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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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More information about how PAs will be supervised proposed framework is in this section of the full consultation paper linked here.
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The Medical Council of New Zealand (the Medical Council) welcomes the Government’s review of the Health Practitioners Competence Assurance Act 2003 (HPCAA and the opportunity to respond to the consultation document Putting Patients First—modernising health workforce regulation.
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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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Council is delighted to report that in October 2024 we received Toitū carbonreduce programme certification in line with ISO 14064-1:2018 and Toitū requirements.
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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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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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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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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 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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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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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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This statement outlines how we manage the personal information we collect.
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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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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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This dashboard page contains information around how long doctors remain in New Zealand after their initial registration.
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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 a medical doctor to provide healthcare to patients.
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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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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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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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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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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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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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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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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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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 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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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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To practise medicine in New Zealand, you must first gain registration from us. This ensures you are competent and fit to practise.
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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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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 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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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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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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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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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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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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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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Under the HPCAA, doctors can have their competence or performance reviewed at any time, or in response to concerns about their practice. This guide outlines what you can expect if you are undergoing a performance assessment
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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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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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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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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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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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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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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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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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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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More information about what PAs can do their - scopes of practice is in this section of the full consultation paper linked here.
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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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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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If a doctor 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 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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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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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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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 area of our site contains detailed information about the medical workforce in Aotearoa New Zealand.
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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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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. -
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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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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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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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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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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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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Regardless of your scope of practice, the basic process for registration as a medical practitioner in New Zealand is as outlined here.
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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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Our consultation regarding the strengthening of the accreditation framework for prevocational medical training is now open. We invite your feedback.
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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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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 you have concerns about a registered doctor, you can refer the matter to the Council.
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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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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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This dashboard page contains further information around the distribution of doctors within 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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This dashboard page contains information around the distribution of doctors within 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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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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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. -
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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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 who have successfully completed their internship in Australia and want to register within the General scope of practice.
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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 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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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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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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If you're not working away from New Zealand but are just taking a break from medical practice, this page outlines what you need to do.
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A notification around concerns about your health is different from one about conduct, and our approach to dealing with it it is non-judgmental and focuses on your rehabilitation and the safety of patients and people you come into contact with.
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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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New Zealand and Australian graduates: This checklist will help you to confirm your eligibility for registration, tell you what documents you need to provide, and will tell you what documents you need to have verified at source by EPIC.
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Council is responsible for setting standards of clinical competence, cultural competence (including competencies to enable respectful and effective interaction with Māori), and ethical conduct (Health Practitioners Competence Assurance Act 2003).
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This page contains all of Council's publications and can be filtered by publication type to help you find what you're looking for.
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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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This document is a guide for interns and includes information on what MSF is about and step-by-step instructions to complete the process.
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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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Prescribing medicines and treatment is an essential part of medical practice. This statement outlines what good prescribing practice involves and the legal requirements doctors must comply with.
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Patients are entitled to information about their health and the care they are receiving. This statement outlines what we expect of doctors when helping patients to make an informed decision about their care and treatment.
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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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Our current standards set out the principles and values that define good medical practice, and outline what we expect from doctors in all aspects of their professional behaviour.
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Our current standards set out the principles and values that define good medical practice, and outline what we expect from doctors in all aspects of their professional behaviour.
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The Medical Council of New Zealand has two new members. The Hon Matt Doocey, Associate Minister of Health, made the appointments, which are effective from 1 July 2024 for a three-year term. The Minister also reappointed two current members for further terms. These four appointments follow the election by the profession, earlier this year.
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Patients are entitled to information about their health and the care they are receiving. This statement outlines what we expect of doctors when helping patients to make an informed decision about their care and treatment.
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This draft statement outlines what is expected of doctors when harm to patients occurs as a direct result of medical care. See the consultation section of our website to provide feedback on this draft statement.
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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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This statement outlines the doctor's responsibility to maintain sexual boundaries with patients, includes advice on what to do if boundaries are threatened, and offers guidance on sexual relationships with former patients and with family members of patients.
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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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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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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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Whether you're Māori or non-Māori, you are welcome to visit a Māori health provider. What makes their care different from a non-Māori health provider is the kaupapa (principle) and delivery framework, which is distinctively Māori.
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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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One of our most important roles is ensuring doctors are fit to practise medicine. We have a set of standards which outline what we expect of doctors, and procedures to follow if there are concerns about a doctor's conduct, competence or health.
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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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When applying for registration at the end of your medical training you will have to answer questions relating to your fitness to practise. This guide will help you to figure out what you may need to declare to Council.
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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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The main purpose of the collegial relationship is to ensure that a doctor's PDP and CPD are appropriate for the work they are doing. This guide is intended to outline what you need to do as part of this relationship including prompts for guiding discussion in collegial relationship meetings.
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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.
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This guidance explains what doctors should consider when using artificial intelligence (AI) in patient care. Because AI is increasingly being used in medical practice, it is essential that doctors do so ethically and responsibly, to ensure patient safety and the privacy of health information.
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Your recertification programme requirements will generally depend on what scope(s) of practice you are registered and practising in. However, there are exceptions and special cases. This section outlines the recertification requirements for each scope of practice, as well as any exceptions that may apply.
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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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We have three main types of registration (what we call scopes) - vocational, general and special purpose. Within each scope there are multiple application pathways. Each of these has specific requirements you need to meet in order to be registered. This section outlines the different pathways for each scope.
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This guidance explains what doctors should consider when using artificial intelligence (AI) in patient care. Because AI is increasingly being used in medical practice, it is essential that doctors do so ethically and responsibly, to ensure patient safety and the privacy of health information.
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This dashboard page contains information around doctors undertaking vocational training in New Zealand.
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Complementary and Alternative Medicine (CAM) refers to therapies and treatments that are not commonly accepted in conventional medical practice, but are sometimes used alongside or instead of conventional medical treatments. This statement guides doctors in situations where their patients are using CAM, and outlines what we expect when doctors practise CAM.
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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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This statement outlines what cultural safety means and why it is important. The document reflects the evolution of thinking away from the cultural competence of doctors – that is acquiring skills and knowledge of other cultures – towards self-reflection of a doctor’s own attitudes and biases that may affect the cultural safety of patients. Council requires doctors to meet these cultural safety standards.
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List of our fees effective from 1 July 2025
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All doctors have a duty to act on their concerns about another doctor, but doctors in management roles have an extra responsibility to ensure that there are appropriate reporting procedures in place, and these procedures are known to staff who may need to use them. This statement provides guidance for doctors who are concerned about a medical colleague's conduct, performance, competence or health, and provides suggestions on what to do and who to approach.