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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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The Clinical Supervisors Guide outlines the role of the clinical supervisor in the prevocational medical training programme.
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The Clinical Supervisors Guide outlines the role of the clinical supervisor in the prevocational medical training programme
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The main purpose of the collegial relationship is to ensure that a doctor's PDP and CPD are appropriate for the work they are doing. This guide is intended to outline what you need to do as part of this relationship including prompts for guiding discussion in collegial relationship meetings.
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This guide is for supervisors who are creating robust training objectives for doctors applying for registration in New Zealand under the Special Purpose Post Graduate Training pathway.
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Guide on how to use myMCNZ including how to access it, how to update your details, how to request a COPS and how to renew your practising certificate.
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This guide for supervisors of IMGs outlines how to access supervision reports through Council's myMCNZ portal, as well as how to complete and submit them.
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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. -
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.
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The Prevocational Educational Supervisors Guide outlines the role of the prevocational educational supervisor in the prevocational medical training programme.
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Guide for medical students applying for registration to complete their PGY1 year in New Zealand using myMCNZ.
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Australasian colleges are required to meet the Aotearoa New Zealand specific standards. The Aotearoa NZ specific standards relate to recertification / continuing professional development.
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NZCMM accreditation update status as of 14 December 2023
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NZCMM accreditation update status as of 29 November 2023
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This pamphlet explains the role of a Professional Conduct Committee (PCC) and what to expect if you are referred to a PCC.
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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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RNZCUC accreditation report relating to the visit on 15 and 16 June 2021
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Some pathways to registration require doctors to have completed their internship in a particular country. If you are applying for registration and did your internship somewhere else, this policy outlines how we will assess your suitability for registration.
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This guide outlines the requirements for PGY1 and PGY2
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NZCSRH accreditation update status as of 15 August 2024
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This document is a guide for interns and includes information on what MSF is about and step-by-step instructions to complete the process.
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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 guide outlines the role of the advisory panel as well as providing information on ePort use for advisory panel members.
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NZCSRH accreditation update status as of February 2026
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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 -
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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RNZCUC accreditation update status as of 17 December 2024
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RNZCUC accreditation update status as of 22 March 2024
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This guide sets out the information required for accredited New Zealand training organisations who are preparing for a Medical Council of New Zealand (Council) assessment for reaccreditation. This guide applies to the current standards that are in effect until 30 June 2020.
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In late 2009 we asked the Council for Healthcare Regulatory Excellence (CHRE) to undertake a full review of how we were performing. This is their report on how we did.
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NZCPHM accreditation report relating to the visit on 4, 5 and 6 May 2022
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NZCSRH accreditation report 2026.
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NZAMM accreditation report relating to the visit on 18-19 November 2020
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NZDSI accreditation report relating to the visit on 3 and 4 August 2022
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RNZCGP accreditation report relating to the visit from 18 to 21 March 2024
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This document is a guide for prevocational educational supervisors on how to support their interns to complete the MSF process and provides information on how to interpret the collated report before discussing the results with their interns.
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This quick guide for stakeholders covers how to make an online claim through myMCNZ.
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Guide with information for DHBs who are providing community based clinical attachments.
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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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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. -
In our second year as a Toitū carbonreduce certified organisation under ISO 14064-1:2018 and Toitū requirements, Council focused on supporting the implementation of the Environmental Sustainability Strategy and strengthening the accuracy and completeness of emissions reporting.
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This consultation document is seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette an increase to the practising certificate (PC) fee and disciplinary levy, to be effective from 1 September 2020.
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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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This guide sets out the information required of accredited training providers who are preparing for an accreditation site visit. This guide should be read alongside the self-assessment for training providers to apply for accreditation for prevocational medical training.
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A one-page visual guide outlining the registration pathways available to International Medical Graduates, including both permanent and temporary options.
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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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This sheet provides information on how Professional Conduct Committees (PCCs) request information, what powers they must obtain information, what they do with information they receive, and answers some frequently asked questions.
