In this edition, we mark a major changing of the guard at AMA (NSW), reflecting on the leadership of outgoing president Dr Kathryn Austin and long-serving CEO Fiona Davies as they each close defining chapters with the organisation. We unpack AMA (NSW)’s landmark VMO arbitration and the case for modernising conditions for Visiting Medical Officers, while also examining the rise in general protections claims and the growing role of AI in workplace disputes. This edition also looks at illegal tobacco, voluntary assisted dying processes in NSW, and profiles Dr Christopher Farag, former AMA (NSW) Medical Student of the Year, on the quiet moments that shape a young doctor’s sense of purpose.