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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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The Medical Council of New Zealand (the Medical Council) welcomes the Government’s review of the Health Practitioners Competence Assurance Act 2003 (HPCAA and the opportunity to respond to the consultation document Putting Patients First—modernising health workforce regulation.
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If you, as an international medical graduate (IMG), apply for vocational registration and your application is successful, you will have to complete a provisional vocational registration period. You'll work under supervision for this period, during which we make sure you're competent to practise independently in your chosen field of medicine.
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The 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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We serve Aotearoa New Zealand by protecting the health and safety of the public. We do this by setting and promoting standards for doctors and physician associates.
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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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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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New Zealand’s medical workforce has grown to 21,097 practising doctors, with the latest Medical Council workforce report also showing changes in who makes up the profession, where doctors are working and how long they stay in New Zealand.
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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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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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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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The Health Practitioners Disciplinary Tribunal (The Tribunal) has asked us to publish a summary of its recent decisions. You can access the full decision on their website at the links provided.
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If 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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Follow through a series of videos and let us guide you through our process.
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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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An audit of medical practice is a systematic, critical analysis of the quality of a doctor’s own practice, the results of which are used to improve clinical care and/or health outcomes, or to confirm that current management is consistent with the current available evidence or accepted consensus guidelines.
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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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Physician associates must only practise in a setting where onsite supervision is available whether registered in the Physician Associate Provisional or Physician Associate General scope of practice. This means that they must not be rostered to practise solo in any healthcare setting.
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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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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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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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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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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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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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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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Māori experience disparities in outcomes compared to the rest of the population across nearly all areas of health due to inequity in determinants of health, including access to quality health care. This document outlines Council’s position on how doctors can support the achievement of best health outcomes for Māori. It also provides guidance for healthcare organisations to support cultural safety and Māori health equity. This document should be read in conjunction with Council’s Statement on cultural safety.
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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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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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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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In order to practise 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 recent experience in a comparable health system.
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Our policies set out the rules and criteria we use to make decisions on applications for registration. These policies will also be referenced on the pages that provide detail on how to apply for registration.
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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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We may sometimes use terms you won't be familiar with. Find out here what they mean.
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This policy gives an overview of the rules we apply in deciding whether to register as a doctor or physician associate 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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There are two key scopes of practice for physician associates:
Physician Associate Provisional scope of practice (for first period of registration).
Physician Associate General scope of practice (for physician associates who have completed the provisional period) . -
Council is reviewing the core ethical standards it sets for the profession, ensuring the standards reflect both patient expectations and the realities of clinical practice. As part of this work, we have sought feedback from patients and doctors and have now released two reports that reflect their views.
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As the regulator of the medical profession, the Medical Council of New Zealand (the Council) plays a key role to ensure public safety and to assure and maintain public trust and confidence in the profession; including that doctors continue to maintain high standards of competence.
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You can apply for registration through this pathway if you hold a qualification approved by the General Medical Council (GMC) for registration as a physician associate in the United Kingdom.
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This pathway is for physician associates who have experience practising clinically in New Zealand.
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Our consultation regarding the strengthening of the accreditation framework for prevocational medical training is now open. We invite your feedback.
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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand has today released the results of the first Torohia — Medical Training Survey for New Zealand , giving new insights into the experiences of doctors in training across the motu.
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In this edition | This month we share the latest on physician associate regulation, highlight key discussions from our Annual Conference, invite your feedback on two open consultations, and provide an early look at responses to the Torohia survey.
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Certificates of professional status (COPS) are documents used by professional regulators to share information about whether a health practitioner is in good standing. Doctors or physician associates 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 section provides links to other agencies and organisations that work in the same areas as we do.
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This section provides links to other agencies and organisations that work in the same areas as we do.
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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 report presents the results of our 2025 workforce survey. Key findings include 20,530 practising doctors, a 2.6% rise from last year. Nearly half are women (49.6%), and representation of Māori (5.5%) and Pacific (2.7%) doctors is growing among younger doctors. International medical graduates continue to play a vital role, especially outside the main centres.
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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 area of our site contains detailed information about the medical workforce in Aotearoa New Zealand.
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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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Disclosure of harm refers to instances where a patient has been adversely affected as a direct result of medical care. Open disclosure in this situation promotes transparency, can strengthen the doctor-patient relationship and is important for the health and safety of the public in general. This statement is intended to help doctors understand the purpose of open disclosure and why it matters to patients and their family/whānau. It also guides doctors on factors to consider when a situation requires that the harm is disclosed.
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You can apply for registration through this pathway if you hold a qualification accredited for licensure in the United States of America for registration as a physician associate.
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You can apply for registration through this pathway if you hold a qualification accredited for licensure in Canada for registration as a physician associate.
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Council collects workforce data from doctors as part of the renewal of practising certificates.
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Doctors and physician associates get sick too, and when they do it's important that their illness doesn't interfere with their ability to practise safely. A doctor or physician associate must always be able to practise without putting patients or the public at risk.
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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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The following key three areas of work were highlighted in our 2026 independent performance review:
1. Consumer input and transparency.
2. Contributing to a sustainable medical workforce.
3. Collaboration and relationships with others in the health sector.
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Doctor-patient relationships can come to an end for a variety of reasons, commonly when the patient moves to another area or chooses to see another doctor, but also when the relationship breaks down and either the doctor or patient decides to discontinue the professional relationship. We outline in this statement the process for discontinuing patient care, and the need to do so in a fair and professional manner.
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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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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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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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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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Obstetrics and gynaecology involves the diagnosis and management of patients in the area of reproductive health and diseases, including but not limited to women’s health issues, maternal foetal medicine, gynaecological oncology, reproductive endocrinology and infertility, and urogynaecology, male sexual disorders, post and perinatal issues.
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This page contains support information that relates to neither patients doctors or physician associates.
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Faster, easier registration for overseas-trained doctors to enter Aotearoa New Zealand’s medical workforce
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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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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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This dashboard page contains further information around the distribution of doctors within New Zealand.
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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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If you have concerns about a registered doctor or a physician associate, you can refer the matter to the Council.
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The International Association of Medical Regulatory Authorities (IAMRA) signed a historic Memorandum of Understanding (MoU) today with the World Health Organization in a ceremony in Geneva.