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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.
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This guide is for accredited training providers who are preparing for a Council accreditation assessment. This guide provides training providers with detailed information as to what the Council expects you to provide in your self-assessment.
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This policy details the advanced cardiac life support requirement for PGY1 interns.
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Process for assessment and accreditation of Aotearoa New Zealand based vocational training providers
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.
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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
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These are the current standards and have been updated to reflect the changes to ACLS requirements for interns. 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.
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Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2016 to 30 June 2017
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Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2017 to 30 June 2018
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Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2018 to 30 June 2019.
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Our strategic plan for the period from 1 July 2019 to 30 June 2020.
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It is Council’s role to accredit and monitor specialist training providers and to promote medical education training in Aotearoa New Zealand. Council assesses Aotearoa New Zealand-based vocational medical training and recertification providers against these standards.
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Prevocational medical training for interns incorporates aspects of the apprenticeship model of 'learning on the job’ as part of a team. Senior doctors supervise and assess the interns’ performance, providing them with ongoing feedback and gradually increasing their responsibilities.
Prevocational medical training for interns in PGY1 and PGY2 is overseen by prevocational educational supervisors and clinical supervisors.
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This form further outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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You are eligible for a 50 percent refund of your practising certificate fee if your medical income (including any tax) in New Zealand or overseas is NZ$20,000 or less.
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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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The Performance Assessment Committee (PAC) is made up of two medical members and a lay member. The PAC can assess a doctor’s performance at any time.
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Prevocational training requirements for doctors in their PGY1 year
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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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This section of our website contains expired versions of our standards.
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Media Release | Medical Council to regulate the Physician Associate profession
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Find out more about organisations that represent doctors
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List of our fees effective from 1 July 2026
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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand is committed to meeting Aotearoa New Zealand's healthcare demands by enabling highly qualified international and locally trained doctors to join the workforce through flexible and efficient registration pathways.
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This page contains information on how to use myMCNZ, our web based portal for doctors.
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It is the Council’s role to ensure that the quality of training programmes offered by providers of prevocational medical training is of a high standard. Information on accredited prevocational training providers and the Council’s accreditation standards can be found here.
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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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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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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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Guide to providing a complete application for registration within a vocational scope of practice.
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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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All physician associates (PAs) applying for registration in the PA provisional scope of practice (except those applying via the NZ experiential pathway) must complete a Council-approved induction programme, within the 12 months immediately prior to applying for registration.
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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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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 guide provides important information relating to health disclosures on practising certificates.
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Our strategic plan for the period from 1 June 2014 to 30 June 2015
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Working relationships with our key stakeholders are at the heart of everything we do to protect public health and safety. This page describes Council's relationships with Aotearoa New Zealand medical schools, Medical Colleges, Te Aka Whai Ora | Māori Health Authority, Te Whatu Ora | Health New Zealand, the Health and Disability Commissioner (HDC), and other organisations where we have established a memoranda of understanding (MoU).
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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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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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This guide outlines the essential skills and competencies an intern needs to accomplish by the end of prevocational medical training.
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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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This guide will help you when you complete the workforce survey as part of your application to renew your practising certificate.
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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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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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Tell us who you are so we can better direct your enquiry
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Musculoskeletal medicine involves the diagnosis and treatment (or referral) of patients with neuro-musculoskeletal dysfunction, disorders and diseases, most of whom present with acute or chronic pain problems.
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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 Medical Council of New Zealand |Te Kaunihera Rata o Aotearoa today released the results of its 2025 Workforce Survey, showing continued growth, more diversity, and important shifts in the medical workforce.
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Any doctor applying for registration in New Zealand must be fit for registration and fit to practise medicine. It's a legal requirement on us to ensure they are. We determine this as part of our assessment of your application for registration.
