logo
Future Specialists Speak Out In Support Of Senior Doctors

Future Specialists Speak Out In Support Of Senior Doctors

Scoop01-05-2025
Press Release – STONZ
STONZ executive member, and Obstetrics and Gynaecology trainee Jordan Tewhaiti-Smith says that like the SMOs who are currently striking, we are deeply concerned about the safety of our patients and our communities, and the ability for all New Zealanders …
Specialty Trainees of New Zealand (STONZ), a union representing Resident Medical Officers (RMOs), supports today's strike action taken by Senior Doctors (SMOs).
STONZ executive member, and Obstetrics and Gynaecology trainee Jordan Tewhaiti-Smith says that like the SMOs who are currently striking, 'we are deeply concerned about the safety of our patients and our communities, and the ability for all New Zealanders to access the healthcare we need and deserve'
'As future specialists, we are disappointed in the response from the government so far, and STONZ supports ASMS, and our senior colleagues today.'
'If we want a healthcare system that we can all access and be proud of, we need to ensure that we are valuing our workforce and being clear to everyone that this is important.
'As doctors, we know any decision to strike would not have been taken lightly. We have concerns about the future of specialist care in Aotearoa, New Zealand and an important starting point is to support, value and retain the doctors already working here which we will also be highlighting when we begin negotiations early next year.
'Being a doctor is a job where you can do incredible things. That's why doctors and other health workers put up with so much. We want to help, look after and care for our communities – but there's a point at which many newer doctors will start asking themselves if six years of med school, huge student loans, followed by as many or more years of fatigue, working upwards of 60-70-hour plus weeks and stress pursuing a specialty that they might never get the chance to reach is actually worth it.'
'We, along with our senior colleagues, are advocating for a healthcare system that supports, values and retains our highly trained and skilled clinicians, which can provide better health outcomes for everyone in Aotearoa, New Zealand.'
STONZ is a union for RMOs that is run by RMOs and advocates for the long-term benefit of its members, their patients, and Aotearoa's health system.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Vaccines in a tablet among projects to receive research council funding
Vaccines in a tablet among projects to receive research council funding

