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Dr. Ralston D’Souza graduated from the University of Auckland and is currently dual training in rural hospital medicine and general practice. He's passionate about being a voice to the voiceless having grown up with his autistic brother and currently advocates for his colleagues through his roles with the NZRDA and RNZCGP Registrars' Chapter. While most of his whanau are still based in Auckland, he currently lives in Taupō with his wife. In this episode, we discuss his journey into dual training for GP and rural hospital medicine. We discuss the evolution of his choices and his family circumstances around caregiving for his brother with autism, and unpack the models of funding, lack of support, and challenges surrounding caregiving, particularly as a medical relative. Dr. D'Souza talks about the pros and cons of rural hospital training, its flexibilities, and his advice for prospective applicants.  Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Dr. Hinemoa Elder (Ngāti Kurī, Te Rarawa, Te Aupōuri and Ngāpuhi) is a Māori child and adolescent psychiatrist and fellow of the Royal Australian and New Zealand College of Psychiatrists. She works at Starship Children’s Hospital in Auckland and deputy psychiatry member of the NZ Mental Health Review Tribunal. She became a member of the New Zealand Order of Merit for services to Māori and to Psychiatry in 2019.  Dr. Elder has written two best selling books – Aroha and Wawata and joins us today to kōrero about her journey today.  She has a PhD in Public Health (2012)  in which she developed tools for Māori whānau (extended families) with Traumatic Brain Injury and was also the recipient of a Health Research Council of NZ Eru Pomare Post Doctoral Fellowship. The approaches she developed are used in rehabilitation in the community. She continues to work in TBI and dementia research. She received the MNZM for services to Māori and to Psychiatry in 2019. She is an invited member of the Busara Circle, a group of senior international women leaders which forms a critical support for the Homeward Bound project, a global leadership programme for women in science, of which she is an alumni, travelling to Antarctica with the project in 2019. Dr Elder is a Board member of The Helen Clark Foundation, a non-profit, non-partisan public policy think tank which generates public policy research and debate. She is a board member of the RANZCP Foundation. Dr Elder is the Patron of ’Share my Super” a charity aimed at ending child poverty in NZ. Dr Elder has written two best seeling books published by Penguin Random House. “Aroha. Māori wisdom for a contented life lived in harmony with our planet’, was named on the Oprah Winfrey Book club in 2021.  ‘Wawata. Daily wisdom guided by Hina the Māori moon, is currently the number one best selling non-fiction book in NZ. Dr Elder is also regularly invited to give keynote presentations. She was an invited speaker to the Rhodes Healthcare Forum, Oxford University in 2019. Hinemoa has a background in theatre and dance. She performed in a NZ play at the Edinburgh Festival, Assembly Rooms in 1986. She is a past Chair of Auckland Theatre Company Trust and the inaugural Chair of Te Taumata a Iwi The Arts Foundation. Hinemoa also worked in NZ childrens' television in the early 1990s. In this episode, we discuss her journey from television presenting to medicine, her own experiences in the medical system with her māmā, her journey into psychiatry,  and the numerous non-profit organisations and her involvement - including Busara Circle, The Helen Clark Foundation, and Share my Super. We talk about looking after ourselves as doctors, but also the importance of seeing the bigger picture and public health involvement. We brush on topics of intersectional feminism and evidence-based practice, and how we can do more to empower our own medical wāhine. We discuss her passion for theatre performance and her multiple accolades in the creative world. Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Dr. Elizabeth Roberts is a Nelson-based anatomical pathologist who has worked both for Te Whatu Ora and MedLab South. She graduated from Otago University and pursued pathology training with Auckland, Oregon Health Science University, and Harvard University. She works part-time, and is the past treasurer of the RCPA NZ committee. She has many other passions, including mountain biking, kitesurfing, tramping, climbing, hunting and trapping pests. Since the recording of the episode, Dr. Roberts is now Vice President of the RCPA.  In this episode, we discuss her journey into anatomical pathology and the training required, her choice for part-time mahi permanently, pathology fellowships overseas, employment prospects (private vs public) for pathology, her extensive list of adventure sports and favorite memories, and what is next as she looks towards retirement.  