This consultation document is seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette an increase to the practising certificate (PC) fee and disciplinary levy, to be effective from 1 September 2020.

We are seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette changes to its existing fees and disciplinary levy, to be effective from 1 July 2022.

We are seeking stakeholder feedback on the Medical Council of New Zealand’s (Council) proposal to gazette changes to its existing fees and disciplinary levy, to be effective from 1 July 2021.

This document outlines Council's decision around the Practising Certificate Fee and Disciplinary Levy for 2020/2021 and the reasons for this decision.

This document outlines the adjustments to our existing fees and disciplinary levy effective 1 July 2021, made using an activity-based costing methodology, and following an extensive review process.

This gazette notice lists the fees payable from 1 July 2025.

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.

We are consulting with stakeholders on the proposed introduction of a fee for the accreditation of New Zealand-based vocational training and recertification providers.

This gazette notice lists the fees payable from 1 July 2026.

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.

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.

In May 2019 Council consulted with stakeholders on a revised statement and resource on cultural competence, cultural safety and achieving best health outcomes for Māori. The feedback can be found here. The final documents were completed in October 2019.

This document is a guide for interns and includes information on what MSF is about and step-by-step instructions to complete the process.

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.

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.

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.

This document is a guide for prevocational educational supervisors on how to support their interns to complete the MSF process and provides information on how to interpret the collated report before discussing the results with their interns.

You can use this document to provide feedback on the updated version of our statement Disclosure of harm following an adverse event

This document provides general advice to employers (including Te Whatu Ora | Health New Zealand and some PHOs) about their responsibilities as an employer of a doctor.

Our definitions of clinical and non-clinical practice

Glossary of terms used in relation to prevocational medical training. Examples include clinical attachment, intern, multisource feedback (MSF), and prevocational educational supervisor

The purpose of these principles is to provide a framework for good decision-making about notifications assessed and managed by the Council. The principles are not intended to cover every specific scenario but rather provide guidance in how notifications should be assessed and managed. The framework applies to the decisions of the Notifications Triage Team (NTT) and of Council.

This is an updated draft version of the statement which we're consulting on. Please see the consultation section of our website for more information including how to provide feedback.

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.

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.

This document outlines the policy, process and guidelines for recognition of a new vocational scope of practice.

This draft statement outlines what is expected of doctors when harm to patients occurs as a direct result of medical care. See the consultation section of our website to provide feedback on this draft statement.

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.

The terms of reference of our Audit and Risk Committee

Our current scopes of practice and prescribed qualifications (as published in the New Zealand Gazette on 5 April 2023, Notice no. 2023-gs1359).

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.

Council has not issued standards specific to practice within the purpose of the End of Life Choice Act 2019 (EOLCA). Council considers that the provision of health services under the EOLCA falls within the wider practice of medicine, to which Council’s statements are directed. This document sets out existing Council statements alongside the relevant sections of the EOLCA.

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.

Memorandum of understanding between Medical Council of New Zealand and New Zealand Private Surgical Hospitals Association

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.

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.

This guide sets out the accreditation process for Aotearoa New Zealand-only vocational training providers that are currently accredited by MCNZ. It applies both to currently accredited providers seeking reaccreditation, as well as unaccredited providers seeking accreditation.

It is recommended that in every Collegial Relationship meeting time is set aside to review and develop the doctor’s PDP. The goal of the PDP is to encourage reflective practice and to provide a means of addressing identified learning needs.

There is a potential for health-related commercial organisations to influence how doctors practise and the clinical decisions they make. We are reviewing our statement on doctors and health-related commercial organisations and would value your feedback.

This gazette notice lists the scopes of practice and prescribed qualifications for Physician Associates.

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.

This Memorandum of Understanding is made on the 24th day of August 2017
between Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand
and The New Zealand Police.

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).

These standards have been superseded by the 2022 standards above.

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.

This guide outlines the role of the advisory panel as well as providing information on ePort use for advisory panel members.

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

Our definition of the practice of medicine and clinical practice

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.

Training providers that offer vocational medical training and recertification programmes must gain accreditation with the Council by meeting the Accreditation standards for Aotearoa New Zealand training providers of vocational medical training and recertification programmes (2022).

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

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.

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.

