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Registration pathways

The Medical Council decides who can practise. These are its pathways as published, with the criteria in its words and the date it last changed each page.

Scopes of practice

ScopeWhoLeads to
Provisional generalNew graduates doing their intern year, and most overseas doctors on arrival. Supervised.General scope after the supervised period.
GeneralTypically resident doctors and doctors in vocational training.Vocational scope on completing a Fellowship.
Provisional vocationalOverseas-trained specialists while their qualifications are assessed and they complete supervised practice.Vocational scope.
VocationalSpecialists holding the prescribed New Zealand or Australasian Fellowship, or assessed as equivalent.Permanent, independent practice in that branch of medicine.
Special purposeTemporary registration for a specific purpose — locum tenens, research, training, disaster assistance.Time-limited.

General scope — resident doctors and generalists

New Zealand and Australian graduates

Graduates of accredited NZ or Australian medical schools, registering in the provisional general scope to complete their intern (PGY1) year.

Outcome: Provisional general → general scope after the intern year. MCNZ page updated 7 July 2025 · Council page

UK and Irish graduates (competent authority)

A primary medical degree from the UK or Ireland and an internship completed in the UK or Ireland.

Outcome: General scope. MCNZ page updated 7 August 2024 · Council page

Comparable health system

Recent clinical practice in one of 29 recognised health systems: at least 33 months, at least 20 hours a week, within the 48 months before applying, in the same or a similar area of medicine at a similar level of responsibility.

Outcome: Provisional general scope under supervision; general scope after 12 months full-time equivalent and three satisfactory supervision reports. MCNZ page updated 15 July 2025 · Council page

Examination (NZREX Clinical or PLAB)

Doctors who have passed the New Zealand Registration Examination (NZREX Clinical), or PLAB Parts 1 and 2, within the last five years — the route for graduates of medical schools outside the comparable-health-system and competent-authority lists.

Outcome: General scope (provisional general first, under supervision). MCNZ page updated 3 March 2025 · Council page

Australian general registrants

Doctors who passed the Australian Medical Council examinations and hold AHPRA general registration.

Outcome: General scope. MCNZ page updated 26 May 2023 · Council page

UK general registrants (PLAB)

PLAB Parts 1 and 2 plus 12 months of UK practice with full GMC registration.

Outcome: General scope. MCNZ page updated 26 May 2023 · Council page

The 29 comparable health systems

Australia, Austria, Belgium, Canada, Chile, Czech Republic, Denmark, Finland, France, Germany, Greece, Hong Kong, Iceland, Israel, Italy, Japan, Luxembourg, Norway, Portugal, Republic of Croatia, Republic of Ireland, Republic of Korea (South Korea), Singapore, Spain, Sweden, Switzerland, The Netherlands, United Kingdom, United States of America.

MCNZ comparable health system criteria, updated 16 July 2025 · Council list

Vocational scope — specialists

VOC1 — NZ/Australasian Fellowship, already registered

Doctors holding general registration and an approved New Zealand or Australasian postgraduate qualification. Council page

VOC2 — NZ/Australasian Fellowship, direct entry

Doctors holding the approved NZ/Australasian postgraduate qualification who do not already hold general registration. Council page

VOC3 — overseas-trained specialist

Specialists trained outside NZ and Australia. The relevant college compares training, qualifications and experience to a NZ-trained Fellow in the same branch and advises Council; Council decides. Approved applicants go on to either the supervision pathway (6–12 months of satisfactory supervised practice, plus enrolling in the college recertification programme) or the assessment pathway (12–18 months supervised practice plus a further college assessment). Most complete applications take about three months to process. Council page

VOC4 — fast-track (UK, Ireland, Australia)

Doctors holding an approved postgraduate medical qualification from the UK, Ireland or Australia, intending to work in an approved medical specialty. Council page

What it pays while you're assessed. A doctor employed on the basis that their overseas qualifications and experience meet the requirements for vocational registration is placed on the Specialist Scale, subject to a time-limited expectation (not less than 24 months) for obtaining registration. ASMS SECA cl. 12.2(g)(iii) — that is the specialist scale from $198,386, not the medical officer scale.

Source

Medical Council of New Zealand — registration pathways · checked 18 September 2026