Registrar Sub-Committee Update August 2025

Remember that you can also connect with RNZCUC Registrars via our Facebook group
If you are interested in becoming involved with the Registrar Subcommittee, please e-mail: regsc@rnzcuc.org.nz

🥳 Social Calendar (Upcoming Events)

Informal Winter Social Dinner
- Date: Saturday, 16th August
- Time: 6:30-8:30 pm
- Location: Lone Star Manukau, 792 Great South Road, Wiri, Auckland
- Details: Come for a meal or drinks. All registrars and Fellows in the region are welcome. This follows the “SDAW nibbles and social” taking place at the same venue from 6 pm. Many of the SDAW attendees, including Fellows and College staff, will be there.
- Click here to RSVP.
Informal Social Catch-Up for RNZCUC Registrars
- Date: Friday 3rd October
- Time: 7:00-9:00 pm
- Location: The Garden Shed, 470 Mt Eden Road, Auckland
- Details: Fellows welcome! Share some food and drink and socialise with us. This is a great opportunity to connect before exams (written and OSCE).
- Click here to RSVP

Upcoming OSCE Teaching Workshop
- Date: September – October 2025
- Time: 6-8 pm
- Facilitator: Dr. Pauline Teong
  - With UCPEX coming up, Dr. Pauline Teong has kindly offered to hold some teaching sessions that focus on exam preparation.
  - Dr. Teong has extensive experience with four major board exams, including:
    - RNZCUC Urgent Care OSCE
    - General Surgery MRCS Edinburgh
    - Emergency Medicine MRCS Edinburgh
    - GPEP exams (more recently)
  - These sessions will not provide specific exam hints but will focus on general strategies for approaching exams effectively.
  - Dr. Teong will aim to create groups of similar experience levels with a maximum of 3-5 people per group.
  - These teaching sessions were incredibly popular and helpful last year, so remember to sign up ASAP!
- Click here to Register

Upcoming Zoom Sessions:
- Posterior Eye
  - Date: August 28th 2025
  - Time: 7 pm
  - Facilitator: Dr. James Corbett (Opthalmology)
  - Zoom link
    - Meeting ID: 882 3118 8414
    - Passcode: 128264
- ORL Emergencies and Vascular Emergencies in Urgent Care
  - Date: September 16th, 2025
  - Time: 7 pm
  - Facilitator: Associate Professor Murali Mahadevan (ENT) and Dr. Giri Mahadevan (Vascular Surgery)
  - Zoom link
    - Meeting ID: 845 8745 7259
    - Passcode: 508390
- Toxicology for Urgent Care
  - Date: October 22nd 2025
  - Time: 7 pm
  - Facilitator: Dr. Samantha Scahill (Urgent Care)
  - Zoom Link
    - Meeting ID: 853 4805 8993
    - 553005

Remember: All of the recordings of these past sessions are on the RNZCUC Registrars Facebook Group

The line of Klein describes an arbitrary line drawn along the superior edge of the femoral neck on the frontal projection, which is useful in detecting early slipped upper femoral epiphysis in children and adolescents.
The line should normally intersect the lateral aspect of the superior femoral epiphysis. Failure of intersection can indicate slipped upper femoral epiphysis, and this radiographic finding is termed Trethowan sign.
In very subtle cases, asymmetry between the lines of Klein (considered significant if there is a >2 mm difference between sides) may be the only way of determining a slipped upper femoral epiphysis – known as the modified line of Klein

When diagnosing mastitis, is it worth considering the possibility of inflammatory breast cancer❓

Inflammatory Breast Cancer vs. Mastitis

Category	Inflammatory Breast Cancer	Mastitis
Epidemiology	Rare (1-6% of breast cancers) Risk: age, FHx, immunocompromised	Common Risk: age, breastfeeding, smoking
History	Breast globally enlarging at rapid rate No fever	Breast does not usually enlarge Fever
Examination	Erythema entire breast (pink-red) Generalised edema or peau d’orange Axillary lymphadenopathy may be present	Erythema localised area within the breast Oedema or peau d’orange usually affects a well-demarcated area of the breast Axillary lymphadenopathy unlikely