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Any doctor applying for registration in New Zealand must be fit for registration and fit to practise medicine. It's a legal requirement on us to ensure they are. We determine this as part of our assessment of your application for registration.
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If you are thinking about practising medicine in New Zealand, there are many things to consider. This page provides an introduction to medical registration, the healthcare system, getting a job and settling in the country.
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Regardless of your scope of practice, the basic process for registration as a medical practitioner in New Zealand is as outlined here.
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Diagnostic and interventional radiology is the diagnosis and treatment of patients utilising imaging modalities, including general radiography, angiography, fluoroscopy, mammography, ultrasound, computed tomography, magnetic resonance imaging, nuclear medicine and bone densitometry.
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Every doctor in New Zealand must be registered to practise medicine. If you are not eligible for registration under any other pathway, you must sit and pass the NZREX Clinical, our registration examination.
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Special purpose research scope of practice is for doctors who come to New Zealand temporarily to undertake research. This special purpose scope is available for a maximum of two years and practise is restricted to research approved by a formally-constituted ethics committee in New Zealand.
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Section 16 (b) of the Health Practitioners Competence Assurance Act 2003 requires the Medical Council of New Zealand (Council) to be satisfied that any doctor seeking registration in New Zealand is able to communicate in and comprehend English sufficiently to protect the health and safety of the public.
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Applicants for registration as well as candidates applying for the New Zealand Registration Examination (NZREX Clinical) must satisfy Council that they are able to comprehend and communicate effectively in English in the medical workplace, as one of the prerequisites for registration. This policy sets out the specific requirements that must be met.
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Our principal function is to protect you by ensuring that doctors are competent and fit to practise. We do this by setting standards of clinical and cultural competence and ethical conduct for doctors.
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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.
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Doctors get sick too, and when they do it's important that their illness doesn't interfere with their ability to practise medicine safely. A doctor must always be able to practise medicine without putting patients or the public at risk.
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Our registration application forms include a range of 'fitness for registration' questions. This page will help guide you should you need to make a declaration about any issues that might affect your fitness for registration.
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The professional services a doctor can perform in New Zealand are defined by the scope of practice for which they are registered.
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Follow through a series of videos and let us guide you through our process.
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Council is reviewing the core ethical standards it sets for the profession, ensuring the standards reflect both patient expectations and the realities of clinical practice. As part of this work, we have sought feedback from patients and doctors and have now released two reports that reflect their views.
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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.
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Medical Council Chair Dr Rachelle Love responds to the final report from the Abuse in State Care Royal Commission Inquiry.
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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand is inviting feedback on proposals for how PAs should be regulated in Aotearoa New Zealand.
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All international medical graduates (IMGs) registered in a provisional general, provisional vocational and special purpose scope of practice must be supervised. This is to support their practice while they become familiar with the New Zealand health system and the expected standard of medical practice.
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Find out more about organisations that represent doctors
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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.
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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.
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If you are registered and practising in a vocational scope only, you must participate in the recertification programme offered by the medical college or other approved recertification provider responsible for your vocational scope of practice.
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The International Association of Medical Regulatory Authorities (IAMRA) signed a historic Memorandum of Understanding (MoU) today with the World Health Organization in a ceremony in Geneva.
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An audit of medical practice is a systematic, critical analysis of the quality of a doctor’s own practice, the results of which are used to improve clinical care and/or health outcomes, or to confirm that current management is consistent with the current available evidence or accepted consensus guidelines.
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Te Kōwhiringa o Te Kaunihera Rata o Aotearoa 2024 | The Medical Council of New Zealand election 2024
Council elections are about building a strong Council that the public, government and medical profession can have confidence in. The opportunity to cast your vote for the election of four medical members to join the governance of the Medical Council is available starting Tuesday, 20 February 2024. -
This information sheet provides guidance to chaperones approved by the Medical Council of New Zealand (Approved Chaperone) about their role and responsibilities when acting as a chaperone.
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There are two key scopes of practice for PAs:
Physician Associate Provisional Scope of Practice (for first period of registration).
Physician Associate General Scope of Practice (for PAs who have completed the provisional period) . -
Doctors who hold overseas qualifications and who want to apply for registration in Aotearoa New Zealand must have key documents verified from their primary source. Since November 2017, Council has required primary source verification using the Educational Commission for Foreign Medical Graduates’ Electronic Portfolio of International Credentials (ECFMG’s EPIC) service, which is now accessed via the MyIntealth portal.
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There are two medical schools in Aotearoa New Zealand. Council recognises the primary medical training qualifications from both Aotearoa New Zealand and Australian medical schools.
