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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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The Medical Council of New Zealand |Te Kaunihera Rata o Aotearoa today released the results of its 2025 Workforce Survey, showing continued growth, more diversity, and important shifts in the medical workforce.
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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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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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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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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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List of our fees effective from 1 July 2026
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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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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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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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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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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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In our second year as a Toitū carbonreduce certified organisation under ISO 14064-1:2018 and Toitū requirements, Council focused on supporting the implementation of the Environmental Sustainability Strategy and strengthening the accuracy and completeness of emissions reporting.
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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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Our consultation regarding the strengthening of the accreditation framework for prevocational medical training is now open. We invite your feedback.
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We serve Aotearoa New Zealand by protecting public health and safety. We do this by setting and promoting standards for the medical profession.
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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 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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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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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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NZREX Clinical - Application to change to a later examination
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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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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 area of our site contains detailed information about the medical workforce in Aotearoa New Zealand.
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If you have concerns about a registered doctor, you can refer the matter to the Council.
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NZREX Clinical - Application to withdraw from an examination
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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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To practise medicine in Aotearoa New Zealand you must be registered and have a practising certificate. There are various registration pathways, depending on your qualifications, training, experience, and whether you intend to work in Aotearoa New Zealand permanently or just for a short time for a specific purpose.
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See all the policies relating to the NZREX Clinical here.
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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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This document aims to clarify matters relating to the amended start date and changes to dates for intern clinical attachments for the year commencing at the end of 2020.
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Doctors get sick too, and when they do it's important that their illness doesn't interfere with their ability to practise medicine safely. A doctor must always be able to practise medicine without putting patients or the public at risk.
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You must agree to these rules before you can take the examination. If you break these rules you will fail the examination and there may be consequences for any future application for registration.
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You can apply to access the full medical register, but before you apply make sure you know what information the register holds. Whether your application is approved or not depends on what you want to do with the information.
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This dashboard page contains information around how long doctors remain in New Zealand after their initial registration.
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Faster, easier registration for overseas-trained doctors to enter Aotearoa New Zealand’s medical workforce
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NZCPHM accreditation report relating to the visit on 4, 5 and 6 May 2022
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If you are planning on leaving New Zealand to practise in another country, its medical regulator may ask you for a certificate of professional status (COPS) from us. Your registration is not affected by your decision to practise overseas but you must ensure that we hold current contact details for you.
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Sample questions from the NZREX Clinical to help candidates prepare.
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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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Over coming weeks, we will be scheduling additional NZREX clinical examinations, to facilitate IMGs, who do not meet requirements for other pathways, an opportunity to gain eligibility for registration. To inform decisions on the number and timing of examinations, we are collecting information to understand the potential number of eligible doctors waiting to sit the NZREX clinical exam.
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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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NZAMM accreditation report relating to the visit on 18-19 November 2020
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NZDSI accreditation report relating to the visit on 3 and 4 August 2022
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Evaluation of changes to prevocational medical training by Malatest International - end of year report for 2018
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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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Medical Council Chair Dr Rachelle Love responds to the final report from the Abuse in State Care Royal Commission Inquiry.
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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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Council is proposing to change the current requirement that international medical graduates registered in the special purpose teleradiology scope of practice must be supervised by doctors based in Aotearoa New Zealand.
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Australasian colleges are required to meet the Aotearoa New Zealand specific standards. The Aotearoa NZ specific standards relate to recertification / continuing professional development.
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Physician associates are trained health professionals who work under the supervision of a medical doctor to provide healthcare to patients.
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Currently, there is no requirement for applicants for this examination to have had any clinical practice experience. This consultation seeks views on the merits of introducing a requirement that individuals applying to sit the NZREX must have had clinical practice experience and if so, then what that should be.
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In this review we provide the evidence base that supports Council's vision and principles for recertification and provide educational evidence to support regular practice review (RPR)
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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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Certificates of professional status (COPS) are documents used by medical professional regulators to share information about whether a doctor is in good standing. Doctors applying for registration, restoration or returning from practising outside New Zealand need to provide us with certificates of professional status.
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You can request to withdraw from a particular sitting of the NZREX Clinical, or request to transfer to another sitting. This policy sets out the process for applicants to transfer or withdraw from the NZREX Clinical and the associated fee or refund for each process.
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RNZCGP accreditation report relating to the visit from 18 to 21 March 2024
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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.
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RNZCUC accreditation report relating to the visit on 15 and 16 June 2021
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Under sections 11 and 13 of the Health Practitioners Competence Assurance Act 2003, Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand (“Council”) gives notice of an amendment to the notice titled “Scopes of Practice and Prescribed Qualifications for the Practice of Medicine in New Zealand Notice 2024.
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If you wish to apply for the NZREX Clinical, you must meet the requirements outlined in this Policy. You will also need to submit a recent photo in order to apply for the NZREX Clinical, this policy also outlines the requirements for the photo we need.
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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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Council is seeking feedback on a proposed change to its processes. Specifically, in relation to advice obtained from medical colleges regarding an international medical graduate’s (IMG) application for registration in a provisional vocational scope of practice.
