NEW ZEALAND MEDICAL JOURNAL最新文献_第10页

Assessment of burnout in New Zealand ophthalmology registrars. 新西兰眼科注册医师职业倦怠的评估。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6849

Theodore Andrew Sutedja, Luke Hawley, Kelechi Ogbuehi

{"title":"Assessment of burnout in New Zealand ophthalmology registrars.","authors":"Theodore Andrew Sutedja, Luke Hawley, Kelechi Ogbuehi","doi":"10.26635/6965.6849","DOIUrl":"10.26635/6965.6849","url":null,"abstract":"Aim: Burnout is prevalent among medical professionals, particularly during training, and can lead to detrimental personal and professional outcomes. This study aims to assess burnout levels among New Zealand ophthalmology registrars.Methods: A cross-sectional, anonymous online survey was administered to trainee and non-trainee ophthalmology registrars across New Zealand. The survey collected demographic data, details about the work environment within ophthalmology departments, experiences with the impact of COVID-19 and assessed burnout levels using the Maslach Burnout Inventory - Human Services Survey for Medical Personnel (MBI-HSS MP).Results: Forty-five of 65 ophthalmology registrars (69%) completed the survey. Burnout was prevalent, affecting 55% of trainees and 77% of non-trainees. Non-trainees demonstrated significantly higher levels of emotional exhaustion and depersonalisation compared with trainees, with 64.3% and 57.1% of non-trainees, respectively, demonstrating burnout in the severe range. Additionally, workload manageability was found to have a significant association with burnout (p=0.0448), with non-trainees facing greater difficulty in managing their workload.Conclusion: Burnout is highly prevalent among New Zealand ophthalmology registrars, with non-trainees particularly affected.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"20-27"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fighting steroids with steroids: a case of bilateral central retinal vein occlusion in an anabolic steroid user. 用类固醇对抗类固醇：一例合成代谢类固醇使用者双侧视网膜中央静脉闭塞。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6910

Joshua Read, Colin Parsloe

引用次数: 0

Optimising the use of certification findings to support healthcare quality measurement and improvement. 优化认证结果的使用，以支持医疗保健质量测量和改进。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6939

Jerome Ng, Jacky Chan, Jerson Valencia, Kaushik Kaushik, Fran Voykovich, Marama Tauranga, Andrew Connolly, Vanessa Thornton

{"title":"Optimising the use of certification findings to support healthcare quality measurement and improvement.","authors":"Jerome Ng, Jacky Chan, Jerson Valencia, Kaushik Kaushik, Fran Voykovich, Marama Tauranga, Andrew Connolly, Vanessa Thornton","doi":"10.26635/6965.6939","DOIUrl":"10.26635/6965.6939","url":null,"abstract":"Certification is one of several regulatory tools intended to support and ensure the safe provision of health and disability services, such as hospitals and rest homes, to the public. Health and disability service providers must be certified and meet all relevant service standards if they are to provide healthcare services. Not surprisingly, service providers, regulators and auditors spend a significant amount of effort and resources to prepare for, undertake, administer and report the audits. Given the substantial investment by all involved, it is essential to optimise the use of the findings to support system learning and quality improvement. However, in reality and practice, the qualitative and narrative nature of the audit findings means that they are unable to be used to optimise their return for the commensurate effort. In this viewpoint article, we propose and describe a complementary quantitative approach to using certification data to enable and support clinical governance and quality improvement in and across organisations. We reflect on our proposed approach in practice and consider its limitations and implications on practice, research and policy.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"99-106"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using Māori community aspirations to advocate for oral health integration into diabetes care. 利用Māori社区愿望倡导将口腔健康纳入糖尿病护理。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6897

Kuramaiki Lacey, Margaret Clark, Breanna Jansen, Phoebe Skinner, Ethan Kamana, Esther Willing

{"title":"Using Māori community aspirations to advocate for oral health integration into diabetes care.","authors":"Kuramaiki Lacey, Margaret Clark, Breanna Jansen, Phoebe Skinner, Ethan Kamana, Esther Willing","doi":"10.26635/6965.6897","DOIUrl":"10.26635/6965.6897","url":null,"abstract":"Aim: Diabetes and periodontal disease are two chronic diseases that disproportionately impact Māori in Aotearoa New Zealand. This study aimed to identify the aspirations of Māori adults with diabetes and their whānau regarding integrating oral health into diabetes management.Method: This Kaupapa Māori research engaged with Māori adults diagnosed with diabetes and their whānau across two community wānanga in Porirua. Both wānanga were audio recorded and transcribed verbatim. The researchers conducted a thematic analysis to identify key themes reflecting the participants' aspirations regarding oral healthcare within the context of their diabetes management.Results: The aspirations of 26 participants were captured in the study. Māori adults with diabetes experience several barriers to accessing dental care and they outlined opportunities to integrate oral healthcare into managing diabetes health, including: need for multidisciplinary care, improved access to education and information on the impact of diabetes on oral health and connection to Te Ao Māori.Conclusion: Despite the impact of diabetes on periodontal disease, oral health seldom features in diabetes management and care. Māori community aspirations highlight the urgent need for oral health to be integrated into diabetes management.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"50-58"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Radiology trainee retention in Auckland, New Zealand: a survey. 新西兰奥克兰市放射学实习人员留任情况调查。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-06-06 DOI: 10.26635/6965.6857

