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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 - Application to withdraw from an examination
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NZREX Clinical - Checklist of documentation that must be provided with application.
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NZREX Clinical - Application for recount of result
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NZREX Clinical - Application to change to a later examination
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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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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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See all the policies relating to the NZREX Clinical here.
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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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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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List of texts we recommend candidates read before they undertake the NZREX Clinical.
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Memorandum of understanding between Medical Council of New Zealand and New Zealand Private Surgical Hospitals Association
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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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NZCSRH accreditation report 2026.
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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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Handbook for candidates undertaking the NZREX Clinical.
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NZCPHM accreditation report relating to the visit on 4, 5 and 6 May 2022
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Diagram showing the basic layout of the stations candidates will rotate around during the NZREX Clinical.
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Sample questions from the NZREX Clinical to help candidates prepare.
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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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NZAMM accreditation report relating to the visit on 18-19 November 2020
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NZCSRH accreditation update status as of 15 August 2024
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NZCSRH accreditation update status as of February 2026
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NZDSI accreditation report relating to the visit on 3 and 4 August 2022
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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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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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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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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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RNZCGP accreditation report relating to the visit from 18 to 21 March 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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RNZCUC accreditation update status as of 22 March 2024
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RNZCUC accreditation report relating to the visit on 15 and 16 June 2021
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RNZCUC accreditation update status as of 17 December 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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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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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 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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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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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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One of our most important roles is ensuring doctors are fit to practise medicine. We have a set of standards which outline what we expect of doctors, and procedures to follow if there are concerns about a doctor's conduct, competence or health.
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The terms of reference of our Audit and Risk Committee
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In some circumstances you can be restored to the medical register if your registration has been cancelled. See this page to check whether you are eligible for restoration to the register, and how to apply.
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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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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 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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Update on Te Tai Tokerau's accreditation status as at 8 November 2024
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This policy covers when doctors who were previously registered in New Zealand can apply to be restored to the register rather than complete a full registration application.
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Terms of reference for our Education Committee, approved by Council in December 2025.
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Use our registration self assessment tool to determine which pathway to registration (as a medical practitioner in Aotearoa New Zealand) you might be eligible for. Note: we do not cover student electives.
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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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Doctors are often asked for input by their family and friends. This may include requests for medical advice or a prescription, or more substantial involvement such as performing a procedure. This statement explains why doctors must avoid treating themselves and those they have a close personal relationship with.
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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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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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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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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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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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Our five-year strategic plan through to 2010
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Medical Council's five-year strategic plan through to 2022
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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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Where a doctor wishes to resume practice in New Zealand, but has not held a New Zealand practising certificate within the last 3 years, the doctor does not have an automatic entitlement to a practising certificate. Council must consider such applications on a case by case basis.
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You cannot work outside the requirements of your scope of practice and any requirements set by Council specific to you. These are shown on your practising certificate. If you are registered within a provisional general, provisional vocational or a special purpose scope of practice, you need our approval of any change to your employment, supervision, position or location.
Once we've received and approved your variation application we will issue you a new practising certificate. -
Request for confirmation of internship, NZREX pass, or general registration.
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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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Council's submission to Manatū Hauora | Ministry of Health on their consultation around the regulation of physician associates under the Health Practitioners Competence Assurance Act 2003.
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Evaluation of changes to prevocational medical training by Malatest International - end of year report for 2018
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Council is pleased to publish its revised statement on Treating yourself and those close to you (previously Providing care to yourself and those close to you), in effect from 14 October 2024.
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Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2016 to 30 June 2017
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Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2017 to 30 June 2018
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Prevocational medical training accreditation report for Te Whatu Ora - Te Tai Tokerau following site visit on 29 and 30 April 2024
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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 policy explains the requirements to be met to allow doctors with vocational registration in Rural Hospital Medicine or General Practice to obtain an authorisation to provide secondary maternity services, in addition to the practice permitted within their vocational scope of practice.
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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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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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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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Prevocational medical training accreditation report for Te Whatu Ora - Te Toka Tumai Auckland following site visit on 27 and 28 March 2024
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We are reviewing our statement on a doctor’s duty to help in a medical emergency and would value your feedback. This statement discusses a number of factors doctors should consider when responding to a medical emergency.
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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.
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Report on our progress with strategic directions and initiatives for the 12 month period from 1 July 2018 to 30 June 2019.
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This report outlines the findings of our evaluation of the ‘Welcome to practice in Aotearoa New Zealand’ workshops for international medical graduates.
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Earlier this year we sought feedback on the draft statement on Treating yourself and those close to you. A wide range of submissions was received from key stakeholders across the profession and some common themes emerged. Council has revised this statement taking into account your feedback.
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This policy explains the requirements you will have to meet if you are registered in the general scope, or in a vocational scope of general practice, and you wish to perform tumescent liposuction.
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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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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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Medical Council Chair Dr Rachelle Love responds to the final report from the Abuse in State Care Royal Commission Inquiry.