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It is Council’s role to accredit and monitor specialist training providers and to promote medical education training in Aotearoa New Zealand. Council assesses Aotearoa New Zealand-based vocational medical training and recertification providers against these standards.
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In this issue of MC News, Dr Rachelle Love, the recently elected Chair, shares her insights, and we celebrate a new era in consumer advocacy – Whakawaha. Other key features include the announcement of the top four polling candidates in the Council election, we bring attention to a scam alert that directly impacts registered doctors in New Zealand, a data dashboard quarterly update and an HPDT disciplinary outcome.
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Council's strategic plan sets out our key strategic goals, the outcomes that flow down from our goals, and how we can achieve these outcomes.
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In this issue of Medical Council News we look at workplace bullying. It's an issue that is everyone's responsibility and something we should all have zero tolerance for. We also look at new and revised statements on self-care, advertising and telehealth, and the use of the internet.
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We are seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette changes to its existing fees and disciplinary levy, to be effective from 1 July 2022.
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NZAMM accreditation report relating to the visit on 18-19 November 2020
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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.
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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.
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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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Prevocational medical training accreditation report for Hutt Valley District Health Board following site visit on 12 and 28 October 2020
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This form outlines the additional information that will be required by the RNZCGP so it can provide us with advice on your application for vocational registration in general practice.
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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.
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V1 Superseded version of Council's Te Mahere Rautaki Strategic Plan.
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V2 Superseded version of Council's Te Mahere Rautaki Strategic Plan.
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In this issue of Medical Council News, we look at outcomes and initiatives from the Council’s planning day, our discussion paper Better Data – the benefits to the profession and the public, Council’s revised Statement on advertising, doctors’ responsibilities around aviation safety and the need to provide more detail on medical certificates.
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Our current scopes of practice and prescribed qualifications (as published in the New Zealand Gazette on 5 April 2023, Notice no. 2023-gs1359).
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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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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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Council collects workforce data from doctors as part of the renewal of practising certificates.
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This page contains the latest Medical Council notices published in the Gazette for Scopes of Practice, prescribed qualifications and Fees.
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Prevocational medical training accreditation report for Te Whatu Ora - Te Tai Tokerau following site visit on 29 and 30 April 2024
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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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Te Kaunihera Rata o Aotearoa | The Medical Council of New Zealand (Council) recently held an election to select four medical practitioner nominees and can now announce the results of this election.
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This pathway is for New Zealand and Australian medical graduates who have successfully completed their internship in Australia and want to register within the General scope of practice.
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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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In April 2025, the Minister of Health announced that PAs would be regulated in Aotearoa New Zealand, and that the Council would be the regulator of PAs. This responsibility is now set in legislation. Council is inviting feedback on proposals for how PAs should be regulated in Aotearoa New Zealand.
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This section of our website contains expired versions of our standards.
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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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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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You can apply for registration via this pathway if, within the last five years, you have passed either the New Zealand Registration Examination (NZREX Clinical); or Part 1 and Part 2 of the Professional and Linguistic Assessments Board (PLAB) test.
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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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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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The special purpose teleradiology scope of practice enables doctors without the recognised New Zealand or Australasian qualification to provide teleradiology services for patients in New Zealand.
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We have three main types of registration (what we call scopes) - vocational, general and special purpose. Within each scope there are multiple application pathways. Each of these has specific requirements you need to meet in order to be registered. This section outlines the different pathways for each scope.
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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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We have two types of registration for physician associates (what we call scopes) - provisional scope of practice and General scope of practice. Within each scope there are multiple application pathways. Each of these has specific requirements you need to meet in order to be registered. This section outlines the different pathways for each scope.
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This page contains information on how to use myMCNZ, our web based portal for doctors.
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VOC1 (specialist) registration is for doctors who hold an approved New Zealand / Australasian postgraduate qualification and already hold registration in the General scope of practice.
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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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If you are registered and practising in the provisional general scope as either a New Zealand or Australian medical graduate, or a doctor who has passed the NZ Registration Examination, you are required to complete prevocational medical training.
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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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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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Physician associates are trained health professionals who work under the supervision of a medical doctor to provide healthcare 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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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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If you have concerns about a registered doctor, you can refer the matter to the Council.
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If you, as an international medical graduate (IMG), apply for vocational registration and your application is successful, you will have to complete a provisional vocational registration period. You'll work under supervision for this period, during which we make sure you're competent to practise independently in your chosen field of medicine.
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This page contains support information that relates to neither patients or doctors.
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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.
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Search the list of doctors registered in New Zealand.
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List of schools of medicine in New Zealand
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The Health Practitioners Competence Assurance Act 2003 requires us to define the areas of medicine and specialties (known as ‘scopes of practice’) that make up the practice of medicine in Aotearoa New Zealand. You'll find these scopes of practice listed here. For a more detailed explanation of each, please select the scope of practice that interests you.
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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 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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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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There are 36 areas of medicine, or 'scopes of practice', within which you can be registered and work as a specialist in New Zealand. This page defines each scope, and details the structure of the New Zealand or Australasian training programme.
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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.
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A history of the Medical Council of New Zealand, compiled by Professor Richard Sainsbury.
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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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Our definition of the practice of medicine and clinical practice
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The Council offers two clinical supervision courses for clinical supervisors and prevocational educational supervisors. The courses supplement training that supervisors receive from training providers and medical colleges. Courses are available to all supervisors through the ePort platform.
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Our definitions of clinical and non-clinical practice
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Request for confirmation of internship, NZREX pass, or general registration.
