Glossary

We may sometimes use terms you won't be familiar with. Find out here what they mean.

Types of registration

General

General scope of practice

A type of registration. A doctor who has completed the requirements of the Provisional General scope of practice can then be registered within the General scope of practice. Examples are doctors who have completed their first post-graduate year and may be in vocational training, and doctors who have not yet started, or have chosen not to do, vocational training.

"General scope of practice" does not mean the doctor is working in general practice. General Practice is a specialty area of practice. Doctors registered in the General scope of practice can work in any area of medicine. They are required to participate in an approved recertification programme to assist them in maintaining their competence.

Provisional General

Provisional General scope of practice

A type of registration. All new registrants, regardless of seniority, must work under supervision approved by us for at least 6 to 12 months to become familiar with New Zealand practice and culture.

During the supervised period, these registrants are registered within the Provisional General scope of practice and their performance is assessed by their supervisor approved by us, in collaboration with senior colleagues. They will be required to complete certain requirements to be eligible for registration within the General scope.

The only exception to this supervised period is for New Zealand and Australian graduates who have already completed their internship in Australia.

Provisional Vocational

Provisional Vocational scope of practice

A type of registration. A doctor who has completed their formal vocational training overseas, and whose qualifications, training and experience are considered either equivalent to, or as satisfactory as, that of a New Zealand-trained specialist may obtain Provisional Vocational registration. They must work under supervision for at least 6 to 18 months and complete our requirements for registration in a vocational scope. Those requirements may include undertaking some form(s) of assessment.

Vocational

Vocational scope of practice

A type of registration. A doctor who has completed their vocational training as a specialist and has appropriate qualifications and experience can be registered within a vocational scope of practice.

This form of registration recognises the doctor as a specialist and allows them to work independently in New Zealand. A doctor registered in a vocational scope must participate in an approved recertification programme to assist them in maintaining their competence.

Suspended

A doctor suspended from practising by us or by the Health Practitioners Disciplinary Tribunal.

Holds a practising certificate/Practising

A register status. Indicates the doctor has a current practising certificate and is permitted to practise medicine in New Zealand.

Inactive

A register status. Indicates a doctor has a current practising certificate and is permitted to practise medicine in New Zealand, but has advised us they are not currently practising.

Not practising

A register status. Indicates a doctor does not hold a current practising certificate and is not practising medicine in New Zealand.

A - Accreditation to Australasian qualification

Accreditation of medical schools

We, jointly with the Australian Medical Council, review university medical school courses to ensure they give graduates the skills and knowledge required to practise medicine competently.

Accreditation/College recertification programmes

Accreditation is the process used to approve the College recertification programmes that doctors participate in to ensure that they continue to be competent to practise within the scopes of practice in which they are registered.

Affidavit

An affidavit is a formal sworn / affirmed statement of fact by an official such as a lawyer or notary public.

Approved medical qualification

The approved medical qualification is a recognised primary medical qualification or postgraduate medical qualification, that we consider suitable for registration in some of the scopes of practice.

 

Australasian qualification

A qualification awarded by an Australasian or New Zealand Medical College.

B - No results

C - Certificate of registration to credentialing

Certificate of registration

A letter confirming the registration status of a doctor who is registered with us or has been registered in the past.

Certificate of good standing (CGS) or Certificate of professional status (COPS)

A CGS or COPS confirms a doctor's registration and whether or not there are any current complaints, investigations, or disciplinary action. It is different from certificate of registration, as it provides details of current or recent practice-related investigations or concerns.

Certifying official

A person who is legally able to certify and witness original documents such as a Justice of the Peace (JP).

Chief Medical Advisor (CMA)/Chief Medical Officer (CMO)

A doctor who is the liaison person between the clinical and administrative professions and the medical functions of the DHBs.

Clinical audit

A systematic process used to assess, evaluate and improve the care and health of by objectively measuring performance against standards and if needed making recommendations for change.

Clinical Practice

Means any work undertaken by a doctor that relates to the care of an individual patient.

