NEW ZEALAND GAZETTE, No. 5 — 20 JANUARY 2017

40 hours per week and excluding on-call and overtime hours) 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, the Canadian specialist colleges, or the Irish Medical Council, must have:

1. completed one year working within the provisional general scope in a New Zealand hospital, general practice, educational institution or other organisation approved by the Council, in an approved position, under supervision approved by the Council;

2. received satisfactory supervision reports for the nine months of medical practice completed immediately prior to applying for registration within the general scope. Registration within the provisional general 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; and

3. been recommended for registration within the general scope by his or her supervisor.

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 two options may apply:

Option 1
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:

1. as a house officer or senior house officer (ie PGY1 or PGY2 level);
2. 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 clinical attachments; and
3. that has received sign off by the Chief Medical Officer at the hospital to ensure the role has adequate supervision and assessment.

Option 2
After the receipt of satisfactory supervision reports for the previous nine months (see 2 above), the medical practitioner may apply for the general scope without limitations if the practitioner had spent a period of at least six months working under supervision in a Council-approved general practice position.

Provisional vocational scope of practice

A medical practitioner must hold a primary medical degree from a university medical school approved from time to time and published on the Council’s website. The medical practitioner must also hold an overseas postgraduate medical qualification and this medical qualification must have been awarded at the end of a period of specialist training and be in a recognised vocational scope, approved by the Council. The medical practitioner must have been assessed as:

1. having qualifications, training and experience established to the Council’s satisfaction to be equivalent to, or as satisfactory as that of a New Zealand vocationally trained medical practitioner registered in the same vocational scope of practice; and
2. being able to achieve registration in a vocational scope of practice within no more than 18 months (full-time equivalent) of obtaining registration in a provisional vocational scope of practice.

Vocational scopes of practice

A medical practitioner must:

1. have the prescribed qualifications set out in the Appendix as necessary for the particular vocational scope of practice; or