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241 results matching “fbi fingerprint form 1134”
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DHBNZ - Request for Reference: Resident Medical Officer Position
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Approval of position and supervision form
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This page contains forms relating to recertification programmes requirements and professional development.
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This page contains a full list of our forms including application, report and referee forms, as well as checklists and the current fees payable.
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This form outlines the additional information that we will require as part of an application for provisional vocational registration in psychiatry.
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Application for a physician associate general scope of practice
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Each year CPMEC recognises clinical educators across Australia and New Zealand who have made valuable contributions to prevocational medical education and training. PGY1 and PGY2 doctors are eligible to nominate a clinical educator for this award.
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Each year CPMEC recognises junior doctors across Australia and New Zealand who have made valuable contributions to prevocational medical education and training. Prevocational Education Supervisors, Clinical Directors of Training and CMOs are eligible to nominate a junior doctor for this award.
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This form further 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.
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This page contains a full list of our forms including application, report and referee forms, as well as checklists and the current fees payable, for physician associates.
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ES1 application form for authorisation to provide secondary maternity services
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Request for certificate of registration
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NZREX Clinical - Application for new candidates
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The purpose of the CPD Associate agreement is to assist you in maintaining safe and competent practice, and to clarify your responsibilities, as well as those of the CPD associate.
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Application for registration: Australian graduates (Interns/PGY1)
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Guide to providing a complete application for registration within a vocational scope of practice.
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Application to vary practising certificate on a physician associate provisional scope of practice
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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.
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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.
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Special purpose scope - application to amend practising certificate
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The purpose of this agreement is to set out the terms of reference for the collegial relationship and clarify the objectives and responsibilities of each colleague.
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if you are in a collegial relationship you should use this form to keep a record of the meetings you have with your colleague.
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If you are in a collegial relationship, you should use this form to record any optional activities you complete - that is, activities that are not specifically required.
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Application for registration in New Zealand
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Doctors on provisional general and special purpose scope: Employer application for approval of position and supervisor
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Provisional vocational (VOC4) scope - application for approval of position and supervisor
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Referee report for use when applying for registration.
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Application for Special Purpose: Visiting Expert Registration for teaching as a Visiting Expert
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Application for vocational registration if you don't hold an approved postgraduate medical qualification from New Zealand or Australia.
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Application form for provisional vocational registration if you hold an approved postgraduate medical qualification.
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CV template when applying for VOC4
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Practice intentions - To be completed by doctors applying for a PC to return to work after an absence of three or more years
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Provisional general scope - application to vary practising certificate
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Provisional vocational scope - application to vary practising certificate
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Application for general scope of practice for doctors on a provisional general scope of practice (excluding Interns).
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Application for change of scope from provisional vocational to vocational (ex-provisional)
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If you are in a collegial relationship, you should use this form to record the details of any audits of your medical practice.
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If you are in a collegial relationship, you should use this form to keep a record of the CME activities you complete.
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If you are in a collegial relationship, you should use this form to keep a record of any peer review you do.
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Complete this form to confirm you are enrolled and actively participating in an approved recertification programme.
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Form to confirm that the doctor is enrolled and actively participating in Inpractice, the recertification programme for doctors registered in the General scope of practice.
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NZREX Clinical - Application to withdraw from an examination
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NZREX Clinical - Application to change to a later examination
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Declaration: Special purpose scope of practice – postgraduate training
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Application for a practising certificate for doctors registered in a provisional or special purpose locum tenens scope who are returning to medical practice in New Zealand. This form supersedes the REG9 and REG11 forms.
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Employer application for approval of position and supervisor (UK & Irish graduates, comparable health system, and locum tenens pathways)
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Provisional vocational scope - application for approval of position and supervisor
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APPLICATION FORM SUPERSEDED - Please use the new REG12 form
Application for a practising certificate for an IMG registered in a provisional general scope returning to medical practice in New Zealand. -
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.
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Special purpose - postgraduate trainee report: progress towards learning objectives and comments about supervised practice.
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Supervision report form for doctors on General scope or vocational scope.
