Paihia, Northland
Miles Holden
Collaborate, lead, and innovate as a specialist with Health New Zealand
Collaborate, lead, and innovate as a specialist with Health New Zealand
About working as a Senior Medical Officer
Join Health New Zealand as an SMO (Specialist, Consultant, Fellows) and make a real impact on patient care and community health. Enjoy a nationally standardised competitive salary, generous leave, and ongoing professional development, with clear career pathways across specialties.
International specialists benefit from structured Medical Council of New Zealand (MCNZ) registration and dedicated relocation support to start practising in New Zealand. Be part of a supportive, collaborative team where your clinical expertise, leadership, and experience help shape services and improve health outcomes nationwide.
Salary
Senior Medical Officers receive a base salary relative to their level of experience. This is agreed upon at the time of the job offer. There is a 15-step pay scale that SMOs continue to progress through on a yearly basis.
In New Zealand, the salaries and benefits of some roles are determined by collective agreements between unions and employers.
Employment agreements — Health New Zealandexternal link
Additional allowances are paid on top of base salary and vary due to location and service, and are often not specified in the collective agreement.
Allowances
There is a range of additional allowances for:
- on-call
- evening, night and weekend work
- call back
- job size
- recruitment and retention
- special contribution.
Leave
Leave entitlements include:
- 6 weeks of paid annual leave
- a minimum of 10 days of sick leave per year
- 10 days of paid continuing medical education leave (CME), plus the ability to use annual leave tacked onto the end of your CME travel
- 6 to 12 months of parental leave, depending on the length of service, including 6 weeks of fully paid parental leave
- 12 paid public holidays and time in lieu or alternative holiday if rostered on
- long service leave and sabbatical opportunities.
Additional benefits
Additional benefits include:
- an annual continuing medical education (CME) allowance of NZD $16,000 (pro-rated for part-time employees)
- membership subscriptions of medical professional bodies are reimbursed by Health NZ
- your professional indemnity insurance is covered by Health NZ
- if eligible, up to a 6% matching superannuation contribution from Health NZ as your employer
- a relocation package for international candidates.
About KiwiSaver (superannuation savings scheme)
Leadership and career development opportunities
Health NZ encourages Senior Medical Officers to be involved in the design, implementation and performance of facilities and technology involved in the delivery of healthcare services to ensure an effective, efficient and safe workplace.
Specific opportunities vary by location and service; however, they can include:
- support and encouragement for research and publications
- mentorship opportunities for apprentice Junior Doctors/Registrars
- regional and national networks allowing for subspeciality research and practice.
- ongoing development and support for career growth with on-the-job coaching and a variety of in-house training programmes.
To work as a Senior Medical Officer, you must:
- be registered to practice with the Medical Council of New Zealand
- hold an Annual Practising Certificate.
You may also need to gain vocational registration in your scope of practice.
The Medical Council of New Zealand have a self-assessment tool to help you easily determine which registration pathway you should take.
Registration self assessment tool — Medical Council of New Zealandexternal link
Registering to work as a Senior Medical Officer in New Zealand
To work as a Senior Medical Officer in New Zealand, you will need to obtain vocational registration with the Medical Council of New Zealand (MCNZ).
Pathways to vocational registration
Direct pathway to vocational registration
- If you are an international medical graduate (IMG) with specialist qualifications from countries with medical systems deemed equivalent to New Zealand's (such as Australia, the UK, the USA, Canada and some European countries), you may be eligible to apply directly for vocational registration without needing first to obtain general registration.
- In this pathway, MCNZ will assess your specialist qualifications, clinical experience, and the medical system where you trained. If these are deemed equivalent, you can apply directly for vocational registration in your specialty.
- This pathway allows experienced specialists to bypass general registration and the provisional general phase, which is typically required for doctors without a recognised specialist qualification.
Provisional vocational registration pathway
- If MCNZ determines that your qualifications and experience are largely equivalent but that you need some orientation or assessment within the New Zealand healthcare system, you may be granted provisional vocational registration.
- This means you will practice in your specialty under supervision for a period, typically between 6 to 12 months, before being granted full vocational registration.
- During this provisional vocational registration period, a specialist who practises in the same area of medicine as you will supervise you.
General registration pathway
- If you do not meet the criteria for direct vocational registration, you may need to obtain general registration first if your qualifications and experience are not recognised as equivalent.
- This process to gain vocational registration includes:
- a period of provisional general registration (with supervised practice) if necessary
- after obtaining general registration, you can later apply for vocational registration once you have completed any further assessments or additional supervised practice required by the MCNZ.
Self-assessment
The Medical Council of New Zealand have a self-assessment tool to help you easily determine which registration pathway you should take.
Registration self-assessment tool — Medical Council of New Zealandexternal link
Find out more about life in New Zealand
We have a page dedicated to providing information to candidates about our recruitment process, what you need to work in Aotearoa New Zealand and key details about moving here.
Living in New Zealand — Information for international candidates
News: NZ now welcoming doctors from South Korea, Japan, Chile, Luxembourg, and the Republic of Croatia
In mid-2025, the Medical Council of New Zealand (MCNZ) added a number of countries to its comparable health system list. Doctors who trained and practised in these countries can now apply for provisional general registration through a faster, simpler pathway. Key benefits include:
- no additional exams or NZREX required
- registration decisions are made in around 20 working days
- supportive supervision during your first 12 months here
- opportunities across our nationwide public health system.
Faster, easier registration for overseas-trained doctors — MCNZexternal link
"You can ski and surf on the same day!"
Brad is a Consultant Emergency Physician who moved from Kansas in the US to Taranaki in New Zealand. Find out what made him fall in love with his new role and his new home.
"You can ski and surf on the same day!"
Brad is a Consultant Emergency Physician who moved from Kansas in the US to Taranaki in New Zealand. Find out what made him fall in love with his new role and his new home.
Webinar: Registration for SMOs
Watch the webinar for Senior Medical Officers (SMOs) on emigrating to New Zealand to live and work.
Our Health Immigration Service, Immigration New Zealand, and the Medical Council of New Zealand ran this webinar to take you through the different steps towards starting a new adventure in New Zealand.
Learn more about moving to our beautiful country, directly from the people who process your applications.
Mount Hutt, Canterbury
Miles Holden
Explore New Zealand
Whether you prefer the vibrant urban centres of Auckland, Wellington, or Christchurch, the scenic landscapes of Otago and Nelson, or the close-knit community atmosphere in areas like Hawke's Bay and Taranaki, there’s a location to suit your lifestyle.
Explore New Zealand
Whether you prefer the vibrant urban centres of Auckland, Wellington, or Christchurch, the scenic landscapes of Otago and Nelson, or the close-knit community atmosphere in areas like Hawke's Bay and Taranaki, there’s a location to suit your lifestyle.