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Certificates of professional status (COPS) are documents used by medical professional regulators to share information about whether a doctor is in good standing. Doctors applying for registration, restoration or returning from practising outside New Zealand need to provide us with certificates of professional status.
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We are seeking your feedback on the draft Professional standards for PAs. These draft standards propose the principles and values of good PA practice and the professional standards expected of PAs working in Aotearoa New Zealand.
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This dashboard page contains information around international medical graduates, doctors who obtained their primary medical qualification outside of New Zealand.
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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.
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The Medical Council of New Zealand will protect and safeguard personal information and treat it with the utmost care, respect and discretion. This includes all personal information collected online.This privacy notice applies to personal information that we collect through this website: www.mcnz.org.nz
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The Medical Council of New Zealand, in partnership with Te Ohu Rata O Aotearoa (Te ORA), has released an independent research report outlining findings on the current state of cultural safety and health equity delivered by doctors in Aotearoa New Zealand.
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We want to make sure the information that we provide on our website about making a notification is clear and easy to use. If you have recently looked at our website to find out how to raise a concern about a doctor, we welcome your feedback.
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The Medical Council has today launched Torohia – Medical Training Survey for New Zealand, a new survey designed with the profession, for the profession, to better understand doctors’ experience of postgraduate training.
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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand’s latest quarterly workforce data shows that women now make up slightly more than half of practising doctors in Aotearoa New Zealand.
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Medical Council News is our official newsletter. Published and distributed to the profession regularly, the newsletter contains a summary of the most important recent news as well as articles on topics likely to be of interest to doctors.
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You can make a notification directly to the Health and Disability Commissioner (HDC). The HDC's role is to promote and protect your rights as set out in the Code of Health and Disability Services Consumers' Rights (The Code).
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This pathway is for New Zealand and Australian medical graduates wanting to register within the Provisional General scope of practice to complete their internship.
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Whenever you use a health or disability service in New Zealand, you are protected by the Code of Health and Disability Services Consumers' Rights (Code of Rights). The Code of Rights applies to both public and private facilities, and to both paid and unpaid services. It gives you as a patient, the right to be treated with respect, receive appropriate care, have proper communication, and be fully informed so you can make an informed choice.
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The Medical Council of New Zealand |Te Kaunihera Rata o Aotearoa today released the results of its 2025 Workforce Survey, showing continued growth, more diversity, and important shifts in the medical workforce.
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In this issue we look at the importance of keeping up to date with Council's statements and publications, the outcomes of the research into Council's performance, and cultural competence.
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You can apply to access the full medical register, but before you apply make sure you know what information the register holds. Whether your application is approved or not depends on what you want to do with the information.
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Physician associates are trained health professionals who work under the supervision of a medical doctor to provide healthcare to patients.
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To apply for registration as a medical practitioner in New Zealand, or to sit the New Zealand Registration Examination (NZREX Clinical), you must have a recognised primary medical qualification from a university medical school listed on the World Directory of Medical Schools.
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Dermatology is the study, research and diagnosis of disorders, diseases, cancers, cosmetic, ageing and physiological conditions of the skin, fat, hair, nails and oral and genital membranes.
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Medical practitioners registered within the General scope of practice (or the Provisional General scope of practice, which precedes it) are typically resident doctors, resident medical officers (RMO) and doctors undergoing vocational training.
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At its first meeting for 2024, Te Kaunihera Rata o Aotearoa | The Medical Council of New Zealand elected Dr Rachelle Love as its new Chair and re-elected Mr Simon Watt as Deputy Chair.
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We serve Aotearoa New Zealand by protecting public health and safety. We do this by setting and promoting standards for the medical profession.
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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand is committed to meeting Aotearoa New Zealand's healthcare demands by enabling highly qualified international and locally trained doctors to join the workforce through flexible and efficient registration pathways.
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One of the ways the Council helps doctors to stay competent is by requiring them to participate in recertification programmes. Regular practice review (RPR) is one part of this continuing professional development.
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This area of our site contains detailed information about the medical workforce in Aotearoa New Zealand.
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We're pleased to announce the launch of our new data dashboard, now available on our website. This dashboard provides a comprehensive and dynamic overview of registered and practising doctors in Aotearoa New Zealand.
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Paediatrics involves the assessment, diagnosis and management of infants, children and young people with disturbances of health, growth, behaviour and/or development. It also addresses the health status of this group through population assessments, intervention, education and research.
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If you hold an approved postgraduate medical qualification from the UK, Ireland or Australia and intend to work as a specialist in Aotearoa New Zealand in an approved area of medicine, you can apply via the VOC4 fast-track pathway.
