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Some pathways to registration require doctors to have completed their internship in a particular country. If you are applying for registration and did your internship somewhere else, this policy outlines how we will assess your suitability for registration.
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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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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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You can apply for registration through this pathway if you have recent experience in a comparable health system.
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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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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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We are pleased to announce that we are increasing capacity to sit the NZREX Clinical across 2025, and plan to be able to examine up to 180 candidates over the course of 2025.
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An audit of medical practice is a systematic, critical analysis of the quality of a doctor’s own practice, the results of which are used to improve clinical care and/or health outcomes, or to confirm that current management is consistent with the current available evidence or accepted consensus guidelines.
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This area of our site contains detailed information about the medical workforce in Aotearoa New Zealand.
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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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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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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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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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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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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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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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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 have concerns about the care you received, or about a doctor or physician associate's behaviour or professionalism, you can notify either the Health and Disability Commissioner (HDC) or the Medical Council of New Zealand (Council). We work closely together, but our roles are different.
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To ensure that you are continuing to maintain your competence to practise medicine, you must meet recertification programme requirements set by Council, including any minimum continuing professional development (CPD) requirements.
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To ensure that you are continuing to maintain your competence to practise medicine, you must meet recertification programme requirements set by Council, including any minimum continuing professional development (CPD) requirements.
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The Health Practitioners Disciplinary Tribunal (The Tribunal) has asked us to publish a summary of its recent decisions. You can access the full decision on their website at the links provided.
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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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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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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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This dashboard page contains information around international medical graduates, doctors who obtained their primary medical qualification outside of New Zealand.
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Find out how to keep us up to date with changes to your information including your name, employment, and addresses.
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Doctors and physician associates get sick too, and when they do it's important that their illness doesn't interfere with their ability to practise safely. A doctor or physician associate must always be able to practise without putting patients or the public at risk.
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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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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 dashboard page contains information around how long doctors remain in New Zealand after their initial registration.
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The Minister of Health has announced two new initiatives targeted at overseas doctors who have passed their New Zealand Registration Examination (NZREX) examination in the last five years, allowing them to apply for roles in New Zealand that will lead to full registration as a doctor.
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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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Medical Council Chair Dr Rachelle Love responds to the final report from the Abuse in State Care Royal Commission Inquiry.
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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand is inviting feedback on proposals for how PAs should be regulated in Aotearoa New Zealand.
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We recognise Taiwanese medical schools so that graduates from these schools have the opportunity to undertake NZREX Clinical. We must ensure we only register fully qualified doctors. However, the exclusion of Taiwanese medical schools from WDOMS is due to political factors and not the standard of those schools. The ECFMG has approved graduates of these schools to undertake the prerequisite examination - USMLE Steps 1 and 2.
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We serve Aotearoa New Zealand by protecting the health and safety of the public. We do this by setting and promoting standards for doctors and physician associates.
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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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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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We may sometimes use terms you won't be familiar with. Find out here what they mean.
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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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Media Release | Medical Council to regulate the Physician Associate profession
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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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Musculoskeletal medicine involves the diagnosis and treatment (or referral) of patients with neuro-musculoskeletal dysfunction, disorders and diseases, most of whom present with acute or chronic pain problems.
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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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Working relationships with our key stakeholders are at the heart of everything we do to protect public health and safety. This page describes Council's relationships with Aotearoa New Zealand medical schools, Medical Colleges, Te Aka Whai Ora | Māori Health Authority, Te Whatu Ora | Health New Zealand, the Health and Disability Commissioner (HDC), and other organisations where we have established a memoranda of understanding (MoU).
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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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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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Public health medicine is the epidemiological analysis of medicine concerned with the health and care of populations and population groups. It involves the assessment of health and health care needs, the development of policy and strategy, the promotion of health, the control and prevention of disease, and the organisation of services.
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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.
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Our Strategic plan for 2021 – 2025 outlines our vision and purpose and how we will enhance the mana of Te Tiriti o Waitangi through achieving our strategic priorities.