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These standards will come into effect on 1 July 2022. The standards outline the standards vocational training providers need to meet in order to be accredited to provide vocational medical training and recertification programmes. We have made revisions to update recertification, cultural safety, health equity and specialist assessment of IMG content.
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This document highlights the revisions we're making around recertification, cultural safety, and health equity to the accreditation standards for NZ training providers of vocational medical training and recertification programmes
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Media Release | Medical Council to regulate the Physician Associate profession
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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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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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In some circumstances you can be restored to the medical register if your registration has been cancelled. See this page to check whether you are eligible for restoration to the register, and how to apply.
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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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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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Find out more about organisations that represent doctors
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This sheet provides information on how Professional Conduct Committees (PCCs) request information, what powers they must obtain information, what they do with information they receive, and answers some frequently asked questions.
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We are proposing two key changes to the comparable health system pathway to registration in the Provisional General scope of practice. We welcome your feedback about these proposed changes before we make any decisions.
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Māori experience disparities in outcomes compared to the rest of the population across nearly all areas of health due to inequity in determinants of health, including access to quality health care. This document outlines Council’s position on how doctors can support the achievement of best health outcomes for Māori. It also provides guidance for healthcare organisations to support cultural safety and Māori health equity. This document should be read in conjunction with Council’s Statement on cultural safety.
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You cannot work outside the requirements of your scope of practice and any requirements set by Council specific to you. These are shown on your practising certificate. If you are registered within a provisional general, provisional vocational or a special purpose scope of practice, you need our approval of any change to your employment, supervision, position or location.
Once we've received and approved your variation application we will issue you a new practising certificate. -
Council is pleased to publish its revised statement on Treating yourself and those close to you (previously Providing care to yourself and those close to you), in effect from 14 October 2024.
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In April 2025, the Minister of Health announced that PAs would be regulated in Aotearoa New Zealand, and that the Council would be the regulator of PAs. This responsibility is now set in legislation. Council is inviting feedback on proposals for how PAs should be regulated in Aotearoa New Zealand.
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You can apply for registration through this pathway if you have recent experience in a comparable health system.
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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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Application for change of scope from provisional vocational to vocational (ex-provisional)
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Council is reviewing the core ethical standards it sets for the profession, ensuring the standards reflect both patient expectations and the realities of clinical practice. As part of this work, we have sought feedback from patients and doctors and have now released two reports that reflect their views.
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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 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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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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This quick guide for stakeholders covers how to make an online claim through myMCNZ.
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This page contains information on how to use myMCNZ, our web based portal for doctors.
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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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A Review of Prevocational Training Requirements for Doctors in New Zealand: Stage 2 - A second consultation paper on the proposed changes to prevocational training
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To apply for registration as a medical practitioner in New Zealand, or to sit the New Zealand Registration Examination (NZREX Clinical), you must have a recognised primary medical qualification from a university medical school listed on the World Directory of Medical Schools.
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If you are registered and practising in the provisional general scope as either a New Zealand or Australian medical graduate, or a doctor who has passed the NZ Registration Examination, you are required to complete prevocational medical training.
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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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Guide on how to use myMCNZ including how to access it, how to update your details, how to request a COPS and how to renew your practising certificate.
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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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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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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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This guide for supervisors of IMGs outlines how to access supervision reports through Council's myMCNZ portal, as well as how to complete and submit them.
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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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Any doctor applying for registration in New Zealand must be fit for registration and fit to practise medicine. 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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These are the current standards and have been updated to reflect the changes to ACLS requirements for interns. These standards identify the basic elements that must exist in all accredited prevocational intern training programmes. Providers of prevocational training programmes must demonstrate they meet these accreditation standards.
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We've added videos to help guide patients and other health consumers explaining how to make a notification, and the process that we follow when a notification is made
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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 issue we discuss key initiatives to support our growing workforce, navigating change, the challenges of consulting overseas doctors, and introduce our new informed consent video.
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It is important that we understand the composition and changes in our medical workforce, so that good planning decisions can be made. This pack brings together the key data that matters most.
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Te Kaunihera Rata o Aotearoa | the Medical Council of New Zealand (the Council) considers it important that all interns have the knowledge and skills to manage and supervise resuscitation events and therefore we have a longstanding requirement that interns hold New Zealand Resuscitation Council (NZRC) CORE Advanced certification.
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We are seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette changes to its existing fees and disciplinary levy, to be effective from 1 July 2021.
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We are seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette changes to its existing fees and disciplinary levy, to be effective from 1 July 2022.
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This is an updated draft version of the statement which we're consulting on. Please see the consultation section of our website for more information including how to provide feedback.
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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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Draft document for consultation. In this document we advise doctors on how they can support the achievement of best health outcomes for Māori. We also provide guidance for healthcare organisations on how to support Māori health equity.
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In the November 2015 edition of Medical Council News we looked at stimulating debate amongst health organisations about the urgent need to address Māori health inequity, concerns around processing laboratory results, retrospective changes to patient records and why British doctors move to New Zealand.
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Te Kaunihera Rata o Aotearoa | the Medical Council of New Zealand (the Council) is considering making changes to the advanced life support (ACLS) requirement for interns in the Provisional General scope of practice (postgraduate year 1, or PGY1) interns.