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Destination: New Zealand

The clinical exam between you and practising in New Zealand.

New Zealand rewards doctors who communicate well — with patients, whānau and teams. The NZREX Clinical is the Medical Council's practical exam for internationally trained doctors, and OSCEY lets you rehearse its circuit of stations before you book the flights.

12active stations2linked stations12 minper stationNew Zealandwhere you will practise
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Formats change — always confirm with the Medical Council of New Zealand's NZREX pages.

NZREX Clinical exam badge
The bigger picture

The road to New Zealand

NZREX Clinical is one gate on a longer road. Knowing exactly where you stand on it changes how you prepare.

  1. A recognised medical degree the foundation

    A primary medical qualification from a source the Medical Council of New Zealand recognises, plus recent clinical experience.

  2. English & eligibility checks the gateway

    Meeting the Council's requirements — including English language evidence — to sit the registration examination.

  3. NZREX Clinical you are here

    The New Zealand Registration Examination: a clinical OSCE testing whether you can practise safely at the level of a new graduate in New Zealand.

A common route — yours may differ. Entry requirements, exemptions and formats are set by the official bodies; this page links to them wherever it matters.

Inside the exam

What the NZREX Clinical actually tests

The NZREX Clinical examines whether an internationally trained doctor can function safely at the level of a New Zealand medical graduate. Stations span medicine, surgery, psychiatry, paediatrics and obstetrics and gynaecology — with examination stations, history-taking stations and stations that exist purely to watch you communicate.

New Zealand places particular weight on culturally safe practice, including communication with Māori patients and whānau (family). Examiners notice candidates who speak to the person rather than the checklist. Formats and station counts are set by the Medical Council and can change — OSCEY's NZREX circuit uses a 14 + 3 shape with 10-minute stations as a realistic rehearsal.

  • Clinical examination — competent, patient-centred technique
  • History and reasoning — structured data gathering, safe differentials
  • Communication — with patients, whānau and colleagues
  • Cultural safety — respect, partnership and plain language in NZ practice

This is the circuit OSCEY builds for practice runs. NZREX Clinical is held in Auckland and rotates through 12 active stations, two of them linked to a pre-reading station.

Station by station

A NZREX-style station, up close

Scroll through one OSCEY station in NZREX Clinical colours — the same rhythm the real circuit will demand of you.

OSCEY candidate brief: task, role and setting cards for a NZREX Clinical practice stationOSCEY candidate brief: task, role and setting cards for a NZREX Clinical practice station
Live OSCEY station: simulated patient in the consultation room during a NZREX Clinical practice stationLive OSCEY station: simulated patient in the consultation room during a NZREX Clinical practice station
OSCEY debrief after a NZREX Clinical practice station: skill changes by domain and exam-aligned practice estimateOSCEY debrief after a NZREX Clinical practice station: skill changes by domain and exam-aligned practice estimate
1 The door sign

The door sign

You are the doctor in a New Zealand general practice. A patient with a swollen knee has been self-treating for weeks. Take a history, examine, agree a plan. Outside the door you plan a conversation, not just an examination.

  • Communication-first stations
  • Reading-time countdown included
2 Inside the room

Inside the room

The patient has their own explanations and their own remedies — and expects to be heard. New Zealand examiners reward partnership: explore, acknowledge, then guide. OSCEY's patient notices whether you steamroll or listen.

  • A patient who expects to be heard
  • Findings released when you ask
3 The debrief

What the examiner saw

The debrief shows a solid examination sequence, a plan that forgot to ask about over-the-counter remedies, and communication marks that rose every time you checked understanding. Exactly the habits NZREX rewards.

  • Communication tracked as its own domain
  • Your full transcript to review
Train for it

Built for the New Zealand way

NZREX rewards calm, structured, culturally safe consultations. That style is a skill — and skills are trained.

  • Full mock circuits: 14 stations, 3 timed rests, 10 minutes each
  • Examination stations where you narrate your technique out loud
  • Communication scenarios that rehearse partnership, not interrogation
  • Debriefs that track communication as a separate, improvable domain
  • Case Codex: every consultation filed for the weeks before you fly
  • The full station library: 868 stations across 27 specialties, weighted the way an OSCE is
OSCEY Case Codex: completed cases with coverage, practice bands and keep-for-next-time notes OSCEY Case Codex: completed cases with coverage, practice bands and keep-for-next-time notes
Questions

NZREX Clinical, asked and answered.

The six questions candidates ask most about this exam. The full FAQ covers the app itself — circuits, scoring and privacy.

What is the NZREX Clinical?

The New Zealand Registration Examination (clinical) — the Medical Council of New Zealand's practical exam for internationally trained doctors seeking registration. It assesses whether you can practise at the level of a new New Zealand graduate.

How many stations are in the NZREX?

The format is set by the Medical Council of New Zealand and can change between sittings. OSCEY's NZREX circuit uses 14 scored stations and 3 timed rests (17 slots) with 10-minute stations as a realistic practice format — always confirm the current structure on the MCNZ website.

What does the NZREX emphasise?

Safe, patient-centred clinical practice: examination technique, structured histories, communication with patients and whānau, and culturally safe practice in the New Zealand context.

Where is the NZREX held?

In New Zealand — historically in Wellington — on scheduled dates each year. Check the Medical Council of New Zealand's website for current venues, dates and eligibility.

Is OSCEY affiliated with the MCNZ?

No. OSCEY is an independent practice tool published by veridir. It is not affiliated with, endorsed by, or approved by the Medical Council of New Zealand. Rely on the Council's official NZREX pages for authoritative information.

Can OSCEY scores predict my NZREX result?

No. OSCEY bands and percentages are practice estimates from individual stations. They guide preparation; they are not a prediction, an official mark, or a pass decision.

New Zealand starts with one spoken station.

Download OSCEY, open one of the four free stations, and run your first NZREX Clinical station tonight — out loud, against the clock, debriefed before you sleep.

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OSCEY simulates patients. Your microphone audio is processed by Google Gemini to run the consultation and is not retained after the station. OSCEY provides practice feedback and practice score estimates only — not an official exam result, not a prediction, and not clinical advice. Not affiliated with or endorsed by the GMC, AMC, MCC, MCNZ, the RCSI or any other examining body.