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184 results matching “ielts exam required by nzrex nz”
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Every doctor in New Zealand must be registered to practise medicine. If you are not eligible for registration under any other pathway, you must sit and pass the NZREX Clinical, our registration examination.
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If you 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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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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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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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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Some pathways to registration require doctors to have completed their internship in a particular country. If you are applying for registration and did your internship somewhere else, this policy outlines how we will assess your suitability for registration.
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List of our fees effective from 1 July 2026
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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand is committed to meeting Aotearoa New Zealand's healthcare demands by enabling highly qualified international and locally trained doctors to join the workforce through flexible and efficient registration pathways.
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This form further outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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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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We may sometimes use terms you won't be familiar with. Find out here what they mean.
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The Chair of Te Kaunihera Rata o Aotearoa | The Medical Council of New Zealand, Dr Curtis Walker, reinforced today the technical and complex process required when thoroughly reviewing a doctor’s overseas qualifications, training and experience.
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The Council and the Australian Medical Council (AMC) work together on accrediting the vocational medical training programmes offered by Australasian (joint Australian and New Zealand) vocational providers. If the applicant provider is seeking recognition in Australia (as an Australasian training provider), or if the scope is already recognised in Australia, stage 3 will be led by the AMC, with Council making a decision based on the AMC’s assessment.
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This 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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NZREX Clinical - Application for new candidates
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NZREX Clinical - Checklist of documentation that must be provided with application
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NZREX Clinical - Application for repeat candidates.
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There are two special purpose scopes of practice which enable us to react to emergencies and unpredictable situations or disasters and pandemics. The specific requirements and length of registration depend on the event, and are determined by the Council when required.
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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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NZREX Clinical - Application to withdraw from an examination
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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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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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Working relationships with our key stakeholders are at the heart of everything we do to protect public health and safety. This page describes Council's relationships with Aotearoa New Zealand medical schools, Medical Colleges, Te Aka Whai Ora | Māori Health Authority, Te Whatu Ora | Health New Zealand, the Health and Disability Commissioner (HDC), and other organisations where we have established a memoranda of understanding (MoU).
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NZREX Clinical - Checklist of documentation that must be provided with application.
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NZREX Clinical - Application for recount of result
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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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NZREX Clinical - Application to change to a later examination
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Emergency medicine is a field of practice based on knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioural disorders.
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Supervision is a registration requirement for all doctors registered in a provisional general, provisional vocational or special purpose scope of practice. Supervision supports a doctor’s practice and enables their performance to be assessed while they become familiar with the New Zealand health system and the expected standard of medical practice.
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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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Plastic and reconstructive surgery is the diagnosis and treatment (operative and non operative) of patients requiring the restoration, correction or improvement in the shape and appearance of the body structures that are defective or damaged at birth or by injury, disease, growth or development. It includes all aspects of cosmetic surgery.
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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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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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See all the policies relating to the NZREX Clinical here.
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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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List of texts we recommend candidates read before they undertake the NZREX Clinical.
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Applicants for registration as well as candidates applying for the New Zealand Registration Examination (NZREX Clinical) must satisfy Council that they are able to comprehend and communicate effectively in English in the medical workplace, as one of the prerequisites for registration. This policy sets out the specific requirements that must be met.
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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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Handbook for candidates undertaking the NZREX Clinical.
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Diagram showing the basic layout of the stations candidates will rotate around during the NZREX Clinical.
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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 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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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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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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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 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 form outlines the additional information that will be required by the NZCPHM so it can provide us with advice on your application for vocational registration in public health medicine.
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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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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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This document covers a number of NZREX-related policies including pass criteria, serious concerns and critical incidents, request for resits, feedback, and recount of results.
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All physician associates (PAs) applying for registration in the PA provisional scope of practice (except those applying via the NZ experiential pathway) must complete a Council-approved induction programme, within the 12 months immediately prior to applying for registration.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for Cardiology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for neurology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for gastroenterology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for rheumatology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for general medicine.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for medical oncology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for respiratory medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in dermatology.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in paediatrics.
