1. New Zealand Health Care
Michelle Sommer

2. Auckland, New Zealand
NZ Population 4.47 million people

3. Auckland City Hospital
Public hospital where many medical students and registrars train
New Zealand's largest public hospital and clinical research facility
Part of Auckland District Health Board

4. Greenlane Clinical Centre
Outpatient clinic site

5. Topic of Interest Health Care Compare and Contrast
New Zealand vs. USA
Underserved populations in New Zealand
Differences in training physicians
Wanted to compare a country with national care to the US

6. New Zealand Health Care
National health care
Funds provided mostly through District Health Boards
Public health network is almost entirely free
Most medications are subsidized and only cost $5NZ
Even travelers are covered under the Accident Compensation Corporation

7. Similarities Between Us
Same hierarchy of consultant (attending), registrar (resident), house officer (intern), and medical student
Western country styled culture
Similar history of injustice against native peoples and downstream effects today

8. Underserved Population in NZ
Native people called Maori
Large cultural divide
High prevalence of gout in the population, largely untreated
Due to cultural biases of “doing it to themselves with diet and lifestyle”
Maori Gout Action Group started in response

9. Training New Zealand United States Medical school for 4 years
Two ways to enter
House officer (intern) for 2 years
Registrar (resident/fellow) for 5 years
Consultant (attending)
Undergraduate for 4 years
Medical school for 4 years
Residency for 3-7 years
Fellowship for 1-3 years
Attending

10. Profound Clinical Experience
Scleroderma Vs. Pregnancy
Young woman with scleroderma who was also trying to conceive
Came into clinic with a digital ulcer on her left 3rd finger
Agreed to be hospitalized, but did not want disease modifying drugs
Teratogenic and would not be able to become pregnant

11. Profound Cultural Experience
Geothermal Sulphur springs where Maori warriors would go to heal after battles
Mount Ngauruhoe (Mound Doom) that is sacred to the Maori people

12. Cathedral Cove
Owharoa Falls

13. Lake Taupo
Hobbiton

14. References
healthcare-services
The Experience and Impact of Living With Gout: A Study of Men With Chronic Gout Using a Qualitative Grounded Theory Approach.[Article]
Interview with Dr. Suppiah