Background Our institution tests the European Baseline Series (EBS) and a steroid series sequentially in all patients presenting for patch testing. The rate of steroid sensitization in New Zealand has not previously been documented. Objectives To investigate the rate of corticosteroid sensitization and assess additional benefit of testing the full steroid series over the steroid allergy markers in the EBS. Methods/Patients Retrospective analysis of all patient demographics and patch test results over a 5‐year period (2014 to 2019) was performed at a tertiary patch test clinic in Auckland, New Zealand. Results A total of 319 patients completed patch testing, and 4.4% were sensitized to one or more corticosteroids. As much as 79% of positive reactions were of current relevance; 11/14 reactions were to tixocortol pivalate or budesonide. The “number needed to test” to detect one additional case of corticosteroid sensitization by using the full corticosteroid series over the EBS alone was 107. Conclusions Although corticosteroid sensitization was not uncommon in our population, the results suggest that sequential testing with the corticosteroid markers (budesonide and tixocortol) in the standard series alone is adequate. The additional corticosteroid series should be added if the markers are positive or where there is a clinical suspicion of corticosteroid allergy.

BackgroundSocial media are an increasingly important tool for educators, although their use for surgical education in Australia and New Zealand (ANZ) has not been quantified. This study aimed to determine the social media presence of surgical training institutions in ANZ, quantify the proportion of their social media content that is educational, compare engagement between educational and non‐educational content, and determine perspectives on using social media for education.MethodsAn online search was conducted in October 2018 to determine the social media presence of surgical training institutions accredited to deliver under‐ and post‐graduate surgical education in ANZ. All their posts on Facebook and Twitter from November 2017 to October 2018 were categorized as educational or non‐educational. Engagement on Twitter was analysed using retweets. An online survey was distributed to each institution to investigate their social media strategy and opinions on the use of social media for surgical education.ResultsSeven out of 37 (19%) surgical training institutions had active social media accounts. Educational content accounted for 677/4615 (14.7%) of their posts. Educational content was retweeted more often than non‐educational content (17.2 versus 5.4, P = 0.002). Seven out of 37 (19%) institutions responded to the survey, with one respondent having a policy for and utilising social media for surgical education.ConclusionsSocial media are being used by a minority of surgical training institutions for educational purposes in ANZ. Social media content is primarily non‐educational although educational posts attract more engagement. Further research is required to assess the efficacy of surgical education on social media.

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Dear Sir/MadamThe impact of demographic and clinical characteristics on patch test data is qualified by an index which started as the acronym "MOHL" (male, occupational dermatitis, hand dermatitis, leg dermatitis) in the 1970s, and has since expanded to "MOAHLFAP" (with the addition of atopic dermatitis, facial dermatitis, age > 40 years, and allergen positivity rate). 1 Characteristics included in the index independently impact allergen positivity rates and changes to this index have been supported by studies demonstrating associations of the variables with allergen sensitization.Ethically and scientifically, it is important that clinical research accurately reports to whom the data apply. We suggest consideration be given to presenting ethnicity data "E" and gender identity "G" with patch test data. The "GOAHLFAPE" index would be in keeping with the World Health Organization's (WHO) global movement to promote health equity, which encourages a stronger emphasis on social determinants of health and removing gender bias in medical research. 2

BackgroundDaily huddles positively influence staff satisfaction and perception; standardization of a daily huddle should be prioritized to benefit from its effects.AimThe aim of this project initiative was to implement an evidence‐based, standardized daily huddle on an inpatient medical‐surgical oncology unit.Implementation PlanA searchable question was developed, and the identified literature was critically appraised and synthesized for evidence‐based recommendations. The recommendations for the structure and content of a daily huddle were implemented using a standardized format.OutcomesPre‐implementation and post‐implementation staff perception and satisfaction surveys yielded positive results. Improvements in effective communication and staff satisfaction were identified.Implications for PracticeAn effective daily huddle is essential for communicating pertinent information that can affect workflows and patient safety, as well as promoting teamwork and staff satisfaction.