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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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NZCSRH accreditation update status as of 15 August 2024
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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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NZCSRH accreditation update status as of February 2026
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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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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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RNZCUC accreditation report relating to the visit on 15 and 16 June 2021
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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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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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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 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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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 Rachelle Love. Joan Simeon is our Manukura (Chief Executive) Officer.
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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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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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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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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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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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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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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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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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List of our fees effective from 1 July 2025
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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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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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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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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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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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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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Memorandum of understanding between Medical Council of New Zealand and New Zealand Private Surgical Hospitals Association
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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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See all the policies relating to the NZREX Clinical here.
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The Council offers two clinical supervision courses for clinical supervisors and prevocational educational supervisors. The courses supplement training that supervisors receive from training providers and medical colleges. Courses are available to all supervisors through the ePort platform.
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List of texts we recommend candidates read before they undertake the NZREX Clinical.
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NZREX Clinical - Application to change to a later examination
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Handbook for candidates undertaking the NZREX Clinical.
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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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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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Diagram showing the basic layout of the stations candidates will rotate around during the NZREX Clinical.
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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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Sample questions from the NZREX Clinical to help candidates prepare.
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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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The Minister of Health has announced two new initiatives targeted at overseas doctors who have passed their New Zealand Registration Examination (NZREX) examination in the last five years, allowing them to apply for roles in New Zealand that will lead to full registration as a doctor.
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This form outlines the additional information that will be required by the NZCPHM so it can provide us with advice on your application for vocational registration in public health medicine.
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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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You can request to withdraw from a particular sitting of the NZREX Clinical, or request to transfer to another sitting. This policy sets out the process for applicants to transfer or withdraw from the NZREX Clinical and the associated fee or refund for each process.
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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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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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This document covers a number of NZREX-related policies including pass criteria, serious concerns and critical incidents, request for resits, feedback, and recount of results.
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You can download copies of your current and expired practising certificates by logging into your myMCNZ account.
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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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If you wish to apply for the NZREX Clinical, you must meet the requirements outlined in this Policy. You will also need to submit a recent photo in order to apply for the NZREX Clinical, this policy also outlines the requirements for the photo we need.
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Medical Council Chair Dr Rachelle Love responds to the final report from the Abuse in State Care Royal Commission Inquiry.
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Established on 1 July 2022, Te Whatu Ora leads the day-to-day running of the health system across New Zealand, with functions delivered at local, district, regional and national levels.
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Council is responsible for setting standards of clinical competence, cultural competence (including competencies to enable respectful and effective interaction with Māori), and ethical conduct (Health Practitioners Competence Assurance Act 2003).
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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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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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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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Council is responsible for setting standards of clinical competence, cultural competence (including competencies to enable respectful and effective interaction with Māori), and ethical conduct (Health Practitioners Competence Assurance Act 2003). Council is consulting on two draft statements.
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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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Find out how to keep us up to date with changes to your information including your name, employment, and addresses.
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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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This pathway is for New Zealand and Australian medical graduates wanting to register within the Provisional General scope of practice to complete their internship.
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The Health Practitioners Disciplinary Tribunal (The Tribunal) has asked us to publish a summary of its recent decisions. You can access the full decision on their website at the links provided.
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This page contains support information that relates to neither patients or doctors.
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Torohia – Medical Training Survey for New Zealand – is here! Doctors in training voices matter. Let's make sure they're heard. Visit the Torohia website to find out more and download the promo kit to help spread the word! https://www.torohia.org.nz/
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Certificates of professional status (COPS) are documents used by medical professional regulators to share information about whether a doctor is in good standing. Doctors applying for registration, restoration or returning from practising outside New Zealand need to provide us with certificates of professional status.
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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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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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Request for confirmation of internship, NZREX pass, or general registration.
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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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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand is inviting feedback on proposals for how PAs should be regulated in Aotearoa New Zealand.
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This dashboard page contains information around how long doctors remain in New Zealand after their initial registration.
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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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The Medical Council of New Zealand has two new members. The Hon Matt Doocey, Associate Minister of Health, made the appointments, which are effective from 1 July 2024 for a three-year term. The Minister also reappointed two current members for further terms. These four appointments follow the election by the profession, earlier this year.
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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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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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Faster, easier registration for overseas-trained doctors to enter Aotearoa New Zealand’s medical workforce
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This dashboard page contains information around doctors undertaking vocational training in New Zealand.
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Provisional general scope - application to vary practising certificate
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Provisional vocational scope - application to vary practising certificate
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Application for general scope of practice for doctors on a provisional general scope of practice (excluding Interns).
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Application for change of scope from provisional vocational to vocational (ex-provisional)
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Request for certificate of registration
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Special purpose scope - application to amend practising certificate
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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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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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The Council regularly asks for feedback from doctors, the public and other stakeholders on a variety of issues affecting public health and safety.
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You can apply for registration via this pathway if, within the last five years, you have passed either the New Zealand Registration Examination (NZREX Clinical); or Part 1 and Part 2 of the Professional and Linguistic Assessments Board (PLAB) test.
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In addition to our Council, we have a number of specialist committees. These include our Audit Committee, Education Committee, and Health Committee.
