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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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Our definitions of clinical and non-clinical practice
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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.
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In the November 2015 edition of Medical Council News we looked at stimulating debate amongst health organisations about the urgent need to address Māori health inequity, concerns around processing laboratory results, retrospective changes to patient records and why British doctors move to New Zealand.
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Each year CPMEC recognises clinical educators across Australia and New Zealand who have made valuable contributions to prevocational medical education and training. PGY1 and PGY2 doctors are eligible to nominate a clinical educator for this award.
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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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We've added videos to help guide patients and other health consumers explaining how to make a notification, and the process that we follow when a notification is made
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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.
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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.
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RNZCUC accreditation report relating to the visit on 15 and 16 June 2021
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Evaluation of Council's RPR programme by Malatest International - Interim report to November 2014
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Prevocational medical training accreditation report for Northland DHB following site visit on 1 and 2September 2021
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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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This document outlines the various options available to the Notifications Triage Team (NTT) and Council when considering a notification about a doctor.
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Prevocational medical training accreditation report for Counties Manukau DHB following site visit on 13 and 14 June 2024.
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The purpose of these principles is to provide a framework for good decision-making about notifications assessed and managed by the Council. The principles are not intended to cover every specific scenario but rather provide guidance in how notifications should be assessed and managed. The framework applies to the decisions of the Notifications Triage Team (NTT) and of Council.
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Prevocational medical training accreditation report: Bay of Plenty District Health Board
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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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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.
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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. -
This gazette notice lists the fees payable from 1 July 2025.
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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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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).
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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.
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This pamphlet explains the role of a Professional Conduct Committee (PCC) and what to expect if your notification about a doctor is referred to a PCC.
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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 -
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.
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Our current scopes of practice and prescribed qualifications (as published in the New Zealand Gazette on 5 April 2023, Notice no. 2023-gs1359).
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NZCMM accreditation update status as of 29 November 2023
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Update on Auckland's accreditation status as at 8 November 2024
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Update on Te Tai Tokerau's accreditation status as at 8 November 2024
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Update on Waitemata's accreditation status as at 8 November 2024
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NZAMM accreditation report relating to the visit on 18-19 November 2020
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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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Prevocational medical training accreditation report for Te Whatu Ora - Waitemata following site visit on 28 and 29 November 2023
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If you are in a collegial relationship, you should use this form to record any optional activities you complete - that is, activities that are not specifically required.
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This guide will help you complete your application to renew your practising certificate. All applications to renew are now made online using myMCNZ - our online portal.
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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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We are now accepting applications via the new United Kingdom General Registrants pathway and the amended Examinations pathway.
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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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Special purpose registration is a temporary form of registration, for specific purposes. It is not a pathway to permanent general or vocational registration. Entry on the Register is cancelled after a fixed time period.
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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 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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You can apply to access the full medical register, but before you apply make sure you know what information the register holds. Whether your application is approved or not depends on what you want to do with the information.
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Te Kaunihera Rata o Aotearoa | The Medical Council of New Zealand (Council) recently held an election to select four medical practitioner nominees and can now announce the results of this election.
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We're pleased to announce the launch of our new data dashboard, now available on our website. This dashboard provides a comprehensive and dynamic overview of registered and practising doctors in Aotearoa New Zealand.
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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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Use our registration self assessment tool to determine which pathway to registration (as a medical practitioner in Aotearoa New Zealand) you might be eligible for. Note: we do not cover student electives.
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Whether you're Māori or non-Māori, you are welcome to visit a Māori health provider. What makes their care different from a non-Māori health provider is the kaupapa (principle) and delivery framework, which is distinctively Māori.
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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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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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This is a guide for the new functionality on an ePort user’s homepage highlighting due and/or overdue tasks. Initially, these task notifications will appear for the beginning-, mid-, and end-of attachment meetings/assessments.
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This handbook is intended as a guide for doctors undergoing performance assessments and aims to provide you with an understanding of how performance assessments work,
and to ensure that there are no surprises for you throughout the assessment process -
In April 2025, the Minister of Health announced that PAs would be regulated in Aotearoa New Zealand, and that the Council would be the regulator of PAs. This responsibility is now set in legislation. Council is inviting feedback on proposals for how PAs should be regulated in Aotearoa New Zealand.
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A notification around concerns about your health is different from one about conduct, and our approach to dealing with it it is non-judgmental and focuses on your rehabilitation and the safety of patients and people you come into contact with.
