NEW ZEALAND GAZETTE, No. 8

29 JANUARY 2010

OR

• practice in a primary care[^7] setting approved by the Council and under the supervision of a medical practitioner approved by the Council; and
• receive satisfactory reports for the three runs completed (or nine months worked) immediately prior to applying for registration within a general scope.

(2) Been recommended for registration within a general scope by his or her supervisor.

Pathway 4 – (ie those with registration based on 36 months’ work (for at least 30 hours per week) during the 48 months prior to application, in a health system comparable to New Zealand as prescribed by the Council and either full or general registration in the comparable health systems in which they met the Council’s active clinical practice requirement at the time of registration or the applicant is satisfactorily participating in a training programme recognised by the American specialty boards or Canadian colleges[^8].

(1) Completed one year working within a provisional general scope in a New Zealand hospital, general practice, educational institution or other organisation approved by the Council, in a position for which the medical practitioner has appropriate experience, and under the supervision of a medical practitioner approved by the Council.

(2) Conditions limiting the medical practitioner’s practice may be imposed on the medical practitioner’s registration in a general scope of practice if the medical practitioner does not complete a minimum of six months of medicine and six months of surgery during the provisional period. To avoid limitations on a medical practitioner’s general scope of practice, the following step may be taken:

After the Council has received two positive supervision reports, the medical practitioner may be permitted to work in an area of medicine for which the medical practitioner does not have recent experience in a comparable health system. The medical practitioner must have a job offer:

• as a house officer or senior house officer (ie PGY1 or PGY2 level)
• in a hospital accredited by the Council for the purposes of intern training to ensure the hospital is able to provide adequate support, training and education opportunities (ie tutorials). The medical practitioner does not need to work in accredited runs.
• that has received sign off by the Chief Medical Advisor at the hospital to ensure the role has adequate supervision and assessment.

(3) Received satisfactory supervision reports for the nine months of medical practice completed immediately prior to applying for registration within a general scope. Registration within a provisional scope will be extended for up to two years if the medical practitioner receives any poor supervision reports during their first year of registration, until the medical practitioner has received three consecutive satisfactory reports.

[^7]: Medical practitioners required to sit and pass NZREX may apply for an exemption to the policy on a case by case basis as to whether they are required to complete the intern year or are eligible to work under supervision in primary care. To be eligible to apply for an exemption to work in primary care, the applicant must: have completed a general intern year, have passed NZREX at first attempt, have five years or more experience in primary care, and have similar primary care practice experience. The applicant’s nominated supervisor must not be his/her employer.

[^8]: The medical practitioner’s proposed employment in New Zealand must be in the same or similar area of medicine, and at a similar level of responsibility as they have had in the work they have been doing during the previous 36/48 months.