New Zealand is a beautiful yet underrated destination for internationally trained doctors looking for a peaceful life and less competition. If you’re an IMG (International Medical Graduate) considering working here, you’ll be happy to know that registered doctors earn an average annual salary of NZD 120,000, and there are 1,000+ current job openings. Plus, with over 200,000 skilled worker visas issued, New Zealand actively welcomes qualified professionals.
But before you can start practising, you need to pass the New Zealand Registration Examination (NZREX). This clinical exam tests whether you have the right knowledge and skills to work in the country’s healthcare system.
This blog is about how to prepare for NZREX, what to expect, and how to increase your chances of success.
What is NZREX?
NZREX (New Zealand Registration Examination) is a clinical skills assessment conducted by the Medical Council of New Zealand (MCNZ). It is designed to evaluate whether an IMG has the necessary medical knowledge, clinical skills, and communication abilities to work as a doctor in New Zealand.
Who is Eligible for NZREX?
To sit for the NZREX Clinical Exam, internationally trained medical graduates (IMGs) must meet the following requirements:
1. Medical Degree
- You must have completed an MBBS or an equivalent medical degree from a recognised medical school.
- Your university must be listed in the World Directory of Medical Schools (WDOMS).
2. English Language Proficiency
Since English is the primary language of communication in New Zealand’s healthcare system, IMGs must demonstrate their proficiency by meeting one of the following minimum 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 internationally recognised medical licensing exams within five years before your NZREX exam date:
- AMC Part 1 (Australia)
- USMLE Step 1 and Step 2 (United States)
- PLAB Part 1 (United Kingdom)
- MCCQE Part 1 (Canada)
If you meet these criteria, you can apply for NZREX and start preparing for the exam.
How to Prepare for NZREX?
To prepare effectively for NZREX, knowing what to expect will help you focus your efforts on the right areas. Here’s a breakdown:
1. Understand the Exam Format
NZREX is a clinical-based OSCE (Objective Structured Clinical Examination). The exam consists of multiple stations where you’ll need to demonstrate clinical skills, diagnosis, patient communication, and ethical decision-making. Each station lasts 12 minutes, and you’ll have 2 minutes to read instructions before each one. Here’s what you should focus on:
- History-taking
- Physical examination
- Clinical reasoning
- Patient communication
2. Understand the NZREX Syllabus
The NZREX exam tests you across four major areas:
NZREX 1: Clinical Scenarios
- History Taking
- Interpreting Investigations
- Ordering Investigations
- Management
NZREX 2: Communication
- Professionalism – This section tests how well you maintain a professional attitude in all clinical settings.
- Cultural Safety – Demonstrate cultural competence and respect for New Zealand’s diverse population.
NZREX 3: Physical Examination
- Practice the key components of a physical examination, including chest, abdominal, and neurological exams.
NZREX 4: Role Play
- These stations focus on how you communicate with patients in different scenarios, such as delivering bad news or explaining a treatment plan.
3. Gather the Right Study Materials and Make A Study Plan
A structured approach to studying is key to success in the NZREX exam. Below is a suggested study schedule that can guide your preparation:
- Read John Murtagh’s textbook to build a strong foundation.
- Focus on books suggested by the Medical Council of New Zealand.
- Practice history taking, aiming to complete each case in 8 minutes.
- Focus on counselling practice, completing each case in 8 minutes.
- Practice physical examinations, aiming to finish each in 8 minutes.
- Follow a systematic study plan to cover all essential topics.
- Regularly practice random cases to prepare for diverse situations.
- Take a mock exam 4 weeks before the exam to simulate the actual test.
- Continue practising random cases to stay sharp and confident.
4. Join a Study Group or Coaching
- Practice with peers to simulate real exam conditions. Group study can help improve your clinical decision-making and communication skills.
- Consider enrolling in NZREX preparation courses that offer hands-on training and mock exams to replicate the real experience.
5. Gain Clinical Experience
- Observerships or clinical attachments in New Zealand hospitals are highly beneficial. They allow you to familiarise yourself with the healthcare system and local medical practices.
- Volunteering in clinical environments can provide valuable experience and improve your practical skills.
6. Improve Your Communication Skills
Since the exam places heavy emphasis on patient interaction, improving your communication is key.
- Practice breaking bad news, explaining medical terms, and delivering treatment plans clearly and empathetically.
- Focus on professionalism and demonstrate respect for cultural diversity during interactions with patients.
Final Words
With abundant job opportunities and a peaceful environment, New Zealand is an ideal destination for IMGs looking for a calm life. By focusing on the right preparation materials and developing a clear strategy, you can effectively prepare for the NZREX clinical exam and take a confident step toward a rewarding medical career in this beautiful country.
Fill out this form if you want to know more about the NZREX Clinical exam or preparation course.