The New Zealand Registration Examination (NZREX Clinical) is an OSCE-style clinical exam run by the Medical Council of New Zealand for international medical graduates who are not eligible for registration via another pathway.
NZREX Clinical is designed to confirm that international medical graduates can practise safely at the level of a newly qualified New Zealand graduate starting their first postgraduate year (PGY1).
Prepare for your NZREX Clinical with Geeky Medics
Supercharge your NZREX preparation with our Everything bundle, which provides access to all our questions, flashcards, OSCE stations, OSCE guides, and OSCE checklists.
This bundle gives you access to all of our premium products:
- 1300+ OSCE stations (for NZREX Clinical preparation) 🩺
- 200+ OSCE guides and OSCE checklists 👾
- 3000+ OSCE flashcards 🗂️
- 3000+ single best answer questions (to strengthen applied medical knowledge) 🏥
- 60+ Blood gas/ABG cases 💉
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- 100+ Radiology cases 🩻
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About the NZREX Clinical exam
NZREX Clinical is an objective structured clinical examination (OSCE) designed to assess whether candidates can apply their knowledge safely in practice, with a strong focus on communication, professionalism, and cultural safety in the context of Aotearoa New Zealand.
The exam includes 12 active stations, with two linked stations that include a separate pre-reading station (for example, additional information, investigations, or imaging). Depending on candidate numbers, there are also two to four rest stations.
Each station lasts 12 minutes (typically 2 minutes reading time followed by 10 minutes in the station).
Across the exam, you can expect tasks such as:
- History taking
- Focused physical examination (including mental state exams)
- Investigations and clinical reasoning
- Diagnosis explanation and shared decision-making
- Management planning, counselling, or patient education
The Medical Council of New Zealand sets the standard at the level of a newly qualified New Zealand graduate at the start of PGY1.
Frequently asked questions
Do you offer a free trial?
We don’t offer a free trial. However, you can access a small collection of OSCE stations without a subscription. To access these free OSCE stations, you will need to create an account on app.geekymedics.com.
Do you offer a monthly subscription option for your bundles?
Yes, you can choose the monthly option when purchasing any of our bundles. However, the yearly option offers the best value (85%+ discount). Our monthly subscription is fully flexible, and you can cancel at any time.
Are your resources designed for NZREX Clinical?
Our resources are based on UK guidelines, but much of the core clinical knowledge and OSCE structure overlaps with NZREX Clinical. They provide a strong foundation for practising the clinical and communication skills assessed in OSCEs.
We also recommend reviewing New Zealand-specific guidance and the Medical Council’s expectations around professional practice and cultural safety, as these are emphasised in NZREX.
What are the prescribing questions?
These cover common prescribing scenarios, originally written for the UK Prescribing Safety Assessment (PSA). They help you strengthen your prescribing skills, which supports safe clinical practice and OSCE-style management discussions.
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