https://awanuigroup.co.nz/news/dr-elizabeth-roberts-vp-rcpa/ Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Dr. Carolyn Clark is a nephrologist, lecturer, researcher, public health student and life coach. She qualified as a doctor in 2000 and has spent the last 22 years in public hospitals across Australia and New Zealand. She believes that sometimes our brains get in the way of being our best selves and loves helping people get rid of unhelpful thoughts and step forward into their future with her coaching and supervision business. She is also a solo mother by sperm donation to a busy 7 year old and is living her childhood mantra of 'if you can dream it, you can become it'. She joins us to discuss her journey of becoming a solo parent by sperm donation.  In this episode, we discuss her journey into nephrology, her PhD, starting her sperm donation/IVF journey at 37, her words of wisdom to others following in her footsteps, her solo parenting 'hacks', the process of sperm donation/IVF and cost of the journey.  Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Dr. Patrick Emanuel is a dermatopathologist based in Lima, Peru. He also consults for IGENZ molecular laboratory, Pathlab Bay of Plenty, and the Skin Institute (all based in New Zealand). He is an Honorary Associate Professor at the University of Auckland and Adjunct Assistant Professor at the Icahn Mount Sinai School of Medicine in New York. Patrick’s academic interests include cutaneous squamous cell carcinoma, margin control surgery, and the application of molecular techniques to cutaneous tumours. In this episode, we discuss his journey from Dunedin, to Nelson, to America, then to Peru. We talk about his pathway into dermatopathology, the training involved, the daily routines, and the pay disparity for residency in US. We discuss his work-life balance, practicing medicine in a second language, and the capacity for remote work as a pathologist. Book 'Margin Control Surgery of the Skin: Concepts, Histopathology, and Applications' mentioned ://www.mhprofessional.com/margin-control-surgery-of-the-skin-concepts-histopathology-and-applications-9781264285990-usa#tab-label-product-description-title Dermnet: https://dermnetnz.org/ Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Dr. Juliet Rumball-Smith is a public health physician and epidemiologist. Due to a combination of earthquakes, training and jobs, she has lived & worked in a load of different places, including Montreal, Toronto, the winterless north of New Zealand, and a think tank in Los Angeles while a Harkness Fellow in the US. Most recently Juliet has been at the Ministry of Health as Clinical Chief Advisor, in a range of roles including supporting Abortion Law reform, being the Clinical Lead for the initial COVID-19 response and the Clinical lead for the COVID vaccine roll-out. Currently she is Director of Intelligence at the National Public Health Service of Te Whatu Ora and a policy consultant for the WHO.  Juliet lives in Wellington with her medical husband, 4 teenage children, and 2 dogs. In 2017 she set up Wāhine Connect, a charitable trust designed to support women in the health sector by connecting them with mentors and providing a structured mentoring programme. It’s now a community that involves nearly 600 volunteer mentors, and has helped more than 560 women mentees.  In this episode, we discuss her journey into medicine and public health, her passion for research fostered by the Harkness Fellowship, and the variety of roles and positions she has worked in. She discusses in detail the creation of Wāhine Connect, the inspirations behind it, its kaupapa and intentions, and the positive impacts the program has had. You can find more information on Wāhine Connect here: https://www.wahineconnect.nz/ Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Dr. Kasey Tawhara (Ngāti Raukawa ki te Tonga, Te Arawa, Ngāti Ruanui, Ngāti Porou) is an obstetrician and gynaecologist at Rotorua Hospital, who is passionate about cultural safety and Māori health equity. She is a member of Te Ohu Rata o Aotearoa (otherwise known as Te ORA) and a founding member of He Hono Wāhine. In this episode, we discuss her journey into obstetric and gynaecology and the training involved, the MAPAS scheme,  what Māori health equity in O&G looks like, covering cultural safety (and the importance of prioritising this alongside clinical safety), traditional Māori birth practices and her mahi in He Hono Wāhine. The papers mentioned can be found here: Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition: https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-019-1082-3   Towards cultural safety, in Cultural Safety in Aotearoa New Zealand. https://www.researchgate.net/publication/325920915_Cultural_Safety_in_Aotearoa_New_Zealand https://pubmed.ncbi.nlm.nih.gov/9117203/  Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Dr. Kyle Eggleton is a rural general practitioner with extensive experience in emergency medicine and an interest in youth health, occupational medicine and forensic medicine. Born and raised in Waimā, he has moved around many rural areas of New Zealand, including Thames and Ruakākā. With two masters and a PhD under his belt and experience as a clinical director with Ki A Ora Ngātiwai, he has now returned to Hokianga to work part-time as a GP while being Associate Dean (Rural Director) at the University of Auckland.  