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Certain medicines have the potential to enhance athletic performance or an individual's physique. We set out in this statement our position on doctors who prescribe, administer and supply performance-enhancing medicines, or who assist others in doing so.
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Faster, easier registration for overseas-trained doctors to enter Aotearoa New Zealand’s medical workforce
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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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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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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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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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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 -
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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List of schools of medicine in New Zealand
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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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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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To practise medicine in New Zealand, you must first gain registration from us. This ensures you are competent and fit to practise.
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Authentic, authoritative and comprehensive references are necessary to ensure that Council can make decisions related to the applicant’s fitness and competence to practise medicine in 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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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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In order to practise medicine in New Zealand you must be both registered and hold a current practising certificate. This policy outlines Council's rules around practising certificates.
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You can apply for registration through this pathway if you have an overseas specialist qualification on our approved list, and have a job offer to work in New Zealand for 12 months or less.
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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 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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Half of the APC (practising fee and disciplinary levy) will be refunded to doctors earning $20,000 or less per annum from the practice of medicine in New Zealand or overseas.
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Internal medicine involves the diagnosis and management of patients with complex medical problems which may include internal medicine, cardiology, clinical immunology, clinical pharmacology, endocrinology, gastroenterology, geriatric medicine, haematology, infectious diseases, medical oncology, nephrology, neurology, nuclear medicine, palliative medicine, respiratory medicine and rheumatology.
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VOC1 (specialist) registration is for doctors who hold an approved New Zealand / Australasian postgraduate qualification and already hold registration in the General scope of practice.
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To apply for registration within a special purpose (locum tenens) scope of practice, you must first hold an approved postgraduate qualification in the branch of medicine in which you want to work, and then meet remaining requirements outlined in the registration policy.
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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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PGY1 and PGY2 interns can only practise medicine in accredited clinical attachments. This document outlines the standards clinical attachments must meet to be accredited. These standards should be considered alongside the accreditation standards for training providers.
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Intensive care medicine involves the diagnosis and treatment of patients with acute, severe and life-threatening disorders of vital systems that are medical, surgical or obstetric in origin, and whether adult or paediatric.
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To practise medicine in Aotearoa New Zealand you must be registered and have a practising certificate. There are various registration pathways, depending on your qualifications, training, experience, and whether you intend to work in Aotearoa New Zealand permanently or just for a short time for a specific purpose.
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Emergency medicine is a field of practice based on knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioural disorders.
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In some circumstances you can be restored to the medical register if your registration has been cancelled. This page outlines how to apply to be restored to the register.
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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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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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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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Supervision is a registration requirement for all doctors registered in a provisional general, provisional vocational or special purpose scope of practice. Supervision supports a doctor’s practice and enables their performance to be assessed while they become familiar with the New Zealand health system and the expected standard of medical practice.
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Sport and exercise medicine is the medical care of the exercising individual, including the assessment and management of patients with musculoskeletal injuries and medical problems arising from sporting activity. Sport and exercise physicians possess expertise in general medicine, orthopaedics and rehabilitation, plus allied sport sciences including nutrition, biomechanics, exercise physiology and sports psychology.
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We may sometimes use terms you won't be familiar with. Find out here what they mean.
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In addition to being registered, you must also hold a current practising certificate to practise medicine in New Zealand. You cannot lawfully practise in New Zealand without this certificate.
This section outlines the importance of holding a current practising certificate, the consequences of practising without one, and how to apply for one. -
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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The Health Practitioners Competence Assurance Act 2003 requires us to define the areas of medicine and specialties (known as ‘scopes of practice’) that make up the practice of medicine in Aotearoa New Zealand. You'll find these scopes of practice listed here. For a more detailed explanation of each, please select the scope of practice that interests you.
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Occupational medicine involves the study and practice of medicine related to the effects of work on health and health on work. It has clinical, preventive and population based aspects.
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Rehabilitation medicine is the medical care of patients in relation to the prevention and reduction of disability and handicap arising from impairments, and the management of patients with disabilities from a physical, psychosocial and vocational viewpoint.
