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WFO Affiliated
Organization Profile
New Zealand Association of Orthodontists represents
98 percent of practicing orthodontic specialists in New Zealand;
NZAO formed in 1987
The New Zealand Association of Orthodontists (NZAO) has been in
existence since 1987. It was formerly known as the New Zealand Society
for the Study of Orthodontics, which was established in 1927 by
Mr. D.V. Donaldson, following his attendance at the 1926 First International
Orthodontic Congress held in New York City, New York, USA.
The NZAO currently has 79 full or life members and 25 associate
or corresponding members. The NZAO membership represents 98 percent
of all practicing specialist orthodontists within New Zealand.
The NZAO has been affiliated with the WFO since it signed the WFO
charter in 1995. Currently, Dr. Robert Max, a past president of
the NZAO, is on the WFO Executive Committee. Dr. Max of Auckland,
New Zealand, represents the region of Australia, Indonesia, Malaysia,
New Zealand, Philippines and Singapore. The number of NZAO members
who have joined the WFO continues to grow steadily.
Most NZAO members received their orthodontic graduate training
either from the Dental School at the University of Otago in Dunedin,
New Zealand, or from universities in the United Kingdom, the United
States or Australia. Specialist orthodontic registration has been
in existence since 1987 and is granted by the Dental Council of
New Zealand (DCNZ). The minimum requirement for registration is
the completion of a three-year master's degree that is equivalent
to the standard set by the MDS (Master of Dental Surgery) granted
by the University of Otago. To cater to those orthodontic practitioners
who did not hold such qualifications prior to 1987, the DCNZ grandfathered
them into the specialist registration. Recently, the DCNZ has indicated
that it is reviewing the requirements for all specialist registrations.
The NZAO is strongly recommending to the DCNZ that it should follow
overseas trends and maintain the current minimum requirements for
specialist orthodontic registration.
The NZAO President, Dr. Peter Gilbert of Dunedin, New Zealand,
was re-elected for another year, along with the other members of
the Executive, at the Annual General Meeting held in August 2001.
The members of the Executive are responsible for the administration
of the association.
One of the major projects recently undertaken by the NZAO has been
the development of an accreditation program. Following several high-profile
cases of health-professional incompetence, as well as the impending
introduction of new government legislation dealing with professional
competence, there is an increasing demand for accountability for
all health providers within New Zealand. The NZAO Executive investigated
certifying board systems in a number of countries and decided that,
in the New Zealand environment, a system of competency assessment
would be preferable to the board concept in ensuring accountability
of a high standard in the delivery of orthodontic treatment.
A committee chaired by Immediate Past President Dr. Wayne Dalley
of Whangarei, New Zealand, developed a pilot program, which has
led to a voluntary Accreditation of Orthodontic Practices Program
that is primarily aimed at assessing the competency of orthodontic
practitioners. The requirements of the program include evaluation
criteria that are reasonable, reliable and reproducible, and based
on process (decision-making). Hence, the criteria are educational
rather than punitive and are scientifically valid so that the assessment
will be carried out objectively. The program format is a pyramid
structure based on eight key standards. These standards reflect
patient rights and practitioner obligations. Each standard is divided
into a number of performance criteria with prescribed evidence.
The evidence is necessary to confirm that the performance criteria
have been met. The Accreditation of Orthodontic Practices Program
is divided into two stages. Preliminary Accreditation, stage one,
is granted once self-assessment of the first seven standards has
been completed. Full Accreditation, stage two, is granted following
an in-practice audit by an elected assessor. Full Accreditation
is valid for five years. The practice audit includes a clinical
evaluation of five randomly selected cases and an orthodontic-knowledge
assessment. The clinical assessment criteria are based on the premise
that the stability of the treatment result is a major goal of orthodontic
treatment. The issue of clinical assessment criteria proved to be
highly contentious when the program was recently ratified by the
NZAO membership.
The NZAO pursues several activities throughout the year. The organization
publishes a quarterly newsletter for members, and its National Study
Group meets regularly. The Association also holds annual meetings.
This year it was held in late August in Queenstown, the adventure
tourism capital of New Zealand. Approximately 120 registrants attended,
including visitors from Australia, Asia and Europe. The guest speakers
included Dr. Rolf Behrents of Dallas, Texas, USA; Dr. Pamela Stevenson
of Cardiff, Wales, UK; and Dr. Rick Olive of Brisbane, Australia.
The NZAO will hold its 2002 meeting in Auckland, the City of Sails
and the current home of the America's Cup. The meeting will take
place September 18-20, 2002. This meeting will be combined with
the New Zealand Dental Association's Biennial Conference. The principal
lecturer will be Prof. Bjorn Zachrisson of Oslo, Norway. A warm
invitation is extended to all orthodontists to attend this meeting
and visit the clean green islands "down under." Visit
the NZAO Web site for details on this meeting and other events.
The Web-site address is www.orthodontists.org.nz.
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