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Health inequities are systematic differences in the opportunities that population sub-groups experience to achieve optimal health, leading to unfair and avoidable differences in health outcomes.

Good medical practice: a code of states that: Good medical practice involves using your expertise and influence to identify and address healthcare inequity and protect and advance the health and wellbeing of individual patients, communities and populations.

Activities about Addressing Health Inequities focus on recognising and reducing disparities in health outcomes and access, social determinants, policy advocacy, and interventions for marginalised populations. This includes people with disabilities, the LGBTQIA+ community, migrant populations, First Nations peoples and anyone who has faced inequities in accessing healthcare.

The Annual Conversation is a structured conversation undertaken with a peer, colleague or employer about your clinical practice, it provides time for you to reflect on your development needs and goals for learning and professional activities as outlined in the PDP.

The Annual Conversation is mandatory for all Fellows and CPD participants who hold an MCNZ registration. All other CPD participants can choose to log an Annual Conversation if they wish to.

The Medical Council of New Zealand (MCNZ) requires doctors to meet cultural safety standards.

Cultural safety focuses on the patient and provides space for patients to be involved in decision-making about their own care, and contribute to the achievement of positive health outcomes and experiences.

– Medical Council of New Zealand

The National Scheme’s Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020-2025 provides the following definition:

Cultural safety is determined by Aboriginal and Torres Strait Islander individuals, families and communities. Culturally safe practice is the ongoing critical reflection of health practitioner knowledge, skills, attitudes, practising behaviours and power differentials in delivering safe, accessible and responsive healthcare free of racism.

– Ahpra & National Boards

Consistent with the strategy, it’s expected that your CPD activities allow critical reflection on your clinical practice in relation to:

• Aboriginal and Torres Strait Islander approaches to health
• The continuing impact of colonisation, racism and bias on health outcomes on Aboriginal and Torres Strait Islander peoples
• Rights-based approaches to improving health services (including outcomes and access)

Ethical practice in obstetrics and gynaecology is rooted in key principles such as autonomy, beneficence, non-maleficence, justice, confidentiality, and informed consent, all aimed at ensuring patient-centred care and professional integrity.

Respecting patients’ reproductive decisions, promoting their health, avoiding harm, and ensuring fairness are essential. Healthcare professionals must stay updated on their skills, disclose conflicts of interest, prioritise patient welfare, and be honest about potential adverse outcomes while respecting patients’ cultural and personal values. As advancements like genetic testing and fertility treatments arise, these ethical considerations become increasingly important to safeguard maternal and fetal health.

All CPD program participants, including those in Australia and Aotearoa New Zealand must complete a Professional Development Plan (PDP) under the Performance Review (PR) domain every CPD cycle. The PDP is a plan of your development requirements based on reflection of your practice and assessment of your skills, knowledge and educational needs.

Resources
How to Develop a Professional Development Plan
Login to or the ����TV CPD App to download template

CAPE Program-Level Requirements

From 2025, the Medical Board of Australia (MBA) requires all CPD Homes to include specific ‘program-level requirements’ to ensure safe, inclusive, and ethical healthcare. These requirements apply to medical practitioners in both Australia and Aotearoa New Zealand. RANZCOG supports CPD participants with guidance, resources, and activity options to meet these obligations.

The MBA’s program-level requirements focus on four key aspects, collectively known as CAPE:

• • • • Culturally Safe Practice
      • Addressing Health Inequities
      • Professionalism
      • Ethical Practice

��What activities are mandated for 2026:

• • • • Addressing Health Inequities: Recognising and reducing disparities in health outcomes and access. Focuses on social determinants, policy advocacy, and interventions for marginalised populations
      • Ethical Practice: Morally informed decisions in healthcare, considering patient rights, values, autonomy, and wellbeing. Informed consent, confidentiality, beneficence, non-maleficence, and justice is prioritised.

Medical practitioners must complete 2 hours of CPD activities in each focus area, either through one extended activity or several smaller ones. A comprehensive list of recommended activities to meet your CAPE requirements for 2026 is available in the Resources section of����or the������TV CPD App.

Subspecialists CPD Program-Level Requirements

At least��35 of your 50 CPD hours��must be specific to your subspecialist scope of practice.

When logging your CPD hours, please indicate when an activity relates to your subspecialty scope of practice, and this activity will be counted towards your subspecialty component.

Additional requirements according to subspecialty include:

• Gynaecological Oncology (CGO):��participation in at least 20 hours of multidisciplinary team (MDT) meetings each cycle.
• Reproductive Endocrinology and Infertility (CREI) and Urogynaecology (CU):��inclusion of at least one goal in your professional development plan (PDP) from one of the following areas:
  • Education and Training
  • Research
  • Leadership
  • Governance

All obstetrics and gynaecology specialists must complete an in-person Basic Life Support (BLS) program every two years starting in 2025. A comprehensive list of BLS activities are available on or the ����TV CPD App.

A list of all the approved high-level requirements can be found here: .