?action=viewDraft&mod=drafts&draftId=DZ8134

Standards New Zealand – DZ8142 (Committee P8134) Health and Disability Services (Infection Control) Standard (21August) http://www.standards.co.nz/webshop/?action=viewDraft&mod=drafts&draftId=DZ8142

MoH & Ministry of Education, Medical Training Board - CMC nominations (31 August)

DHBNZ Medical Workforce Strategy Group – CMC nominations (7 September). Did not submit.

MoH - Continuous Improvement in Health and Disability Services: A Discussion Paper on the Review of the Health and Disability Services (Safety) Act 2001 (21 September). Did not submit.

http://www.moh.govt.nz/moh.nsf/indexmh/health-and-disability-services-review-jul07?Open

Nursing Council Review of the Competencies for the nurse practitioner scope of practice (end of September)

http://www.nursingcouncil.org.nz/Draft%20NP%20competencies%20for%20consultation%2005Jul07.pdf

Synopsis on the Australian and New Zealand College of Anaesthetists for the Coroner's Bench Book (30 September)

NZHIS - Nominations to the Health Information Strategy Action Committee (19 October) – did not submit

MCNZ – Implementation of the MCNZ policy on registration within a vocational scope of practice for international medical graduates (24 October)

Pharmac – Consultation on Tender of Certain Pharmaceuticals (26 October)

NZ Health response to onshore and offshore disasters STEERING GROUP questionnaire on current medical capability (9 November). Did not submit.

NZMA draft Code of Ethics (16 November). Submitted on earlier draft. Did not submit on this draft.

NZGG Draft Guidelines For The Management Of Melanoma In Australia And New Zealand (16 November) http://www.nzgg.org.nz/guidelines/0141/Draft_Clinical_Practice_Guidelines_for_the_management_of_melanoma.pdf

MoH - Health Practitioners Competence Assurance (HPCA) Act 2003 review (21 December) http://www.moh.govt.nz/moh.nsf/indexmh/hpca-identification-issues-solutions-consultation-oct07

MoH Health Practitioners Disciplinary Tribunal nominations (3 January)

MoH Medical Council nominations (3 January extended to 31 January)

Consultation documents pending

MCNZ consultation document - Medical registration and recertification requirements for doctors working in non-clinical practice registered in a vocational scope (22 February)

Clinical Training Agency (CTA) Purchasing Intentions Plan (8 February)

Medical Training Board request for workforce statistics and a meeting with ANZCA (before 13 February)

16. Recent meetings attended by NZNC members and staff and upcoming meetings

MoH/DHBNZ Career Framework meeting (7 August)

ANZCA Web Redevelopment Steering Committee teleconference (8 August)

Charities Commission and Wellington Community Law Centre workshop on registration under the Charities Act (9 August)

ANZCA Council (18 August), Melbourne

ANZCA NZ Trainees’ Committee teleconference (20 August)

NZ Anaesthesia Education Committee teleconference (22 August)

ANZCA staff meeting, (6 & 7 September) Melbourne

MCNZ International Medical Graduates (IMG) interviews (3 September)

ANZCA Web content management training (7 September), Melbourne

MCNZ IMG interview (20 September)

President of ANZCA’s visit to Wellington (20/21 September)

ANZCA Hospital Accreditation Committee (HAC) inspection, Wellington (21 September)

CMC (21 September)

Education Sub-committee meeting (10 October)

Director-General of Health re: Mortality Committees (15 October)

Pharmac – Safety issues re: ‘look-alike’ ampoule presentations of injectable medicines (15 October)

Nursing Council’s Chair & CEO ‘Perioperative roles for nurses’ (18 October), Christchurch

ANZCA HAC Wellington National Simulation Centre inspection (19 October)

ANZCA Council (20 October), Melbourne

ANZICS/ACCCN Intensive Care ASM (25-28 October), Rotorua

JFICM NZ Fellows’ Annual Business Meeting (26 October), Rotorua

ASMS conference welcome function (31 October)

MCNZ Branch Advisory Board meeting (1 November)

NZAEC NZ Anaesthesia ASM (7 – 10 November), Auckland

ANZCA NZ Fellows’ Annual Business Meeting (8 November), Auckland

ANZCA Trainees’ meeting (8 November), Auckland

NZMA Trainees’ forum (10 November)

ANZCA OTS Committee workshop (10 November), Melbourne

ANZCA’s Management workshop (14 November), Melbourne

JFICM NZNC (22 November)

MCNZ and ANZCA Director of Policy (22 November)

PHARMAC and ANZCA Director of Policy (22 November)

ANZCA NZNC (23 November)

Opening function for the ANZCA & Faculties’ New Zealand office (23 November)

ANZCA Clinical Teachers course (28 November)

NZMA Christmas function (4 December)

CMC meeting (7 December)

ANZCA staff meeting (13 & 14 December), Melbourne

Annual Registrars’ meeting, Auckland (7 December)

ANZCA Council (8 December), Melbourne

NZAEC teleconference (18 December)

2008 meetings scheduled to date

NZSA Executive meeting (8 February)

Medical Council Education Committee (13 March)

Council of Medical Colleges (14 March)

ANZCA NZNC meeting (28 March 2008)

ANZCA NZNC meeting (and joint meeting with NZSA Executive on the morning of 25 July) (25 & 26 July 2008)

ANZCA NZNC meeting (21 November 2008)

Best wishes for 2008. The New Zealand Committee will be busy addressing issues on your behalf. Please contact the New Zealand office if you have information that you would like NZNC to consider.

