‘Quit while you are ahead – and smell the roses!’ A survey of retired Fellows of the Australian and New Zealand College of Anaesthetists

2021 ◽  
pp. 0310057X2110057
Author(s):  
Diana Strange Khursandi ◽  
Victoria Eley
Keyword(s):  
Clinical Practice ◽  
New Zealand ◽  
Standard Deviation ◽  
Response Rate ◽  
Common Factors ◽  
Published Data ◽  
Factors Affecting ◽  
Retirement Decisions ◽  
Zealand College ◽  
The Mean

There are no published data on the age of retirement of anaesthetists in Australia and New Zealand. We surveyed 622 retired Fellows of the Australian and New Zealand College of Anaesthetists to determine their ages of complete retirement from clinical practice, demographics, and whether they had retired at the age they had intended to retire. We also aimed to explore factors affecting the decision to retire, the practice of ‘winding down’, common post-retirement activities, and the arrangement of personal and professional affairs. Responses were received from 371 specialists (response rate 60%). The mean (standard deviation) age of retirement was 65.2 (6.9) years. The mean (standard deviation) retirement ages ranged from 62.0 (7.1) years (those who retired earlier than planned) to 68.0 (4.3) years (those who retired later than they had intended). The mean (standard deviation) age of retirement of the male respondents was 66.0 (6.5) years, and for female respondents was 62.7 (7.7) years. Two hundred and thirty-three respondents (63%) reported winding down their practice prior to retirement, and 360 (97%) had made a will. Poor health and loss of confidence were the two most common factors in the retirement decisions of those who retired earlier than they had planned. Our results may assist current practitioners plan for retirement, and suggest strategies to help health services, departments and private groups accommodate individuals in winding down their practice.

Royal Australian and New Zealand College of Psychiatrists professional practice guidelines for the administration of electroconvulsive therapy

2019 ◽  
Vol 53 (7) ◽  
pp. 609-623 ◽  
Author(s):  
Alan Weiss ◽  
Salam Hussain ◽  
Bradley Ng ◽  
Shanthi Sarma ◽  
John Tiller ◽  
...  
Keyword(s):  
Clinical Practice ◽  
New Zealand ◽  
Professional Practice ◽  
Electroconvulsive Therapy ◽  
Practice Guidelines ◽  
Best Practice ◽  
Scientific Evidence ◽  
Literature Information ◽  
Zealand College ◽  
Cognitive Side Effects

Objectives:To provide guidance for the optimal administration of electroconvulsive therapy, in particular maintaining the high efficacy of electroconvulsive therapy while minimising cognitive side-effects, based on scientific evidence and supplemented by expert clinical consensus.Methods:Articles and information were sourced from existing guidelines and the published literature. Information was revised and discussed by members of the working group of the Royal Australian and New Zealand College of Psychiatrists’ Section for Electroconvulsive Therapy and Neurostimulation, and findings were then formulated into consensus-based recommendations and guidance. The guidelines were subjected to rigorous successive consultation and external review within the Royal Australian and New Zealand College of Psychiatrists, involving the full Section for Electroconvulsive Therapy and Neurostimulation membership, and expert and clinical advisors and professional bodies with an interest in electroconvulsive therapy administration.Results:The Royal Australian and New Zealand College of Psychiatrists’ professional practice guidelines for the administration of electroconvulsive therapy provide up-to-date advice regarding the use of electroconvulsive therapy in clinical practice and are informed by evidence and clinical experience. The guidelines are intended for use by psychiatrists and also others with an interest in the administration of electroconvulsive therapy. The guidelines are not intended as a directive about clinical practice or instructions as to what must be done for a given patient, but provide guidance to facilitate best practice to help optimise outcomes for patients. The outcome is guidelines that strive to find the appropriate balance between promoting best evidence-based practice and acknowledging that electroconvulsive therapy is a continually evolving practice.Conclusion:The guidelines provide up-to-date advice for psychiatrists to promote optimal standards of electroconvulsive therapy practice.

