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This document outlines the standards that an applicant will be assessed against.
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Diagram showing the basic layout of the stations candidates will rotate around during the NZREX Clinical.
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This guide will help you when you complete the workforce survey as part of your application to renew your practising certificate.
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We will achieve our vision, deliver on our purpose, and uphold our values through our strategic priorities.
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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.
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This section contains information that will be useful if you're already registered in New Zealand, or if you've been registered in the past and are intending to return to practice here.
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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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In this section you will find information about medical education and training at all levels in Aotearoa New Zealand.
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This form outlines the additional information that will be required by the RANZCP so they can provide us with advice on your application for vocational registration in psychiatry.
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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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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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This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in palliative medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in public health medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in rehabilitation medicine.
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This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in occupational medicine.
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This form outlines the additional information that will be required by the RNZCGP so it can provide us with advice on your application for vocational registration in general practice.
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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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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.
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This form outlines the additional information that we will require as part of an application for provisional vocational registration in psychiatry.
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New Zealand and Australian graduates: This checklist will help you to confirm your eligibility for registration, tell you what documents you need to provide, and will tell you what documents you need to have verified at source by EPIC.
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This form outlines the additional information that will be required by the RANZCR so they can provide us with advice on your application for vocational registration in diagnostic & interventional radiology.
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This form further outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.
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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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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.
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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 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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We are committed to minimising Council’s impact on the environment as we carry out our mahi of public protection and will be guided by our organisational values.
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We've drafted these standards to align with new recertification requirements. They will be effective from 1 July 2022. Before this time, providers will need to show evidence they are progressing towards implementing these requirements.
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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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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in dermatology.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in paediatrics.
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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.
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Te Kaunihera Rata o Aotearoa | Medical Council of New Zealand set these Professional Standards for Physician Associates 2026 (the standards) under section 118(1)(i) of the Health Practitioners Competence Assurance Act 2003. The standards will come into force on 1 October 2026.
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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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When applying for registration at the end of your medical training you will have to answer questions relating to your fitness to practise. This guide will help you to figure out what you may need to declare to Council.
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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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In this section you will find all of Council's published documents including annual reports, newsletters, strategic plans, workforce reports, statements and guidelines, and policies.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in sexual health medicine.
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This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in internal medicine.
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This form further outlines the additional information that will be required by the RANZCO so it can provide us with advice on your application for vocational registration in ophthalmology.
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This form outlines the additional information that will be required by the CICM so they can provide us with advice on your application for vocational registration in intensive care medicine.
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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.
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This form outlines the additional information that will be required by the RANZCOG so it can provide us with advice on your application for vocational registration in obstetrics and gynaecology.
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The Medical Council of New Zealand will protect and safeguard personal information and treat it with the utmost care, respect and discretion. This includes all personal information collected online.This privacy notice applies to personal information that we collect through this website: www.mcnz.org.nz
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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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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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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.
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Your recertification programme requirements will generally depend on what scope(s) of practice you are registered and practising in. However, there are exceptions and special cases. This section outlines the recertification requirements for each scope of practice, as well as any exceptions that may apply.
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If you, as an international medical graduate (IMG), apply for vocational registration and your application is successful, you will have to complete a provisional vocational registration period. You'll work under supervision for this period, during which we make sure you're competent to practise independently in your chosen field of medicine.
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Most international medical graduates (IMGs) registered within a provisional general, provisional vocational, or special purpose scope of practice will need to submit a supervision plan with their application. The Council will consider the proposed supervision plan as part of the application process.
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When a physician associate first applies for registration in New Zealand, they will be registered in the Physician Associate Provisional scope of practice. There are multiple pathways to registration in the Physician Associate Provisional scope. Each of these has specific requirements you will need to satisfy to be eligible for registration. This section outlines the different pathways for each scope.
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Doctors accompanying individuals or groups of people visiting New Zealand who will provide medical diagnosis, treatment or advice only to those individuals or groups, and who are not registered with the Medical Council will not be required to obtain registration and a practising certificate, so long as they restrict their practice to those individuals or groups for the duration of their visit.