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Sexual health medicine is concerned with sexual relations, including freedom from sexually transmissible infections (STIs), unplanned pregnancy, coercion and physical and psychological sexual discomfort. Its practice encompasses a wide range of factors that contribute to STIs, sexual assault, sexual dysfunction and fertility.
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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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Rural hospital medicine is determined by its social context, the rural environment, the demands of which include professional and geographic isolation, limited resources and special cultural and sociological factors. It is invariable practised at a distance from comprehensive specialist medical and surgical services and investigations.
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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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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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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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Our definition of the practice of medicine and clinical practice
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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 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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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in internal medicine.
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If you wish to practise medicine in New Zealand you must first gain registration from us. To do this, you must show us that you are qualified, competent and fit for registration.
We register more than 1500 new doctors each year and there are over 16,000 registered doctors practising in New Zealand. More than 40 percent have trained overseas, coming from more than 100 countries.
Use the links below to find out about getting registered to practise here. We recommend you start with ‘how to register’ for an overview. -
This form outlines the additional information that will be required by the CICM so they can provide us with advice on your application for vocational registration in intensive care medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in sexual health medicine.
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List of our fees effective from 1 July 2025
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in palliative medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in rehabilitation medicine.
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This form 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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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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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in public health medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in occupational medicine.
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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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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for geriatric medicine.
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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for general medicine.
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You can apply via this pathway if you have passed Part 1 and Part 2 of the Professional and Linguistic Assessments Board (PLAB) test administered by the General Medical Council (GMC), United Kingdom (UK); completed 12-months of satisfactory practice in the UK; and hold full general registration with the GMC.
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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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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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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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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for respiratory medicine.
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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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In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for neonatal and perinatal medicine.
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You can apply for this pathway if you have passed the Australian Medical Council examinations and are registered with the Australian Health Practitioner Regulation Agency (AHPRA).
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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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You can apply for registration through this pathway if you have recent experience in a comparable health system.
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Diagnostic and interventional radiology is the diagnosis and treatment of patients utilising imaging modalities, including general radiography, angiography, fluoroscopy, mammography, ultrasound, computed tomography, magnetic resonance imaging, nuclear medicine and bone densitometry.
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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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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 form 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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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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Form that needs to be completed in order to apply for a partial refund of your practising certificate fee if your income for the year was below the threshold.
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Most international medical graduates (IMGs) registered within a provisional general, provisional vocational, or special purpose scope of practice will need to submit a supervision plan with their application. The Council will consider the proposed supervision plan as part of the application process.
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This fact sheet is intended to provide information to those people who meet with a Professional Conduct Committee (PCC) as part of its investigation.
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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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This document aims to clarify matters relating to the amended start date and changes to dates for intern clinical attachments for the year commencing at the end of 2020.
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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 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 information sheet provides guidance to chaperones approved by the Medical Council of New Zealand (Approved Chaperone) about their role and responsibilities when acting as a chaperone.
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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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The professional services a doctor can perform in New Zealand are defined by the scope of practice for which they are registered.
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If you are registered and practising in both the General and a vocational scope of practice, you need to meet recertification requirements in both scopes of practice.
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Request for confirmation of internship, NZREX pass, or general registration.
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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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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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This policy gives an overview of the rules we apply in deciding whether to register a doctor in New Zealand. There will also be a specific policy that applies to the pathway you are registering under and the two policies should be read together.
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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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Medical practitioners registered within the General scope of practice (or the Provisional General scope of practice, which precedes it) are typically resident doctors, resident medical officers (RMO) and doctors undergoing vocational training.
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This form outlines the additional information that we will require as part of an application for provisional vocational registration in psychiatry.
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It is important that we understand the composition and changes in our medical workforce, so that good planning decisions can be made. This pack brings together the key data that matters most.
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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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This guide outlines the requirements for PGY1 and PGY2
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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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Vocational registration is a form of permanent, specialist registration which allows you to work independently in New Zealand.
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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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Special purpose registration is a temporary form of registration, for specific purposes. You should apply for this scope when you want to work in New Zealand for a specific purpose such as research, further training or to assist with a disaster.
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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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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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A one-page visual guide outlining the registration pathways available to International Medical Graduates, including both permanent and temporary options.
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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.