Vaughan Laurenson, ANZCA NZNC Chairman

January 2008

FORTHCOMING EVENTS, COURSES AND CME ACTIVITIES

NEW ZEALAND EXAM COURSES FOR 2008

New Zealand Exam Course	Dates	Where	Contact Name	Phone No.
Anaesthesia Primary Revision Course	3 – 9 February	Christchurch	Dr Wayne Morriss (Convenor) Claire Willis claire.willis@otago.ac.nz	(03) 364 1642
FANZCA Primary Course	12 - 23 May	Hamilton	Dr Andrew Miller (Convener) Erin Dent (Dept Secretary) dente@waikatodhb.govt.nz	(07) 839 8899 Pager 20022 (07) 839 8899 ext 8718
FANZCA - Auckland Part II	23 June to 4 July	Auckland	Dr Sarah Nicholson (Convenor) Debbie Beaumont d.beaumont@auckland.ac.nz	(09) 3737599 ext 89300
FANZCA Final Course – Oral Examination. – Wellington	6 - 8 March 31 July – 2 August	Wellington	Dr Aruntha Moorthy (Convenor) Sylvia Jarvis Sylvia.Jarvis@ccdhb.org.nz	(04) 385 5887

NEW ZEALAND ANZCA EMAC COURSES FOR 2008
	Dates	Where	Contact Name	Phone No.
Wellington Courses	22 - 24 May	Wellington	Sylvia Jarvis Sylvia.Jarvis@ccdhb.org.nz	(04) 385 5887
	14 - 16 August	Wellington	Sylvia Jarvis	See above
	6 - 8 November	Wellington	Sylvia Jarvis	See above
Auckland Courses www.acsc.auckland.ac.nz	27 - 29 March	Auckland	Liesl Ploos van Amstel acscadmin@auckland.ac.nz	(09) 3737599 ext 89304
	5 - 7 June	Auckland	Liesl Ploos van Amstel	See above
	18 - 20 September	Auckland	Liesl Ploos van Amstel	See above
	27 - 29 November	Auckland	Liesl Ploos van Amstel	See above

2008 CME EVENTS

New Zealand Pain Society Annual Scientific Meeting

Dates: 12 -15 March

Theme: PAIN Breaking Down the Barriers

Venue: Langham Hotel, Auckland

Website: http://www.nzps.org.nz/

Contact: Conference Secretariat: Rita Schulz, Conferences & Events Ltd, PO Box 1254, Nelson, NZ
Ph: +64 3 546 6022; Fax: +64 3 546 6020; Email: Rita Schulz [Rita@confer.co.nz]

Auckland City Symposium

Date: 15 March

Theme: A Risky Business...Risk Assessment, risk reduction and the Anaesthetic Clinic

Venue: Clinical Education Centre, Auckland City Hospital, 2 Park Road, Grafton, Auckland

Website: http://www.acs.ac.nz/

Contact: Karen Patching, C/- Department of Anaesthesia & Perioperative Medicine, Auckland City Hospital
Private Bag 92024, Auckland Mail Centre, Auckland 1142. Tel: 09 375 7085; Fax 09 307 2814; Email: karenp@adhb.govt.nz

ANZICS New Zealand Regional Conference 2008

Dates: 9 – 11 April

Theme: ICU is not an island

Venue: Spencer on Byron Hotel, Takapuna, North Shore City, Auckland

Website: www.nzanzics08.co.nz

Contact: Dr Jonathan Casement, convenor. Email: Jonathan.casement@waitematadhb.govt.nz

ANZCA Annual Scientific Meeting 2008

Dates: 3 – 7 May

Theme: Anaesthesia: Science, Art and Life
Venue: Sydney Convention Centre

Website: http://www.anzca2008asm.com/
Contact: Emma Bowyer, General Manager, ICMS Australasia Pty Ltd, GPO Box 3270, Sydney NSW 2001 Tel: (+61 2) 9254 5000; Fax: (+61 2) 9251 3552; Email info@anzca2008asm.com

JFICM Annual Scientific Meeting 2008

Dates: 30 May – 1June

Theme: Blood and Blood Product Usage in the ICU

Venue: Sofitel, Melbourne
Contact: Ms Christine Gill, ANZCA House, 630 St Kilda Road, Melbourne VIC 3004. Tel: 0061 3 9510 6299. Email: cgill@anzca.edu.au

Annual Combined Meeting of the Medical Education, Simulation and Skills Training, Welfare of Anaesthetists and Anaesthetists in Management, Special Interest Groups

Dates: 29 – 31 August

Venue: Rydges Lakeland Resort, 38 - 54 Lake Esplanade, Queenstown

Contact: Ms Gay Hopgood, ANZCA Continuing Education, 630 St Kilda Road Melbourne VIC 3004, Australia. Tel: 0061 3 9510 6299; Email: ghopgood@anzca.edu.au

ASA/NZSA Combined Scientific Congress

Dates: 11 – 14 October

Theme: Communication in Anaesthesia.
Venue: Wellington Convention Centre, Wellington New Zealand
Website: http://asanzsa2008.org.nz

Contact: Liz Budden, CMSL, PO Box 24329, Manners St, Wellington. Tel: 04 479 4162 Email: asanzsa@cmsl.co.nz

Obstetric Anaesthesia SIG Continuing Medical Education Meeting

Dates: 16 – 17 October

Theme: 2020 - A Vision of the Future for Obstetric Anaesthesia.
Venue: Montana Brancott Winery, Blenheim
Contact: Ms Juliette Mullumby, ANZCA Continuing Education, 630 St Kilda Road, Melbourne Vic 3004. Tel: 0061 3 9510 6299; Email: jmullumby@anzca.edu.au

USEFUL WEBSITES FOR CME EVENTS

For further details and updates of national and international meetings check the following websites

New Zealand National Committee

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