International Medical Graduates (IMGs) seeking to practice in New Zealand must be registered with the Medical Council of New Zealand (MCNZ). The standard pathway for those without a recognised postgraduate qualification is to pass the NZREX Clinical examination. This assesses clinical competence and communication skills in a simulated environment. Upon passing, IMGs are granted provisional registration and must complete a period of supervised practice before general registration.
Success Rate
12–24 Months
$5,000 – $8,000 NZD
Total Duration
Estimated Cost
Success Rate
Difficulty Level
Follow these steps to achieve your global medical career
Create EPIC account and verify medical degree, transcripts, and internship completion via ECFMG.
Achieve IELTS Academic 7.5 overall with no band below 7.0, or OET Grade B in all subtests (minimum 350).
Pass the 10-station OSCE held in Auckland, assessing history taking, physical exam, communication, and clinical reasoning.
Submit application to MCNZ with EPIC report, NZREX pass, and English scores. Obtain provisional registration.
Complete 12 months of supervised practice in an approved position, submitting quarterly supervisor reports.
Upon successful completion of supervised period, apply for general registration with full practice rights.
Essential prerequisites for this pathway
Downloadable guides and references
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