This document covers a number of NZREX-related policies including pass criteria, serious concerns and critical incidents, request for resits, feedback, and recount of results.

We are reviewing our statement on a doctor’s duty to help in a medical emergency and would value your feedback. This statement discusses a number of factors doctors should consider when responding to a medical emergency.

This report presents the results of our 2022 workforce survey. Key findings in this report include that the proportion of Māori doctors increased to 4.7 percent, the proportion of female doctors increased to 47.9 percent, and the total number of practising doctors increased to 19,350.

This draft statement sets out legal and ethical considerations as a doctor when responding to a medical emergency. It also discusses a number of factors you should consider when you attend to a medical emergency, whether that emergency is within a healthcare facility, or in a non-clinical setting, such as in the community.

We recognise Taiwanese medical schools so that graduates from these schools have the opportunity to undertake NZREX Clinical. We must ensure we only register fully qualified doctors. However, the exclusion of Taiwanese medical schools from WDOMS is due to political factors and not the standard of those schools. The ECFMG has approved graduates of these schools to undertake the prerequisite examination - USMLE Steps 1 and 2.

This policy applies if you're applying for registration temporarily to teach, train, carry out research, work as a locum tenens specialist, assist in an emergency or work as a teleradiologist.

This document sets out Council’s policy in regards to accrediting training providers of prevocational medical training (training providers) and their clinical attachments. It outlines the components of the accreditation assessment.

This policy outlines the requirements you must meet before you can be registered in the General scope of practice.This policy should be read alongside Council's Policy on registration in New Zealand.

Checklist 2: United Kingdom and Irish medical graduates - only for use with online applications made via myMCNZ

Checklist 13: Special purpose - locum tenens - only for use with online applications made via myMCNZ

The HPCAA requires Council to ensure doctors are fit and competent to practise medicine. Council does this in part by setting and recognising recertification programmes under section 41 of the HPCAA, and requiring doctors’ participation in those programmes.

This policy gives an overview of the rules we apply in deciding whether to register as a doctor or physician associate in New Zealand. There will also be a specific policy that applies to the pathway you are registering under and the two policies should be read together.

This guide for supervisors of IMGs outlines how to access supervision reports through Council's myMCNZ portal, as well as how to complete and submit them.

This document sets out Council’s Policy in regards to prevocational medical training. It outlines the requirements for each component of prevocational medical training from PGY1 through to the end of PGY2.

Policy for doctors registered in the special purpose postgraduate training scope in relation to working nights.

The vocational practice assessment (VPA) is Council’s preferred tool for assessing competence and applies specifically to IMGs that Council deem eligible for registration within a provisional vocational scope of practice (assessment pathway).

The Medical Council of New Zealand (the Council) wants to ensure that recertification programmes for all doctors are robust, help assure the public that the doctor is competent and fit to practise, and improve the current high standards of practice of doctors in New Zealand.

Some pathways to registration require doctors to have completed their internship in a particular country. If you are applying for registration and did your internship somewhere else, this policy outlines how we will assess your suitability for registration.

Council's submission to Manatū Hauora | Ministry of Health on their consultation around the regulation of physician associates under the Health Practitioners Competence Assurance Act 2003.

This guide outlines why doctors may have conditions on their practice, how to find out if a doctor has conditions, and what some of the different types of conditions mean for you as a patient.

Where a doctor wishes to resume practice in New Zealand, but has not held a New Zealand practising certificate within the last 3 years, the doctor does not have an automatic entitlement to a practising certificate. Council must consider such applications on a case by case basis.

This policy outlines the requirements you must meet in order to be issued a general scope without limitations.

In order to practise in New Zealand you must be both registered and hold a current practising certificate. This policy outlines Council's rules around practising certificates.

This policy covers when doctors who were previously registered in New Zealand can apply to be restored to the register rather than complete a full registration application.

We are consulting with stakeholders on the proposed introduction of a fee for the accreditation of New Zealand-based vocational training and recertification providers.

If you're applying for registration in the vocational scope and did your postgraduate training outside of New Zealand and Australia, this policy outlines the rules that will apply when we consider your application.

If you wish to apply for the NZREX Clinical, you must meet the requirements outlined in this Policy. You will also need to submit a recent photo in order to apply for the NZREX Clinical, this policy also outlines the requirements for the photo we need.