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This form outlines additional information required by ANZCA for applications in anaesthesia.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for clinical haematology.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for geriatric medicine.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for infectious diseases.
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This form outlines the additional information that will be required by the RANZCP so they can provide us with advice on your application for vocational registration in psychiatry.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in internal medicine.
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This form further outlines the additional information that will be required by the RANZCO so it can provide us with advice on your application for vocational registration in ophthalmology.
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This form outlines the additional information that will be required by the CICM so they can provide us with advice on your application for vocational registration in intensive care medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in palliative medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in rehabilitation medicine.
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This form lists the additional information the RACS requires if you're applying for vocational registration in cardiothoracic surgery, general surgery, neurosurgery, orthopaedic surgery, otolaryngology head & neck surgery, paediatric surgery, plastic & reconstructive surgery, urology, and vascular surgery.
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This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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This form outlines the additional information that will be required by the RNZCGP so it can provide us with advice on your application for vocational registration in general practice.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for neonatal and perinatal medicine.
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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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If you are registered and practising in a vocational scope only, you must participate in the recertification programme offered by the medical college or other approved recertification provider responsible for your vocational scope of practice.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in sexual health medicine.
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This form outlines additional information required by RANZCR for applications in radiation oncology.
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This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in public health medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in occupational medicine.
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This area of our site contains detailed information about the medical workforce in Aotearoa New Zealand.
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This form outlines the additional information that will be required by the RANZCOG so it can provide us with advice on your application for vocational registration in obstetrics and gynaecology.
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This form outlines the additional information that will be required by the RANZCR so they can provide us with advice on your application for vocational registration in diagnostic & interventional radiology.
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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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Council requires all doctors in PGY2, to satisfy the requirements of a programme ordered by Council under section 40 of the HPCAA.
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The Health Practitioners Competence Assurance Act 2003 (HPCAA) requires us to specify the scopes of practice within which doctors are permitted to practice, and to describe and define the boundaries of each.
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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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All international medical graduates (IMGs) registered in a provisional general, provisional vocational and special purpose scope of practice must be supervised. This is to support their practice while they become familiar with the New Zealand health system and the expected standard of medical practice.
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The 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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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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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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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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We are now accepting applications via the new United Kingdom General Registrants pathway and the amended Examinations pathway.
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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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Request for confirmation of internship, NZREX pass, or general registration.
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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 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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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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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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Prevocational training requirements for doctors in their PGY1 year
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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 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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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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The Standards for accreditation of specialist medical training programmes are jointly agreed and applied by the Australian Medical Council (AMC) and the Medical Council of New Zealand (MCNZ). Australasian colleges are required to apply the New Zealand specific criteria in addition to the AMC standards.
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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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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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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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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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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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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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Between accreditation cycles, the Council monitors prevocational medical training and Aotearoa New Zealand vocational medical training and recertification providers through progress and annual reporting. For medical schools and Australasian vocational training and recertification providers (medical colleges) monitoring is led by the Australian Medical Council, in partnership with the Council.
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Telehealth is the use of digital technology to deliver health services where participants may be separated by distance and/or time. This statement outlines our expectation of doctors who practise telehealth in New Zealand and overseas, and includes guidance on registration, conducting physical examinations and prescribing.
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It is the Council’s role to ensure that the quality of training programmes offered by providers of prevocational medical training is of a high standard. Information on accredited prevocational training providers and the Council’s accreditation standards can be found here.
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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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This dashboard page contains information around doctors with a vocational scope of practice including breakdowns by age, gender, and ethnicity.
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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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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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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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This dashboard page contains information around registered doctors, those who are on the register and hold a current practising certificate. You can also view the same data for past quarters.
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It is Council’s role to accredit and monitor specialist training providers and to promote medical education training in Aotearoa New Zealand. Council assesses Aotearoa New Zealand-based vocational medical training and recertification providers against these standards.
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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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Recertification helps maintain high standards of medical competence and care. Doctors required to participate in recertification must do so, and must respond, at our request, to any questions we have about their participation.
