We are reviewing our statement on Advertising. This draft statement highlights several ethical issues that arise with advertising such as the potential for overtreatment, and the power and knowledge imbalance between a doctor and a patient.

This statement outlines how we manage the personal information we collect.

Telehealth is the use of digital technology to deliver health services where participants may be separated by distance and/or time. This statement outlines our expectation of doctors who practise telehealth in New Zealand and overseas, and includes guidance on registration, conducting physical examinations and prescribing.

The ePort privacy statement explains how the Council collects, stores, uses and shares information through ePort and outlines the standards and requirements in accordance with the Privacy Act 2020 and the relevant privacy principles.

This statement outlines Council's expectations of doctors who perform cosmetic procedures. These include standards relating to training, skill and expertise, advertising and obtaining consent from the patient.

This statement outlines what cultural safety means and why it is important. The document reflects the evolution of thinking away from the cultural competence of doctors – that is acquiring skills and knowledge of other cultures – towards self-reflection of a doctor’s own attitudes and biases that may affect the cultural safety of patients. Council requires doctors to meet these cultural safety standards.

Patients are entitled to information about their health and the care they are receiving. This statement outlines what we expect of doctors when helping patients to make an informed decision about their care and treatment.

As a doctor, you have an obligation to be respectful and professional as your behaviour may affect how a health team functions, how care is delivered to patients, and the public’s trust and confidence in the medical profession. If you have concerns about the conduct, competence or safety of a doctor’s practice, you should notify the Medical Council.

The purpose of this statement is to protect the public from advertising that is false, misleading or deceptive, and to
provide guidance to doctors about the advertising of health-related products and services.

Doctors are often asked to sign certificates for a wide range of purposes, such as confirming sickness, impairment or death. This statement outlines factors to consider, and the standards that doctors must follow, when issuing a medical certificate.

Internet, email, and other forms of electronic communication are ways in which doctors communicate with patients and other health professionals, find information, and participate in informed discussion. This statement guides doctors on the use of email and other forms of social media.

Council has not issued standards specific to practice within the purpose of the End of Life Choice Act 2019 (EOLCA). Council considers that the provision of health services under the EOLCA falls within the wider practice of medicine, to which Council’s statements are directed. This document sets out existing Council statements alongside the relevant sections of the EOLCA.

Prescribing medicines and treatment is an essential part of medical practice. This statement outlines what good prescribing practice involves and the legal requirements doctors must comply with.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for Cardiology.

This policy details the advanced cardiac life support requirement for PGY1 interns.

Doctors are often asked for input by their family and friends. This may include requests for medical advice or a prescription, or more substantial involvement such as performing a procedure. This statement explains why doctors must avoid treating themselves and those they have a close personal relationship with.

This form outlines the additional information that will be required by the CICM so they can provide us with advice on your application for vocational registration in intensive care medicine.

This guidance explains what doctors should consider when using artificial intelligence (AI) in patient care. Because AI is increasingly being used in medical practice, it is essential that doctors do so ethically and responsibly, to ensure patient safety and the privacy of health information.

This draft statement sets out legal and ethical considerations as a doctor when responding to a medical emergency. It also discusses a number of factors you should consider when you attend to a medical emergency, whether that emergency is within a healthcare facility, or in a non-clinical setting, such as in the community.

This is an updated draft version of the statement which we're consulting on. Please see the consultation section of our website for more information including how to provide feedback.

We are reviewing our statement on a doctor’s duty to help in a medical emergency and would value your feedback. This statement discusses a number of factors doctors should consider when responding to a medical emergency.

Vaccination is a crucial part of the New Zealand public health response to the COVID-19 pandemic. Health practitioners can help to protect themselves, their patients, and the wider community by getting their COVID-19 vaccination.

This statement outlines the rights and responsibilities of health care workers and infected health care workers in relation to transmissible major viral infections.

This draft statement outlines what is expected of doctors when harm to patients occurs as a direct result of medical care. See the consultation section of our website to provide feedback on this draft statement.

Doctors are sometimes asked by a third party (such as an insurance company or ACC) to conduct medical assessments of patients. This statement explains the role of the assessing doctor and the standard of care expected of them within an assessing relationship.

Resource constraints are a reality in health care. For doctors, this often means prioritising based on clinical need and waiting lists. This statement guides doctors working in a resource-constrained environment by setting out ethical principles and practical advice.

This statement acknowledges that health inequities and inequalities continue to exist for Māori, and that there are disparities in the delivery of health care to Māori. It encourages all health organisations to examine their partnership with Māori through genuine engagement, representation and participation.

Maintaining clinical records is part of good medical practice. Clinical notes are an important tool for managing the patient's care, and communicating with other doctors and health professionals. This statement guides doctors on what information they should record, and for how long they should retain patients' records.

This form lists the additional information the RACS requires if you're applying for vocational registration in cardiothoracic surgery, general surgery, neurosurgery, orthopaedic surgery, otolaryngology head & neck surgery, paediatric surgery, plastic & reconstructive surgery, urology, and vascular surgery.

