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Oral and maxillofacial surgery involves the diagnosis and treatment (operative and non-operative) of patients with diseases, injuries and defects of the mouth, jaws and associated structures. This includes oral and maxillofacial pathology, trauma, dentoalveolar surgery, orthognathic and relevant reconstructive surgery, and facial pain.
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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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In this edition I A key focus for Council has been supporting doctors to start work faster by improving the timeframes for processing registration applications, particularly for specialist international medical graduates.
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In this issue of MC News, Dr Rachelle Love introduces a new series of feature profile articles from interviews with our Council members, and we confirm the practising fee and disciplinary levy for the year commencing 1 July 2024.
Other key features include our consultation on Treating yourself and those close to you, a recent Coroner's report and the importance of refraining from amending clinical notes after being notified of a patient's death. -
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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In the May 2016 issue of Medical Council News we looked at doctors providing care to themselves and those close to them, informed consent, and guidance from the Pharmacy Council on effective prescription writing for safe collaborative patient management.
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This document outlines the adjustments to our existing fees and disciplinary levy effective 1 July 2021, made using an activity-based costing methodology, and following an extensive review process.
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In this issue of Medical Council News we acknowledge the contribution and mana of Mr Andrew Connolly, our Chair and leader over the last five years. We also highlight our two new statements on professional and sexual boundaries in the doctor-patient relationship and the Ministry shares guidance around new laws relating to medicinal cannabis.
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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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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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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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PGY2-OS - Application for pre-approval to complete PGY2 overseas
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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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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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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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There are two key scopes of practice for physician associates:
Physician Associate Provisional scope of practice (for first period of registration).
Physician Associate General scope of practice (for physician associates who have completed the provisional period) . -
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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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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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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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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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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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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You can apply for registration through this pathway if you have an overseas specialist qualification on our approved list, and have a job offer to work in New Zealand for 12 months or less.
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Update on Whanganui DHB's accreditation status as at 25 May 2022
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You can apply for registration through this pathway if you hold a qualification approved by the General Medical Council (GMC) for registration as a physician associate in the United Kingdom.
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This pathway is for physician associates who have experience practising clinically in New Zealand.
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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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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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NZCPHM accreditation report relating to the visit on 4, 5 and 6 May 2022
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You can apply for registration through this pathway if you hold a qualification accredited for licensure in the United States of America for registration as a physician associate.
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You can apply for registration through this pathway if you hold a qualification accredited for licensure in Canada for registration as a physician associate.
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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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We may sometimes use terms you won't be familiar with. Find out here what they mean.
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Prevocational medical training accreditation report for Tairāwhiti District Health Board following site visit on 4 and 5 May 2021
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Prevocational medical training accreditation report for Te Whatu Ora - Lakes following site visit on 24 and 25 May 2022
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When you're applying for registration, we may ask you to provide a Statutory Declaration, or a copy of a document that you’re relying upon as part of your application.
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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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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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List of our fees effective from 1 July 2026
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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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In May 2019 Council consulted with stakeholders on a revised statement and resource on cultural competence, cultural safety and achieving best health outcomes for Māori. The feedback can be found here. The final documents were completed in October 2019.
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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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Doctors are often asked for input by their family and friends. This may include requests for medical advice or a prescription, or more substantial involvement such as performing a procedure. This statement explains why doctors must avoid treating themselves and those they have a close personal relationship with.
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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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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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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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You can apply for registration through this pathway if you have recent experience in a comparable health system.
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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. -
Internal medicine involves the diagnosis and management of patients with complex medical problems which may include internal medicine, cardiology, clinical immunology, clinical pharmacology, endocrinology, gastroenterology, geriatric medicine, haematology, infectious diseases, medical oncology, nephrology, neurology, nuclear medicine, palliative medicine, respiratory medicine and rheumatology.
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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.
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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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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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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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Medical administration is administration or management utilising the medical and clinical knowledge, skill and judgement of a registered medical practitioner, and capable of affecting the health and safety of the public or any person.
This may include administering or managing a hospital or other health service, developing health operational policy, or planning or purchasing health services. Medical administration does not involve diagnosing or treating patients. -
Paediatric surgery is the diagnosis and treatment (operative and non operative) of children (usually up to 15 years of age) who may require surgery. It includes non-cardiac thoracic surgery, general paediatric surgery, oncological surgery, urology in children and the management of congenital abnormalities both ante-natally and in the neonatal period. Also included is the management of major trauma in children.
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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. -
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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If a doctor or physician associate 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 or physician associate 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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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.
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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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Medical Council News is our official newsletter. Published and distributed to the profession regularly, the newsletter contains a summary of the most important recent news as well as articles on topics likely to be of interest to doctors and physician associates.
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You can make a notification directly to the Health and Disability Commissioner (HDC). The HDC's role is to promote and protect your rights as set out in the Code of Health and Disability Services Consumers' Rights (The Code).
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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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Physician associates must only practise in a setting where onsite supervision is available whether registered in the Physician Associate Provisional or Physician Associate General scope of practice. This means that they must not be rostered to practise solo in any healthcare setting.
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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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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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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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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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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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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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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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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.