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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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Follow through a series of videos and let us guide you through our process.
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All doctors and physician associates coming to New Zealand to practise for the first time must attend a registration meeting and be able to produce the information we have asked for.
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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 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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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 information on how to use myMCNZ, our web based portal for doctors.
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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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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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To practise in New Zealand, you must first gain registration from us. This ensures you are competent and fit to practise.
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This quick guide for stakeholders covers how to make an online claim through myMCNZ.
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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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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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Find out how to keep us up to date with changes to your information including your name, employment, and addresses.
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Physician associates are trained health professionals who work under the supervision of adoctor to provide healthcare to patients.
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This document is a guide for prevocational educational supervisors on how to support their interns to complete the MSF process and provides information on how to interpret the collated report before discussing the results with their interns.
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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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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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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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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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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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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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The principal function of the Medical Council of New Zealand is to protect the health and safety of the public 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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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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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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We want to make sure the information that we provide on our website about making a notification is clear and easy to use. If you have recently looked at our website to find out how to raise a concern about a doctor, we welcome your feedback.
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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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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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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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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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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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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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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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From today, 1 October 2026 physician associates are a regulated health profession in Aotearoa New Zealand.
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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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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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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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In addition to being registered, you must also hold a current practising certificate to practise medicine in New Zealand. You cannot lawfully practise in New Zealand without this certificate.
This section outlines the importance of holding a current practising certificate, the consequences of practising without one, and how to apply for one. -
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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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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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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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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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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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. -
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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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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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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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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Media Release | Medical Council to regulate the Physician Associate profession
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In this edition | See how we’re shaping the framework for PA regulation, read our submission to the Ministry of Health consultation Putting Patients First–modernising health workforce regulation, and find out why we believe reform must put patients first while keeping public safety at its core.
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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 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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If you have concerns about a registered doctor or a physician associate, you can refer the matter to the Council.
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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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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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One of our most important roles is ensuring doctors and physician associates are fit to practise. We have a set of standards for each profession which outline what we expect of doctors and physician associates, and procedures to follow if there are concerns about a doctor or physician associate's conduct, competence or health.
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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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Update on Te Tai Tokerau's accreditation status as at 8 November 2024
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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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Terms of reference for our Education Committee, approved by Council in December 2025.
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This gazette notice lists the fees payable from 1 July 2025.
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The terms of reference of our Audit and Risk Committee
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Application to vary practising certificate on a physician associate provisional scope of 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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Terms of reference for our Committee on matters relating to the Royal Commission of Inquiry into Abuse in State Care
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This gazette notice lists the fees payable from 1 July 2026.
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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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This document covers the terms of reference and delegations of Council's Health Committee. Te Rōpū Hauora | the Health Committee (the Committee) is a standing committee of Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand.
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This policy covers when doctors who were previously registered in New Zealand can apply to be restored to the register rather than complete a full registration application.
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Use our registration self assessment tool to determine which pathway to registration (as a doctor or physician associate in Aotearoa New Zealand) you might be eligible for. Please note that we do not grant registration to students. Therefore, this tool does not cover student electives.
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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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Our five-year strategic plan through to 2010
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Medical Council's five-year strategic plan through to 2022
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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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Medical Council Chair Dr Rachelle Love responds to the final report from the Abuse in State Care Royal Commission Inquiry.
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Where a doctor wishes to resume practice in New Zealand, but has not held a New Zealand practising certificate within the last 3 years, the doctor does not have an automatic entitlement to a practising certificate. Council must consider such applications on a case by case basis.
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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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NZREX Clinical - Application to change to a later examination
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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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Council's submission to Manatū Hauora | Ministry of Health on their consultation around the regulation of physician associates under the Health Practitioners Competence Assurance Act 2003.
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Medical practitioners registered within the General scope of practice (or the Provisional General scope of practice, which precedes it) are typically resident doctors, resident medical officers (RMO) and doctors undergoing vocational training.
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Prevocational medical training accreditation report for Te Whatu Ora - Te Tai Tokerau following site visit on 29 and 30 April 2024
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Special purpose registration is a temporary form of registration, for specific purposes. You should apply for this scope when you want to work in New Zealand for a specific purpose such as research, further training or to assist with a disaster.
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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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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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When a physician associate first applies for registration in New Zealand, they will be registered in the Physician Associate Provisional scope of practice. There are multiple pathways to registration in the Physician Associate Provisional scope. Each of these has specific requirements you will need to satisfy to be eligible for registration. This section outlines the different pathways for each scope.
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This draft statement sets out legal and ethical considerations as a doctor when responding to a medical emergency. It also discusses a number of factors you should consider when you attend to a medical emergency, whether that emergency is within a healthcare facility, or in a non-clinical setting, such as in the community.