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Use this form to verify your documentation by Statutory Declaration
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Special Purpose: Visiting Expert - Application for approval of invitation and supervision
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CV template when applying for VOC3
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Request for re-evaluation of application for registration within a vocational scope of practice
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Checklist for registration in New Zealand - locum tenens registration
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Checklist 2: United Kingdom and Irish medical graduates - Part A: Checklist for registration in New Zealand
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Special Purpose: Teleradiology - Checklist for new applicants
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Special Purpose: Teleradiology - Checklist for reapplying applicants
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Checklist 5: Practice profile form for use by doctors applying down the comparable health system pathway.
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CHKL8: United Kingdom general registrants pathway
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The Clinical Supervisors Guide outlines the role of the clinical supervisor in the prevocational medical training programme
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NZREX Clinical - Checklist of documentation that must be provided with application
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Request for confirmation of internship, NZREX pass, or general registration.
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New Zealand and Australian graduates: This checklist will help you to confirm your eligibility for registration, tell you what documents you need to provide, and will tell you what documents you need to have verified at source by EPIC.
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Postgraduate training - Checklist for registration in New Zealand
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Research - Part A: Checklist for registration in New Zealand
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CHKL3: Passed approved examinations
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Checklist 4: Comparable health system - checklist for registration in New Zealand.
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Australian general scope pathway - Part A: Checklist for registration in New Zealand
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Form that needs to be completed in order to apply for a partial refund of your practising certificate fee if your income for the year was below the threshold.
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NZREX Clinical - Checklist of documentation that must be provided with application.
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NZREX Clinical - Application for recount of result
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FORM SUPERSEDED - Please use the new REG12 form
Application for a practising certificate for international medical graduates registered on a provisional vocational scope returning to medical practice in New Zealand -
NZREX Clinical - Application for repeat candidates.
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The New Zealand Curriculum Framework for Prevocational Medical Training (NZCF) outlines the learning outcomes to be substantively completed in PGY1 and by the end of PGY2
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This guide is for supervisors who are creating robust training objectives for doctors applying for registration in New Zealand under the Special Purpose Post Graduate Training pathway.
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Checklist 2: United Kingdom and Irish medical graduates - only for use with online applications made via myMCNZ
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Application for registration as a physician associate in New Zealand.
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This form outlines the additional information that will be required by the NZCPHM so it can provide us with advice on your application for vocational registration in public health medicine.
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Application for restoration to the medical register
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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.
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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 paediatrics.
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This form outlines the additional information required for VOC4 applications in obstetrics & gynaecology
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Checklist 13: Special purpose - locum tenens - only for use with online applications made via myMCNZ
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Checklist 5: Practice profile form for use by physician associates when applying for registration
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Checklist 3: Canada qualifications-based – checklist for registration in New Zealand
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Checklist 4: New Zealand experiential - checklist for registration in New Zealand.
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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 palliative medicine.
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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 rehabilitation medicine.
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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 occupational medicine.
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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 sexual health medicine.
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This form further outlines the additional information that will be required by the RANZCO so it can provide us with advice on your application for vocational registration in ophthalmology.
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This form outlines additional information required by ANZCA for applications in anaesthesia.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for Cardiology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for gastroenterology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for neurology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for rheumatology.
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Checklist 1: United Kingdom qualifications-based - checklist for registration in New Zealand.
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Checklist 2: United States of America qualifications-based – checklist for registration in New Zealand
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PGY2-OS - Application for pre-approval to complete PGY2 overseas
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PGY2-OSER - Application for removal of PGY2 endorsement after completing PGY2 year overseas or when when referred to Council by Advisory Panel
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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 public health medicine.
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This form outlines the additional information that will be required by the RANZCP so they can provide us with advice on your application for vocational registration in psychiatry.
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This form outlines the additional information that will be required by the RANZCOG so it can provide us with advice on your application for vocational registration in obstetrics and gynaecology.
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This form outlines additional information required by RANZCR for applications in radiation oncology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for clinical haematology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for geriatric medicine.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for infectious diseases.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for medical oncology.
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This form lists the additional information the RACS requires if you're applying for vocational registration in cardiothoracic surgery, general surgery, neurosurgery, orthopaedic surgery, otolaryngology head & neck surgery, paediatric surgery, plastic & reconstructive surgery, urology, and vascular surgery.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for general medicine.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for respiratory medicine.
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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.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for neonatal and perinatal medicine.
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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.
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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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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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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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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. -
Collegial relationships are a component of recertification for general registrants, doctors working outside of their vocational scope of practice, and in select cases doctors limited to non-clinical 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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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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You can use this form to ask us a question or raise concerns about a health practitioner (doctor or physician associate).
