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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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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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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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Tell us who you are so we can better direct your enquiry
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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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Established on 1 July 2022, Te Whatu Ora leads the day-to-day running of the health system across New Zealand, with functions delivered at local, district, regional and national levels.
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Most international medical graduates (IMGs) registered within a provisional general, provisional vocational, or special purpose scope of practice will need to submit a supervision plan with their application. The Council will consider the proposed supervision plan as part of the application process.
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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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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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List of texts we recommend candidates read before they undertake the NZREX Clinical.
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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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In some circumstances you can be restored to the medical register if your registration has been cancelled. This page outlines how to apply to be restored to the register.
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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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This guide sets out the information required of accredited training providers who are preparing for an accreditation site visit. This guide should be read alongside the self-assessment for training providers to apply for accreditation for prevocational medical training.
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Māori experience disparities in outcomes compared to the rest of the population across nearly all areas of health due to inequity in determinants of health, including access to quality health care. This document outlines Council’s position on how doctors can support the achievement of best health outcomes for Māori. It also provides guidance for healthcare organisations to support cultural safety and Māori health equity. This document should be read in conjunction with Council’s Statement on cultural safety.
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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. -
To practise medicine in Aotearoa New Zealand you must be registered and have a practising certificate. There are various registration pathways, depending on your qualifications, training, experience, and whether you intend to work in Aotearoa New Zealand permanently or just for a short time for a specific purpose.
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One of our most important roles is ensuring doctors are fit to practise medicine. We have a set of standards which outline what we expect of doctors, and procedures to follow if there are concerns about a doctor's conduct, competence or health.
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In some circumstances you can be restored to the medical register if your registration has been cancelled. See this page to check whether you are eligible for restoration to the register, and how to apply.
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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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Update on Te Tai Tokerau's accreditation status as at 8 November 2024
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The terms of reference of our Audit and Risk Committee
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Council is proud to have been one of the seven responsible authorities (RAs) that worked together to develop the Principles for Quality and Safe Prescribing Practice. Development of the Principles was a result of collaboration and partnership among RAs.
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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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Terms of reference for our Committee on matters relating to the Royal Commission of Inquiry into Abuse in State Care
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Terms of reference for our Education Committee, approved by Council in December 2025.
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This policy gives an overview of the rules we apply in deciding whether to register a doctor 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.
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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.
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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.
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Use our registration self assessment tool to determine which pathway to registration (as a medical practitioner in Aotearoa New Zealand) you might be eligible for. Note: we do not cover student electives.
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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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This document covers the terms of reference and delegations of Council's Health Committee. Te Rōpū Hauora | the Health Committee (the Committee) is a standing committee of Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand.
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This document aims to clarify matters relating to the amended start date and changes to dates for intern clinical attachments for the year commencing at the end of 2020.
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Our five-year strategic plan through to 2010
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Medical Council's five-year strategic plan through to 2022
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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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This sheet provides information on how Professional Conduct Committees (PCCs) request information, what powers they must obtain information, what they do with information they receive, and answers some frequently asked questions.
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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.
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NZREX Clinical - Application to change to a later examination
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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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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.
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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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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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Special purpose registration is a temporary form of registration, for specific purposes. You should apply for this scope when you want to work in New Zealand for a specific purpose such as research, further training or to assist with a disaster.
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Evaluation of changes to prevocational medical training by Malatest International - end of year report for 2018
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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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Torohia – Medical Training Survey for New Zealand – is here! Doctors in training voices matter. Let's make sure they're heard. Visit the Torohia website to find out more and download the promo kit to help spread the word! https://www.torohia.org.nz/
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Doctors must meet the standards laid out in the Council’s statement on Good Prescribing Practice. (The Principles for Quality and Safe Prescribing Practice are already reflected in our statement on prescribing.) This document is a helpful resource, particularly for new doctors and IMGs new to New Zealand, that can be read alongside our statement. These principles were developed jointly by 7 responsible authorities.
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Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2016 to 30 June 2017
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Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2017 to 30 June 2018
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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.
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Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2018 to 30 June 2019.
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This policy explains the requirements to be met to allow doctors with vocational registration in Rural Hospital Medicine or General Practice to obtain an authorisation to provide secondary maternity services, in addition to the practice permitted within their vocational scope of practice.
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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.
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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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This guide will help you complete your application to renew your practising certificate. All applications to renew are now made online using myMCNZ - our online portal.
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This report outlines the findings of our evaluation of the ‘Welcome to practice in Aotearoa New Zealand’ workshops for international medical graduates.
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Prevocational medical training accreditation report for Te Whatu Ora - Te Toka Tumai Auckland following site visit on 27 and 28 March 2024
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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 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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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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Earlier this year we sought feedback on the draft statement on Treating yourself and those close to you. A wide range of submissions was received from key stakeholders across the profession and some common themes emerged. Council has revised this statement taking into account your feedback.
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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.
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In this edition | See how we’re shaping the framework for PA regulation, read our submission to the Ministry of Health consultation Putting Patients First–modernising health workforce regulation, and find out why we believe reform must put patients first while keeping public safety at its core.
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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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ES1 application form for authorisation to provide secondary maternity services
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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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The Medical Council of New Zealand (the Medical Council) welcomes the Government’s review of the Health Practitioners Competence Assurance Act 2003 (HPCAA and the opportunity to respond to the consultation document Putting Patients First—modernising health workforce regulation.
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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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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.
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Council is pleased to announce that from 1 November 2024, international medical graduates (IMGs) with an approved postgraduate medical qualification, intending to practise in Aotearoa New Zealand in an approved area of medicine, can apply for specialist registration via a new fast-track registration pathway.
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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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Training and/or Continuing Professional Development (CPD) programme providers can be required
to report on an annual or specified basis to Council as a condition of their accreditation. This guide
provides an outline of the expected structure of an annual- or progress report. This guide applies to the current standards that are in effect until 30 June 2020. -
If you are planning on leaving New Zealand to practise in another country, its medical regulator may ask you for a certificate of professional status (COPS) from us. Your registration is not affected by your decision to practise overseas but you must ensure that we hold current contact details for you.
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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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This pamphlet explains the role of a Professional Conduct Committee (PCC) and what to expect if you are referred to a PCC.
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This guide sets out the information required for accredited New Zealand training organisations who are preparing for a Medical Council of New Zealand (Council) assessment for reaccreditation. This guide applies to the current standards that are in effect until 30 June 2020.
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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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Faster, easier registration for overseas-trained doctors to enter Aotearoa New Zealand’s medical workforce
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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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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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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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This pamphlet explains the role of a Professional Conduct Committee (PCC) and what to expect if your notification about a doctor is referred to a PCC.
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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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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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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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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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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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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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This statement acknowledges that health inequities and inequalities continue to exist for Māori, and that there are disparities in the delivery of health care to Māori. It encourages all health organisations to examine their partnership with Māori through genuine engagement, representation and participation.
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This guide is for accredited training providers who are preparing for a Council accreditation assessment. This guide provides training providers with detailed information as to what the Council expects you to provide in your self-assessment.
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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 -
Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand has today released the results of the first Torohia — Medical Training Survey for New Zealand , giving new insights into the experiences of doctors in training across the motu.
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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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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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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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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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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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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 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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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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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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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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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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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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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).