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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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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. -
This page contains a full list of our forms including application, report and referee forms, as well as checklists and the current fees payable, for physician associates.
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Evaluation of changes to prevocational medical training by Malatest International - end of year report for 2018
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You can make a notification directly to the Health and Disability Commissioner (HDC). The HDC's role is to promote and protect your rights as set out in the Code of Health and Disability Services Consumers' Rights (The Code).
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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.
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This report outlines the findings of our evaluation of the ‘Welcome to practice in Aotearoa New Zealand’ workshops for international medical graduates.
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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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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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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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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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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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This guide will help you complete your application to renew your practising certificate. All applications to renew are now made online using myMCNZ - our online portal.
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Prevocational medical training accreditation report for Te Whatu Ora - Te Toka Tumai Auckland following site visit on 27 and 28 March 2024
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We are reviewing our statement on a doctor’s duty to help in a medical emergency and would value your feedback. This statement discusses a number of factors doctors should consider when responding to a medical emergency.
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ES1 application form for authorisation to provide secondary maternity services
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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 page contains the latest Medical Council notices published in the Gazette for Scopes of Practice, prescribed qualifications and Fees.
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Earlier this year we sought feedback on the draft statement on Treating yourself and those close to you. A wide range of submissions was received from key stakeholders across the profession and some common themes emerged. Council has revised this statement taking into account your feedback.
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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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This pamphlet explains the role of a Professional Conduct Committee (PCC) and what to expect if you are referred to a PCC.
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This guide sets out the information required for accredited New Zealand training organisations who are preparing for a Medical Council of New Zealand (Council) assessment for reaccreditation. This guide applies to the current standards that are in effect until 30 June 2020.
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This guide sets out the information required of accredited training providers who are preparing for an accreditation site visit. This guide should be read alongside the self-assessment for training providers to apply for accreditation for prevocational medical training.
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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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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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Training and/or Continuing Professional Development (CPD) programme providers can be required
to report on an annual or specified basis to Council as a condition of their accreditation. This guide
provides an outline of the expected structure of an annual- or progress report. This guide applies to the current standards that are in effect until 30 June 2020. -
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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Certificates of professional status (COPS) are documents used by professional regulators to share information about whether a health practitioner is in good standing. Doctors or physician associates applying for registration, restoration or returning from practising outside New Zealand need to provide us with certificates of professional status.
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This pamphlet explains the role of a Professional Conduct Committee (PCC) and what to expect if your notification about a doctor is referred to a PCC.
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Special purpose research scope of practice is for doctors who come to New Zealand temporarily to undertake research. This special purpose scope is available for a maximum of two years and practise is restricted to research approved by a formally-constituted ethics committee in New Zealand.
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This statement outlines how we manage the personal information we collect.
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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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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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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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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 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 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 -
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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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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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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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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Under section 14 of the Health Practitioners Competence Assurance Act 2003 (“Act”), 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” published in the New Zealand Gazette, 30 September 2024, Notice No. 2024-sl4580 -
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 how long doctors remain in New Zealand after their initial registration.
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An amendment to our current scopes of practice and prescribed qualifications correcting the commencement date (as published in the New Zealand Gazette on 1 October 2024).
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This statement acknowledges that health inequities and inequalities continue to exist for Māori, and that there are disparities in the delivery of health care to Māori. It encourages all health organisations to examine their partnership with Māori through genuine engagement, representation and participation.
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This guide is for accredited training providers who are preparing for a Council accreditation assessment. This guide provides training providers with detailed information as to what the Council expects you to provide in your self-assessment.
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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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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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Maintaining clinical records is part of good medical practice. Clinical notes are an important tool for managing the patient's care, and communicating with other doctors and health professionals. This statement guides doctors on what information they should record, and for how long they should retain patients' records.
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There is a potential for health-related commercial organisations to influence how doctors practise and the clinical decisions they make. We are reviewing our statement on doctors and health-related commercial organisations and would value your feedback.
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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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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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The purpose of these principles is to provide a framework for good decision-making about notifications assessed and managed by the Council. The principles are not intended to cover every specific scenario but rather provide guidance in how notifications should be assessed and managed. The framework applies to the decisions of the Notifications Triage Team (NTT) and of Council.
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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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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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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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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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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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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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The ePort privacy statement explains how the Council collects, stores, uses and shares information through ePort and outlines the standards and requirements in accordance with the Privacy Act 2020 and the relevant privacy principles.
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Council is proud to have been one of the seven responsible authorities (RAs) that worked together to develop the Principles for Quality and Safe Prescribing Practice. Development of the Principles was a result of collaboration and partnership among RAs.