Code of Health and Disability Services Consumers' Rights (The Code)

The Code offers a number of rights to all patients and health consumers of health and disability services in New Zealand. It also places obligations on providers of those services.

Collegial relationship

A collegial relationship ensures a doctor is not professionally isolated. The colleague is expected to help the doctor to plan and undertake continuing professional development (CPD).

Comparable health system

A country that we have assessed as having a health system and structure comparable to that in New Zealand for the purposes of general registration.

Competence

We define the standard of competence expected of a doctor as the knowledge, skills, attitudes and judgement to practise within his or her scope to a standard acceptable to reasonable peers.

Competence or conduct disclosure

Anything a doctor tells us about a criminal investigation, professional or work-related disciplinary proceeding, investigation by the Health and Disability Commissioner, or investigation by an employer or a professional body into the doctor's competence or conduct.

Competent authority

We recognise the United Kingdom and Republic of Ireland as competent authorities for the purposes of general registration.

Conditions on scope of practice

A condition is a legal requirement that a doctor must do something or cannot do something, or otherwise comply with other set requirements, as part of their medical practice.

Consultant (see also Specialist)

Titles commonly used by senior doctors, with a particular expertise or working in a specialist area of medicine. that is interchangeable and has certain special responsibilities.

Continuing medical education (CME)

Educational activities undertaken to maintain competence, ensure medical skills and knowledge are up to date, and improve clinical effectiveness. Also known as continuing professional development (CPD) or maintenance of professional standards (MOPS).

Continuing professional development (CPD)

CPD is involvement in clinical audit, peer review and continuing medical education, aimed at ensuring a doctor is competent to practise medicine.

CPD associate

A senior doctor who agrees to provide assistance and guidance to a doctor practising in the same scope of practice, relating to that doctor's practice and relevant CPD.

Credentialling

A process used to assign specific clinical responsibilities to doctors on the basis of their training, qualifications, experience and current practice within an organisational context.

D - Disclosure to domains of competence

Domains of competence

The public and the profession expect doctors to be competent in the following areas: medical care, communication, collaboration, scholarship, professionalism. More information about domains of competence can be found in our publication, Good medical practice.

E - Educational programme

Educational programme

A programme ordered by Council to assist a doctor increase their competence in areas of practice where Council has found the doctor is not at the required standard.

Fellowship qualification

A qualification awarded by most specialist Australasian and New Zealand colleges after a period of basic and advanced specialist or vocational training.

Functions required for the practice of medicine

Council defines these functions as:
• making safe judgements
• demonstrating the level of skill and knowledge required for safe practice
• not risking infecting patients with whom the doctor comes in contact
• behaving appropriately
• not acting in ways that impact adversely on patient safety.

Fit to practise/Fitness to practise

A doctor is considered not fit to practise if, because of a physical or mental condition, he or she is not able to perform the functions required for the practice of medicine.

G - Gazette Notice

Gazette Notice / New Zealand Gazette

An official document issued by the New Zealand government with any changes to scopes of practice or fees.

H - Health disclosure to house officer

Health disclosure (physical and mental)

Anything a doctor tells us about a physical or mental condition they may have. Disclosures will be reviewed by our health team to ensure that the doctor is fit to practise medicine.

Health Practitioners Competence Assurance Act (HPCAA) 2003

The legislation that establishes the Council and sets its powers and functions. It is designed to protect the health and safety of the New Zealand public by ensuring that health practitioners including doctors are competent and fit to practice within their professions.

Health Practitioners Disciplinary Tribunal

The Health Practitioners Disciplinary Tribunal hears and determines disciplinary proceedings brought against all health practitioners including doctors.

House officer (Intern)

A doctor during their first two years of employment following their registration. Applies to graduates of Australian or New Zealand medical schools and graduates of NZREX clinical examination.

I - Individual supervision plans to International Medical Graduate (IMG)

Individual supervision plans

Supervision is a condition of registration for all doctors in New Zealand who are registered in a provisional general scope, provisional vocational scope or special purpose scope are required to have an individual supervision plan.

