Forum for Nordic Dermato-Venereology Nr 2, 2018 | Page 26

Anita Eshraghi – Experiences from working as a dermatologist in New Zealand We also see more unusual conditions such as rheu- matic fever, Orf and more severe atopic eczema. As a registrar in NZ you need to give talks to your colleagues and nurses at least once a week. In addition there is Journal club once a month, a dermatopathology meeting every week and Grand Round once a week. Dermatology registrars in NZ have at least 3–4 years of internal medicine experience. The dermatology program is 4 years. Two years are spent in NZ and 2 years overseas (usually the UK, Australia or Canada). If trainees do not achieve the expected goals their training can be ceased. Teledermoscopy teaching 4 hours every Friday morning for registrars, GPs and medical students. MCNZ also require a weekly supervision plan from the future supervisor. Written feedback is also needed every 3 months to confirm that you are eligible to continue to work in NZ. If you want to apply for a different position you need to contact MCNZ and have a new supervision plan with updated references. Working for Waikato DHB and DermNet NZ As a dermatologist trained in Scandinavia you are allowed to work as a dermatologist registered under the Health Practition- ers Competence under supervision of one or two senior consult- ants. The supervisors role is to support you as a new colleague and make sure the requirements are fulfilled so that you can continue to work as a dermatologist. MCNZ requires written feedback every 3 months with information regarding strengths, weaknesses and language competence.  If the requirements are not fulfilled you could be stopped from working as a medical practitioner. As a part time locum at the hospital I started with 2 weeks of introduction where I had to do electronic referral triage (e-triage) and joined clinics with senior consultants. After two weeks of introduction I started to work independently doing e-triage (teledermatology including teledermoscopy) 3 times a week, teaching teledermoscopy every Friday morning, general dermatology clinics, supervise registrars in clinic and theatre. As a consultant dermatologist in NZ you need to engage in peer review at least once a year, attended cultural training courses, conferences every year in order to keep your right to practice dermatology. What I miss working in NZ I miss the good teamwork with very experienced nurses and healthcare assistants, which I had back home in Gävle. Some treatments like tacrolimus are not funded in NZ. And what I miss most of all is my clean scrubs back home. In NZ we wear our own clothes during consultations and even when performing punch biopsies. Scrubs are worn in theatre. Having said that infection rates are very low here. What I would like to take home to Sweden In general I found that the registrars here are encouraged to read a lot and therefore have a good deep theoretical under- standing of different diseases and treatments. As a part time consultant for DermNetNZ.org my assignments include updating new webpages for different skin conditions or new treatments, selecting images for the webpages and contacting colleagues all over the world asking for image contributions for DermNetNZ.org. NZ vs Sweden  The work is over all very similar except the higher percentage of dark skinned patients, mainly of Mauri and Polynesian origin. 56 D ermatology A broad Surfing lessons every weekend in Raglan 45 minutes drive from Hamilton. Forum for Nord Derm Ven 2018, Vol. 23, No. 2