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Rehabilitation medicine is the medical care of patients in relation to the prevention and reduction of disability and handicap arising from impairments, and the management of patients with disabilities from a physical, psychosocial and vocational viewpoint.
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Radiation oncology is the medical care and management of patients with cancer and other medical conditions through the conduct and supervision of radiation treatment, advice and provision of palliative and other supportive care, and advice and provision of other non-surgical cancer; advice and provision of other non-surgical cancer treatment including cytotoxic, hormonal and other drug therapies; participation in clinical trials and research related to cancer management.
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Special purpose registration is a temporary form of registration, for specific purposes. It is not a pathway to permanent general or vocational registration. Entry on the Register is cancelled after a fixed time period.
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This page contains a full list of our forms including application, report and referee forms, as well as checklists and the current fees payable.
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Read about our past performance. Our annual reports include detailed information and statistics about our activities for the twelve months from 1 July of a year to 30 June of the following year.
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Emergency medicine is a field of practice based on knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioural disorders.
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Supervision is a registration requirement for all doctors registered in a provisional general, provisional vocational or special purpose scope of practice. Supervision supports a doctor’s practice and enables their performance to be assessed while they become familiar with the New Zealand health system and the expected standard of medical practice.
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Vascular surgery is the diagnosis and treatment (operative and non operative, including endoluminal techniques and interventional procedures) of patients with disorder of the blood vessels (arteries and veins outside the heart and brain) and the lymphatic system. It also includes the management of trauma and surgical access to the vascular system.
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If you trained and qualified as a specialist outside of New Zealand and Australia and wish to work in New Zealand as a specialist you can apply based on overseas training and qualifications and we will assess your case on its merits.
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Obstetrics and gynaecology involves the diagnosis and management of patients in the area of reproductive health and diseases, including but not limited to women’s health issues, maternal foetal medicine, gynaecological oncology, reproductive endocrinology and infertility, and urogynaecology, male sexual disorders, post and perinatal issues.
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Orthopaedic surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the musculoskeletal system (bones, joints, ligaments, tendon and peripheral nerves). It includes the management of trauma to the musculoskeletal system and the management of congenital and acquired disorders.
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Otolaryngology, head and neck surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the ears, nose, throat, and related structures of the head and neck. This includes cancer of the head and neck (excluding the eye and the brain), disorders of the salivary glands and thyroid gland, disorders of hearing, balance, swallowing, speech, snoring/sleep apnoea and aspects of facial plastic surgery.
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A notification around concerns about your health is different from one about conduct, and our approach to dealing with it it is non-judgmental and focuses on your rehabilitation and the safety of patients and people you come into contact with.
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This page outlines how the process of renewing your practising certificate works and what to do if your certificate is about to expire and you haven't heard from us.
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Sport and exercise medicine is the medical care of the exercising individual, including the assessment and management of patients with musculoskeletal injuries and medical problems arising from sporting activity. Sport and exercise physicians possess expertise in general medicine, orthopaedics and rehabilitation, plus allied sport sciences including nutrition, biomechanics, exercise physiology and sports psychology.
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Did you know over 70% of doctors registered in the past year were trained overseas — bringing skills from 63 countries to Aotearoa. But to truly strengthen our health system, it’s not just about recruitment — it’s about supporting doctors to stay.
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Paediatric surgery is the diagnosis and treatment (operative and non operative) of children (usually up to 15 years of age) who may require surgery. It includes non-cardiac thoracic surgery, general paediatric surgery, oncological surgery, urology in children and the management of congenital abnormalities both ante-natally and in the neonatal period. Also included is the management of major trauma in children.
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Plastic and reconstructive surgery is the diagnosis and treatment (operative and non operative) of patients requiring the restoration, correction or improvement in the shape and appearance of the body structures that are defective or damaged at birth or by injury, disease, growth or development. It includes all aspects of cosmetic surgery.
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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.
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Special purpose postgraduate training registration is available for doctors looking to come to New Zealand on a temporary basis, to gain experience and skills to take back to their home or sponsor country.
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Rural hospital medicine is determined by its social context, the rural environment, the demands of which include professional and geographic isolation, limited resources and special cultural and sociological factors. It is invariable practised at a distance from comprehensive specialist medical and surgical services and investigations.
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If you have concerns about a registered doctor, you can refer the matter to the Council.
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Neurosurgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the central, peripheral and autonomic nervous system including their supportive structures and blood supply. This includes the skull, brain, meninges, spinal cord, spine and pituitary gland. It also includes the management of traumatic, neoplastic, infective, congenital and degenerative conditions of these structures and surgical pain management.
