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Frequently Asked Questions
After graduating as a medical doctor from a college or university and taking courses listed in the World Directory of Medical Schools or WDOMS, you need to qualify for one of these exams to be eligible for the NZREX Clinical Exam: AMC Part 1, PLAB Part 1, MCCQE Part 1, or USMLE Step 1 & 2.
NZREX is an Objective structured clinical exam (OSCE) like AMC 2. It tests whether you possess the required skills to work in New Zealand. Learn from coaching centres to familiarise yourself with the NZREX exam format. Understand the culture of New Zealand, as you will need to communicate with the patient during the assessment and the exam.
Prepare for the NZREX Clinical Exam, learn clinical skills and how to communicate with New Zealand patients, and learn to interpret diagnostic tests. Focus on New Zealand-specific medical guidelines. You should seek mentorship from experienced professionals practising in the region for guidance and feedback. Join study groups with fellow doctors to practice OSCE scenarios on time management. Practice cases and observations are key to success.
The New Zealand Medical Council sets a cut score based on a review of exam results and established criteria. The passing cutoff is determined by evaluating the performance of both high and low-scoring candidates. Candidates receive an overall outcome of either “pass” or “did not pass.
Usually, the result is announced via email within 10 working days. Feedback indicates what must pass in cases where a person does not meet the standard.
Indian MBBS doctors can practice in New Zealand. For the same, you need to complete registration and eligibility requirements by the Medical Council of New Zealand, and after completing those, you can work in New Zealand.
The income range for a registered doctor in New Zealand is NZD 1,00,000 or 48,50,000 INR.
Only the application fee is NZD 817.06, and the examination fee is NZD 4,713.88, including taxes.
The New Zealand Registration Examination, or NZREX, is for international medical graduates (IMGs) who want to practice in New Zealand; this exam offers a chance to pass a licensing examination that evaluates clinical skills, communication, and knowledge. The Medical Council of New Zealand (MCNZ) conducts NZREX exams.
Doctors qualified for one of these examinations within 5 years of the NZREX Clinical allotted date are eligible to sit for the exam.
- AMC 1
- USMLE 1 & 2
- PLAB 1
- MCCQE Part 1
The NZREX Clinical Exam is an Objective Structured Clinical Examination (OSCE) consisting of 16 scored stations, each lasting 12 minutes. It lasts 2 minutes outside and 10 minutes inside the station. Until now, the examination stations have simulated real-life clinical scenarios, eliciting skills such as history taking, physical examinations, diagnosis, management planning and communication. Candidates engage with patients in a given scenario and must display clinical versatility and professionalism. The exam focuses on practical skills, clinical judgement, and patient-centred communication.
The NZREX Clinical Exam will be held thrice in 2025, on March 8, 14 June, and 13 September. There are limited seats, and the exam is only in Auckland, New Zealand. So, we advise you to register as early as you can. However, it is recommended that the MCNZ website is regularly checked for updates.
The eligibility to sit for the NZREX Clinical Exam includes holding a recognised medical degree and passing an IELTS or OET exam, among other things. EPIC (ECFMG) — Credential verification: Complete the application form, attach the supporting documents and pay the application fee on the MCNZ website. Once the exam is approved, you can choose an exam date and pay the exam fee to reserve a spot. You’ll get confirmation of the exam details, along with guidelines for preparation.
For the NZREX application, submit the NZREX1 form and the NZREX3 form. The NZREX3 form is the document checklist that includes a certified passport and a contemporary photo. A certified medical degree and a verification of the examinations passed, such as AMC and PLAB, USMLE, or MCCQE, must be provided. English language proficiency can be evidenced by an IELTS (7.0 bands) or an OET (350) score. An updated CV and evidence of the application fee payment are also required. All documents must be certified, and the EPIC verification must be submitted prior.
To successfully take the test, candidates should learn OSCE in conjunction with clinical practice, such as history taking where patients are actively involved, and the New Zealand regulations for doctors. It is also advisable to practice attending patient simulations while time is monitored, focusing on taking the history, examination, diagnosis, and management. Alternatively, you may also receive support through coaching or mentoring from your peers with whom you engage in group discussions.
No NZREX Clinical Exam question paper for the previous year has been released to the general public. However, students can prepare for the exam to a higher degree by using books related to the OSCE exams and participating in NZREX study groups. Mock OSCEs are available to students hoping to gain experience in the classroom under real-time constraints, with an emphasis on providing feedback.
NZREX Clinical has a reasonable pass rate of more than 60%.
Yes, you can, but the only condition is that you meet the eligibility requirements for each attempt.
The candidates must secure a position in a prevocational training program, typically as a PGY1 (Postgraduate Year 1) doctor and apply for a provisional scope of registration. After successful completion, they can apply for full scope of registration.
Details on eligibility, application forms, exam dates, and fees can be found on the MCNZ Official Website, https://www.mcnz.org.nz, in the NZREX Registration Exam section.
MCNZ recommends the Oxford Handbook of Clinical Medicine, Clinical Examination by Talley and O'Connor. Familiarise yourself with New Zealand-specific health guidelines and local clinical concerns. Join study groups or seek mentorship for additional support and regular performance feedback.
Proper guidance and a willingness to learn for 4-6 months are enough to prepare for the NZREX exam. Make a mindset of 4 months of guided practice and demonstrations and 2 months of self-practice and application of clinical skills learned. A coaching program by Academically can provide focused learning, mock exams, and expert personalised feedback to enhance your preparation.