Our definition of the practice of medicine and clinical practice

A community-based attachment is an educational experience in an accredited clinical attachment in a community-focused service in which the intern is engaged in caring for the patient and managing their illness in the context of their family and community.

Our definitions of clinical and non-clinical practice

Council has not issued standards specific to practice within the purpose of the End of Life Choice Act 2019 (EOLCA). Council considers that the provision of health services under the EOLCA falls within the wider practice of medicine, to which Council’s statements are directed. This document sets out existing Council statements alongside the relevant sections of the EOLCA.

This document provides general advice to employers (including Te Whatu Ora | Health New Zealand and some PHOs) about their responsibilities as an employer of a doctor.

Disclosure of harm refers to instances where a patient has been adversely affected as a direct result of medical care. Open disclosure in this situation promotes transparency, can strengthen the doctor-patient relationship and is important for the health and safety of the public in general. This statement is intended to help doctors understand the purpose of open disclosure and why it matters to patients and their family/whānau. It also guides doctors on factors to consider when a situation requires that the harm is disclosed.

Application for a physician associate general scope of practice

Approved list of postgraduate medical qualifications recognised for registration via the VOC4 pathway

Evaluation of Council's RPR programme by Malatest International - mid year report for 2016

Malatest Evaluation of the RPR Programme: mid-year 2017

Evaluation of Council's RPR programme by Malatest International - mid year report for 2018

A history of the Medical Council of New Zealand, compiled by Professor Richard Sainsbury.

This policy, which comes into effect on 1 April 2020, sets out on when we might make public in some way, information about an order or direction made by us about a doctor.

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.

Malatest International's final evaluation report of our Regular Practice Review Programme

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.

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.

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.

Prevocational medical training accreditation report: Bay of Plenty District Health Board

This gazette notice lists the fees payable from 1 July 2026.

Manatū Hauora - The Ministry of Health (the Ministry) is proposing that the Physician Associate (PA) profession be regulated under the Health Practitioners Competence Assurance (HPCA) Act 2003. This document outlines the details of this proposal.

This policy applies if you're applying for registration temporarily to teach, train, carry out research, work as a locum tenens specialist, assist in an emergency or work as a teleradiologist.

A Review of Prevocational Training Requirements for Doctors in New Zealand: Stage 2 - A second consultation paper on the proposed changes to prevocational training

Glossary of terms used in relation to prevocational medical training. Examples include clinical attachment, intern, multisource feedback (MSF), and prevocational educational supervisor

You can use this document to provide feedback on the updated version of our statement Disclosure of harm following an adverse event

This document sets out Council’s policy in regards to accrediting training providers of prevocational medical training (training providers) and their clinical attachments. It outlines the components of the accreditation assessment.

Council is proposing to extend the provisional vocational assessment period from 18 to 24 months. This will enable a specific cohort of specialist IMGs who may not otherwise meet the standard, to gain provisional vocational registration and complete discrete training to address identified
deficiencies in their qualifications, training and experience.

To apply for registration within a special purpose (locum tenens) scope of practice, you must first hold an approved postgraduate qualification in the branch of medicine in which you want to work, and then meet remaining requirements outlined in the registration policy.

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.

This document outlines the policy, process and guidelines for recognition of a new vocational scope of practice.

This gazette notice lists the fees payable from 1 July 2025.

An amendment of this notice was published on 1 October 2024, Notice No. 2024-sl4980 and another amendment was published on 31 March 2025, Notice No. 2025-sl1765.

This policy outlines the requirements you must meet before you can be registered in the General scope of practice.This policy should be read alongside Council's Policy on registration in New Zealand.

Prevocational Training Requirements for Doctors in
New Zealand: a discussion paper on options for an enhanced training framework

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.

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.

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.

This document outlines the standards that an applicant will be assessed against.

Our current scopes of practice and prescribed qualifications (as published in the New Zealand Gazette on 5 April 2023, Notice no. 2023-gs1359).

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).

These standards have been superseded by the 2022 standards above.

If you're applying for registration in the vocational scope and did your postgraduate training outside of New Zealand and Australia, this policy outlines the rules that will apply when we consider your application.

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.

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.

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.

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.

This guide sets out the accreditation process for Aotearoa New Zealand-only vocational training providers that are currently accredited by MCNZ. It applies both to currently accredited providers seeking reaccreditation, as well as unaccredited providers seeking accreditation.

Training providers that offer vocational medical training and recertification programmes must gain accreditation with the Council by meeting the Accreditation standards for Aotearoa New Zealand training providers of vocational medical training and recertification programmes (2022).

This document highlights the revisions we're making around recertification, cultural safety, and health equity to the accreditation standards for NZ training providers of vocational medical training and recertification programmes

This gazette notice lists the scopes of practice and prescribed qualifications for Physician Associates.

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

This policy outlines the requirements you must meet in order to be issued a general scope without limitations.

These standards will come into effect on 1 July 2022. The standards outline the standards vocational training providers need to meet in order to be accredited to provide vocational medical training and recertification programmes. We have made revisions to update recertification, cultural safety, health equity and specialist assessment of IMG content.

