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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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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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Neurosurgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the central, peripheral and autonomic nervous system including their supportive structures and blood supply. This includes the skull, brain, meninges, spinal cord, spine and pituitary gland. It also includes the management of traumatic, neoplastic, infective, congenital and degenerative conditions of these structures and surgical pain management.
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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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If you have concerns about the care you received, or about a doctor or physician associate's behaviour or professionalism, you can notify either the Health and Disability Commissioner (HDC) or the Medical Council of New Zealand (Council). We work closely together, but our roles are different.
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To ensure that you are continuing to maintain your competence to practise medicine, you must meet recertification programme requirements set by Council, including any minimum continuing professional development (CPD) requirements.
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To ensure that you are continuing to maintain your competence to practise medicine, you must meet recertification programme requirements set by Council, including any minimum continuing professional development (CPD) requirements.
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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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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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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 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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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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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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Pain medicine is the biopsychosocial assessment and management of persons with complex pain, especially when an underlying condition is not directly treatable. The scope of pain medicine supplements that of other medical disciplines, and utilises interdisciplinary skills to promote improved quality-of-life through improved physical, psychological and social function.
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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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We have three main types of registration (what we call scopes) for doctors - vocational, general and special purpose. Physician associates will apply for registration in the Physician Associate Provisional scope of practice. . 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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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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When a physician associate first applies for registration in New Zealand, they will be registered in the Physician Associate Provisional scope of practice. There are multiple pathways to registration in the Physician Associate Provisional scope. Each of these has specific requirements you will need to satisfy to be eligible for registration. This section outlines the different pathways for each scope.
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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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If you have concerns about a registered doctor or a physician associate, you can refer the matter to the Council.
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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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Regardless of your scope of practice, the basic process for registration as a doctor or physician associate in New Zealand is as outlined here.
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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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Psychiatry involves the assessment, diagnosis and treatment of patients with psychological, emotional, or cognitive problems resulting from psychiatric disorders, physical disorders or any other cause.
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Intensive care medicine involves the diagnosis and treatment of patients with acute, severe and life-threatening disorders of vital systems that are medical, surgical or obstetric in origin, and whether adult or paediatric.
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Urgent care medicine (formerly known as accident and medical practice) is the primary care of patients on an after-hours or non-appointment basis, where continuing medical care is not provided.
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Orthopaedic surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the musculoskeletal system (bones, joints, ligaments, tendon and peripheral nerves). It includes the management of trauma to the musculoskeletal system and the management of congenital and acquired disorders.
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A notification around concerns about your health is different from one about conduct, and our approach to dealing with 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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Radiation oncology is the medical care and management of patients with cancer and other medical conditions through the conduct and supervision of radiation treatment, advice and provision of palliative and other supportive care, and advice and provision of other non-surgical cancer; advice and provision of other non-surgical cancer treatment including cytotoxic, hormonal and other drug therapies; participation in clinical trials and research related to cancer management.
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If you want to work as a specialist in New Zealand, hold the approved New Zealand/Australasian postgraduate qualification, but do not already hold general registration, you can apply down the VOC2 pathway.
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Applicants for registration as well as doctors 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 workplace, as one of the prerequisites for registration. This policy sets out the specific requirements that must be met.
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Authentic, authoritative and comprehensive references are necessary to ensure that Council can make decisions related to the applicant’s fitness and competence to practise in New Zealand.
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Prevocational training requirements for doctors in their PGY1 year
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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 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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Professional standards for physician associates 2026
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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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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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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 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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Doctors and physician associates get sick too, and when they do it's important that their illness doesn't interfere with their ability to practise safely. A doctor or physician associate must always be able to practise without putting patients or the public at risk.
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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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Certificates of professional status (COPS) are documents used by professional regulators to share information about whether a health practitioner is in good standing. Doctors or physician associates applying for registration, restoration or returning from practising outside New Zealand need to provide us with certificates of professional status.
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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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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 policy details the advanced cardiac life support requirement for PGY1 interns.
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We are proposing two key changes to the comparable health system pathway to registration in the Provisional General scope of practice. We welcome your feedback about these proposed changes before we make any decisions.
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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.
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All physician associates applying for registration in the physician associate 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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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 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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Recertification programme providers are expected to work towards these strengthened recertification requirements for vocationally-registered doctors, with implementation completed by 1 July 2022.
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Prevocational Training Requirements for Doctors in
New Zealand: a discussion paper on options for an enhanced training framework -
A Review of Prevocational Training Requirements for Doctors in New Zealand: Stage 2 - A second consultation paper on the proposed changes to prevocational training
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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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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 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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If you are registered and practising in the provisional general scope via the UK/Irish graduates, comparable health system or the Australian general registrant pathway, you must practice in a Council-approved position, under Council-approved supervision.
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If you are registered and practising in a provisional vocational scope you must practise in a Council-approved position at specialist/consultant level, under Council-approved supervision.
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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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You can apply for registration through this pathway if you have recent experience in a comparable health system.
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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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This statement outlines the rights and responsibilities of health care workers and infected health care workers in relation to transmissible major viral infections.
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If you are registered and practising in the provisional general scope as either a New Zealand or Australian medical graduate, or a doctor who has passed the NZ Registration Examination, you are required to complete prevocational medical training.
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This guide outlines the requirements for PGY1 and PGY2
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We've drafted these standards to align with new recertification requirements. They will be effective from 1 July 2022. Before this time, providers will need to show evidence they are progressing towards implementing these requirements.
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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.
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This page contains forms relating to recertification programmes requirements and professional development.
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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 policy outlines the requirements you must meet in order to be issued a general scope without limitations.
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The following Government departments and agencies oversee the delivery of health care to New Zealanders.
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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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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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Anaesthesia is the provision of anaesthetics, peri-operative care, intensive care and pain management to patients and can include the provision of resuscitation, retrieval/transportation (inter and intra hospital) and hyperbaric medicine to patients.
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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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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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From today, 1 October 2026 physician associates are a regulated health profession in Aotearoa New Zealand.
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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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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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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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Paediatrics involves the assessment, diagnosis and management of infants, children and young people with disturbances of health, growth, behaviour and/or development. It also addresses the health status of this group through population assessments, intervention, education and research.
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You cannot work outside the requirements of your scope of practice and any requirements set by Council specific to you. These are shown on your practising certificate. If you are registered within a provisional general, provisional vocational or a special purpose scope of practice, you need our approval of any change to your employment, supervision, position or location.
Once we've received and approved your variation application we will issue you a new practising certificate. -
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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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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Terms of reference for our Committee on matters relating to the Royal Commission of Inquiry into Abuse in State Care
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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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We are seeking your feedback on the draft Professional standards for PAs. These draft standards propose the principles and values of good PA practice and the professional standards expected of PAs working in Aotearoa New Zealand.
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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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This policy explains the requirements you will have to meet if you are registered in the general scope, or in a vocational scope of general practice, and you wish to perform tumescent liposuction.
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This document sets out Council’s Policy in regards to prevocational medical training. It outlines the requirements for each component of prevocational medical training from PGY1 through to the end of PGY2.
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Council is proposing to change the current requirement that international medical graduates registered in the special purpose teleradiology scope of practice must be supervised by doctors based in Aotearoa New Zealand.
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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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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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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.