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The Standards for accreditation of specialist medical training programmes are jointly agreed and applied by the Australian Medical Council (AMC) and the Medical Council of New Zealand (MCNZ). Australasian colleges are required to apply the New Zealand specific criteria in addition to the AMC standards.
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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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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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This guide is for supervisors who are creating robust training objectives for doctors applying for registration in New Zealand under the Special Purpose Post Graduate Training pathway.
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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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All physician associates applying for registration in New Zealand must have key documents verified from their primary source. Council uses the Educational Commission for Foreign Medical Graduates’ (ECFMG) Credential Verification for Health Professionals (CVHP) service to do this.
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Vaccination is a crucial part of the New Zealand public health response to the COVID-19 pandemic. Health practitioners can help to protect themselves, their patients, and the wider community by getting their COVID-19 vaccination.
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Te Kōwhiringa o Te Kaunihera Rata o Aotearoa 2024 | The Medical Council of New Zealand election 2024
Council elections are about building a strong Council that the public, government and medical profession can have confidence in. The opportunity to cast your vote for the election of four medical members to join the governance of the Medical Council is available starting Tuesday, 20 February 2024. -
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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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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Media Release | Medical Council to regulate the Physician Associate profession
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Vascular surgery is the diagnosis and treatment (operative and non operative, including endoluminal techniques and interventional procedures) of patients with disorder of the blood vessels (arteries and veins outside the heart and brain) and the lymphatic system. It also includes the management of trauma and surgical access to the vascular system.
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Cardiothoracic surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of structures within the chest including: the heart and vascular system, the lungs and trachea, the oesophagus, the diaphragm and chest wall. It includes the management of trauma and congenital and acquired disorders of these structures.
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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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Otolaryngology, head and neck surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the ears, nose, throat, and related structures of the head and neck. This includes cancer of the head and neck (excluding the eye and the brain), disorders of the salivary glands and thyroid gland, disorders of hearing, balance, swallowing, speech, snoring/sleep apnoea and aspects of facial plastic surgery.
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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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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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This page outlines the registration process for physician associates including information on what you need to provide, what you can expect and how long it will take.
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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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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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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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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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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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Did you know over 70% of doctors registered in the past year were trained overseas — bringing skills from 63 countries to Aotearoa. But to truly strengthen our health system, it’s not just about recruitment — it’s about supporting doctors to stay.
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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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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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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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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 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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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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Council is working to improve patient safety by strengthening our approach to the regulation of doctors performing cosmetic procedures.
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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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You can apply for registration through this pathway if you have recent experience in a comparable health system.
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Faster, easier registration for overseas-trained doctors to enter Aotearoa New Zealand’s medical workforce
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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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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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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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Neurosurgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the central, peripheral and autonomic nervous system including their supportive structures and blood supply. This includes the skull, brain, meninges, spinal cord, spine and pituitary gland. It also includes the management of traumatic, neoplastic, infective, congenital and degenerative conditions of these structures and surgical pain management.
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Orthopaedic surgery is the diagnosis and treatment (operative and non operative) of patients with disorders of the musculoskeletal system (bones, joints, ligaments, tendon and peripheral nerves). It includes the management of trauma to the musculoskeletal system and the management of congenital and acquired disorders.
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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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Paediatric surgery is the diagnosis and treatment (operative and non operative) of children (usually up to 15 years of age) who may require surgery. It includes non-cardiac thoracic surgery, general paediatric surgery, oncological surgery, urology in children and the management of congenital abnormalities both ante-natally and in the neonatal period. Also included is the management of major trauma in children.
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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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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) . -
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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Plastic and reconstructive surgery is the diagnosis and treatment (operative and non operative) of patients requiring the restoration, correction or improvement in the shape and appearance of the body structures that are defective or damaged at birth or by injury, disease, growth or development. It includes all aspects of cosmetic surgery.
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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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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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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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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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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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Any doctor or physician associate applying for registration in New Zealand must be fit for registration and fit to practise. It's a legal requirement on us to ensure they are. We determine this as part of our assessment of your application for registration.
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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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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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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 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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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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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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List of our fees effective from 1 July 2026
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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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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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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 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.