Disclosure of harm refers to instances where a patient has been adversely affected as a direct result of medical care. Open disclosure in this situation promotes transparency, can strengthen the doctor-patient relationship and is important for the health and safety of the public in general. This statement is intended to help doctors understand the purpose of open disclosure and why it matters to patients and their family/whānau. It also guides doctors on factors to consider when a situation requires that the harm is disclosed.

This document highlights the revisions we're making around recertification, cultural safety, and health equity to the accreditation standards for NZ training providers of vocational medical training and recertification programmes

Half of the APC (practising fee and disciplinary levy) will be refunded to doctors earning $20,000 or less per annum from the practice of medicine in New Zealand or overseas.

We are proposing two key changes to the comparable health system pathway to registration in the Provisional General scope of practice. We welcome your feedback about these proposed changes before we make any decisions.

This policy explains the requirements you will have to meet if you are registered in the general scope, or in a vocational scope of general practice, and you wish to perform tumescent liposuction.

This statement outlines the rights and responsibilities of health care workers and infected health care workers in relation to transmissible major viral infections.

These are the current standards and have been updated to reflect the changes to ACLS requirements for interns. These standards identify the basic elements that must exist in all accredited prevocational intern training programmes. Providers of prevocational training programmes must demonstrate they meet these accreditation standards.

The purpose of this statement is to protect the public from advertising that is false, misleading or deceptive, and to
provide guidance to doctors about the advertising of health-related products and services.

Guide with information for DHBs who are providing community based clinical attachments.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for medical oncology.

Council has not issued standards specific to practice within the purpose of the End of Life Choice Act 2019 (EOLCA). Council considers that the provision of health services under the EOLCA falls within the wider practice of medicine, to which Council’s statements are directed. This document sets out existing Council statements alongside the relevant sections of the EOLCA.

A history of the Medical Council of New Zealand, compiled by Professor Richard Sainsbury.

Doctors are often asked to sign certificates for a wide range of purposes, such as confirming sickness, impairment or death. This statement outlines factors to consider, and the standards that doctors must follow, when issuing a medical certificate.

You can request to withdraw from a particular sitting of the NZREX Clinical, or request to transfer to another sitting. This policy sets out the process for applicants to transfer or withdraw from the NZREX Clinical and the associated fee or refund for each process.

Under the Health Practitioners Competence Assurance Act 2003, responsible authorities such as the Medical Council undergo regular independent reviews of how they are carrying out their statutory functions. The Act requires responsible authorities to publish their review report on their website.

This policy, which comes into effect on 1 April 2020, sets out on when we might make public in some way, information about an order or direction made by us about a doctor.

You can use this document to provide feedback on the updated version of our statement Disclosure of harm following an adverse event

Prescribing medicines and treatment is an essential part of medical practice. This statement outlines what good prescribing practice involves and the legal requirements doctors must comply with.

This draft statement outlines what is expected of doctors when harm to patients occurs as a direct result of medical care. See the consultation section of our website to provide feedback on this draft statement.

This document provides general advice to employers (including Te Whatu Ora | Health New Zealand and some PHOs) about their responsibilities as an employer of a doctor.

Our definition of the practice of medicine and clinical practice

Prevocational Training Requirements for Doctors in
New Zealand: a discussion paper on options for an enhanced training framework

This form outlines additional information required by RANZCR for applications in radiation oncology.

Application for a physician associate general scope of practice

Our definitions of clinical and non-clinical practice

Request for confirmation of internship, NZREX pass, or general registration.

Evaluation of Council's RPR programme by Malatest International - end of year report for 2017

Doctors are often asked for input by their family and friends. This may include requests for medical advice or a prescription, or more substantial involvement such as performing a procedure. This statement explains why doctors must avoid treating themselves and those they have a close personal relationship with.

A Review of Prevocational Training Requirements for Doctors in New Zealand: Stage 2 - A second consultation paper on the proposed changes to prevocational training

Our current scopes of practice and prescribed qualifications (as published in the New Zealand Gazette on 5 April 2023, Notice no. 2023-gs1359).

A community-based attachment is an educational experience in an accredited clinical attachment in a community-focused service in which the intern is engaged in caring for the patient and managing their illness in the context of their family and community.

Malatest Evaluation of the RPR Programme - end of year 2014

Evaluation of Council's RPR programme by Malatest International - end of year report for 2016

Evaluation of Council's RPR programme by Malatest International - end of year report for 2017

Summary of the Malatest evaluation of the regular practice review (RPR) programme for 2017.