The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

2020 ◽  
Vol 55 (1) ◽  
pp. 7-117 ◽  
Author(s):  
Gin S Malhi ◽  
Erica Bell ◽  
Darryl Bassett ◽  
Philip Boyce ◽  
Richard Bryant ◽  
...  
Keyword(s):  
Clinical Practice ◽  
New Zealand ◽  
Mood Disorders ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Primary Care Physicians ◽  
Scientific Evidence ◽  
Bipolar Disorders ◽  
Relevant Information ◽  
Zealand College

Objectives: To provide advice and guidance regarding the management of mood disorders, derived from scientific evidence and supplemented by expert clinical consensus to formulate s that maximise clinical utility. Methods: Articles and information sourced from search engines including PubMed, EMBASE, MEDLINE, PsycINFO and Google Scholar were supplemented by literature known to the mood disorders committee (e.g. books, book chapters and government reports) and from published depression and bipolar disorder guidelines. Relevant information was appraised and discussed in detail by members of the mood disorders committee, with a view to formulating and developing consensus-based recommendations and clinical guidance. The guidelines were subjected to rigorous consultation and external review involving: expert and clinical advisors, key stakeholders, professional bodies and specialist groups with interest in mood disorders. Results: The Royal Australian and New Zealand College of Psychiatrists mood disorders clinical practice guidelines 2020 (MDcpg2020) provide up-to-date guidance regarding the management of mood disorders that is informed by evidence and clinical experience. The guideline is intended for clinical use by psychiatrists, psychologists, primary care physicians and others with an interest in mental health care. Conclusion: The MDcpg2020 builds on the previous 2015 guidelines and maintains its joint focus on both depressive and bipolar disorders. It provides up-to-date recommendations and guidance within an evidence-based framework, supplemented by expert clinical consensus. Mood disorders committee: Gin S Malhi (Chair), Erica Bell, Darryl Bassett, Philip Boyce, Richard Bryant, Philip Hazell, Malcolm Hopwood, Bill Lyndon, Roger Mulder, Richard Porter, Ajeet B Singh and Greg Murray.

scholarly journals Postoperative use of slow-release opioids: The impact of the Australian and New Zealand College of Anaesthetists/Faculty of Pain Medicine position statement on clinical practice

2020 ◽  
Vol 48 (6) ◽  
pp. 444-453
Author(s):  
Adeline CH Tan ◽  
Bernadette A Bugeja ◽  
David A Begley ◽  
Jennifer A Stevens ◽  
Kok-Eng Khor ◽  
...  
Keyword(s):  
Clinical Practice ◽  
New Zealand ◽  
Odds Ratio ◽  
Slow Release ◽  
Immediate Release ◽  
Prescribing Patterns ◽  
Dose Titration ◽  
Pain Medicine ◽  
Zealand College ◽  
The Impact

Dose titration with immediate-release opioids is currently recommended for acute pain. The Australian and New Zealand College of Anaesthetists and the Faculty of Pain Medicine released a statement in March 2018 supporting their use in the treatment of opioid-naïve patients; however, the impact of this statement on clinical practice is currently unknown. This retrospective cohort study was conducted to compare opioid prescribing patterns before and after the release of the recommendations. Data were collected on 184 patients (2017, n = 78; 2018, n = 106) admitted to the Prince of Wales Hospital in November 2017 and 2018, which consisted of demographic data, opioid prescriptions and discharge opioid information. The main outcome is the number of prescriptions of slow-release opioids in 2017 versus 2018 after the recommendations were published. Confounding factors were accounted for using logistic and multiple regression as appropriate. There was a 29% decrease in slow-release opioid prescriptions during hospitalisation ( n = 31, 40% versus n = 12, 11%; P < 0.001) and 17% decrease at discharge ( n = 20, 26% versus n = 9, 9%; P = 0.02) post-publication. After adjusting for confounders, the odds of slow-release opioids being prescribed postoperatively and at discharge reduced by 86% and 88%, respectively (postoperative period: odds ratio 0.14, P < 0.05; discharge: odds ratio 0.12, P < 0.05). In addition, orthopaedic patients were more likely to receive slow-release opioids, consistent with existing literature. As the use of slow-release opioids has been associated with increased harm and protracted opioid use compared to immediate-release opioids, it is hoped that wider dissemination of these recommendations and a change in prescribing practice can be a step towards overcoming the opioid crisis.