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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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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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Council's annual report for the year from 1 July 1982 to 30 June 1983
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Council's annual report for the year from 1 July 1983 to 30 June 1984
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Council's annual report for the year from 1 July 1986 to 30 June 1987
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Council's annual report for the year from 1 July 1987 to 30 June 1988
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Council's annual report for the year from 1 July 1989 to 30 June 1990
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Council's annual report for the year from 1 July 1992 to 30 June 1993
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Council's annual report for the year from 1 July 1994 to 30 June 1995
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Council's annual report for the year from 1 July 1997 to 30 June 1998
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Council's annual report for the year from 1 July 2002 to 30 June 2003
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Council's annual report for the year from 1 July 2005 to 30 June 2006
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Council's annual report for the year from 1 July 2012 to 30 June 2013
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Council's annual report for the year from 1 July 2013 to 30 June 2014
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Council's annual report for the year from 1 July 2015 to 30 June 2016
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Council's annual report for the year from 1 July 2017 to 30 June 2018
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Council's annual report for the year from 1 July 2018 to 30 June 2019
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Council's annual report for the year from 1 July 2019 to 30 June 2020
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Council's annual report for the year from 1 July 2020 to 30 June 2021
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Our strategic plan for the period from 1 July 2013 to 30 June 2014
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Our strategic plan for the period from 1 July 2015 to 30 June 2016
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Our strategic plan for the period from 1 July 2018 to 30 June 2019
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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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Under the HPCAA, doctors can have their competence or performance reviewed at any time, or in response to concerns about their practice. This guide outlines what you can expect if you are undergoing a performance assessment
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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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Council's annual report for the year from 1 July 1984 to 30 June 1985
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Council's annual report for the year from 1 July 1985 to 30 June 1986
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Council's annual report for the year from 1 July 1988 to 30 June 1989
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Council's annual report for the year from 1 July 1990 to 30 June 1991
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Council's annual report for the year from 1 July 1991 to 30 June 1992
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Council's annual report for the year from 1 July 1993 to 30 June 1994
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Council's annual report for the year from 1 July 1995 to 30 June 1996
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Council's annual report for the year from 1 July 1996 to 30 June 1997
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Council's annual report for the year from 1 July 1998 to 30 June 1999
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Council's annual report for the year from 1 July 1999 to 30 June 2000
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Council's annual report for the year from 1 July 2000 to 30 June 2001
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Council's annual report for the year from 1 July 2001 to 30 June 2002
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Council's annual report for the year from 1 July 2003 to 30 June 2004
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Council's annual report for the year from 1 July 2004 to 30 June 2005
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Council's annual report for the year from 1 July 2006 to 30 June 2007
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Council's annual report for the year from 1 July 2007 to 30 June 2008
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Council's annual report for the year from 1 July 2008 to 30 June 2009
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Council's annual report for the year from 1 July 2009 to 30 June 2010
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Council's annual report for the year from 1 July 2010 to 30 June 2011
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Council's annual report for the year from 1 July 2011 to 30 June 2012
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Council's annual report for the year from 1 July 2014 to 30 June 2015
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Council's annual report for the year from 1 July 2016 to 30 June 2017
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Council's annual report for the year from 1 July 2021 to 30 June 2022
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Council's annual report for the year from 1 July 2022 to 30 June 2023
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Council's annual report for the year from 1 July 2023 to 30 June 2024
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Council's annual report for the year from 1 July 2024 to 30 June 2025.
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Our strategic plan for the period from 1 July 2011 to 30 June 2012.
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Our strategic plan for the period from 1 July 2016 to 30 June 2017
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Our strategic plan for the period from 1 July 2017 to 30 June 2018
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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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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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Read about our past performance. Our annual reports include detailed information and statistics about our activities for the twelve months from 1 July of a year to 30 June of the following year.
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The Health Practitioners Competence Assurance Act 2003 (HPCAA) requires us to specify the scopes of practice within which doctors are permitted to practice, and to describe and define the boundaries of each.
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We are committed to minimising Council’s impact on the environment as we carry out our mahi of public protection and will be guided by our organisational values.
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Report on our progress with its strategic directions covering the period from 1 July 2012 to 30 June 2013.