Manatū Hauora - The Ministry of Health (the Ministry) is proposing that the Physician Associate (PA) profession be regulated under the Health Practitioners Competence Assurance (HPCA) Act 2003. This document outlines the details of this proposal.

Evaluation of Council's RPR programme by Malatest International - mid year report for 2016

Malatest Evaluation of the RPR Programme: mid-year 2017

Evaluation of Council's RPR programme by Malatest International - mid year report for 2018

Evaluation of Council's RPR programme by Malatest International - mid year report for 2015

An amendment of this notice was published on 1 October 2024, Notice No. 2024-sl4980 and another amendment was published on 31 March 2025, Notice No. 2025-sl1765.

Evaluation of Council's RPR programme by Malatest International - end of year report for 2015

Currently, there is no requirement for applicants for this examination to have had any clinical practice experience. This consultation seeks views on the merits of introducing a requirement that individuals applying to sit the NZREX must have had clinical practice experience and if so, then what that should be.

Glossary of terms used in relation to prevocational medical training. Examples include clinical attachment, intern, multisource feedback (MSF), and prevocational educational supervisor

Evaluation of Council's RPR programme by Malatest International - Interim report to November 2014

Approved list of postgraduate medical qualifications recognised for registration via the VOC4 pathway

Malatest International's final evaluation report of our Regular Practice Review Programme

This guide sets out the accreditation process for Aotearoa New Zealand-only vocational training providers that are currently accredited by MCNZ. It applies both to currently accredited providers seeking reaccreditation, as well as unaccredited providers seeking accreditation.

Evaluation of changes to prevocational medical training by Malatest International - end of year report for 2018

This guidance explains what doctors should consider when using artificial intelligence (AI) in patient care. Because AI is increasingly being used in medical practice, it is essential that doctors do so ethically and responsibly, to ensure patient safety and the privacy of health information.

Prevocational medical training accreditation report: Bay of Plenty District Health Board

This document outlines the standards that an applicant will be assessed against.

An amendment to our current scopes of practice and prescribed qualifications correcting the commencement date (as published in the New Zealand Gazette on 1 October 2024).

The purpose of these principles is to provide a framework for good decision-making about notifications assessed and managed by the Council. The principles are not intended to cover every specific scenario but rather provide guidance in how notifications should be assessed and managed. The framework applies to the decisions of the Notifications Triage Team (NTT) and of Council.

Council is proposing to extend the provisional vocational assessment period from 18 to 24 months. This will enable a specific cohort of specialist IMGs who may not otherwise meet the standard, to gain provisional vocational registration and complete discrete training to address identified
deficiencies in their qualifications, training and experience.

To apply for registration within a special purpose (locum tenens) scope of practice, you must first hold an approved postgraduate qualification in the branch of medicine in which you want to work, and then meet remaining requirements outlined in the registration policy.

This gazette notice lists the fees payable from 1 July 2026.

This gazette notice lists the fees payable from 1 July 2025.

These standards will come into effect on 1 July 2022. The standards outline the standards vocational training providers need to meet in order to be accredited to provide vocational medical training and recertification programmes. We have made revisions to update recertification, cultural safety, health equity and specialist assessment of IMG content.

This document outlines the policy, process and guidelines for recognition of a new vocational scope of practice.

The Standards for accreditation of specialist medical training programmes are jointly agreed and applied by the Australian Medical Council (AMC) and the Medical Council of New Zealand (MCNZ). Australasian colleges are required to apply the New Zealand specific criteria in addition to the AMC standards.

Under sections 11 and 13 of the Health Practitioners Competence Assurance Act 2003, Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand (“Council”) gives notice of an amendment to the notice titled “Scopes of Practice and Prescribed Qualifications for the Practice of Medicine in New Zealand Notice 2024.

Under sections 11 and 13 of the Health Practitioners Competence Assurance Act 2003, Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand (“Council”) gives notice of an amendment to the notice titled “Scopes of Practice and Prescribed Qualifications for the Practice of Medicine in New Zealand Notice 2024.

Patients are entitled to information about their health and the care they are receiving. This statement outlines what we expect of doctors when helping patients to make an informed decision about their care and treatment.

Telehealth is the use of digital technology to deliver health services where participants may be separated by distance and/or time. This statement outlines our expectation of doctors who practise telehealth in New Zealand and overseas, and includes guidance on registration, conducting physical examinations and prescribing.