Otago Daily Times

time2 hours ago

  • Otago Daily Times

Vaccines in a tablet among projects to receive research council funding

The Health Research Council of New Zealand provides millions of dollars each year, to improve the health and wellbeing of New Zealanders, by identifying and supporting high-quality, high-value research that has far-reaching impacts. John Lewis takes a look at the 18 research projects at the University of Otago, which received $15.3 million in the latest round of grants. A fear of needles has long been one of the bones of contention when it comes to getting vaccinated in New Zealand. But now University of Otago researchers hope to remove that obstacle by creating vaccines in the form of a tablet. Project leader and School of Pharmacy researcher Professor Sarah Hook said vaccines were only beneficial if everyone was willing to be vaccinated. "This is currently not the situation in Aotearoa New Zealand. "We urgently need to investigate new approaches to improve vaccine uptake and develop culturally appropriate messaging and initiatives to promote equity in vaccine access." The multi-disciplinary research team received a $1.2 million Health Research Council of New Zealand grant yesterday to create a simple, safe and effective self-administered oral vaccine in a capsule form. She said vaccination was a key public healthcare intervention which prevented the spread of infectious diseases, and more recently, it was being used to treat chronic conditions such as cancer. So initially, their research focus would be on creating an oral influenza vaccine, and a novel vaccine treatment for colon cancer. For vaccines to provide health benefits, people must have the confidence and willingness to be vaccinated, and the ability to access vaccine delivery services, she said. Alongside the lab-based research, the group aimed to develop resources and initiatives for Māori and Pacific communities to support future vaccination programmes. "While we believe moving away from injections will be a major benefit to improve vaccine uptake, using a kaupapa Māori framework, we want to find out what other barriers exist that prevent people from being vaccinated. "In particular we would like to reduce inequities that exist around vaccine uptake by Māori and Pacific people. "In Aotearoa New Zealand, it is imperative we increase vaccination rates, especially in groups with lower vaccine coverage. "Our research aims to minimise access and engagement immunisation barriers and enhance vaccination acceptance." Prof Hook was delighted to receive the funding and said the team was keen to start work on "this exciting research". The project is one of 18 Health Research Council grants awarded to University of Otago researchers, worth more than $15.3m. The council also awarded a $1.2m grant for Otago researchers to advance size-inclusive healthcare, by studying the acceptability and utility of cervical screening self-tests for "big-bodied" people. University of Otago (Wellington) primary healthcare and general practice researcher Associate Prof Lesley Gray said New Zealand's cervical screening programme now offered a universal self-testing option, which was expected to reduce inequities in participation and cancer outcomes. However, big-bodied people had historically been overlooked in research and under-served in screening, which increased their risk of undetected cervical cancer. She said cervical cancer was now preventable through vaccination, screening and timely treatment, and it was vital that the programme worked for people of all body sizes. "There are high levels of stigma and bias in healthcare associated with body size and fatness that mean people delay seeking help. "That impacts the quality of care people receive. "A range of factors determine how accessible services are from the built environment in which we deliver care, to the equipment and language we use in practice. "For example, the supplied swab is a standard length. We are interested to know how practical this is for big-bodied people wanting to self-test," she said. Assoc Prof Gray said the research aimed to understand how well the new screening pathway, including self-testing, met their needs. "Our pragmatic qualitative approach involves partnering with health and community providers to recruit big-bodied people to share their cervical screening experiences. "Findings will guide the development of practical approaches and recommendations for implementing size-inclusive cervical screening with broader relevance across all health services." Investing in the delivery of size-inclusive screening would help improve coverage and achieve downstream reductions in cancer incidence and mortality, she said. Meat processing is New Zealand's largest manufacturing sector, worth $12.2 billion to the economy and employing 28,000 people. But it is a hazardous work environment and has multiple health risks. University of Otago Va'a o Tautai Centre for Pacific Health postdoctoral fellow Dr Jane Taafaki has been given a Health Research Council grant of nearly $400,000 to investigate the workplace hazards that thousands of meatworkers face each day. "Pacific peoples are overrepresented in this industry and experience high rates of injury and work-related harm — a trend which is a growing concern in rural towns," she said. The first-of-its-kind study would take a Pacific approach to investigating the connection between the risk exposures in these kinds of manual labour industries and workers' health. Taking place in meat plants in Oamaru, Balclutha and Pareora, and using Pasifika fa'afaletui and talanoa methodologies, the study would examine the type and extent of workplace injury and illness, and how they relate to wider concepts of wellbeing, perception of workplace safety, risk exposures, and absenteeism. "We really want the outcomes of the project to be useful and informative to both the industry, as well as agencies like Te Whatu Ora Health New