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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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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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Prevocational training requirements for doctors in their PGY1 year
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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand is committed to meeting Aotearoa New Zealand's healthcare demands by enabling highly qualified international and locally trained doctors to join the workforce through flexible and efficient registration pathways.
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We sometimes require that a doctor has a chaperone present to observe their consultations with patients. We do this to mitigate risk to the patient where there are concerns that the doctor poses a risk of harm or serious risk of harm to the public. This is different from when a chaperone is present as a matter of good medical practice.
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It is the Council’s role to ensure that the quality of training programmes offered by providers of prevocational medical training is of a high standard. Information on accredited prevocational training providers and the Council’s accreditation standards can be found here.
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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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We sometimes require that a doctor has a chaperone present to observe their consultations with patients. We do this to mitigate risk to the patient where there are concerns that the doctor poses a risk of harm or serious risk of harm to the public. This is different from when a chaperone is present as a matter of good medical practice.
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List of our fees effective from 1 July 2026
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This area of our site contains detailed information about the medical workforce in Aotearoa 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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PGY2-OSER - Application for removal of PGY2 endorsement after completing PGY2 year overseas or when when referred to Council by Advisory Panel
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General practice is an academic and scientific discipline with its own educational content, research, evidence base and clinical activity, and a clinical speciality orientated to primary care. It is personal, family, and community-orientated comprehensive primary care that includes diagnosis, continues over time and is anticipatory as well as responsive.
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When you're applying for registration, we may ask you to provide a Statutory Declaration, or a copy of a document that you’re relying upon as part of your application.
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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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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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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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There are two medical schools in Aotearoa New Zealand. Council recognises the primary medical training qualifications from both Aotearoa New Zealand and Australian medical schools.
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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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This page contains a full list of our forms including application, report and referee forms, as well as checklists and the current fees payable.
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This page outlines how the process of renewing your practising certificate works and what to do if your certificate is about to expire and you haven't heard from us.
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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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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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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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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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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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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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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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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 dashboard page contains information around how long doctors remain in New Zealand after their initial registration.
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This dashboard page breaks down new doctors by entry pathway (how they qualified for registration in New Zealand) by ethnicity, gender, age group, and the country of their primary medical qualification.
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This dashboard page contains information around doctors with a vocational scope of practice including breakdowns by age, gender, and ethnicity.
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This dashboard page contains information around international medical graduates, doctors who obtained their primary medical qualification outside of New Zealand.
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Council collects workforce data from doctors as part of the renewal of practising certificates.
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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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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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From November 2014, Council reviewed and implemented significant changes to prevocational medical training requirements for doctors in Aotearoa New Zealand. The changes aim to improve patient safety and the performance of doctors through provision of high-quality learning.
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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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This page sets out the recertification programme requirements for doctors registered and practising in the General scope of practice only. This is typically either participation in a medical college vocational training programme, or in the Inpractice recertification programme.
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This dashboard page contains information around registered doctors, those who are on the register and hold a current practising certificate. You can also view the same data for past quarters.
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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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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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If you have concerns about the care you received, or about a doctor or physician associate's behaviour or professionalism, you can notify either the Health and Disability Commissioner (HDC) or the Medical Council of New Zealand (Council). We work closely together, but our roles are different.
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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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The Medical Council of New Zealand |Te Kaunihera Rata o Aotearoa today released the results of its 2025 Workforce Survey, showing continued growth, more diversity, and important shifts in the medical workforce.
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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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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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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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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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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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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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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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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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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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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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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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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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Read about our past performance. Our annual reports include detailed information and statistics about our activities for the twelve months from 1 July of a year to 30 June of the following year.
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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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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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In our second year as a Toitū carbonreduce certified organisation under ISO 14064-1:2018 and Toitū requirements, Council focused on supporting the implementation of the Environmental Sustainability Strategy and strengthening the accuracy and completeness of emissions reporting.
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Council is delighted to report that in October 2024 we received Toitū carbonreduce programme certification in line with ISO 14064-1:2018 and Toitū requirements.
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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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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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This dashboard page contains further information around the distribution of doctors within New Zealand.
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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 dashboard page contains information around the distribution of doctors within New Zealand.
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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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Rural hospital medicine is determined by its social context, the rural environment, the demands of which include professional and geographic isolation, limited resources and special cultural and sociological factors. It is invariable practised at a distance from comprehensive specialist medical and surgical services and investigations.
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You can make a notification directly to the Health and Disability Commissioner (HDC). The HDC's role is to promote and protect your rights as set out in the Code of Health and Disability Services Consumers' Rights (The Code).
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As part of ongoing work to ensure that registration policies are fit for purpose and enabling, Council is reviewing its orientation, induction and supervision guide. The current guide has been in place for several years. With the evolving nature of supervision, now is an appropriate time to review and revise it.
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Special purpose registration is a temporary form of registration, for specific purposes. It is not a pathway to permanent general or vocational registration. Entry on the Register is cancelled after a fixed time period.
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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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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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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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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.
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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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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 Chair of Te Kaunihera Rata o Aotearoa | The Medical Council of New Zealand, Dr Curtis Walker, reinforced today the technical and complex process required when thoroughly reviewing a doctor’s overseas qualifications, training and experience.