{"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":"https://doi.org/10.26635/6965.6897","url":null,"abstract":"<p><strong>Aim: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}
{"title":"The Otago Medical School: 150 years of teaching, research and community service.","authors":"Dawn E Elder","doi":"10.26635/6965.7007","DOIUrl":"https://doi.org/10.26635/6965.7007","url":null,"abstract":"<p><p>This viewpoint reviews 150 years of teaching, research and community service at Aotearoa New Zealand's first medical school. From a shaky start just 6 years after the establishment of the University of Otago in 1869, the Otago Medical School (OMS) has established itself as a centre of excellence in health sciences teaching and research, with its staff and alumni also making significant contributions to the wider community both here in Aotearoa New Zealand and internationally.</p>","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1615","pages":"106-111"},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129240","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}
{"title":"Learning to care, caring to learn: the evolving nature of medical education.","authors":"Tim J Wilkinson","doi":"10.26635/6965.7009","DOIUrl":"https://doi.org/10.26635/6965.7009","url":null,"abstract":"<p><p>As Otago Medical School marks its 150th anniversary, this paper reflects on what it means to train doctors for both today and the decades ahead. It traces the school's evolution from its nineteenth-century foundations through key innovations in curriculum, clinical training and rural health, highlighting the ongoing balance between tradition and change. While early efforts mirrored global trends, Otago has grown into a leader in areas such as assessment, interprofessional education and Indigenous health. This paper explores future challenges including competency-based education, personalised learning and the integration of artificial intelligence, arguing that these developments must be grounded in enduring values: professionalism, teamwork and community engagement. The central task remains unchanged: to train doctors who are not only knowledgeable and skilled, but also compassionate and committed to those they serve.</p>","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1615","pages":"112-115"},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129233","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}
{"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":"<p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}
{"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":"https://doi.org/10.26635/6965.6652","url":null,"abstract":"<p><strong>Aim: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}
{"title":"A history of affirmative entry schemes at Otago Medical School.","authors":"Indira Fernando, Peter Crampton","doi":"10.26635/6965.6708","DOIUrl":"https://doi.org/10.26635/6965.6708","url":null,"abstract":"<p><strong>Aim: </strong>Document the history of affirmative entry policies at the University of Otago Medical School.</p><p><strong>Method: </strong>Manual searches of records at both the University of Otago Hocken Library and the internal records of the Otago Medical school.</p><p><strong>Results: </strong>We believe that the Otago Medical School affirmative policy is the oldest such policy in Aotearoa New Zealand, having existed in some form for seven decades. Its different iterations over the decades each reflect the prevailing social norms and attitudes at the time of their development.</p><p><strong>Conclusion: </strong>While affirmative entry schemes at Otago Medical School are long standing, the university has only relatively recently explicitly stated its obligations to Māori under Te Tiriti o Waitangi and the aim of reflecting in its health professional programmes the socio-demographic make-up of Aotearoa New Zealand's communities. Ongoing monitoring and evaluation are necessary in order to assess the effectiveness of the policy.</p>","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1615","pages":"11-19"},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129172","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}
{"title":"Reflections on Otago Medical School in its 150th anniversary year.","authors":"Peter Crampton","doi":"10.26635/6965.7026","DOIUrl":"https://doi.org/10.26635/6965.7026","url":null,"abstract":"","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1615","pages":"8-10"},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129236","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}
Guangzhao Guan, Lawanya Rathninde, Lara Friedlander, Suzanne Hanlin, Ajith Polonowita, Li Mei
{"title":"Students' perceived knowledge and confidence of performing extra-oral clinical examinations during Bachelor of Dental Surgery (BDS) study in New Zealand.","authors":"Guangzhao Guan, Lawanya Rathninde, Lara Friedlander, Suzanne Hanlin, Ajith Polonowita, Li Mei","doi":"10.26635/6965.6830","DOIUrl":"https://doi.org/10.26635/6965.6830","url":null,"abstract":"<p><strong>Aims: </strong>To investigate students' self-perceived understanding and confidence in performing extra-oral examinations on patients during their Bachelor of Dental Surgery (BDS) education and training in New Zealand.</p><p><strong>Method: </strong>A mixed-methods, cross-sectional study design was used to explore the understanding and perceived confidence of students who were in their third, fourth and final years of training in performing extra-oral examinations on patients. A questionnaire containing Likert and open-ended questions was distributed to 270 students.</p><p><strong>Results: </strong>A total of 270 questionnaires were distributed to BDS3, BDS4 and BDS5 dental students, with an 80.7% response rate. Approximately 60% of students conducted general patient observations consistently, with no significant difference across year levels. Temporomandibular joint assessments were more frequently conducted by BDS5 students, while muscle of mastication, lymph node and salivary gland assessments were less consistently performed. Confidence varied across examination types, with over two-thirds expressing uncertainty in conducting some assessments. Many students felt that structured electronic templates and anatomical knowledge were helpful; however, they noted a need for improved training on palpation techniques and earlier integration of hands-on clinical practice.</p><p><strong>Conclusion: </strong>Most students perceived they were well taught and felt confident in the extra-oral examination of a patient. Students of all levels of experience believed they would benefit from curriculum development and additional modes of teaching to aid their learning and improve their ability to perform an extra-oral examination.</p>","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1615","pages":"20-33"},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129238","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}
{"title":"Asian and ethnic minority health research in Aotearoa New Zealand: a scoping review of grey literature (2011-2020).","authors":"Annie Chiang, Alina Meador, Roshini Peiris-John, Rachel Simon-Kumar","doi":"10.26635/6965.6854","DOIUrl":"https://doi.org/10.26635/6965.6854","url":null,"abstract":"<p><strong>Aims: </strong>A wealth of knowledge, especially on ethnic and migrant health, is located in \"grey literature\" (GL), i.e., material that is not formally published. This article reviews four types of GL: a) student theses, b) research reports, c) government, and d) non-government unpublished research on Asian and other ethnic minority (A/EM) health in Aotearoa New Zealand, covering a decade between 2011 and 2020.</p><p><strong>Methods: </strong>A range of flexible data collection methods was used for each GL category. The application of inclusion and exclusion criteria resulted in the selection of 167 articles for review.</p><p><strong>Results: </strong>Key themes on methodologies, participants and identities, acculturation, barriers to health and recommendations for changes in healthcare are highlighted in the findings. In general, there was greater representation of intersectional identities, deployment of non-Western methodologies to address A/EM health problems and a broader diversity of health conditions addressed in GL compared with published A/EM research.</p><p><strong>Conclusion: </strong>All four GL categories are important knowledge bases for A/EM health in ways not captured in published research, with student research in particular offering creative and cutting-edge conceptual health frameworks. There needs to be greater visibility of GL, especially non-conventional frameworks and methodologies for A/EM health knowledge.</p>","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1615","pages":"53-94"},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129227","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}
{"title":"Herpes zoster reactivation presenting as unilateral small vessel vasculitis in a patient taking upadacitinib.","authors":"Edward H Palmer, Charles H Barter","doi":"10.26635/6965.6912","DOIUrl":"https://doi.org/10.26635/6965.6912","url":null,"abstract":"","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"138 1615","pages":"116-120"},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129231","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}