In this episode, we discuss his interests moving from surgery, to emergency medicine, to psychiatry, through to his work in general practice and public health. We discuss his experience across occupational health and forensic medicine, the work-life balance he has with looking after his young whānau, and what drew him into rural general practice. Kyle explores the challenges facing our rural communities and the need for more rural practitioners nationwide.  Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Associate Professor Louise Barbier is a hepatopancreatobiliary and liver transplant surgeon based in Auckland. She studied medicine in Paris, France and trained in surgery in both Marseille and Paris. She has a PhD in Immunology, and on top of working as a consultant, she is also an assistant professor at The University of Auckland, working on a translational project in ischaemia-reperfusion injury and transplant immunology.   In this episode, we discuss her journey into medicine and finding HPB and liver transplant surgery. We talk about the misogyny and sexism she experienced in her training, her techniques for tackling these, and the push-pull factors for her migration to Aotearoa. We discuss the lifestyle of HPB/transplant surgery, work-life balance, routines, common conditions, and what to expect on call.  Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

TW: fertility/infertility Dr. Amy Walpole graduated from the University of Wales College of Medicine, and completed her GP vocational training in 2007. She emigrated from Wales to Northland in 2018, working for a Māori health provider. She volunteers with Whangārei Riding for the Disabled and lives on a lifestyle block. Her lifestyle block includes three ponies, five alpacas, chickens, turkeys, a cat and a dog! Dr. Walpole joins us today to discuss a topic that can be painful for some of us - being childless by circumstance.  In this episode, we discuss her journey from Wales to New Zealand/Aotearoa, and her journey from being a training surgical registrar  to general practice. A trigger warning is in place as this episode discusses extensively the journey of being childless by circumstance, a situation that is familiar to a number of doctors due to our long training programs and stressful work environments. In this vulnerable episode, we discuss the journey through IVF, ICSI, the emotional and financial toll it took, and her recovery and healing from this journey. We talk about what was important in her support system to hold her up, which has included the solidarity she received from colleagues and friends.  This episode may be challenging for many to hear. Please be kind to yourselves and the speaker if you are navigating this journey too. Aroha nui. Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Dr. Monique Mackenzie (Ngāti Tūwharetoa) studied medicine at The University of Otago in New Zealand and graduated in 2006.  She has trained extensively throughout New Zealand and joined a Tauranga private practice after recently completing her specialist dermatology training at University Hospitals Birmingham, United Kingdom and Brisbane Skin, Australia. She is the first and only Māori dermatologist in Aotearoa. She is a scholarship recipient of the Royal Australasian College of Physicians and co-founder of the New Zealand Dermatology Registrar Group.  She has presented at a number of academic meetings including the Royal Society of Medicine, London. She is a mother of three children and passionate about her work. Her down-to-earth nature and vast experience ensures her patients have the best evidence-based care covering a full range of skin conditions including skin cancer, inflammatory skin conditions and cosmetic dermatological concerns.  In this episode, we discuss the journey shifting from finishing her GP fellowship, to starting as a medical registrar again. We talk about her love for dermatology, the prerequisites for training, the mahi and exams involved, subspecialising in Moh's surgery, the balance between public and private sectors, job opportunities for dermatologists and its overlap with plastics. We unpack the responsibilities and opportunities as the first and only Māori dermatologist in Aotearoa. We discuss further her background growing up in a single parent household and her rurality. We also discuss starting a whānau during medical school, and returning from parental leave. Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y

Dr. Saana Taylor completed dental school before moving up to Auckland to work as a maxillofacial house surgeon for 2 years. She applied to medical school with the intention of studying to be a maxillofacial surgeon and found herself drawn to anaesthetics as a medical student. She is now an anaesthetic fellow in her final year of training, a wife, and a mother to two boys.  In this episode, we discuss her move from dentistry to medicine, journey into anaesthetics, navigating training and moving with family, failing exams and her approach to passing them, the anaesthetics training program, and her academic work into Māori health inequities. The paper discussed in this episode can be found here: https://www.bjaed.org/article/S2058-5349(22)00006-3/fulltext Support the showAs always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me. Audio credit: Bliss by Luke Bergs https://soundcloud.com/bergscloud Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/33DJFs9 Music promoted by Audio Library https://youtu.be/e9aXhBQDT9Y