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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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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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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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This pathway is for New Zealand and Australian medical graduates who have successfully completed their internship in Australia and want to register within the General scope of practice.
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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 statement outlines Council's expectations of doctors who perform cosmetic procedures. These include standards relating to training, skill and expertise, advertising and obtaining consent from the patient.
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This page contains all of the updates we've published around our COVID-19 response. Check this page regularly for our latest updates.
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Policy for doctors registered in the special purpose postgraduate training scope in relation to working nights.
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Our Audit and Risk Committee assists Council in a number of ways including overseeing our risk management programme and ensuring the integrity of our financial processes and reporting.
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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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We serve Aotearoa New Zealand by protecting public health and safety. We do this by setting and promoting standards for the medical profession.
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Collegial relationships are a component of recertification for general registrants, doctors working outside of their vocational scope of practice, and in select cases doctors limited to non-clinical practice.
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If you have concerns about a registered doctor, you can refer the matter to the Council.
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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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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. -
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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The terms of reference of our Audit and Risk Committee
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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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Terms of reference for our Education Committee, approved by Council in December 2025.
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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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Terms of reference for our Committee on matters relating to the Royal Commission of Inquiry into Abuse in State Care
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In this issue of Medical Council News, we look at outcomes and initiatives from the Council’s planning day, our discussion paper Better Data – the benefits to the profession and the public, Council’s revised Statement on advertising, doctors’ responsibilities around aviation safety and the need to provide more detail on medical certificates.
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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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A history of the Medical Council of New Zealand, compiled by Professor Richard Sainsbury.
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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 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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In this issue of Medical Council News we look at workplace bullying. It's an issue that is everyone's responsibility and something we should all have zero tolerance for. We also look at new and revised statements on self-care, advertising and telehealth, and the use of the internet.
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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 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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We are seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette changes to its existing fees and disciplinary levy, to be effective from 1 July 2021.
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We are seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette changes to its existing fees and disciplinary levy, to be effective from 1 July 2022.
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Update on Counties Manukau's accreditation status as at 14 December 2023
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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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This document covers the terms of reference and delegations of Council's Health Committee. Te Rōpū Hauora | the Health Committee (the Committee) is a standing committee of Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand.
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Update on Capital and Coast's accreditation status as at 14 December 2023
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The December 2008 edition of Medical Council News, our newsletter for doctors.
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This Memorandum of Understanding is made on the 24th day of August 2017
between Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand
and The New Zealand Police.
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In this issue we look at the importance of keeping up to date with Council's statements and publications, the outcomes of the research into Council's performance, and cultural competence.
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Our Education Committee advises and makes recommendations to Council around ways to promote medical education and training in New Zealand. This includes the accreditation of medical schools and both prevocational and vocational medical training providers.
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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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This document outlines Council's decision around the Practising Certificate Fee and Disciplinary Levy for 2020/2021 and the reasons for this decision.
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A community-based attachment is an educational experience in an accredited clinical attachment in a community-focused service in which the intern is engaged in caring for the patient and managing their illness in the context of their family and community.
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You can apply for registration through this pathway if you have a primary medical degree from the UK or Ireland and have completed your internship within the UK or Ireland.
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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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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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This consultation sets out two proposals for registration of International Medical Graduates (IMGs) in the Provisional General scope of practice in Aotearoa New Zealand based on an applicant having passed Part 1 and Part 2 of the United Kingdom (UK) Professional and Linguistic Assessments Board (PLAB) test.
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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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Manatū Hauora - The Ministry of Health (the Ministry) is proposing that the Physician Associate (PA) profession be regulated under the Health Practitioners Competence Assurance (HPCA) Act 2003. This document outlines the details of this proposal.
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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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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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At its first meeting for 2024, Te Kaunihera Rata o Aotearoa | The Medical Council of New Zealand elected Dr Rachelle Love as its new Chair and re-elected Mr Simon Watt as Deputy Chair.
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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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This document is a copy of all written submissions we received when we consulted on our discussion document around strengthening recertification for vocationally-registered doctors. Feedback is published according to submitters preference for anonymity.
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Te Kaunihera Rata o Aotearoa | the Medical Council of New Zealand (the Council) is considering making changes to the advanced life support (ACLS) requirement for interns in the Provisional General scope of practice (postgraduate year 1, or PGY1) interns.
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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 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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The New Zealand Curriculum Framework for Prevocational Medical Training (NZCF) outlines the learning outcomes to be substantively completed in PGY1 and by the end of PGY2
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Prevocational medical training accreditation report for Capital and Coast District Health Board following site visit on 24 and 25 March 2021
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We are reviewing our statement on Advertising. This draft statement highlights several ethical issues that arise with advertising such as the potential for overtreatment, and the power and knowledge imbalance between a doctor and a patient.
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Prevocational medical training accreditation report for Counties Manukau DHB following site visit on 27 and 28 August 2019
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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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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand (Council) invites feedback on proposed practising certificate (PC) fees, disciplinary levies, and other fees to take effect from 1 July 2026.
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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 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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You can use this document to provide feedback on the updated version of our statement Disclosure of harm following an adverse event
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These standards only apply until 1 July 2020. This document outlines the standards New Zealand Colleges must meet in order to be reaccredited.