Introduction
The competition is tough for doctors everywhere. Many try to register in different countries, but the high competition and tough exams make it hard to even get started. But there’s one country where you only need to pass a clinical exam to become a doctor.
In New Zealand, international medical graduates (IMGs) who have already passed exams like AMC Part 1, USMLE Step 1 and 2, and others can take just the NZREX Clinical Exam and become a registered doctor.
If you’re an IMG looking for a simpler way to practice medicine in a new country, New Zealand offers an easy pathway. Keep reading to find out everything you need to know about NZREX, from eligibility to the exam process.
About NZREX
The New Zealand Registration Examination (NZREX) Clinical Exam is the only exam for international medical graduates (IMGs) to become doctors in New Zealand. Unlike other countries that require multiple exams, New Zealand only requires a clinical exam for registration, provided that candidates have already cleared one of the recognised international medical exams.
Once you pass the NZREX Clinical Exam, you can apply for prevocational training and register with the Medical Council of New Zealand (MCNZ).
Eligibility Criteria for NZREX
To be eligible for the NZREX Clinical Exam, IMGs must meet the following criteria:
1. Medical Degree
- You must have completed an MBBS or an equivalent medical degree from a recognized medical school.
- Your university must be listed in the World Directory of Medical Schools (WDOMS).
2. English Language Proficiency
You must meet one of the following minimum English test scores:
- IELTS: Minimum 7.0 in each section (Listening, Reading, Writing, Speaking).
- OET: Minimum 350 in each component.
3. Medical Licensing Exam Requirement
You must have passed one of the following exams within five years before your NZREX exam date:
- AMC Part 1 (Australia)
- USMLE Step 1 & Step 2 (United States)
- PLAB Part 1 (United Kingdom)
- MCCQE Part 1 (Canada)
How to Apply for NZREX
1. Submit the Application Form
- First-time applicants must complete Form NZREX 1 and submit it along with the document checklist (NZREX 3).
- Email the completed form and supporting documents to examinations@mcnz.org.nz.
- Required documents include:
- Scanned copies of original certificates (Medical degree, English proficiency test, and licensing exam results).
- A recent passport-sized photograph taken within the last four months.
- Proof of identification (passport or national ID).
2. Pay the Fees and Schedule the Exam
- Once the application is reviewed, MCNZ will notify candidates via email within five days with payment instructions.
- After payment is processed, candidates will receive confirmation within 20 days along with further instructions.
3. Prepare and Appear for the Exam
- The NZREX Clinical Exam is conducted in Auckland, New Zealand.
- Once your exam slot is confirmed, book your travel tickets and start preparing for the exam.
4. Get Your Results and Register
- The results are announced via email within 10 working days of the exam.
- If you pass, the next step is to apply for prevocational training and register with MCNZ.
NZREX Clinical Exam Format
The NZREX Clinical Exam follows a structured OSCE (Objective Structured Clinical Examination) format.
Exam Structure
- The exam consists of 12 assessed stations and 2–4 rest stations.
- Each assessed station lasts for 12 minutes:
- 2 minutes – Reading instructions outside the station.
- 10 minutes – Performing the assessment inside the station.
- Each station involves a simulated patient and an examiner.
Passing Criteria
- The passing score is determined by MCNZ based on an overall performance review.
- Candidates receive an overall outcome of either:
- “Pass” – Eligible to proceed with medical registration.
- “Did not pass” – Must retake the exam.
NZREX Exam Dates and Fees
Exam Dates for 2025
The NZREX Clinical Exam will be held three times in 2025:
- March 8, 2025
- June 14, 2025
- September 13, 2025
Seats are limited and available on a first-come, first-served basis.
Exam Fees
| Fee Type | Amount (NZD) |
| Application Fee | NZD 817.06 |
| Examination Fee | NZD 4,713.88 |
| Total Cost | NZD 5,531 |
Final Thoughts
NZREX provides a straightforward route for IMGs to become doctors in New Zealand. If you meet the eligibility criteria and pass the clinical exam, you can start your medical career in a country that offers excellent work-life balance, competitive salaries, and high demand for healthcare professionals.
If you’re an international doctor looking for a simpler and more efficient pathway, NZREX could be your best option. Start your journey today by preparing for the exam with the best NZREX Preparation course and securing your future in New Zealand’s healthcare system.
For more information on this exam or our course, please fill out this form. Our expert will contact you and clear all your questions.