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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.
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List of our fees effective from 1 July 2026
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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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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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Urgent care medicine (formerly known as accident and medical practice) is the primary care of patients on an after-hours or non-appointment basis, where continuing medical care is not provided.
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Orthopaedic surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the musculoskeletal system (bones, joints, ligaments, tendon and peripheral nerves). It includes the management of trauma to the musculoskeletal system and the management of congenital and acquired disorders.
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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 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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Graduates of Aotearoa New Zealand and Australian accredited medical schools and doctors who have sat and passed an approved medical registration examination, including the New Zealand Registration Examination (NZREX Clinical) complete prevocational medical training.
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You can apply for registration through this pathway if you have recent experience in a comparable health system.
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Graduates of Aotearoa New Zealand and Australian accredited medical schools and doctors who have sat and passed an approved medical registration examination, including the New Zealand Registration Examination (NZREX Clinical) complete prevocational medical training.
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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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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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The Performance Assessment Committee (PAC) is made up of two medical members and a lay member. The PAC can assess a doctor’s performance at any time.
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Under the HPCAA, doctors can have their competence or performance reviewed at any time, or in response to concerns about their practice. This guide outlines what you can expect if you are undergoing a performance assessment
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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.
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This handbook is intended as a guide for doctors undergoing performance assessments and aims to provide you with an understanding of how performance assessments work,
and to ensure that there are no surprises for you throughout the assessment process -
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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Council is working to improve patient safety by strengthening our approach to the regulation of doctors performing cosmetic procedures.
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The following key three areas of work were highlighted in our 2026 independent performance review:
1. Consumer input and transparency.
2. Contributing to a sustainable medical workforce.
3. Collaboration and relationships with others in the health sector.
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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 addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for neonatal and perinatal medicine.
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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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Anaesthesia is the provision of anaesthetics, peri-operative care, intensive care and pain management to patients and can include the provision of resuscitation, retrieval/transportation (inter and intra hospital) and hyperbaric medicine to patients.
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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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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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Sport and exercise medicine is the medical care of the exercising individual, including the assessment and management of patients with musculoskeletal injuries and medical problems arising from sporting activity. Sport and exercise physicians possess expertise in general medicine, orthopaedics and rehabilitation, plus allied sport sciences including nutrition, biomechanics, exercise physiology and sports psychology.
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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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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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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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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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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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Dermatology is the study, research and diagnosis of disorders, diseases, cancers, cosmetic, ageing and physiological conditions of the skin, fat, hair, nails and oral and genital membranes.
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One of the ways the Council helps doctors to stay competent is by requiring them to participate in recertification programmes. Regular practice review (RPR) is one part of this continuing professional development.
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Cardiothoracic surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of structures within the chest including: the heart and vascular system, the lungs and trachea, the oesophagus, the diaphragm and chest wall. It includes the management of trauma and congenital and acquired disorders of these structures.
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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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This page contains forms relating to recertification programmes requirements and professional development.
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Our strategic plan for the period from 1 June 2014 to 30 June 2015
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Our strategic plan for the period from 1 July 2013 to 30 June 2014
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Our strategic plan for the period from 1 July 2015 to 30 June 2016
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Our strategic plan for the period from 1 July 2018 to 30 June 2019
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This statement outlines how we manage the personal information we collect.
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Our strategic plan for the period from 1 July 2011 to 30 June 2012.
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Our strategic plan for the period from 1 July 2016 to 30 June 2017
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Our strategic plan for the period from 1 July 2017 to 30 June 2018
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Our strategic plan for the period from 1 July 2019 to 30 June 2020.
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Report on our progress with its strategic directions covering the period from 1 July 2012 to 30 June 2013.
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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 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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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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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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There are two key scopes of practice for physician associates:
Physician Associate Provisional scope of practice (for first period of registration).
Physician Associate General scope of practice (for physician associates who have completed the provisional period) . -
Report on our progress with our strategic directions covering the period from 1 July 2013 to 30 June 2014
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Report on our progress with our strategic directions covering the period from 1 July 2014 to 30 June 2015
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Report on our progress with our strategic directions covering the period from 1 July 2015 to 30 June 2016
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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.
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In this edition | We're calling for members for performance assessments and vocational practice assessments, and continue our ongoing focus on the workforce.
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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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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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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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This report presents the results of our 2024 workforce survey. Key findings include the continuing increase in the proportion of Māori and female doctors in the workforce, as well as a 3.4 percent increase in the overall size of the workforce.
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A one-page visual guide outlining the registration pathways available to International Medical Graduates, including both permanent and temporary options.
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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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In this issue we look at the importance of keeping up to date with Council's statements and publications, the outcomes of the research into Council's performance, and cultural competence.