We are consulting with stakeholders on the proposed introduction of a fee for the accreditation of New Zealand-based vocational training and recertification providers.

Practice intentions - To be completed by doctors applying for a PC to return to work after an absence of three or more years

The terms of reference of our Audit and Risk Committee

The purpose of this statement is to protect the public from advertising that is false, misleading or deceptive, and to
provide guidance to doctors about the advertising of health-related products and services.

Application to vary practising certificate on a physician associate provisional scope of practice

Memorandum of understanding between Medical Council of New Zealand and New Zealand Private Surgical Hospitals Association

NZCSRH accreditation update status as of 15 August 2024

The purpose of the CPD Associate agreement is to assist you in maintaining safe and competent practice, and to clarify your responsibilities, as well as those of the CPD associate.

This guide outlines the essential skills and competencies an intern needs to accomplish by the end of prevocational medical training.

We are seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette changes to its existing fees and disciplinary levy, to be effective from 1 July 2022.

Internet, email, and other forms of electronic communication are ways in which doctors communicate with patients and other health professionals, find information, and participate in informed discussion. This statement guides doctors on the use of email and other forms of social media.

In this issue of Medical Council News we look at workplace bullying. It's an issue that is everyone's responsibility and something we should all have zero tolerance for. We also look at new and revised statements on self-care, advertising and telehealth, and the use of the internet.

Doctors are sometimes asked by a third party (such as an insurance company or ACC) to conduct medical assessments of patients. This statement explains the role of the assessing doctor and the standard of care expected of them within an assessing relationship.

This form outlines the additional information that we will require as part of an application for provisional vocational registration in psychiatry.

This guide outlines the role of the advisory panel as well as providing information on ePort use for advisory panel members.

During the course of a medical career, a doctor may be involved in management or have a leadership role. This statement outlines the standards doctors are expected to meet when they take on such roles. While doctors in a leadership role have a duty to their workplace and the wider community, their first consideration must always be the interests and safety of patients.

This Memorandum of Understanding is made on the 24th day of August 2017
between Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand
and The New Zealand Police.

It is recommended that in every Collegial Relationship meeting time is set aside to review and develop the doctor’s PDP. The goal of the PDP is to encourage reflective practice and to provide a means of addressing identified learning needs.

Each year CPMEC recognises junior doctors across Australia and New Zealand who have made valuable contributions to prevocational medical education and training. Prevocational Education Supervisors, Clinical Directors of Training and CMOs are eligible to nominate a junior doctor for this award.

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.

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.

In this issue of Medical Council News, we look at outcomes and initiatives from the Council’s planning day, our discussion paper Better Data – the benefits to the profession and the public, Council’s revised Statement on advertising, doctors’ responsibilities around aviation safety and the need to provide more detail on medical certificates.

Te Kaunihera Rata o Aotearoa | the Medical Council of New Zealand (the Council) is considering making changes to the advanced life support (ACLS) requirement for interns in the Provisional General scope of practice (postgraduate year 1, or PGY1) interns.

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.

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.

Doctor-patient relationships can come to an end for a variety of reasons, commonly when the patient moves to another area or chooses to see another doctor, but also when the relationship breaks down and either the doctor or patient decides to discontinue the professional relationship. We outline in this statement the process for discontinuing patient care, and the need to do so in a fair and professional manner.

Half of the APC (practising fee and disciplinary levy) will be refunded to doctors earning $20,000 or less per annum from the practice of medicine in New Zealand or overseas.

Te Kaunihera Rata o Aotearoa | the Medical Council of New Zealand (the Council) considers it important that all interns have the knowledge and skills to manage and supervise resuscitation events and therefore we have a longstanding requirement that interns hold New Zealand Resuscitation Council (NZRC) CORE Advanced certification.

The vocational practice assessment (VPA) is Council’s preferred tool for assessing competence and applies specifically to IMGs that Council deem eligible for registration within a provisional vocational scope of practice (assessment pathway).

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.

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.

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

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.

These standards identify the basic elements that must exist in all accredited prevocational intern training programmes. Providers of prevocational training programmes must demonstrate they meet these accreditation standards.

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.

Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand set these Professional Standards for Physician Associates 2026 (the standards) under section 118(1)(i) of the Health Practitioners Competence Assurance Act 2003. The standards will come into force on 1 October 2026.

This report outlines the findings of our evaluation of the ‘Welcome to practice in Aotearoa New Zealand’ workshops for international medical graduates.

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.

In 2019, Council released strengthened Recertification requirements for vocationally-registered doctors practising in New Zealand. Council is now reviewing its accreditation standards for providers of vocational recertification programmes to ensure these align with the new recertification requirements.

This pamphlet explains the role of a Professional Conduct Committee (PCC) and what to expect if you are referred to a PCC.

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.

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.

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.

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.

Vaccination is a crucial part of the New Zealand public health response to the COVID-19 pandemic. Health practitioners can help to protect themselves, their patients, and the wider community by getting their COVID-19 vaccination.

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.

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.