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If a doctor 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 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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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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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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Prevocational medical training accreditation report for Counties Manukau DHB following site visit on 13 and 14 June 2024.
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Report on our progress with our strategic directions covering the period from 1 July 2013 to 30 June 2014
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Report on our progress with our strategic directions covering the period from 1 July 2014 to 30 June 2015
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Report on our progress with our strategic directions covering the period from 1 July 2015 to 30 June 2016
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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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Whenever you use a health or disability service in New Zealand, you are protected by the Code of Health and Disability Services Consumers' Rights (Code of Rights). The Code of Rights applies to both public and private facilities, and to both paid and unpaid services. It gives you as a patient, the right to be treated with respect, receive appropriate care, have proper communication, and be fully informed so you can make an informed choice.
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This dashboard page contains information around new registrations - registrations granted where the doctor was not already on the medical register.
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This dashboard page contains information around changes over time in the number and demographics of registered doctors - doctors on the register with a current practising certificate.
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NZREX Clinical - Application for new candidates
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NZREX Clinical - Checklist of documentation that must be provided with application
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NZREX Clinical - Application for repeat candidates.
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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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Resource constraints are a reality in health care. For doctors, this often means prioritising based on clinical need and waiting lists. This statement guides doctors working in a resource-constrained environment by setting out ethical principles and practical advice.
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This dashboard page breaks down new doctors by entry pathway (how they qualified for registration in New Zealand) by ethnicity, gender, age group, and the country of their primary medical qualification.
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This dashboard page contains information around doctors with a vocational scope of practice including breakdowns by age, gender, and ethnicity.
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NZREX Clinical - Checklist of documentation that must be provided with application.
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NZREX Clinical - Application to withdraw from an examination
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NZREX Clinical - Application for recount of result
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The Medical Council has today launched Torohia – Medical Training Survey for New Zealand, a new survey designed with the profession, for the profession, to better understand doctors’ experience of postgraduate training.
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This page contains the latest Medical Council notices published in the Gazette for Scopes of Practice, prescribed qualifications and Fees.
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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.
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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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Physician Associates (PAs) must always work under onsite supervision, whether they are registered in the PA Provisional or PA General scope of practice. This means that they must not be rostered to practise solo in any healthcare setting. The primary supervisor for all PAs must be a vocationally registered doctor.
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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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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 area of our site contains detailed information about the medical workforce in Aotearoa New Zealand.
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There are two key scopes of practice for PAs:
Physician Associate Provisional Scope of Practice (for first period of registration).
Physician Associate General Scope of Practice (for PAs who have completed the provisional period) . -
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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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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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. -
Doctors get sick too, and when they do it's important that their illness doesn't interfere with their ability to practise medicine safely. A doctor must always be able to practise medicine without putting patients or the public at risk.
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This dashboard page contains information around registered doctors, those who are on the register and hold a current practising certificate. You can also view the same data for past quarters.
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If you hold an approved postgraduate medical qualification from the UK, Ireland or Australia and intend to work as a specialist in Aotearoa New Zealand in an approved area of medicine, you can apply via the VOC4 fast-track pathway.
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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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This dashboard page contains information around Māori and Pacific Peoples doctors in the medical workforce including breakdowns by age, gender, and work role.
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See all the policies relating to the NZREX Clinical here.
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Council collects workforce data from doctors as part of the renewal of practising certificates.
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This dashboard page contains information around international medical graduates, doctors who obtained their primary medical qualification outside of New Zealand.
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List of texts we recommend candidates read before they undertake the NZREX Clinical.
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Handbook for candidates undertaking the NZREX Clinical.
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NZREX Clinical - Application to change to a later examination
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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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Regardless of your scope of practice, the basic process for registration as a medical practitioner in New Zealand is as outlined here.
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Memorandum of understanding between Medical Council of New Zealand and New Zealand Private Surgical Hospitals Association
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Physician associates are trained health professionals who work under the supervision of a medical doctor to provide healthcare to patients.