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.

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

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

We are 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.

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

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

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.

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

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.

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.

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

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.

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

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.

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.

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

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

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.

Update on Wairarapa DHB's accreditation status as at 27 October 2023

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.

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

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.

Update on Tairāwhiti DHB's accreditation status as at 14 December 2023

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

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

Update on Wairarapa DHB's accreditation status as at 14 December 2023

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

Update on Capital and Coast's accreditation status as at 14 December 2023

Update on South Canterbury DHB's accreditation report as at 27 October 2023

Update on Waitemata DHB's accreditation status as at 1 July 2022

Update on Counties Manukau's accreditation status as at 14 December 2023

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

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.

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

All doctors have a duty to act on their concerns about another doctor, but doctors in management roles have an extra responsibility to ensure that there are appropriate reporting procedures in place, and these procedures are known to staff who may need to use them. This statement provides guidance for doctors who are concerned about a medical colleague's conduct, performance, competence or health, and provides suggestions on what to do and who to approach.

Report on our progress with our strategic directions covering the period from 1 July 2013 to 30 June 2014

Report on our progress with our strategic directions covering the period from 1 July 2014 to 30 June 2015

Report on our progress with our strategic directions covering the period from 1 July 2015 to 30 June 2016

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

This guide provides important information relating to health disclosures on practising certificates.

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

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.

Report on our progress with its strategic directions covering the period from 1 July 2012 to 30 June 2013.

Prevocational medical training accreditation report for Te Whatu Ora - Lakes following site visit on 24 and 25 May 2022

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.

Prevocational medical training accreditation report for Hawkes Bay DHB following site visit on 2 and 3 July 2019

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

Prevocational medical training accreditation report for Northland DHB following site visit on 1 and 2September 2021

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

Prevocational medical training accreditation report for Waikato District Health Board following site visit on 14 and 15 September 2021

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.

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

This consultation sets out two proposals for registration of International Medical Graduates (IMGs) in the Provisional General scope of practice in Aotearoa New Zealand based on an applicant having passed Part 1 and Part 2 of the United Kingdom (UK) Professional and Linguistic Assessments Board (PLAB) test.

Prevocational medical training accreditation report for Wairarapa District Health Board following site visit on 17 and 18 October 2019.

Prevocational medical training accreditation report for Hutt Valley District Health Board following site visit on 12 and 28 October 2020

Prevocational medical training accreditation report for MidCentral District Health Board following site visit on 30 and 31 March 2021

Prevocational medical training accreditation report for Southern District Health Board following site visit on 26 August 2020.

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

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.

Prevocational medical training accreditation report for Capital and Coast District Health Board following site visit on 24 and 25 March 2021

Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2016 to 30 June 2017

Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2017 to 30 June 2018

Prevocational medical training accreditation report for Taranaki District Health Board following site visit on 27 and 28 July 2021

Prevocational medical training accreditation report for Waitemata District Health Board following site visit on 4 and 5 September 2018

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.

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.

Prevocational medical training accreditation report for Waitaha Canterbury following site visit on 24 and 25 September 2019

Prevocational medical training accreditation report for Whanganui District Health Board following site visit on 1 and 2 April 2019

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

Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2018 to 30 June 2019.

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

Prevocational medical training accreditation report for Nelson Marlborough DHB following site visit on 6 and 7 August 2019

Prevocational medical training accreditation report for Tairāwhiti District Health Board following site visit on 4 and 5 May 2021

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.

Prevocational medical training accreditation report for Counties Manukau DHB following site visit on 27 and 28 August 2019

Prevocational medical training accreditation report for South Canterbury District Health Board following site visit on 24 and 25 July 2018

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

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.

We are reviewing our statement on Advertising. This draft statement highlights several ethical issues that arise with advertising such as the potential for overtreatment, and the power and knowledge imbalance between a doctor and a patient.

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.

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

This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in dermatology.

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

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

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

There is a potential for health-related commercial organisations to influence how doctors practise and the clinical decisions they make. We are reviewing our statement on doctors and health-related commercial organisations and would value your feedback.

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.

This form outlines the additional information that will be required by the RANZCR so they can provide us with advice on your application for vocational registration in diagnostic & interventional radiology.

Doctors accompanying individuals or groups of people visiting New Zealand who will provide medical diagnosis, treatment or advice only to those individuals or groups, and who are not registered with the Medical Council will not be required to obtain registration and a practising certificate, so long as they restrict their practice to those individuals or groups for the duration of their visit.

Update on Hawke's Bay's accreditation status as at 27 October 2023

Update on Waitaha Canterbury's accreditation status as at 14 December 2023

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

This statement outlines the doctor's responsibility to maintain sexual boundaries with patients, includes advice on what to do if boundaries are threatened, and offers guidance on sexual relationships with former patients and with family members of patients.

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

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

This form outlines the additional information that will be required by the CICM so they can provide us with advice on your application for vocational registration in intensive care medicine.

We will achieve our vision, deliver on our purpose, and uphold our values through our strategic priorities.

This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.

This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.

This document is a guide for interns and includes information on what MSF is about and step-by-step instructions to complete the process.

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

Guide on how to use myMCNZ including how to access it, how to update your details, how to request a COPS and how to renew your practising certificate.

These standards only apply until 1 July 2020. This document outlines the standards New Zealand Colleges must meet in order to be reaccredited.

Prevocational medical training accreditation report for Counties Manukau DHB following site visit on 13 and 14 June 2024.

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

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

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.

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).

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

We 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 2021.

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.

Supervision report for IMGs on a provisional vocational or special purpose scope doing telemedicine, pathology, diagnostic and interventional radiology, public health medicine and medical administration.

PGY1 and PGY2 interns can only practise medicine in accredited clinical attachments. This document outlines the standards clinical attachments must meet to be accredited. These standards should be considered alongside the accreditation standards for training providers.

This document is a guide for prevocational educational supervisors on how to support their interns to complete the MSF process and provides information on how to interpret the collated report before discussing the results with their interns.

This is a guide for the new functionality on an ePort user’s homepage highlighting due and/or overdue tasks. Initially, these task notifications will appear for the beginning-, mid-, and end-of attachment meetings/assessments.

In May 2019 Council consulted with stakeholders on a revised statement and resource on cultural competence, cultural safety and achieving best health outcomes for Māori. The feedback can be found here. The final documents were completed in October 2019.

This consultation document is seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette an increase to the practising certificate (PC) fee and disciplinary levy, to be effective from 1 September 2020.

In the May 2016 issue of Medical Council News we looked at doctors providing care to themselves and those close to them, informed consent, and guidance from the Pharmacy Council on effective prescription writing for safe collaborative patient management.

Certain medicines have the potential to enhance athletic performance or an individual's physique. We set out in this statement our position on doctors who prescribe, administer and supply performance-enhancing medicines, or who assist others in doing so.

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

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

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

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.

In this issue of Medical Council News we acknowledge the contribution and mana of Mr Andrew Connolly, our Chair and leader over the last five years. We also highlight our two new statements on professional and sexual boundaries in the doctor-patient relationship and the Ministry shares guidance around new laws relating to medicinal cannabis.

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.

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.

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.

Council, in partnership with Te Ohu Rata o Aotearoa (Te ORA), jointly hosted a highly successful symposium on cultural competence, partnership and health equity on 25 June 2019. The theme of the symposium was Mahia te mahi, hei painga mō te iwi, Getting the job done for the wellbeing of the people. The event aimed to investigate ways of working together to improve cultural safety in order to work towards eliminating health inequities. This booklet brings together the presentations and whakaaro shared at the symposium.

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.