This gazette notice lists the scopes of practice and prescribed qualifications for Physician Associates.

This statement outlines Council's expectations of doctors who perform cosmetic procedures. These include standards relating to training, skill and expertise, advertising and obtaining consent from the patient.

These standards have been superseded by the 2022 standards above.

This statement outlines what cultural safety means and why it is important. The document reflects the evolution of thinking away from the cultural competence of doctors – that is acquiring skills and knowledge of other cultures – towards self-reflection of a doctor’s own attitudes and biases that may affect the cultural safety of patients. Council requires doctors to meet these cultural safety standards.

Under section 14 of the Health Practitioners Competence Assurance Act 2003 (“Act”), Te Kaunihera Rata o Aotearoa |
Medical Council of New Zealand (“Council”) gives notice of an amendment to the notice titled “Scopes of Practice and
Prescribed Qualifications for the Practice of Medicine in New Zealand Notice 2024” published in the New Zealand Gazette, 30 September 2024, Notice No. 2024-sl4580

As a doctor, you have an obligation to be respectful and professional as your behaviour may affect how a health team functions, how care is delivered to patients, and the public’s trust and confidence in the medical profession. If you have concerns about the conduct, competence or safety of a doctor’s practice, you should notify the Medical Council.

Training providers that offer vocational medical training and recertification programmes must gain accreditation with the Council by meeting the Accreditation standards for Aotearoa New Zealand training providers of vocational medical training and recertification programmes (2022).

Internet, email, and other forms of electronic communication are ways in which doctors communicate with patients and other health professionals, find information, and participate in informed discussion. This statement guides doctors on the use of email and other forms of social media.

Application for general scope of practice for doctors on a provisional general scope of practice (excluding Interns).

Our "Good medical practice" publication provides guidance to doctors on the standards of practice we expect.

This guide outlines the role of the advisory panel as well as providing information on ePort use for advisory panel members.

In late 2009 we asked the Council for Healthcare Regulatory Excellence (CHRE) to undertake a full review of how we were performing. This is their report on how we did.

This Memorandum of Understanding is made on the 24th day of August 2017
between Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand
and The New Zealand Police.

Application to vary practising certificate on a physician associate provisional scope of practice

Terms of reference for our Committee on matters relating to the Royal Commission of Inquiry into Abuse in State Care

This is an updated draft version of the statement which we're consulting on. Please see the consultation section of our website for more information including how to provide feedback.

Doctors on provisional general and special purpose scope: Employer application for approval of position and supervisor

Draft document for consultation. In this document we advise doctors on how they can support the achievement of best health outcomes for Māori. We also provide guidance for healthcare organisations on how to support Māori health equity.

We will achieve our vision, deliver on our purpose, uphold the mana of Te Tiriti o Waitangi, and be a sustainable organisation through our strategic priorities.

Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand set these Professional Standards for Physician Associates 2026 (the standards) under section 118(1)(i) of the Health Practitioners Competence Assurance Act 2003. The standards will come into force on 1 October 2026.

Progress update on Lakes' accreditation as at 27 October 2023

Maintaining clinical records is part of good medical practice. Clinical notes are an important tool for managing the patient's care, and communicating with other doctors and health professionals. This statement guides doctors on what information they should record, and for how long they should retain patients' records.

Resource constraints are a reality in health care. For doctors, this often means prioritising based on clinical need and waiting lists. This statement guides doctors working in a resource-constrained environment by setting out ethical principles and practical advice.

This document is a copy of all written submissions we received when we consulted on our discussion document around strengthening recertification for vocationally-registered doctors. Feedback is published according to submitters preference for anonymity.

Update on Auckland's accreditation status as at 8 November 2024

Update on Taranaki DHB's accreditation status as at 28 March 2024

Update on Whanganui DHB's accreditation status as at 25 May 2022

NZDSI accreditation report relating to the visit on 3 and 4 August 2022

Update on Nelson Marlborough's accreditation status as at 28 March 2024

Supervision report form for doctors on General scope or vocational scope.

Update on Te Tai Tokerau's accreditation status as at 8 November 2024

Update on Waitemata's accreditation status as at 8 November 2024

Update on Hutt Valley's accreditation status as at 14 December 2023

NZAMM accreditation report relating to the visit on 18-19 November 2020

RNZCUC accreditation report relating to the visit on 21 and 23 October 2025

Update on Southern DHB's accreditation report as at 14 December 2023