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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
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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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We have three main types of registration (what we call scopes) for doctors - vocational, general and special purpose. Physician associates will apply for registration in the Physician Associate Provisional scope of practice. . Within each scope there are multiple application pathways. Each of these has specific requirements you need to meet in order to be registered. This section outlines the different pathways for each scope.
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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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If a doctor or physician associate has an issue with their own health, wherever possible we try to help them to remain in practice while it is being resolved. That said, our primary objective is to protect the health and safety of the public - which may mean that the doctor or physician associate will be unable to practise safely, or will be limited in what they can do, until they are well enough to fully resume practice.
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As a patient, your health and safety are your doctor and physician associate's primary concern. The relationship you have with your doctor or physician associate should be based on mutual trust, clear communication, honesty and respect. You should feel comfortable and be well-informed at all times, safe in the knowledge that your doctor or physician associate is fit to practise medicine. If you feel that has been compromised, we will take any notifications seriously.
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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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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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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. -
These standards for physician associates put patient interests first and support the health and safety of the public by setting out the minimum requirements for safe practice, and outlining the expectations for communication, consent, collaboration, and professional behaviour. The standards should be read in conjunction with other components of the regulatory framework for physician associates, including scopes of practice and the supervision framework.
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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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You are eligible for a 50 percent refund of your practising certificate fee if your medical income (including any tax) in New Zealand or overseas is NZ$20,000 or less.
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It is the Council’s role to ensure that the quality of training and education programmes offered by medical colleges is of a high standard. Information on accredited medical colleges and the Council’s accreditation standards can be found here.
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Recertification helps maintain high standards of medical competence and care. Doctors required to participate in recertification must do so, and must respond, at our request, to any questions we have about their participation.
We work with recertification providers to ensure doctors’ compliance. At its most serious, non-compliance may, ultimately, lead to the suspension of an individual’s registration. -
This page outlines your rights responsibilities in relation to your practising certificate, and the possible consequences if you practise without a certificate.
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This dashboard page contains information around new registrations - registrations granted where the doctor was not already on the medical register.
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This dashboard page contains information around changes over time in the number and demographics of registered doctors - doctors on the register with a current practising certificate.
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All physician associates applying for registration in the physician associate provisional scope of practice (except those applying via the NZ experiential pathway) must complete a Council-approved induction programme, within the 12 months immediately prior to applying for registration.
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Between accreditation cycles, the Council monitors prevocational medical training and Aotearoa New Zealand vocational medical training and recertification providers through progress and annual reporting. For medical schools and Australasian vocational training and recertification providers (medical colleges) monitoring is led by the Australian Medical Council, in partnership with the Council.
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Physician associates must only practise in a setting where onsite supervision is available whether registered in the Physician Associate Provisional or Physician Associate General scope of practice. This means that they must not be rostered to practise solo in any healthcare setting.
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If you are planning on leaving New Zealand to practise in another country, its medical regulator may ask you for a certificate of professional status (COPS) from us. Your registration is not affected by your decision to practise overseas but you must ensure that we hold current contact details for you.
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You can download copies of your current and expired practising certificates by logging into your myMCNZ account.
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To practise in New Zealand, you must first gain registration from us. This ensures you are competent and fit to practise.
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Family planning and reproductive health is the treatment of and provision of health services for patients in relation to contraception, reproductive health and associated primary sexual health issues.
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Prevocational training requirements for doctors in their PGY1 year
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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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If you're not working away from New Zealand but are just taking a break from medical practice, this page outlines what you need to do.
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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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We're pleased to announce the launch of our new data dashboard, now available on our website. This dashboard provides a comprehensive and dynamic overview of registered and practising doctors in Aotearoa New Zealand.
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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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Oral and maxillofacial surgery involves the diagnosis and treatment (operative and non-operative) of patients with diseases, injuries and defects of the mouth, jaws and associated structures. This includes oral and maxillofacial pathology, trauma, dentoalveolar surgery, orthognathic and relevant reconstructive surgery, and facial pain.
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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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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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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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From today, 1 October 2026 physician associates are a regulated health profession in Aotearoa New Zealand.
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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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You can use this form to ask us a question or raise concerns about a health practitioner (doctor or physician associate).
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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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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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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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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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VOC1 (specialist) registration is for doctors who hold an approved New Zealand / Australasian postgraduate qualification and already hold registration in the General scope of practice.