Zealand, WorkSafe and ACC, so that there are positive outcomes for the workers and industry alike." She said the research aimed to develop an instrument suitable for determining the nature and magnitude of musculoskeletal and associated health impacts for Pasifika people working in rural meat processing. It would also support the development of health services to respond to the health needs of rural Pacific meatworkers and their families more effectively. A drug used to treat anaemia (iron deficiency) also has the ability to cross into the brain. So University of Otago (Christchurch) medical laboratory science researcher Associate Prof Tania Slatter and pathology and biomedical science Professor Gabi Dachs are proposing the drug could also be used to treat some brain metastasis, by exploiting unique properties of these metastases. Two-thirds of cancer deaths occur when cancers spread around the body, and when cancer spreads to the brain (brain metastases), patients have "a dismal prognosis", because the metastases are challenging to treat. Assoc Prof Slatter said new treatment strategies were urgently needed in New Zealand. The duo received $1,196,992 from the Health Research Council to investigate if brain metastases were vulnerable to the anaemia drug, she said. "In the clinic and the laboratory, we will test if brain metastases have an iron accumulation signature that leads to greater drug uptake, and if this is sufficient to target metastases by triggering cancer cell death by iron overload." She said the anaemia drug was relatively low-cost with a good safety record, and might provide a new treatment opportunity and improved prognosis for those with otherwise limited treatment options. Colorectal cancer is one of the leading causes of death in New Zealand — especially in Otago and Southland where there are particularly high levels. While chemotherapy is a key treatment, it often causes unpleasant side effects which can reduce a person's ability to tolerate the treatment, and ultimately it makes it less effective. University of Otago School of Physical Education, Sport and Exercise Science researcher Dr Brendon Roxburgh has received a council Emerging Researcher Grant of $400,000 to evaluate the feasibility of exercise during chemotherapy. He believed exercise during chemotherapy might reduce side effects and improve treatment outcomes. "This research will begin by talking with people who have received or are receiving chemotherapy for colorectal cancer, to understand what helps or prevents them from being active during treatment. "We will use this information to develop a patient resource that supports safe physical activity during chemotherapy. "We will then test whether a supervised exercise programme during treatment is safe, manageable, and acceptable for people with colorectal cancer." Dr Roxburgh said the research could lead to better support for patients during treatment, improve their health outcomes, and provide a cost-effective way to improve cancer care across New Zealand. Other grants • Other research grants awarded to University of Otago researchers by the Health Research Council.— • Department of medicine researcher Dr Sarah Appleby has received a $150,000 Explorer Grant to create a new blood test to predict cardiovascular events. • Department of pathology researcher Dr Silke Neumann has received a $150,000 Explorer Grant to enhance chemotherapy sensitivity in patients with diffuse gastric cancer. • Department of oral sciences researcher Dr Zeina Al Naasan has received a $150,000 Explorer Grant to create an AI-assisted, easy-to-use smartphone-based app that can alleviate barriers to accessing oral healthcare advice, especially in communities with the highest needs. • Pathology and biomedical science researcher Prof Madhav Bhatia has received a $150,000 Explorer Grant to find pharmaceuticals that will enhance the body's lymphatic drainage system and help drain away pancreatic inflammation. • Department of surgery and critical care researcher Prof Tim Eglinton and department of pathology and biomedical science researcher Dr Arthur Morely-Bunker received a council grant of $699,734 to improve gastrointestinal cancer outcomes with AI-enhanced digital pathology. • Department of surgery and critical care researcher Dr Oliver Lyons and department of preventive and social medicine researcher Prof Sue Crengle received $1,439,803 to tackle gender inequity and provide better guidelines for doctors treating women with aneurisms. • Department of medicine researcher Dr Anna Pilbrow and department of pathology and biomedical science researcher Dr George Wiggins received $1,199,926 to study whether copy-number variation is a source of missing heritability for heart failure. • Department of biochemistry researcher Prof Parry Guilford and School of Pharmacy researcher Dr Jessica Fairhall received $1,199,177 from the council to investigate direct-to-stomach delivery of drugs for the chemoprevention of inherited stomach cancer. • Department of anatomy researchers Dr Michael Pankhurst and Prof Greg Anderson received $1,199,974 to study whether excessive ovarian hormones cause ovulation failure in polycystic ovary syndrome. • Department of physiology researcher Prof Peter Jones received $1,197,729 to study the treatment of Alzheimer's disease via inhibition of ryanodine receptors. • Department of biochemistry researcher Prof Sally McCormick received $1,170,000 to uncover the connection between serotonin and a form of blood cholesterol metabolism (Lp(a)). • Department of population health researchers Dr Rose Crossin and Prof Joseph Boden received $1,199,970 to define and measure drug (nicotine, alcohol, illicit drugs) harm for youth in New Zealand • Department of surgical sciences researcher Prof Greg Jones received $1,107,917 to improve how we predict someone's risk of cardiovascular disease, by testing a new blood test that more accurately measures a person's lifetime exposure to smoking.