We work with recertification providers to ensure doctors’ compliance. At its most serious, non-compliance may, ultimately, lead to the suspension of an individual’s registration. -
Our Audit and Risk Committee assists Council in a number of ways including overseeing our risk management programme and ensuring the integrity of our financial processes and reporting.
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Ophthalmology involves the diagnosis and management of patients with abnormal conditions affecting the eye and its appendages, including prevention of blindness, promotion of eye health and rehabilitation of patients with visual disability.
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Tell us who you are so we can better direct your enquiry
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If you have concerns about a registered doctor, you can refer the matter to the Council.
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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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This dashboard page contains information around new registrations - registrations granted where the doctor was not already on the medical register.
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This dashboard page contains information around changes over time in the number and demographics of registered doctors - doctors on the register with a current practising certificate.
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Media Release | Medical Council to regulate the Physician Associate profession
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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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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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Rural hospital medicine is determined by its social context, the rural environment, the demands of which include professional and geographic isolation, limited resources and special cultural and sociological factors. It is invariable practised at a distance from comprehensive specialist medical and surgical services and investigations.
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This page contains the latest Medical Council notices published in the Gazette for Scopes of Practice, prescribed qualifications and Fees.
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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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This page sets out the recertification programme requirements for doctors registered and practising in the General scope of practice only. This is typically either participation in a medical college vocational training programme, or in the Inpractice recertification programme.
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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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Manatū Hauora | Ministry of Health is the agency responsible for the proposal and consultation on the regulation of physician associates under the Health Practitioners Competence Assurance Act 2003. The Medical Council made a submission during the Ministry’s consultation on the proposal in December 2023 (as did a number of other organisations) and is awaiting the Ministry’s release of the outcome. The Medical Council cannot advise on when this information will be released by the Ministry.
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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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Our consultation regarding the strengthening of the accreditation framework for prevocational medical training is now open. We invite your feedback.
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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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If you are registered and practising in both the General and a vocational scope of practice, you need to meet recertification requirements in both scopes of practice.
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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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VOC1 (specialist) registration is for doctors who hold an approved New Zealand / Australasian postgraduate qualification and already hold registration in the General scope of practice.
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General practice is an academic and scientific discipline with its own educational content, research, evidence base and clinical activity, and a clinical speciality orientated to primary care. It is personal, family, and community-orientated comprehensive primary care that includes diagnosis, continues over time and is anticipatory as well as responsive.
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Rehabilitation medicine is the medical care of patients in relation to the prevention and reduction of disability and handicap arising from impairments, and the management of patients with disabilities from a physical, psychosocial and vocational viewpoint.
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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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At its first meeting for 2024, Te Kaunihera Rata o Aotearoa | The Medical Council of New Zealand elected Dr Rachelle Love as its new Chair and re-elected Mr Simon Watt as Deputy Chair.
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General surgery is a broad based specialty which includes the diagnosis and treatment (operative and non operative) of patients with disorders of the colon and rectum, upper gastro-intestinal organs, breasts, endocrine organs, skin and subcutaneous structures, blood vessels (including varicose veins) and the head and neck region. It also includes the early and ongoing management of trauma.
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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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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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Cardiothoracic surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of structures within the chest including: the heart and vascular system, the lungs and trachea, the oesophagus, the diaphragm and chest wall. It includes the management of trauma and congenital and acquired disorders of these structures.
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Sexual health medicine is concerned with sexual relations, including freedom from sexually transmissible infections (STIs), unplanned pregnancy, coercion and physical and psychological sexual discomfort. Its practice encompasses a wide range of factors that contribute to STIs, sexual assault, sexual dysfunction and fertility.
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Vascular surgery is the diagnosis and treatment (operative and non operative, including endoluminal techniques and interventional procedures) of patients with disorder of the blood vessels (arteries and veins outside the heart and brain) and the lymphatic system. It also includes the management of trauma and surgical access to the vascular system.
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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.