A community-based attachment is an educational experience in an accredited clinical attachment in a community-focused service in which the intern is engaged in caring for the patient and managing their illness in the context of their family and community.

Te Kaunihera Rata o Aotearoa | the Medical Council of New Zealand (the Council) considers it important that all interns have the knowledge and skills to manage and supervise resuscitation events and therefore we have a longstanding requirement that interns hold New Zealand Resuscitation Council (NZRC) CORE Advanced certification.

During the course of a medical career, a doctor may be involved in management or have a leadership role. This statement outlines the standards doctors are expected to meet when they take on such roles. While doctors in a leadership role have a duty to their workplace and the wider community, their first consideration must always be the interests and safety of patients.

Manatū Hauora - The Ministry of Health (the Ministry) is proposing that the Physician Associate (PA) profession be regulated under the Health Practitioners Competence Assurance (HPCA) Act 2003. This document outlines the details of this proposal.

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.

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.

Council is proposing to extend the provisional vocational assessment period from 18 to 24 months. This will enable a specific cohort of specialist IMGs who may not otherwise meet the standard, to gain provisional vocational registration and complete discrete training to address identified
deficiencies in their qualifications, training and experience.

Council, in partnership with Te Ohu Rata o Aotearoa (Te ORA), jointly hosted a highly successful symposium on cultural competence, partnership and health equity on 25 June 2019. The theme of the symposium was Mahia te mahi, hei painga mō te iwi, Getting the job done for the wellbeing of the people. The event aimed to investigate ways of working together to improve cultural safety in order to work towards eliminating health inequities. This booklet brings together the presentations and whakaaro shared at the symposium.

This document sets out Council’s policy in regards to accrediting training providers of prevocational medical training (training providers) and their clinical attachments. It outlines the components of the accreditation assessment.

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.

Training and/or Continuing Professional Development (CPD) programme providers can be required
to report on an annual or specified basis to Council as a condition of their accreditation. This guide
provides an outline of the expected structure of an annual- or progress report. This guide applies to the current standards that are in effect until 30 June 2020.

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.

If you're applying for registration in the vocational scope and did your postgraduate training outside of New Zealand and Australia, this policy outlines the rules that will apply when we consider your application.

This statement acknowledges that health inequities and inequalities continue to exist for Māori, and that there are disparities in the delivery of health care to Māori. It encourages all health organisations to examine their partnership with Māori through genuine engagement, representation and participation.

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.

This document is a copy of all written submissions we received when we consulted on our discussion document around strengthening recertification for vocationally-registered doctors. Feedback is published according to submitters preference for anonymity.

Approval of position and supervision form

Provisional vocational scope - application for approval of position and supervisor

Special Purpose: Visiting Expert - Application for approval of invitation and supervision

Provisional vocational (VOC4) scope - application for approval of position and supervisor

This pamphlet explains the role of a Professional Conduct Committee (PCC) and what to expect if you are referred to a PCC.

This pamphlet explains the role of a Professional Conduct Committee (PCC) and what to expect if your notification about a doctor is referred to a PCC.

The purpose of the CPD Associate agreement is to assist you in maintaining safe and competent practice, and to clarify your responsibilities, as well as those of the CPD associate.

This statement outlines the rights and responsibilities of health care workers and infected health care workers in relation to transmissible major viral infections.

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.

Our Strategic plan for 2021 – 2025 outlines our vision and purpose and how we will enhance the mana of Te Tiriti o Waitangi through achieving our strategic priorities.

This guide for supervisors of IMGs outlines how to access supervision reports through Council's myMCNZ portal, as well as how to complete and submit them.

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.

Doctors on provisional general and special purpose scope: Employer application for approval of position and supervisor

In 2019, Council released strengthened Recertification requirements for vocationally-registered doctors practising in New Zealand. Council is now reviewing its accreditation standards for providers of vocational recertification programmes to ensure these align with the new recertification requirements.

Medical Council of New Zealand: Establishing a Prevocational Training Baseline. A report commissioned by Council and prepared by Malatest International

Employer application for approval of position and supervisor (UK & Irish graduates, comparable health system, and locum tenens pathways)

The purpose of this agreement is to set out the terms of reference for the collegial relationship and clarify the objectives and responsibilities of each colleague.

This guide outlines the essential skills and competencies an intern needs to accomplish by the end of prevocational medical training.