Medsafe Consents Improve Year On Year, Again
Medsafe Consents Improve Year On Year, Again

Scoop

time8 hours ago

  • Scoop

Medsafe Consents Improve Year On Year, Again

Associate Minister of Health Annual performance statistics released today show Medsafe following my direction and approving new medicines faster than last year, which was faster than the year before, and there is more to come with the Rule of Two and AI, Associate Health Minister David Seymour says. 'New Zealanders need a smarter, more efficient government which gets things done, enabling them to live better lives,' Mr Seymour says. 'Faster access to medicines matters to patients. For many New Zealanders, pharmaceuticals are life or death, or the difference between a life of pain and suffering or living freely.' Medsafe completed its evaluation for innovative medicines 59 working days faster than last year. This is on top of the 55 days reduction in 2023/24. Generic medicines decisions were 64 days faster than last year, on top of the 45 days reduction in 2023/24. Medsafe has again met 100% timeframes for over-the-counter medicines, providing certainty for pharmaceutical companies. 'Assessment timeframes for most categories of medicine are now similar to the timeframes required in Australia. We often use compare ourselves to Australia, and in this area we have caught up,' says Mr Seymour. 'The abbreviated pathway is also reducing timeframes. It requires Medsafe to work smarter by leveraging work already done by other overseas regulators. About 50 percent of medicines are assessed like this, and in half the time of the full pathway. 'Medsafe will speed up approval processes further. The Medicines Amendment Bill includes the Rule of Two, which will be in operation by early 2026. The Rule of Two requires Medsafe to approve new pharmaceuticals within 30 days of them being approved by at least two overseas regulatory agencies recognised by New Zealand. 'Last year I wanted Medsafe to find more innovative ways to expedite their approval pathways. One way they have done this is by prioritising new innovative medicines and assessing them under urgency because people need them now. 'Some of these included the Bleriplex medicine for people with blood clotting disorders, the blood cancer medicine Omjjaro, Tyruko for multiple sclerosis, and the Wyost injection for weakened bones due to cancer. For Omjjaro, this meant it was able to be approved 131 days faster than the average time last year for new innovative medicines. 'Earlier this year I wrote to Medsafe asking them to find ways that AI could help the process new medicines faster. This is something that they have welcomed and recognise could reduce assessment times. I look forward to working with Medsafe as they explore this. 'We're committed to ensuring that the regulatory system for pharmaceuticals is not unreasonably holding back access. We want it to lead to more Kiwis being able to access the medicines they need to live a fulfilling life, not less.'

Cancer, Measles And Allergic Disease Research Funded In Latest HRC Grants Round
Cancer, Measles And Allergic Disease Research Funded In Latest HRC Grants Round