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General practice is an academic and scientific discipline with its own educational content, research, evidence base and clinical activity, and a clinical speciality orientated to primary care. It is personal, family, and community-orientated comprehensive primary care that includes diagnosis, continues over time and is anticipatory as well as responsive.
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Health-related commercial organisations share some common goals with doctors: they seek to prevent, control, cure and manage diseases, or physical and mental conditions, and may conduct research to improve and advance health care. However, health-related commercial organisations can also have different and potentially conflicting goals in that generating a profit is often a principal goal whereas a doctor’s primary concern must always be the care of patients. This statement outlines our expectations when doctors interact with health-related commercial organisations, and provides guidance on recognising, assessing and managing conflicts of interest (including perceived conflicts of interest) that may arise.
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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.
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In the November 2015 edition of Medical Council News we looked at stimulating debate amongst health organisations about the urgent need to address Māori health inequity, concerns around processing laboratory results, retrospective changes to patient records and why British doctors move to New Zealand.
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This dashboard page contains information around registered doctors, those who are on the register and hold a current practising certificate. You can also view the same data for past quarters.
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At the Medical Council of New Zealand, our role is to protect the public and promote good medical practice. Our current vacancies are listed below. If you would like to join a sector-leading organisation that continually strives for excellence, apply today! Please direct any enquiries about a vacancy to the contact person specified in the advertisement.
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Recertification helps maintain high standards of medical competence and care. Doctors required to participate in recertification must do so, and must respond, at our request, to any questions we have about their participation.
We work with recertification providers to ensure doctors’ compliance. At its most serious, non-compliance may, ultimately, lead to the suspension of an individual’s registration. -
Council requires all doctors in PGY2, to satisfy the requirements of a programme ordered by Council under section 40 of the HPCAA.
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A Professional Conduct Committee (PCC) is an investigatory body appointed by the Council. Its purpose is to investigate matters and concerns referred to it by the Council about a registered doctor. Although a PCC is appointed by the Council, it is separate from the Council, and regulates its own procedures.
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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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Urology is the diagnosis and treatment (operative and non operative) of patients with disorders of the urinary tracts in males and females, and male genital organs. It also includes the management of trauma to these organs and the management of male sterilisation, infertility and sexual dysfunction.
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Over coming weeks, we will be scheduling additional NZREX clinical examinations, to facilitate IMGs, who do not meet requirements for other pathways, an opportunity to gain eligibility for registration. To inform decisions on the number and timing of examinations, we are collecting information to understand the potential number of eligible doctors waiting to sit the NZREX clinical exam.
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You can apply for this pathway if you have passed the Australian Medical Council examinations and are registered with the Australian Health Practitioner Regulation Agency (AHPRA).
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List of our fees effective from 1 July 2026
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This page covers where you can get advice and support if you're thinking about making a notification.
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You can use this form to ask us a question or raise concerns about a health practitioner (doctor).
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It is the Council’s role to ensure that the quality of training programmes offered by providers of prevocational medical training is of a high standard. Information on accredited prevocational training providers and the Council’s accreditation standards can be found here.
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Anaesthesia is the provision of anaesthetics, peri-operative care, intensive care and pain management to patients and can include the provision of resuscitation, retrieval/transportation (inter and intra hospital) and hyperbaric medicine to patients.
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A recent change to the Health Practitioners Competence Assurance Act 2003 sets a new requirement on all health profession regulators, including the Medical Council. We are now required to publish a policy setting out on when we might make public in some way, information about an order or direction made by us about a doctor.
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Graduates of Aotearoa New Zealand and Australian accredited medical schools and doctors who have sat and passed an approved medical registration examination, including the New Zealand Registration Examination (NZREX Clinical) complete prevocational medical training.
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The principal function of the Medical Council of New Zealand is to protect the health and safety of the public by ensuring that doctors are competent and fit to practise. We do this by setting standards of clinical and cultural competence and ethical conduct for doctors.
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We have approximately 95 staff, including our Chief Executive and senior managers whose activities are overseen by a Council of 12 people who are a mix of doctors and laypeople. Our Chair is Dr Kenneth (Ken) Clark. Joan Simeon is our Manukura (Chief Executive) Officer.
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Council collects workforce data from doctors as part of the renewal of practising certificates.
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Graduates of Aotearoa New Zealand and Australian accredited medical schools and doctors who have sat and passed an approved medical registration examination, including the New Zealand Registration Examination (NZREX Clinical) complete prevocational medical training.
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Once a doctor successfully completes prevocational medical training and has received registration within a general scope of practice, a doctor is then eligible to enrol in a vocational medical training programme. Doctors undertaking this training are referred to as trainee doctors, and are usually employed as registrars.
