Step by Step Medical Council of NewZealand Professional doctors licensing Pathway 2026

The practice medicine in New Zealand, International Medical Graduates (IMGs) must register with the Medical Council of New Zealand (MCNZ). Key pathways include passing the NZREX Clinical exam (for general registration), the Competent Authority pathway for UK/Irish-trained doctors, or the Comparable Health System pathway. All pathways require EPIC document verification and English proficiency.Key Registration PathwaysNZREX Clinical Pathway: For IMGs with an acceptable primary medical degree, a pass in recognized exams (e.g., PLAB 1, USMLE Steps 1/2, AMC MCQ) within the last 5 years, and passing the NZREX Clinical exam.Competent Authority Pathway: For doctors trained in or having completed internships in the UK, Ireland, or other approved systems, typically leading directly to provisional registration.Comparable Health System Pathway: For doctors with recent clinical experience in countries with similar health systems (e.g., Australia, Canada, USA, Ireland).Special Purpose Scope: For temporary roles, such as researchers, observers, or emergency situations. Essential RequirementsEPIC Verification: Mandatory primary-source verification of qualifications through the EPIC system before applying to the Council.English Language Proficiency: Applicants must meet English language requirements, often requiring a high score (e.g., band 7 in each component) in IELTS or OET.Job Offer: Most pathways require a job offer for a position that matches the requested scope of practice (provisional general or vocational).Supervised Training: After initial registration, doctors usually complete a period of supervised training in a New Zealand hospital.Steps for RegistrationVerify your qualifications via EPIC.Determine your eligibility pathway on the MCNZ website.Apply for registration and a practising certificate.Secure a job offer to enable employment.Pass the NZREX clinical exam if required, which costs approximately \(\$4,713\) NZD.Complete 12 months of supervised practice to apply for full registration.Medical Council of New Zealand