Scoop

time12 hours ago

  • Scoop

Cancer, Measles And Allergic Disease Research Funded In Latest HRC Grants Round

Press Release – Malaghan Institute of Medical Research Director Professor Kjesten Wiig says receiving three major grants from the Health Research Council at a time of heightened funding constraints is significant and recognises the calibre and relevance of the Malaghan Institutes science. The Malaghan Institute has been awarded three Health Research Council grants, totalling $7.4M over five years, to improve cancer immunotherapies, protect vulnerable populations from measles outbreaks and investigate new therapeutic targets for eczema. Director Professor Kjesten Wiig says receiving three major grants from the Health Research Council at a time of heightened funding constraints is significant and recognises the calibre and relevance of the Malaghan Institute's science. 'These investments not only reflect confidence in the Malaghan's research across cancer, allergic and infectious diseases, but also the real-world impact of our work on the health of New Zealanders.' Faster CARs: Overcoming exhaustion to enhance cancer immunotherapies Building on the Malaghan Institute's ground-breaking CAR T-cell programme, the Perret team in the Weinkove Laboratory has recieved a $1.2 million project grant over three years to improve on this life-saving treatment. 'In Aotearoa's first CAR T-cell trial, our novel CAR T-cell therapy has shown promising safety and efficacy in people with relapsed lymphomas,' says Dr Rachel Perret. 'However, a known limitation of CAR T-cell therapies is that in some cases, cancers fail to respond, or relapse. This may be due to exhaustion of CAR T-cells during manufacture or inside the patient, due to a immunosuppressive environment around the tumour.' Cells, like people, can become exhausted if overworked or overstimulated, becoming less and less able to perform. However, unlike people, CAR T-cells can be tweaked to block the genes that signal this exhaustion, allowing them to continue fighting cancer for longer – which should also improve patient outcomes. 'This project will re-engineer CAR T-cells to silence genes linked to exhaustion and re-develop CAR T-cell manufacturing processes to enhance CAR T- cell fitness and shorten manufacturing times,' says Dr Perret. 'We expect the results to be applicable to many cancer types, and to be readily translated for the benefit of New Zealanders within our CAR T-cell clinical trial programme.' Providing equal protection for everyone against measles Herd immunity is how we as a population protect those who are immunocompromised or otherwise unable to get vaccinated (such as very young infants) against potentially life-threatening viruses like measles. When enough of the population are vaccinated (over 95% in the case of measles), this herd immunity effectively prevents viruses from spreading to our most vulnerable whānau. 'While the current measles, mumps and rubella (MMR) vaccine is highly effective at protecting vaccinated individuals against these viruses, current vaccination rates are not high enough to provide this essential herd immunity to protect those who cannot be vaccinated,' says paediatric immunologist Dr Kuang Hsiao from Waipapa Taumata Rau, University of Auckland, who is part of the research team. The MMR vaccine cannot be used in people with severely impaired immune systems and is not recommended in pregnant people. Also, MMR is less effective in infants, so is not routinely recommended before 12 months of age. In addition, Māori and Pacific communities are overrepresented among these vulnerable groups. For these populations, alternate protective options are required to prevent a measles outbreak. 'Evidence has shown that mRNA-based vaccines can be effective in these vulnerable individuals,' says the Malaghan's Professor Ian Hermans. 'With an international team involving clinicians, immunologists and Māori and Pacific researchers, we will develop an mRNA-based measles vaccine to give to vulnerable individuals in the event of an outbreak.' The research has been awarded an HRC Programme Grant, worth $5M over five years, and will bring together multiple organisations including the Malaghan, representing diverse areas of expertise and combining both fundamental research and public health. 'As part of this work, we will explore with Māori and Pacific communities' perceptions and beliefs about mRNA-based vaccines to support equitable access to the vaccine,' says Dr Hermans. Investigating novel treatment targets for atopic dermatitis Atopic dermatitis, or eczema, is a chronic skin allergic disease that affects a significant proportion of New Zealand's population. The disease can have a significant negative impact on a person's livelihood with symptoms varying from persistent itchiness, redness, dryness and inflammation. Current treatment options are largely immunosuppressants such as corticosteroids, which can cause side effects. While these treatments can help manage symptoms there are currently no effective therapies to prevent the disease from developing and relapsing. At the cellular level, one hallmark of atopic dermatitis is the chronic infiltration and persistence of immune cells called tissue resident memory T-cells. Normally, these cells are vital for protecting the skin from invading pathogens, but for individuals with atopic dermatitis these cells also contribute to the disease by promoting recurring inflammation even after the allergen has been cleared from the skin. The project, which has been awarded $1.2 million over three years, will be led by Dr Sotaro Ochiai, a Senior Research Fellow in the Ronchese Laboratory. The team will focus on better understanding these tissue resident memory T-cells identifying key genes and biological pathways that are essential for the establishment and maintenance of these cells in the skin. 'By understanding these mechanisms, we aim to identify new therapeutic targets to disrupt tissue resident memory T-cell survival or function and improve quality of life for those affected by this persistent and distressing condition,' says Dr Ochiai.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store