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Pain medicine is the biopsychosocial assessment and management of persons with complex pain, especially when an underlying condition is not directly treatable. The scope of pain medicine supplements that of other medical disciplines, and utilises interdisciplinary skills to promote improved quality-of-life through improved physical, psychological and social function.
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The Performance Assessment Committee (PAC) is made up of two medical members and a lay member. The PAC can assess a doctor’s performance at any time.
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All international medical graduates coming to New Zealand to practise medicine for the first time must attend a registration meeting and be able to produce the information we have asked for.
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You can apply via this pathway if you have passed Part 1 and Part 2 of the Professional and Linguistic Assessments Board (PLAB) test administered by the General Medical Council (GMC), United Kingdom (UK); completed 12-months of satisfactory practice in the UK; and hold full general registration with the GMC.
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If a doctor has an issue with their own health, wherever possible we try to help them to remain in practice while it is being resolved. That said, our primary objective is to protect the health and safety of the public - which may mean that the doctor will be unable to practise safely, or will be limited in what they can do, until they are well enough to fully resume practice.
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We may sometimes use terms you won't be familiar with. Find out here what they mean.
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To practise medicine in New Zealand, you must first gain registration from us. This ensures you are competent and fit to practise.
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We sometimes require that a doctor has a chaperone present to observe their consultations with patients. We do this to mitigate risk to the patient where there are concerns that the doctor poses a risk of harm or serious risk of harm to the public. This is different from when a chaperone is present as a matter of good medical practice.
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Between accreditation cycles, the Council monitors prevocational medical training and Aotearoa New Zealand vocational medical training and recertification providers through progress and annual reporting. For medical schools and Australasian vocational training and recertification providers (medical colleges) monitoring is led by the Australian Medical Council, in partnership with the Council.
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You can apply for registration through this pathway if you have an overseas specialist qualification on our approved list, and have a job offer to work in New Zealand for 12 months or less.
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We sometimes require that a doctor has a chaperone present to observe their consultations with patients. We do this to mitigate risk to the patient where there are concerns that the doctor poses a risk of harm or serious risk of harm to the public. This is different from when a chaperone is present as a matter of good medical practice.
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If you want to work as a specialist in New Zealand, hold the approved New Zealand/Australasian postgraduate qualification, but do not already hold general registration, you can apply down the VOC2 pathway.
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The special purpose visiting expert scope of practice enables doctors to come to New Zealand to proctor, demonstrate, assist or teach a new or existing procedure to New Zealand practitioners for a maximum of one week.
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This dashboard page contains information around Māori and Pacific Peoples doctors in the medical workforce including breakdowns by age, gender, and work role.
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You cannot work outside the requirements of your scope of practice and any requirements set by Council specific to you. These are shown on your practising certificate. If you are registered within a provisional general, provisional vocational or a special purpose scope of practice, you need our approval of any change to your employment, supervision, position or location.
Once we've received and approved your variation application we will issue you a new practising certificate. -
The Chair of Te Kaunihera Rata o Aotearoa | The Medical Council of New Zealand, Dr Curtis Walker, reinforced today the technical and complex process required when thoroughly reviewing a doctor’s overseas qualifications, training and experience.
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You can apply for registration through this pathway if you have a primary medical degree from the UK or Ireland and have completed your internship within the UK or Ireland.
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Working relationships with our key stakeholders are at the heart of everything we do to protect public health and safety. This page describes Council's relationships with Aotearoa New Zealand medical schools, Medical Colleges, Te Aka Whai Ora | Māori Health Authority, Te Whatu Ora | Health New Zealand, the Health and Disability Commissioner (HDC), and other organisations where we have established a memoranda of understanding (MoU).
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Council is pleased to publish its revised statement on Treating yourself and those close to you (previously Providing care to yourself and those close to you), in effect from 14 October 2024.
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The Health Practitioners Disciplinary Tribunal (The Tribunal) has asked us to publish a summary of its recent decisions. You can access the full decision on their website at the links provided.
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Find out how to keep us up to date with changes to your information including your name, employment, and addresses.
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Media Release | Medical Council to regulate the Physician Associate profession
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You can apply for registration through this pathway if you have recent experience in a comparable health system.
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How you apply for a practising certificate will depend on whether or not you are already registered in New Zealand, if you have worked in New Zealand before, and how long it has been since you last practised. If you already hold a practising certificate, please see our page on renewing your practising certificate instead.
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If you're not working away from New Zealand but are just taking a break from medical practice, this page outlines what you need to do.
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Faster, easier registration for overseas-trained doctors to enter Aotearoa New Zealand’s medical workforce
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Tell us who you are so we can better direct your enquiry