Form to confirm that the doctor is enrolled and actively participating in Inpractice, the recertification programme for doctors registered in the General scope of practice.

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.

We will achieve our vision, deliver on our purpose, uphold the mana of Te Tiriti o Waitangi, and be a sustainable organisation through our strategic priorities.

The purpose of this statement is to protect the public from advertising that is false, misleading or deceptive, and to
provide guidance to doctors about the advertising of health-related products and services.

Prescribing medicines and treatment is an essential part of medical practice. This statement outlines what good prescribing practice involves and the legal requirements doctors must comply with.

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.

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.

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.

This report presents the results of our 2024 workforce survey. Key findings include the continuing increase in the proportion of Māori and female doctors in the workforce, as well as a 3.4 percent increase in the overall size of the workforce.

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.

In this issue we look at the importance of keeping up to date with Council's statements and publications, the outcomes of the research into Council's performance, and cultural competence.

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

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.

This handbook is intended as a guide for doctors undergoing performance assessments and aims to provide you with an understanding of how performance assessments work,
and to ensure that there are no surprises for you throughout the assessment process

The vocational practice assessment (VPA) is Council’s preferred tool for assessing competence and applies specifically to IMGs that Council deem eligible for registration within a provisional vocational scope of practice (assessment pathway).

This report presents the results of the 2026 workforce survey. Key findings include 21,097 practising doctors, a 2.8% rise from last year. Over half are women, and representation of Māori (5.8%) and Pacific (2.8%) doctors is growing.

Doctors are often asked to sign certificates for a wide range of purposes, such as confirming sickness, impairment or death. This statement outlines factors to consider, and the standards that doctors must follow, when issuing a medical certificate.

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.

The HPCAA requires Council to ensure doctors are fit and competent to practise medicine. Council does this in part by setting and recognising recertification programmes under section 41 of the HPCAA, and requiring doctors’ participation in those programmes.

This report presents the results of our 2022 workforce survey. Key findings in this report include that the proportion of Māori doctors increased to 4.7 percent, the proportion of female doctors increased to 47.9 percent, and the total number of practising doctors increased to 19,350.

Doctors are sometimes asked by a third party (such as an insurance company or ACC) to conduct medical assessments of patients. This statement explains the role of the assessing doctor and the standard of care expected of them within an assessing relationship.

The Medical Council of New Zealand (the Council) wants to ensure that recertification programmes for all doctors are robust, help assure the public that the doctor is competent and fit to practise, and improve the current high standards of practice of doctors in New Zealand.

This statement outlines the doctor's responsibility to maintain sexual boundaries with patients, includes advice on what to do if boundaries are threatened, and offers guidance on sexual relationships with former patients and with family members of patients.

This is a guide for the new functionality on an ePort user’s homepage highlighting due and/or overdue tasks. Initially, these task notifications will appear for the beginning-, mid-, and end-of attachment meetings/assessments.

These are the current standards and have been updated to reflect the changes to ACLS requirements for interns. These standards identify the basic elements that must exist in all accredited prevocational intern training programmes. Providers of prevocational training programmes must demonstrate they meet these accreditation standards.

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.

Maintaining clinical records is part of good medical practice. Clinical notes are an important tool for managing the patient's care, and communicating with other doctors and health professionals. This statement guides doctors on what information they should record, and for how long they should retain patients' records.

Council report following an independent review of the implementation of the prevocational medical training programme for interns. The independent review was commissioned by Council and carried out by an Implementation Review Group chaired by Dr Kenneth Clark, Chair of the National District Health Board Chief Medical Officer Group.

Resource constraints are a reality in health care. For doctors, this often means prioritising based on clinical need and waiting lists. This statement guides doctors working in a resource-constrained environment by setting out ethical principles and practical advice.

The main purpose of the collegial relationship is to ensure that a doctor's PDP and CPD are appropriate for the work they are doing. This guide is intended to outline what you need to do as part of this relationship including prompts for guiding discussion in collegial relationship meetings.

This statement outlines Council's expectations of doctors who perform cosmetic procedures. These include standards relating to training, skill and expertise, advertising and obtaining consent from the patient.

In the May 2016 issue of Medical Council News we looked at doctors providing care to themselves and those close to them, informed consent, and guidance from the Pharmacy Council on effective prescription writing for safe collaborative patient management.