Induction

Induction is the familiarisation of systems and processes of the worksite and the individual service of departments.

Intern

A PGY1 or PGY2 doctor who has graduated from an accredited New Zealand or Australian medical school or a doctor who has passed the NZREX Clinical. An intern is usually employed as a House Officer and maybe referred to as: an intern, a house surgeon, a house officer, a resident medical officer (RMO).

International Medical Graduate (IMG)

A doctor who obtained their primary medical qualification in a country other than New Zealand. Sometimes called an overseas trained doctor.

J - No results

K - No results

L - No results

M - Medical Officer to medical register

Medical Officer/Medical Officer of Specialist Scale (MOSS)/Staff Grade

A non-training position for a doctor who has not yet specialised or not yet gained a postgraduate qualification, or an international medical graduate who has a postgraduate qualification from overseas but is not eligible for a consultant role because they do not meet the requirements for a vocational scope of practice.

Mentor

Another doctor appointed by to Council due to discipline or health matters to help and support the doctor.

New Zealand medical register

The medical register is a public register of all doctors currently registered to practise medicine. The information published in the register includes a doctor's name, qualifications, scope of practice and any conditions on their practice. The register also indicates whether a doctor holds a current practising certificate and can legally practise.

N - Non-clinical practice to NZREX Clinical

Non-clinical practice

Any work undertaken by a doctor that does not relate to the care of an individual patient.

New Zealand Registration Examination (NZREX) Clinical

The NZREX Clinical assesses IMGs whose primary medical qualifications are not recognised by us, to decide if they meet the standard to be registered in New Zealand

O - Orientation to overseas-trained doctor

Orientation

Orientation is an introduction and overview to medical practice and health systems in New Zealand, including cultural competence, an understanding of the Treaty of Waitangi, relevant organisations, and impact of legislation such as the Accident Compensation Corporation.

Overseas postgraduate medical qualification

An overseas postgraduate medical qualification is required for an overseas doctor to apply for provisional vocational registration in New Zealand. The qualification must have been awarded at the end of a period of specialist training and be in a recognised vocational scope/area of medicine in order for a doctor to apply for registration in New Zealand.

Overseas trained doctors (OTD) also known as international medical graduates (IMG)

A term to describe doctors who obtained their primary medical qualification in a country other than New Zealand.

P - Patient advocates to propose to decline

Patient advocates

Independent advocates or support people who help patients and health consumers to make sure that their rights are respected.

Peer review

An evaluation of the performance of individuals or groups of practitioners by members of the same profession or team. It may be formal or informal and can include any occasion in which doctors are in learning situations about their own practice with other colleagues.

Peer review discussion group

A group of doctors who systematically review aspects of a individual doctor’s work to give guidance and feedback on the doctor’s performance.

Performance

We define performance as practising to a standard acceptable to reasonable peers and to the community. This includes making safe judgements, demonstrating the level of skill and knowledge required for safe practice, behaving appropriately and acting in a way that does not impact adversely on patient safety within all domains of medical practice.

Performance assessment

This is an assessment ordered by us to determine whether a doctor has the necessary skills, judgement, attitude and knowledge to practise medicine in their scope of practice and meets the required standard of competence. Also know as a competence review or assessment.

Performance assessment committee (PAC)

A PAC consists of two doctors, usually from the same medical discipline and one lay member, and is set up by Council to carry out a performance assessment.

Postgraduate medical qualification

Is a specialist qualification, completed after a doctor is awarded their undergraduate qualification.

Practice of medicine

We define the practice of medicine as advertising, holding out to the public, or representing in any manner that a person is authorised to practise medicine in New Zealand, the signing of any medical certificate, the prescribing of medicines and the assessing, diagnosing, treating, reporting or giving advice in a medical capacity.

The practice of medicine goes wider than clinical medicine, and includes teaching, research, medical or health management, in hospitals, clinics, general practices and community and institutional contexts, whether paid or voluntary.

Practise independently

A doctor who is registered and working within a recognised vocational scope of practice or the General scope of practice is able to practise independently and unsupervised.