In this issue of Medical Council News we look at workplace bullying. It's an issue that is everyone's responsibility and something we should all have zero tolerance for. We also look at new and revised statements on self-care, advertising and telehealth, and the use of the internet.

Doctor-patient relationships can come to an end for a variety of reasons, commonly when the patient moves to another area or chooses to see another doctor, but also when the relationship breaks down and either the doctor or patient decides to discontinue the professional relationship. We outline in this statement the process for discontinuing patient care, and the need to do so in a fair and professional manner.

Health-related commercial organisations share some common goals with doctors: they seek to prevent, control, cure and manage diseases, or physical and mental conditions, and may conduct research to improve and advance health care. However, health-related commercial organisations can also have different and potentially conflicting goals in that generating a profit is often a principal goal whereas a doctor’s primary concern must always be the care of patients. This statement outlines our expectations when doctors interact with health-related commercial organisations, and provides guidance on recognising, assessing and managing conflicts of interest (including perceived conflicts of interest) that may arise.

Doctors must meet the standards laid out in the Council’s statement on Good Prescribing Practice. (The Principles for Quality and Safe Prescribing Practice are already reflected in our statement on prescribing.) This document is a helpful resource, particularly for new doctors and IMGs new to New Zealand, that can be read alongside our statement. These principles were developed jointly by 7 responsible authorities.

Earlier this year we sought feedback on the draft statement on Treating yourself and those close to you. A wide range of submissions was received from key stakeholders across the profession and some common themes emerged. Council has revised this statement taking into account your feedback.

Disclosure of harm refers to instances where a patient has been adversely affected as a direct result of medical care. Open disclosure in this situation promotes transparency, can strengthen the doctor-patient relationship and is important for the health and safety of the public in general. This statement is intended to help doctors understand the purpose of open disclosure and why it matters to patients and their family/whānau. It also guides doctors on factors to consider when a situation requires that the harm is disclosed.

Māori experience disparities in outcomes compared to the rest of the population across nearly all areas of health due to inequity in determinants of health, including access to quality health care. This document outlines Council’s position on how doctors can support the achievement of best health outcomes for Māori. It also provides guidance for healthcare organisations to support cultural safety and Māori health equity. This document should be read in conjunction with Council’s Statement on cultural safety.

You can use this document to provide feedback on the updated version of our statement Disclosure of harm following an adverse event

Terms of reference for our Committee on matters relating to the Royal Commission of Inquiry into Abuse in State Care

In this issue we look at the importance of keeping up to date with Council's statements and publications, the outcomes of the research into Council's performance, and cultural competence.

A community-based attachment is an educational experience in an accredited clinical attachment in a community-focused service in which the intern is engaged in caring for the patient and managing their illness in the context of their family and community.

This statement outlines the doctor's responsibility to maintain sexual boundaries with patients, includes advice on what to do if boundaries are threatened, and offers guidance on sexual relationships with former patients and with family members of patients.

There is a potential for health-related commercial organisations to influence how doctors practise and the clinical decisions they make. We are reviewing our statement on doctors and health-related commercial organisations and would value your feedback.

In May 2019 Council consulted with stakeholders on a revised statement and resource on cultural competence, cultural safety and achieving best health outcomes for Māori. The feedback can be found here. The final documents were completed in October 2019.

Certain medicines have the potential to enhance athletic performance or an individual's physique. We set out in this statement our position on doctors who prescribe, administer and supply performance-enhancing medicines, or who assist others in doing so.

In the May 2016 issue of Medical Council News we looked at doctors providing care to themselves and those close to them, informed consent, and guidance from the Pharmacy Council on effective prescription writing for safe collaborative patient management.

In this issue of Medical Council News, we look at outcomes and initiatives from the Council’s planning day, our discussion paper Better Data – the benefits to the profession and the public, Council’s revised Statement on advertising, doctors’ responsibilities around aviation safety and the need to provide more detail on medical certificates.

Complementary and Alternative Medicine (CAM) refers to therapies and treatments that are not commonly accepted in conventional medical practice, but are sometimes used alongside or instead of conventional medical treatments. This statement guides doctors in situations where their patients are using CAM, and outlines what we expect when doctors practise CAM.

During the course of a medical career, a doctor may be involved in management or have a leadership role. This statement outlines the standards doctors are expected to meet when they take on such roles. While doctors in a leadership role have a duty to their workplace and the wider community, their first consideration must always be the interests and safety of patients.

In this issue of Medical Council News we acknowledge the contribution and mana of Mr Andrew Connolly, our Chair and leader over the last five years. We also highlight our two new statements on professional and sexual boundaries in the doctor-patient relationship and the Ministry shares guidance around new laws relating to medicinal cannabis.

All doctors have a duty to act on their concerns about another doctor, but doctors in management roles have an extra responsibility to ensure that there are appropriate reporting procedures in place, and these procedures are known to staff who may need to use them. This statement provides guidance for doctors who are concerned about a medical colleague's conduct, performance, competence or health, and provides suggestions on what to do and who to approach.