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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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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) . -
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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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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Radiation oncology is the medical care and management of patients with cancer and other medical conditions through the conduct and supervision of radiation treatment, advice and provision of palliative and other supportive care, and advice and provision of other non-surgical cancer; advice and provision of other non-surgical cancer treatment including cytotoxic, hormonal and other drug therapies; participation in clinical trials and research related to cancer management.
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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 teleradiology scope of practice enables doctors without the recognised New Zealand or Australasian qualification to provide teleradiology services for patients in New Zealand.
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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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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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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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Clinical genetics is the investigation, diagnosis of and provision of medical advice, assessment and management of patients in relation to inherited genetic and chromosomal disorders and predispositions.
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Manatū Hauora | Ministry of Health is the agency responsible for the proposal and consultation on the regulation of physician associates under the Health Practitioners Competence Assurance Act 2003. The Medical Council made a submission during the Ministry’s consultation on the proposal in December 2023 (as did a number of other organisations) and is awaiting the Ministry’s release of the outcome. The Medical Council cannot advise on when this information will be released by the Ministry.
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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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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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If you want to work as a specialist in New Zealand, hold the approved New Zealand/Australasian postgraduate qualification, but do not already hold general registration, you can apply down the VOC2 pathway.
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To apply for registration as a medical practitioner in New Zealand, or to sit the New Zealand Registration Examination (NZREX Clinical), you must have a recognised primary medical qualification from a university medical school listed on the World Directory of Medical Schools.
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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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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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Pathology involves the assessment and diagnosis of patients with diseases. Includes anatomical pathology (including histopathology), chemical pathology, forensic pathology, general pathology (a mix of anatomical and clinical pathology), genetic pathology, haematology, immunopathology, and microbiology (including virology).
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Each year CPMEC recognises junior doctors across Australia and New Zealand who have made valuable contributions to prevocational medical education and training. Prevocational Education Supervisors, Clinical Directors of Training and CMOs are eligible to nominate a junior doctor for this award.
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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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Paediatrics involves the assessment, diagnosis and management of infants, children and young people with disturbances of health, growth, behaviour and/or development. It also addresses the health status of this group through population assessments, intervention, education and research.
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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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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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Doctors who hold overseas qualifications and who want to apply for registration in Aotearoa New Zealand must have key documents verified from their primary source. Since November 2017, Council has required primary source verification using the Educational Commission for Foreign Medical Graduates’ Electronic Portfolio of International Credentials (ECFMG’s EPIC) service, which is now accessed via the MyIntealth portal.
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There are two special purpose scopes of practice which enable us to react to emergencies and unpredictable situations or disasters and pandemics. The specific requirements and length of registration depend on the event, and are determined by the Council when required.
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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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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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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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Dermatology is the study, research and diagnosis of disorders, diseases, cancers, cosmetic, ageing and physiological conditions of the skin, fat, hair, nails and oral and genital membranes.
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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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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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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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Psychiatry involves the assessment, diagnosis and treatment of patients with psychological, emotional, or cognitive problems resulting from psychiatric disorders, physical disorders or any other cause.
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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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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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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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Council collects workforce data from doctors as part of the renewal of practising certificates.
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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.