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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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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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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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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 internal medicine.
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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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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 for registration through this pathway if you hold a qualification approved by the General Medical Council (GMC) for registration as a physician associate in the United Kingdom.
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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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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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You can apply for registration through this pathway if you hold a qualification accredited for licensure in the United States of America for registration as a physician associate.
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You can apply for registration through this pathway if you hold a qualification accredited for licensure in Canada for registration as a physician associate.
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This pathway is for physician associates who have experience practising clinically in New Zealand.
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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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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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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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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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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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Rural hospital medicine is determined by its social context, the rural environment, the demands of which include professional and geographic isolation, limited resources and special cultural and sociological factors. It is invariable practised at a distance from comprehensive specialist medical and surgical services and investigations.
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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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Special purpose research scope of practice is for doctors who come to New Zealand temporarily to undertake research. This special purpose scope is available for a maximum of two years and practise is restricted to research approved by a formally-constituted ethics committee in New Zealand.
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Urology is the diagnosis and treatment (operative and non operative) of patients with disorders of the urinary tracts in males and females, and male genital organs. It also includes the management of trauma to these organs and the management of male sterilisation, infertility and sexual dysfunction.
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Vascular surgery is the diagnosis and treatment (operative and non operative, including endoluminal techniques and interventional procedures) of patients with disorder of the blood vessels (arteries and veins outside the heart and brain) and the lymphatic system. It also includes the management of trauma and surgical access to the vascular system.
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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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Oral and maxillofacial surgery involves the diagnosis and treatment (operative and non-operative) of patients with diseases, injuries and defects of the mouth, jaws and associated structures. This includes oral and maxillofacial pathology, trauma, dentoalveolar surgery, orthognathic and relevant reconstructive surgery, and facial pain.
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Palliative medicine is the medical care that improves the quality of life of patients and their families and whanau facing the problems associated with life-threatening illness. The focus of palliative medicine is the anticipation and relief of suffering of patients by means of early identification, assessment and management of their pain and other physical, psychosocial and spiritual concerns. In particular, it affirms life, regards dying as a normal process and intends to neither hasten nor postpone death.
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When you're applying for registration, we may ask you to provide a Statutory Declaration, or a copy of a document that you’re relying upon as part of your application.
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This dashboard page contains information around registered doctors, those who are on the register and hold a current practising certificate. You can also view the same data for past quarters.
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Family planning and reproductive health is the treatment of and provision of health services for patients in relation to contraception, reproductive health and associated primary sexual health issues.
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Special purpose postgraduate training registration is available for doctors looking to come to New Zealand on a temporary basis, to gain experience and skills to take back to their home or sponsor country.
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Our registration application forms include a range of 'fitness for registration' questions. This page will help guide you should you need to make a declaration about any issues that might affect your fitness for registration.
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Medical administration is administration or management utilising the medical and clinical knowledge, skill and judgement of a registered medical practitioner, and capable of affecting the health and safety of the public or any person.
This may include administering or managing a hospital or other health service, developing health operational policy, or planning or purchasing health services. Medical administration does not involve diagnosing or treating patients. -
General surgery is a broad based specialty which includes the diagnosis and treatment (operative and non operative) of patients with disorders of the colon and rectum, upper gastro-intestinal organs, breasts, endocrine organs, skin and subcutaneous structures, blood vessels (including varicose veins) and the head and neck region. It also includes the early and ongoing management of trauma.
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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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Regardless of your scope of practice, the basic process for registration as a doctor or physician associate in New Zealand is as outlined here.
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To practise in New Zealand, you must first gain registration from us. This ensures you are competent and fit to practise.
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Prevocational medical training for interns incorporates aspects of the apprenticeship model of 'learning on the job’ as part of a team. Senior doctors supervise and assess the interns’ performance, providing them with ongoing feedback and gradually increasing their responsibilities.
Prevocational medical training for interns in PGY1 and PGY2 is overseen by prevocational educational supervisors and clinical supervisors.
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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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This page outlines the registration process for physician associates including information on what you need to provide, what you can expect and how long it will take.
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Anaesthesia is the provision of anaesthetics, peri-operative care, intensive care and pain management to patients and can include the provision of resuscitation, retrieval/transportation (inter and intra hospital) and hyperbaric medicine to patients.