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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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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 dashboard page contains information around doctors with a vocational scope of practice including breakdowns by age, gender, and ethnicity.
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This statement outlines how we manage the personal information we collect.
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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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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.
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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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This page covers where you can get advice and support if you're thinking about making a notification.
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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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Whenever you use a health or disability service in New Zealand, you are protected by the Code of Health and Disability Services Consumers' Rights (Code of Rights). The Code of Rights applies to both public and private facilities, and to both paid and unpaid services. It gives you as a patient, the right to be treated with respect, receive appropriate care, have proper communication, and be fully informed so you can make an informed choice.
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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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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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A Professional Conduct Committee (PCC) is an investigatory body appointed by the Council. Its purpose is to investigate matters and concerns referred to it by the Council about a registered doctor. Although a PCC is appointed by the Council, it is separate from the Council, and regulates its own procedures.
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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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Doctors who hold overseas qualifications and who want to apply for registration in Aotearoa New Zealand must have key documents verified from their primary source. Since November 2017, Council has required primary source verification using the Educational Commission for Foreign Medical Graduates’ Electronic Portfolio of International Credentials (ECFMG’s EPIC) service, which is now accessed via the MyIntealth portal.
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We sometimes require that a doctor has a chaperone present to observe their consultations with patients. We do this to mitigate risk to the patient where there are concerns that the doctor poses a risk of harm or serious risk of harm to the public. This is different from when a chaperone is present as a matter of good medical practice.
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If a doctor or physician associate 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 or physician associate 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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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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We sometimes require that a doctor has a chaperone present to observe their consultations with patients. We do this to mitigate risk to the patient where there are concerns that the doctor poses a risk of harm or serious risk of harm to the public. This is different from when a chaperone is present as a matter of good medical practice.
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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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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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This pathway is for New Zealand and Australian medical graduates who have successfully completed their internship in Australia and want to register within the General scope of practice.
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If you have concerns about a registered doctor or a physician associate, you can refer the matter to the Council.
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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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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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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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A recent change to the Health Practitioners Competence Assurance Act 2003 sets a new requirement on all health profession regulators, including the Medical Council. We are now required to publish a policy setting out on when we might make public in some way, information about an order or direction made by us about a doctor.
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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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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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Our Health Committee acts for Council when health problems affect a doctor’s ability to practise safely. Referrals come from doctors themselves, or worried colleagues. We ensure patients are protected while the doctor gets appropriate help.
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Council's strategic plan sets out our key strategic goals, the outcomes that flow down from our goals, and how we can achieve these outcomes.
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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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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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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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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. -
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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This page contains important information on approved qualifications, the information to include with your application, and other things that may affect your application for registration in a vocational scope.
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This dashboard page breaks down new doctors by entry pathway (how they qualified for registration in New Zealand) by ethnicity, gender, age group, and the country of their primary medical qualification.
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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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Tell us who you are so we can better direct your enquiry
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New Zealand’s medical workforce has grown to 21,097 practising doctors, with the latest Medical Council workforce report also showing changes in who makes up the profession, where doctors are working and how long they stay in New Zealand.
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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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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).
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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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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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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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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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Any doctor or physician associate applying for registration in New Zealand must be fit for registration and fit to practise. It's a legal requirement on us to ensure they are. We determine this as part of our assessment of your application for registration.
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All physician associates applying for registration in New Zealand must have key documents verified from their primary source. Council uses the Educational Commission for Foreign Medical Graduates’ (ECFMG) Credential Verification for Health Professionals (CVHP) service to do this.
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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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This pathway is for physician associates who have experience practising clinically in New Zealand.
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From today, 1 October 2026 physician associates are a regulated health profession in Aotearoa New Zealand.
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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 dashboard page contains information around Māori and Pacific Peoples doctors in the medical workforce including breakdowns by age, gender, and work role.
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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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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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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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You can apply for registration through this pathway if you have a primary medical degree from the UK or Ireland and have completed your internship within the UK or Ireland.