Charles Robertson, Rhian Miranda, Divya Mehta

{"title":"Radiology trainee retention in Auckland, New Zealand: a survey.","authors":"Charles Robertson, Rhian Miranda, Divya Mehta","doi":"10.26635/6965.6857","DOIUrl":"10.26635/6965.6857","url":null,"abstract":"Aim: Amid growing concerns surrounding the radiology workforce in New Zealand, our primary aim was to capture the retention rate of recent graduates of the Auckland Regional Training Scheme.Methods: In September 2023 we sent a standardised survey to all Royal Australian and New Zealand College of Radiologists (RANZCR) fellows who commenced their radiology training in Auckland in the year 2000 or later. Additional questions were asked regarding prior subspecialty training, public versus private work mix, future career plans, the key factors influencing our radiologists' workplace selection and more.Results: With a response rate of 71.7% (99/138 survey recipients), we found that 75.8% (75/99) of our responders currently work in New Zealand, a greater proportion than perhaps anticipated. A little over half (58.2%) work in a mixture of both public and private settings, and 56.2% are considering, on some level, significantly reducing their hours in the next 1 to 5 years.Conclusion: We hope the insights gained through this survey encourage further efforts to retain our growing number of trainees, while helping to paint the current landscape of our specialty at the consultant level.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1616","pages":"28-42"},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Otago Medical School: 150 years of teaching, research and community service. 奥塔哥医学院：150年的教学、研究和社区服务。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-05-23 DOI: 10.26635/6965.7007

Dawn E Elder

引用次数: 0

Learning to care, caring to learn: the evolving nature of medical education. 学会关心，关心学习：医学教育不断发展的本质。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-05-23 DOI: 10.26635/6965.7009

Tim J Wilkinson

引用次数: 0

Experiences and perspectives of thriving (or not) as Māori and Pacific allied health professionals. 作为Māori和太平洋联合医疗专业人员的成功（或失败）经验和观点。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-05-23 DOI: 10.26635/6965.6697

Ulima Tofi, Nicola M Kayes, Bobbie-Jo Wilson

{"title":"Experiences and perspectives of thriving (or not) as Māori and Pacific allied health professionals.","authors":"Ulima Tofi, Nicola M Kayes, Bobbie-Jo Wilson","doi":"10.26635/6965.6697","DOIUrl":"10.26635/6965.6697","url":null,"abstract":"Aim: To explore the perspectives and experiences of Māori and Pacific allied health professionals (AHPs) regarding what enables them to thrive or flourish in their first 2 years of practice, within a large public hospital setting.Methods: A qualitative study grounded in shared Māori and Pacific peoples' values and practices was undertaken, which drew on tenets of appreciative inquiry (AI) with thematic analysis of wānanga talanoa (referring to traditional and culturally informed Māori and Pacific processes, which provide a physically, spiritually and culturally safe space for discussion, knowledge sharing and co-creating meaning). Participants were Māori or Pacific AHPs (n=11) employed at a publicly funded, urban health organisation.Results: Three interrelated themes were constructed, including: 1) valuing cultural intelligence, 2) surviving, rather than thriving, and 3) it takes a village. Participants provided a range of ideas for how things could be different, which underpin tangible recommendations for health organisations to support Māori and Pacific AHPs to thrive.Conclusion: Informed by both Māori and Pacific peoples' values and principles, this study highlighted experiences, challenges and opportunities relevant to thriving as Māori and Pacific AHPs in their first 2 years of practice. Rather than minimising the impact that negative experiences of ongoing colonisation and racism have on AHP wellbeing, the purposefully adopted strengths-based approach highlighted collective strengths and solutions for positive change.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1615","pages":"95-105"},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical licensing for international medical graduates in Aotearoa New Zealand since 1849: overview and timeline. 自1849年以来，新西兰奥特罗阿国际医学毕业生的医疗执照：概述和时间表。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-05-23 DOI: 10.26635/6965.6652

Johanna Thomas-Maude

{"title":"Medical licensing for international medical graduates in Aotearoa New Zealand since 1849: overview and timeline.","authors":"Johanna Thomas-Maude","doi":"10.26635/6965.6652","DOIUrl":"10.26635/6965.6652","url":null,"abstract":"Aim: This paper aims to contextualise the current state of medical registration for international medical graduates (IMGs) in Aotearoa New Zealand by providing a historical overview of medical licensing policies for IMGs since 1849.Method: This paper and accompanying timeline were prepared from a document analysis of 306 historical and current medical licensing policy documents and other grey literature, including parliamentary Acts and Bills, annual reports, workforce surveys and media reports.Results: Medical licensing policies originated in the colonial era and have historically privileged doctors from the United Kingdom, Ireland and other Commonwealth countries. The New Zealand Registration Examination pathway for IMGs who did not qualify or work in accepted countries was established in the 1990s, although its origins can be seen in policies from as early as 1905.Conclusion: Although medical licensing policies have been adapted over the past 175 years, these changes tend to follow a pattern of oscillation between stringency and leniency, rather than linear progression. As a result, there are striking similarities between contemporary and colonial medical licensing policies in the way IMGs are categorised and distinguished that could benefit from further clarification and consideration by policymakers.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1615","pages":"34-52"},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reflections on Otago Medical School in its 150th anniversary year. 奥塔哥医学院150周年校庆

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2025-05-23 DOI: 10.26635/6965.7026

Peter Crampton

引用次数: 0