There are a number of ‘pathways’ by which medical practitioners can apply for registration via the Medical Council of New Zealand (MCNZ) to work in New Zealand which include:
Resident Medical Officers (RMOs) are recruited to work at Waikato District Health Board (DHB) using the general, provisional general and special purposes registration pathways. (Registration in a vocational scope recognises a doctor as a specialist in New Zealand).
Each scope requires the employer and the RMO to complete set paper work. As the ‘employer’, Waikato DHB (via the RMO Unit ONLY) must complete all or part of the following [depending on MCNZ] requirements:
Doctors who have completed the requirements for registration within a general scope of practice, who must establish a collegial relationship so they do not work in professional isolation and to help with continuing professional development, and who are not required to work under supervision.
To satisfy the requirements for a general scope of practice, doctors must first work under supervision, work in an approved position, be registered within a provisional scope for 6 – 18 months and satisfy any other requirements set by the MCNZ.
These doctors must have graduated with a New Zealand or Australian university medical degree. Once these doctors have successfully completed four (13 week) clinical attachments and have had these signed off as ‘satisfactorily completed’ by their clinical supervisors and their allocated ‘Prevocational Education Supervisor’ [PES] then they can apply for ‘endorsed’ general registration; after completing a second year, plus completing a ‘community-based’ clinical attachment and ‘substantively’ achieving the listed educational and learning objectives, the Interns can then apply for (full) general registration.
Information on the New Zealand curriculum framework
PGY1s (or Interns as they are referred to by the Medical Council of New Zealand [MCNZ]) must work in accredited clinical attachments under the supervision of a prevocational educational supervisor (PES). Prevocational medical training requires the Waikato DHB to deliver a 2-year intern training programme with specific requirements for postgraduate year 1 (PGY1 house officers) and postgraduate year 2 (PGY2 house officers).
The MCNZ introduced the ‘New Zealand Curriculum Framework’ (NZCF) in 2015(external link) – this requires that the year one house officers record their learning, have their progress tracked, create and update their ‘Professional Development Plan’ (PDP), record ‘continued professional development’ (CPD) activities plus complete their assessments through an e-portfolio system known as ‘ePort’.
The NZCF outlines the learning outcomes – underpinned by the concepts of patient safety and personal development - to be substantively completed in PGY1 and by the end of PGY2.
These learning outcomes are to be achieved through clinical attachments, educational programmes and individual learning.
Additionally, every intern is required to complete one clinical attachment in a community based setting over the course of their PGY1 and PGY2 intern years ; therefore a year one house officer may be rotated into a community placement and this may require daily travel or a relocation for the duration of the clinical attachment; in such situations, reimbursements can be claimed as per the relevant clauses in the RDA MECA .
Year one house officers are expected to meet with their educational supervisor at the beginning of the year and after each clinical attachment and will meet with their clinical supervisor on the clinical attachment at the beginning, mid-way through and at the end of the clinical attachment. It is important that the quarterly assessments are completed within two weeks of finishing a clinical attachment.
At the end of their first year of post graduate work, each year one house officer is expected to have successfully completed four clinical attachments; they must have all assessments, PDP and CPD documentation completed by the date stipulated by their PES, in readiness for the advisory panel performance assessment meeting
The advisory panel will meet to discuss the overall performance of each year one house officer, assess whether they have met the required standard to be registered in a general scope of practise and are therefore ready to proceed to the next stage of training. The advisory panel will hold the responsibility for endorsing the PDP as acceptable for PGY2.
To apply for registration within a general scope of practice the year one house officer must meet the following requirements:
When an intern is approved registration in a general scope of practice an endorsement related to completing a PDP will be included on their practising certificate for the PGY2 year, under the competence provision of the HPCAA.
At the end of PGY2, interns must demonstrate through the information in their ePort that they have met the prevocational training requirements and achieved their PDP goals. The prevocational educational supervisor will then recommend the intern’s endorsement be removed from their practising certificate as part of the practising certificate renewal process.
When applying for general registration they need to submit a COS3 form, a CPD8 form, verification (a copy of the certificate) that the doctor has ACLS certification and join the ‘Bpac’ recertification programme (if they are not on a vocational training pathway)
These doctors must have passed the NZREX exam within the last five years
These doctors must have graduated with a UK or Irish university medical degree and must have completed their internship
Applicants registering under this category must:
|Canada||Republic of Ireland|
|Iceland||United States of America|
All doctors applying for registration must hold an acceptable primary medical degree as described on the MCNZ’s website. These doctors must:
(The purpose of the postgraduate training scope is to provide registration for doctors wishing to train in New Zealand to obtain knowledge and skills to take back to their home country. It is not a pathway to permanent registration in New Zealand (or Australia), or intended to meet service delivery requirements, nor is it a pathway to undertake a vocational training programme)