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Intro -- Title Page -- Copyright -- Contents -- Foreword-Carolyn Tremain, Paul Spoonley -- Preface-Nick Nelson -- Abbreviations -- Introduction-William Hoverd -- Part 1: International, regional and subregional security trends -- 1. Security and strategy in the Asia-Pacific: Challenges and opportunities for New Zealand-Rouben Azizian -- 2. Challenging geopolitical seascapes: Southeast Asia and the big powers in the South China Sea-Aileen San Pablo-Baviera -- 3. New Zealand and the Pacific Islands region: Change, challenges and new ideas-Anna Powles -- 4. Global cyber threats and the way ahead-Tang Lan -- 5. Rethinking national security: A new conceptual framework?-Negar Partow -- Part 2: New Zealand's emerging security challenges -- 6. The New Zealand national security system-Howard Broad -- 7. International economic security: The New Zealand perspective-Stephen Hoadley -- 8. Border narratives and practices: A window into economic security-Germana Nicklin -- 9. Air surveillance capability and the security of the exclusive economic zone-Brian Oliver and John Moremon -- 10. New Zealand Special Operations Forces: Subtle and strategic effect in the whole-of-government approach to New Zealand's national security-Miriam Wharton and Rhys Ball -- Part 3: Issues in New Zealand security -- 11. New Zealand's national security coordination-Terry Johanson -- 12. Facing up! The legal and definitional challenges of New Zealand's approach to terrorism-John Battersby -- 13. Outlaw motorcycle clubs, organised crime and New Zealand national security-Carl Bradley -- 14. Differentiating between New Zealand's two security studies research agendas-William Hoverd -- 15. New Zealand security intellectuals: Critics or courtesans?-Damien Rogers -- Conclusion-Nick Nelson -- Bibliography -- About the contributors -- Acknowledgements.

BackgroundThe influence of societal inequities on health has long been established, but such content has been incorporated unevenly into medical education and clinical training. Structural competency calls for medical education to highlight the important influence of social, political, and economic factors on health outcomes.AimThis article describes the development, implementation, and evaluation of a structural competency training for medical residents.SettingA California family medicine residency program serving a patient population predominantly (88%) with income below 200% of the federal poverty level.ParticipantsA cohort of 12 residents in the family residency program.Program descriptionThe training was designed to help residents recognize and develop skills to respond to illness and health as the downstream effects of social, political, and economic structures.Program evaluationThe training was evaluated via qualitative analysis of surveys gathered immediately post-training (response rate 100%) and a focus group 1month post-training (attended by all residents not on service).DiscussionResidents reported that the training had a positive impact on their clinical practice and relationships with patients. They also reported feeling overwhelmed by increased recognition of structural influences on patient health, and indicated a need for further training and support to address these influences.

BackgroundThe influence of societal inequities on health has long been established, but such content has been incorporated unevenly into medical education and clinical training. Structural competency calls for medical education to highlight the important influence of social, political, and economic factors on health outcomes.AimThis article describes the development, implementation, and evaluation of a structural competency training for medical residents.SettingA California family medicine residency program serving a patient population predominantly (88 %) with income below 200 % of the federal poverty level.ParticipantsA cohort of 12 residents in the family residency program.Program descriptionThe training was designed to help residents recognize and develop skills to respond to illness and health as the downstream effects of social, political, and economic structures.Program evaluationThe training was evaluated via qualitative analysis of surveys gathered immediately post-training (response rate 100 %) and a focus group 1 month post-training (attended by all residents not on service).DiscussionResidents reported that the training had a positive impact on their clinical practice and relationships with patients. They also reported feeling overwhelmed by increased recognition of structural influences on patient health, and indicated a need for further training and support to address these influences.