Royal Australian and New Zealand College of Psychiatrists clinical practice guideline for the management of deliberate self-harm

2016 ◽  
Vol 50 (10) ◽  
pp. 939-1000 ◽  
Author(s):  
Gregory Carter ◽  
Andrew Page ◽  
Matthew Large ◽  
Sarah Hetrick ◽  
Allison Joy Milner ◽  
...  
Keyword(s):  
Clinical Practice ◽  
New Zealand ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
Zealand College

scholarly journals Electroconvulsive therapy – attitudes and practice in New Zealand

2001 ◽  
Vol 25 (12) ◽  
pp. 467-470 ◽  
Author(s):  
John A. Strachan
Keyword(s):  
Clinical Practice ◽  
New Zealand ◽  
Great Britain ◽  
Electroconvulsive Therapy ◽  
Royal College ◽  
Clinical Implications ◽  
Medical Conditions ◽  
Therapy Attitudes ◽  
Zealand College ◽  
Source Of Information

Aims and MethodThe clinical practice of electroconvulsive therapy (ECT) by New Zealand psychiatrists was surveyed by questionnaire. This paper compares the findings with national and regional surveys conducted in Great Britain, and considers the influence on clinical practice in New Zealand of the Royal College of Psychiatrists' ECT Handbook.ResultsECT has the same level of support from psychiatrists in New Zealand as in Britain, but is less frequently used. Modern brief pulse machines are used by 16 of 19 (84%) services from which data were received. The ECT Handbook was the most nominated source of information on ECT. Most (87%) respondents were aware of at least one set of ECT guidelines. However, these have apparently failed to influence some important aspects of practice. In particular, many medical conditions are still perceived as absolute contraindications.Clinical ImplicationsThe Royal College of Psychiatrists and the Royal Australian and New Zealand College of Psychiatrists need to place even greater emphasis on the importance of training in ECT for both trainees and qualified psychiatrists, and on the promotion of approved guidelines.

scholarly journals Factors Affecting Customer Decision on Using Tabung Haji Service Center in Malaysia

2021 ◽  
Vol 58 (1) ◽  
pp. 1318-1324
Author(s):  
Abbas Paliket
Keyword(s):  
Standard Deviation ◽  
Average Score ◽  
Service Center ◽  
Average Income ◽  
Factors Affecting ◽  
Monthly Average ◽  
The People ◽  
The Mean ◽  
High Level ◽  
One Way Anova

The objective of this research was to examine the factors affecting the decision of choosing the Tabung Haji Service center in Malaysia. Questionnaires were used for data collection. The sample groups were individuals living in the state of Kedah, Malaysia. The statistics used for data analysis were frequency, percentage, mean () , standard deviation (SD), and comparison test (t). -test) and one-way ANOVA analysis. It found most of them were male who are under 25 years old. They were single and hold undergraduate education. Their monthly average income was between RM1,201- RM2,000. The overall results of marketing mix factors were at a high level ( = 4.301 S.D. = 0.493). When sorted by the importance that the process aspect and the people aspect, they were at the most important level with the average score of 4.658 4.555 and standard deviation 0.435 0.445 respectively. The physical evidence, price, promotion, place, and product were at a high level. The mean score was 4.246, 4.236, 4.187, 4.133, 4.095 and the standard deviation were at 0.95, 0.363, 0.549, 0.580, 0.569, 0.514, respectively. There were significant influence of age, educational level, and monthly average income on the market mix factors of customers’ decision to selecting Tabung Haji Service Center in Malaysia at a statistically significant level of 0.05.

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