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In this edition | Hear from Council Chair Dr Ken Clark on committee opportunities and the 2027 Council elections, and from Chief Executive Joan Simeon on Torohia survey participation and Council’s independent performance review.
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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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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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This report presents the results of our 2022 workforce survey. Key findings in this report include that the proportion of Māori doctors increased to 4.7 percent, the proportion of female doctors increased to 47.9 percent, and the total number of practising doctors increased to 19,350.
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The Medical Council of New Zealand will protect and safeguard personal information and treat it with the utmost care, respect and discretion. This includes all personal information collected online.This privacy notice applies to personal information that we collect through this website: www.mcnz.org.nz
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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.
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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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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 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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To practise as a doctor or physician associate 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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Obstetrics and gynaecology involves the diagnosis and management of patients in the area of reproductive health and diseases, including but not limited to women’s health issues, maternal foetal medicine, gynaecological oncology, reproductive endocrinology and infertility, and urogynaecology, male sexual disorders, post and perinatal issues.
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Paediatric surgery is the diagnosis and treatment (operative and non operative) of children (usually up to 15 years of age) who may require surgery. It includes non-cardiac thoracic surgery, general paediatric surgery, oncological surgery, urology in children and the management of congenital abnormalities both ante-natally and in the neonatal period. Also included is the management of major trauma in children.
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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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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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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). This independent report documents the findings from the review.
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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
deficiencies in their qualifications, training and experience. -
If you wish to practise medicine in New Zealand you must first gain registration from us. To do this, you must show us that you are qualified, competent and fit for registration.
We register more than 1500 new doctors each year and there are over 16,000 registered doctors practising in New Zealand. More than 40 percent have trained overseas, coming from more than 100 countries.
Use the links below to find out about getting registered to practise here. We recommend you start with ‘how to register’ for an overview. -
General practice is an academic and scientific discipline with its own educational content, research, evidence base and clinical activity, and a clinical speciality orientated to primary care. It is personal, family, and community-orientated comprehensive primary care that includes diagnosis, continues over time and is anticipatory as well as responsive.
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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.
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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. -
Pain medicine is the biopsychosocial assessment and management of persons with complex pain, especially when an underlying condition is not directly treatable. The scope of pain medicine supplements that of other medical disciplines, and utilises interdisciplinary skills to promote improved quality-of-life through improved physical, psychological and social function.
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Neurosurgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the central, peripheral and autonomic nervous system including their supportive structures and blood supply. This includes the skull, brain, meninges, spinal cord, spine and pituitary gland. It also includes the management of traumatic, neoplastic, infective, congenital and degenerative conditions of these structures and surgical pain management.
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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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We may sometimes use terms you won't be familiar with. Find out here what they mean.
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Our principal function is to protect you by ensuring that doctors and physician associates are competent and fit to practise. We do this by setting standards of clinical and cultural competence and ethical conduct.
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Health-related commercial organisations share some common goals with doctors: they seek to prevent, control, cure and manage diseases, or physical and mental conditions, and may conduct research to improve and advance health care. However, health-related commercial organisations can also have different and potentially conflicting goals in that generating a profit is often a principal goal whereas a doctor’s primary concern must always be the care of patients. This statement outlines our expectations when doctors interact with health-related commercial organisations, and provides guidance on recognising, assessing and managing conflicts of interest (including perceived conflicts of interest) that may arise.
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List of overseas regulatory and educational bodies that we interact with regularly.
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This dashboard page contains information around new registrations - registrations granted where the doctor was not already on the medical register.
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This dashboard page contains information around changes over time in the number and demographics of registered doctors - doctors on the register with a current practising certificate.
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Our Audit and Risk Committee assists Council in a number of ways including overseeing our risk management programme and ensuring the integrity of our financial processes and reporting.
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This page covers where you can get advice and support if you're thinking about making a notification.
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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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There are two special purpose scopes of practice which enable us to react to emergencies and unpredictable situations or disasters and pandemics. The specific requirements and length of registration depend on the event, and are determined by the Council when required.
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If you are registered and practising in a special purpose scope, you must practise in a Council-approved position, under Council-approved supervision.
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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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Our policies set out the rules and criteria we use to make decisions on applications for registration. These policies will also be referenced on the pages that provide detail on how to apply for registration.
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Clinical genetics is the investigation, diagnosis of and provision of medical advice, assessment and management of patients in relation to inherited genetic and chromosomal disorders and predispositions.
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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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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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This dashboard page contains information around how long doctors remain in New Zealand after their initial registration.
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This dashboard page contains information around doctors with a vocational scope of practice including breakdowns by age, gender, and ethnicity.
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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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Prevocational training requirements for doctors in their PGY1 year
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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.