Practising Certificate (PC) or Licence

Every doctor must hold a current certificate to practice medicine in New Zealand.

Prescribed qualification

A prescribed qualification is an approved medical qualification or a combination of overseas and New Zealand qualifications, training and experience that a doctor must have to be registered and practise in New Zealand.

Primary care

Provides patients with their first point of contact with health services and medical care usually in a medical centre setting.

Primary medical qualification

The basic medical qualification awarded after a set period of training at a University.

Propose to decline

Under the HPCAA, if we find an application for registration is not suitable to proceed we decline the application and give the doctor an opportunity to respond to the reasons why we wish to decline the application.

Q - Qualification to quality assurance activity

Qualifications, training and experience

Relates to vocational applications from doctors who do not hold the approved postgraduate qualification. The combination of qualifications, training and experience are assessed to see if the combination is equivalent to or as satisfactory as the approved postgraduate medical qualification for vocational registration.

Quality assurance activity

Is an activity undertaken to improve the practices or competence of one or more doctors by assessing the health services performed by those doctors (whenever those services are, or were, performed).

R - Risk of serious harm to registration

Risk of serious harm

Is when an individual patient may be seriously harmed by a doctor or the doctor may pose a continued threat to more than one patient and as such the harm is collectively considered 'serious'.

Risk of harm

Is a pattern of practice over a period of time or single incident that suggests the doctor's practice of medicine may not meet the required standard of competence.

Resident medical officer (RMO) / Resident doctor

A term that covers house officers and registrars. RMOs or resident doctors may also be known as junior doctors in some countries.

Registration interview

Any doctor who has been approved or is eligible for registration needs to have a registration interview to confirm their identity, original documents, practice intentions, pay the practising certificate fee, and show certificate(s) of good standing or certificates of professional status.

Recertification

Recertification is the process used to ensure doctors are competent to practise within the scope in which they are registered.

Registrar/Specialist Trainee/Resident

A resident doctor who has been employed before the appointment of registrar as a House Officer /Senior House Officer for at least 2 years. Depending on experience, a doctor may be eligible to work as a registrar in their third year post graduation.

Registration

Registration is a term used to describe the process where doctors apply to be added to the New Zealand medical register.

S - Senior house officer to supervision

Senior House Officer

A doctor who has already completed one year of employment post-graduation.

Scope of practice

All practising doctors in New Zealand are registered in one or more scopes of practice.

Statutory declaration

Statutory declarations made in front of a certifying official are used to confirm the identity, nationality, marital status of a doctor.

Supervision reports

All doctors registered in a provisional general, provisional vocational or special purpose scope of practice must submit quarterly supervision reports to us.

Supervision

Educational supervision

Educational supervision is provided by a senior doctor practising in the same scope of practice as a doctor participating in a competence programme. The supervisor oversees the doctor’s educational activities and has a facilitative and supportive role.

Supervision of doctors on provisional general or provisional vocational registration

Supervision is a condition of registration for all new doctors in New Zealand. It enables the doctor's performance to be assessed to ensure the health and safety public while the doctor becomes familiar with the New Zealand health system and required standard of practice.

T - No results

U - No results

V - VEAB to VPA assessor

Vocational Education and Advisory Body (VEAB)

A VEAB is a specialist college, society or association that advises us on matters of registration within a vocational scope of practice.

Vocational Education and Advisory Body vocational registration interview

An interview that enables a VEAB to obtain more information on the doctor's qualification, training and experience. Following the interview, advice is provided to us on whether an IMG holds 'a prescribed qualification' for vocational registration.

Vocational practice Assessment (VPA)

The vocational practice assessment (VPA) is a means of assessing competence and applies specifically to IMGs that it considers eligible for registration within a provisional vocational scope of practice (assessment pathway).

Vocational practice assessment assessors

Two assessors who perform the VPA are selected by us with input from the VEAB.

Vocational scope of practice

A doctor who has completed his or her vocational training as a specialist and has appropriate qualifications and experience can be registered within a vocational scope of practice.

W - No results

X - No results

Y - No results

Z - No results