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In August 2021, Te Kaunihera Rata o Aotearoa |Medical Council of New Zealand, underwent a full performance review that showed compliance to our obligations under the Health Practitioners Competence Assurance Act 2003 (HPCAA).
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Evaluation of Council's RPR programme by Malatest International - end of year report for 2017
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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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The Health Practitioners Competence Assurance Act 2003 (HPCAA) requires us to specify the scopes of practice within which doctors are permitted to practice, and to describe and define the boundaries of each.
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Summary of the Malatest evaluation of the regular practice review (RPR) programme for 2017.
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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.
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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.
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Malatest Evaluation of the RPR Programme - end of year 2014
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Evaluation of Council's RPR programme by Malatest International - end of year report for 2016
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Evaluation of Council's RPR programme by Malatest International - end of year report for 2017
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Evaluation of Council's RPR programme by Malatest International - end of year report for 2015
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Evaluation of Council's RPR programme by Malatest International - mid year report for 2016
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Malatest Evaluation of the RPR Programme: mid-year 2017
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Evaluation of Council's RPR programme by Malatest International - mid year report for 2018
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Evaluation of Council's RPR programme by Malatest International - mid year report for 2015
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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) . -
Glossary of terms used in relation to prevocational medical training. Examples include clinical attachment, intern, multisource feedback (MSF), and prevocational educational supervisor
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Evaluation of Council's RPR programme by Malatest International - Interim report to November 2014
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You can download copies of your current and expired practising certificates by logging into your myMCNZ account.
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Approved list of postgraduate medical qualifications recognised for registration via the VOC4 pathway
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Evaluation of changes to prevocational medical training by Malatest International - end of year report for 2018
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You are eligible for a 50 percent refund of your practising certificate fee if your medical income (including any tax) in New Zealand or overseas is NZ$20,000 or less.
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Malatest International's final evaluation report of our Regular Practice Review Programme
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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.
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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.
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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.
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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.
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Prevocational medical training accreditation report: Bay of Plenty District Health Board
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This document outlines the standards that an applicant will be assessed against.
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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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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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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.
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The Medical Council of New Zealand has two new members. The Hon Matt Doocey, Associate Minister of Health, made the appointments, which are effective from 1 July 2024 for a three-year term. The Minister also reappointed two current members for further terms. These four appointments follow the election by the profession, earlier this year.
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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.
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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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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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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 Council and the Australian Medical Council (AMC) work together on accrediting the vocational medical training programmes offered by Australasian (joint Australian and New Zealand) vocational providers. If the applicant provider is seeking recognition in Australia (as an Australasian training provider), or if the scope is already recognised in Australia, stage 3 will be led by the AMC, with Council making a decision based on the AMC’s assessment.
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You can use this document to provide feedback on the updated version of our statement Disclosure of harm following an adverse event
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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.
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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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Manatū Hauora | Ministry of Health is the agency responsible for the proposal and consultation on the regulation of physician associates under the Health Practitioners Competence Assurance Act 2003. The Medical Council made a submission during the Ministry’s consultation on the proposal in December 2023 (as did a number of other organisations) and is awaiting the Ministry’s release of the outcome. The Medical Council cannot advise on when this information will be released by the Ministry.
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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
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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.
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This page sets out the recertification programme requirements for doctors registered and practising in the General scope of practice only. This is typically either participation in a medical college vocational training programme, or in the Inpractice recertification programme.
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This gazette notice lists the fees payable from 1 July 2026.
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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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This gazette notice lists the fees payable from 1 July 2025.
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A Review of Prevocational Training Requirements for Doctors in New Zealand: Stage 2 - A second consultation paper on the proposed changes to prevocational training
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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’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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Prevocational Training Requirements for Doctors in
New Zealand: a discussion paper on options for an enhanced training framework -
From November 2014, Council reviewed and implemented significant changes to prevocational medical training requirements for doctors in Aotearoa New Zealand. The changes aim to improve patient safety and the performance of doctors through provision of high-quality learning.
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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.
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This document outlines the policy, process and guidelines for recognition of a new vocational scope of practice.
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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.
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Council is proposing to change the current requirement that international medical graduates registered in the special purpose teleradiology scope of practice must be supervised by doctors based in Aotearoa New Zealand.
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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. -
Prevocational medical training accreditation report for Whanganui District Health Board following site visit on 1 and 2 April 2019
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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.
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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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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.
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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.
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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.
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Process for assessment and accreditation of Aotearoa New Zealand based vocational training providers
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.
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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).
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These standards have been superseded by the 2022 standards above.
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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.
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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.
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This gazette notice lists the scopes of practice and prescribed qualifications for Physician Associates.
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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 -
Council is seeking feedback on a proposed change to its processes. Specifically, in relation to advice obtained from medical colleges regarding an international medical graduate’s (IMG) application for registration in a provisional vocational scope of practice.
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This policy outlines the requirements you must meet in order to be issued a general scope without limitations.
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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).
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As part of ongoing work to ensure that registration policies are fit for purpose and enabling, Council is reviewing its orientation, induction and supervision guide. The current guide has been in place for several years. With the evolving nature of supervision, now is an appropriate time to review and revise it.
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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
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We are consulting with stakeholders on the proposed introduction of a fee for the accreditation of New Zealand-based vocational training and recertification providers.
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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.
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This page contains important information on approved qualifications, the information to include with your application, and other things that may affect your application for registration in a vocational scope.
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The terms of reference of our Audit and Risk Committee
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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.
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During the course of a medical career, a doctor may be involved in management or have a leadership role. This statement outlines the standards doctors are expected to meet when they take on such roles. While doctors in a leadership role have a duty to their workplace and the wider community, their first consideration must always be the interests and safety of patients.