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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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As part of ongoing work to ensure that registration policies are fit for purpose and enabling, Council is reviewing its orientation, induction and supervision guide. The current guide has been in place for several years. With the evolving nature of supervision, now is an appropriate time to review and revise it.
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Did you know over 70% of doctors registered in the past year were trained overseas — bringing skills from 63 countries to Aotearoa. But to truly strengthen our health system, it’s not just about recruitment — it’s about supporting doctors to stay.
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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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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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Urology is the diagnosis and treatment (operative and non operative) of patients with disorders of the urinary tracts in males and females, and male genital organs. It also includes the management of trauma to these organs and the management of male sterilisation, infertility and sexual dysfunction.
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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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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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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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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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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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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 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.
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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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Maintaining clinical records is part of good medical practice. Clinical notes are an important tool for managing the patient's care, and communicating with other doctors and health professionals. This statement guides doctors on what information they should record, and for how long they should retain patients' records.
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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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Complementary and Alternative Medicine (CAM) refers to therapies and treatments that are not commonly accepted in conventional medical practice, but are sometimes used alongside or instead of conventional medical treatments. This statement guides doctors in situations where their patients are using CAM, and outlines what we expect when doctors practise CAM.
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Otolaryngology, head and neck surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the ears, nose, throat, and related structures of the head and neck. This includes cancer of the head and neck (excluding the eye and the brain), disorders of the salivary glands and thyroid gland, disorders of hearing, balance, swallowing, speech, snoring/sleep apnoea and aspects of facial plastic surgery.
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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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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. -
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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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.
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Council is pleased to announce that from 1 November 2024, international medical graduates (IMGs) with an approved postgraduate medical qualification, intending to practise in Aotearoa New Zealand in an approved area of medicine, can apply for specialist registration via a new fast-track registration pathway.
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Obstetrics and gynaecology involves the diagnosis and management of patients in the area of reproductive health and diseases, including but not limited to women’s health issues, maternal foetal medicine, gynaecological oncology, reproductive endocrinology and infertility, and urogynaecology, male sexual disorders, post and perinatal issues.
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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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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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Doctors accompanying individuals or groups of people visiting New Zealand who will provide medical diagnosis, treatment or advice only to those individuals or groups, and who are not registered with the Medical Council will not be required to obtain registration and a practising certificate, so long as they restrict their practice to those individuals or groups for the duration of their visit.
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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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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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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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As a patient, your health and safety are your doctor's primary concern, and the relationship you have with your doctor should be based on mutual trust, clear communication, honesty and respect. You should feel comfortable and be well-informed at all times, safe in the knowledge that your doctor is fit to practise medicine. If you feel that has been compromised, we will take any notifications seriously.
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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. -
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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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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In this issue of MC News, we recognise the medical practitioners honoured in this year's King's Birthday Honours and consult on the expedited pathway for registration in the Provisional Vocational scope of practice.
Other key features include; Artificial Intelligence (AI) in healthcare - Opportunities and challenges, Call for nominations - Confederation of Postgraduate Medical Councils (CPMEC) awards and an HPDT outcome. -
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. -
Palliative medicine is the medical care that improves the quality of life of patients and their families and whanau facing the problems associated with life-threatening illness. The focus of palliative medicine is the anticipation and relief of suffering of patients by means of early identification, assessment and management of their pain and other physical, psychosocial and spiritual concerns. In particular, it affirms life, regards dying as a normal process and intends to neither hasten nor postpone death.
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We are pleased to announce that we are increasing capacity to sit the NZREX Clinical across 2025, and plan to be able to examine up to 180 candidates over the course of 2025.
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This page outlines your rights responsibilities in relation to your practising certificate, and the possible consequences if you practise without a certificate.
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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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Our Health Committee acts for Council when health problems affect a doctor’s ability to practise safely. Referrals come from doctors themselves, or worried colleagues. We ensure patients are protected while the doctor gets appropriate help.
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This section of our website contains expired versions of our standards.
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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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Council's strategic plan sets out our key strategic goals, the outcomes that flow down from our goals, and how we can achieve these outcomes.
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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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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 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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One of the ways the Council helps doctors to stay competent is by requiring them to participate in recertification programmes. Regular practice review (RPR) is one part of this continuing professional development.
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Te Kōwhiringa o Te Kaunihera Rata o Aotearoa 2024 | The Medical Council of New Zealand election 2024
Council elections are about building a strong Council that the public, government and medical profession can have confidence in. The opportunity to cast your vote for the election of four medical members to join the governance of the Medical Council is available starting Tuesday, 20 February 2024. -
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.