The pathway to New Zealand from A to Z

Medical training in New Zealand

Registration at Medical council of NZ, MCNZ, (website http://www.mcnz.org.nz/ ):
Requirements:
Passing these exams:
1) IELTS exam.
2) One of following passed within last 5 years
a) USMLE step 1 and 2ck or
b) Australian MCQ exam or
c) PLAB part 1.
N.B. Under the Educational Commission for Foreign Medical Graduates’ (ECFMG) rules, a
candidate May
not re-sit a USMLE step once they have already passed it. However, if the result exceeds the 5
year
NZREX Clinical timeframe the ECFMG will allow NZREX Clinical candidates to re-sit the USMLE
Steps 1
and 2. If this is the case, the candidate must write to the NZREX coordinator at the
Medical Council of New Zealand, including their full name, ECFMG number, and the dates that
they
previously sat the USMLE Steps 1 and 2. The NZREX coordinator will write to the ECFMG
confirming that
the candidate wishes to sit NZREX Clinical and therefore needs to re-sit the USMLE
examination(s).
1) IELTS exam: 170-200 USD exam fee.
Requirements
Doctors applying to sit NZREX Clinical will be required to have achieved the minimum following
Scores in the Academic Module of the International English Language Testing System (IELTS)
Within one examination:
7.5 in speaking
7.5 in listening
7.0 in writing
7.0 in reading
All NZREX clinical candidates must have attained their IELTS within the last:
2 years of the intended examination date for new NZREX candidates, or
5 years of the intended examination date for repeat NZREX candidates.
IELTS is the only English test approved by Council.
IELTS
It is tough exam and need a good preparation and not enough that you were in an English
speaking
country for months or years so you can get the needed score easily. I know friends t that
already lived
for example in NZ and USA for few years and didn't get the needed score yet. To be Optimistic
I know
friends who lived in Egypt and got the needed score at the 1st time exam. By this I mean you
should
prepare for this exam seriously. It will depend on how good is your English and your
preparation for the
exam.

Books for the exam: Can buy them from Alkaser Alaini libraries (Faculty of medicine, Cairo
university)
CAMBRIDGE Series and Oxford are very useful according to my own Experience.
Practice exams are the key for success especially after reading what this exam test and how it
is marked.
Reading English books, journals and articles and listening to BBC will help as this will give u lots
of
vocabulary and ideas that are very important especially in Speaking and writing part.
Talking a course will help in this exam easily. However, I have many friends who pass it at 1st
attempt
without taking courses. Courses may help those with fair English.
Information about IELTS test centers and dates are available at www.ielts.org.
NZREX (New Zealand Registration exam)
Pronounced as N. Z. REX. exam.
Exam fee: 3833 NZD (= 3000 USD) is really expensive but there are no fees to apply for work
after
passing it.
It is a clinical exam formed of 16 stations (7-8 History or Examination stations in a presence of
an
examiner who may ask you questions, 2 communication skills stations, and about 6 writing
stations
(MCQs) like case scenario and asking about investigations (interpreting X-ray or CBC ,...
Management of

acute cases or Prioritization of acute symptoms, all information about this exam are available at
this
web Site:
http://www.mcnz.org.nz/portals/0/publications/NZREX%20Clinical%20Handbook%20for%
20Candidates%202010.pdf

And this link for NZREX sample questions:

http://www.mcnz.org.nz/portals/0/nzrex/NZREX%20Clinical%20sample%20questions.pdf
The exam is done 4 times per year (Usually March, June, September and November) they
usually publish
the exact days at august of each year: Exam dates are available at this link
http://www.mcnz.org.nz/
Registration/NZREXClinicalExamination/Datesandfees/tabid/131/Default.aspx
Application for NZREX at this link
http://www.mcnz.org.nz/Registration/NZREXClinicalExamination/
HowtoapplytositNZREXClinical/tabid/130/Default.aspx
Documents needed are the following:
1) Certified copy of documentation demonstrating name change, if applicable.
2) Four colored passport sized photographs endorsed as a true likeness of the applicant: any
friend (not
a relative can sign it for you and write his details at application form. Your photographs should
be recent
(not older than 4 months).
3) Certified copies of all medical qualifications with certified English translations, if applicable:
includes
your medical transcript and Internship certificate (Shehadet Imtiaz if you finished it .If not it is
not
needed as you can take the exam without before doing or finishing it).These document can be
send as
original (easy to get from university)s so no need for certifications.
And also certified copy of translated al shehada alkartoon: I copied it and translate it at a
certified
interpreter like foud Neama and send it like that.
U can do it easily from your university If not then ask university to stamp in a photocopy of
original. Or
ask any lawyer to stamp it and write his details or certify them from NZ embassy in Egypt but it
costs
almost 80 LE per certificate.
4) Certified copy of IELTS or original: you will get only one original certificate from IELTS centre
so may
be worthy not sending original and send a certified copy by one way of above.
5) Certified copy of USMLE test results OR certified copy of AMC MCQ results OR certified copy
of PLAB
Part 1 results. For USMLE: You need to apply to ECFMG for USMLE transcript: You can ask for
up to 10
original copies for $50 then you can send one of them to MCNZ. Here is the link:
http://www.ecfmg.org/
forms/form172.pdf .fill it and faxed is the easiest way.
N.B. Requests for USMLE transcripts should be sent to FSMB (not ECFMG) once a step3
application is
made (whether u already sat for the exam or not yet).
6) Certified copy of your passport (a recently added requirement)
Components of NZREX EXAM:
16 stations (10 minutes per station with 2 min off between them and 30 minutes break after
finishing
the half) i.e. total exam time 3 hours and a half;
11 clinical scenarios and
5 Static stations
11 clinical cases:
Almost same like USMLE CS exam or easier as you will asked only to take a history or to do a
certain
physical exam like examine the chest of a patient or do a procedure like urinary catheter,PV or
PR exam
or suturing in a manikin or interpret a test to patient and long term management …etc.
There is an examiner who supervising you while talking to and examining the patients that you
do this
in a professional manner with good communication skills then at the end of each station the
examiner
may ask you about the provisional diagnosis or differential diagnosis.
N.B. when examining a patient you should start by traditional way of examination (even if
examining
chest or heart): start from hand then head and neck the system involved then leg or abdomen
according
to case (there is some exceptions like examining a joint or neuro ….)
Case: examine the heart of this pt(tell the examiner about the finding either normal or
abnormal while
examining pt without looking at him until you finish)
Start by examining the hand while saying no pallor, palmar erythma, clubbing, and spinter
hemorrhage.
Then Pulse …. Then head (no jaundice, moist tongue, no cyanosis) then Neck veins (JVP not
elevated),
carotids…. Then
Heart exam: the examiner will look that you are doing everything right
Inspection: No scars, visible pulsations or deformity…
Palpation: Apex felt at 5th intercostals space, no thrill no parasternal heave, …….etc
Auscultation: start from apex then tricuspid then pulmonary then aortic…. Lateral position at
apex or
lean forward at base of heart as needed: telling the examiner that heart sounds is dual no
murmurs ….
Then examining base of lung for fine basal crackles (CHF) then LL edema
Then examining abdomen it there is time to rule out HSM (CHF).
Don’t forget that you would like to take vital signs (Temp, Pulse, BP, RR, O2 sat).
The marking sheet at the examiner hand:
1) Introduction: tell the examiner your name then
introduce yourself to pt and start...
0 not done 1 did it 2 did it perfectly
I am …..I would like to examine … I will start by examining your hands……now I would like to
examine
your heart can I uncover your chest …..)
2) Vital signs 0 1 2
3) Hand /neck veins/LL 0 1 2
4) Heart Insp /palp/auscultation 0 1 2
5) Overall performance: 0 2 4
So if you do introduction and overall systematic with confidence and good communication skills
you will
get 30-40% of mark at each case whatever it is. Search for people, places and things

MCQ stations with no examiner around. Each station 4-5 MCQs such as showing CxR of pleural
effusion
or ECG of MI or CBC or iron deficiency or B12 def or MSU of UTI or a case scenario then what is
the best
to do admit or refer to outpatient clinic or GP or discharge on oral antibiotics or….. Skin disease
lesions
or Graphs (usually all from Murtagh textbook of general practice)….etc
Reading list for NZREX: there is lots of reading list at MCNZ website but mainly text books and
non
practical to read all.
To study for NZREX you need the following:
1)Clinical book: Talley O'Connor of clinical examination: which is how to take history and do
examination. Or you can only listen to videos because it contains all system examinations.
2) Clinical cases book: London Plab 2 Osce Handbook Hemanth Kaukuntla it is not present at
Egypt, u
can buy it from England (www.ebay.co.uk) or from amazon.com. (Very very very important and
useful
book)
3) Medical information; Either Murtagh text book of general practice or oxford hand book of
clinical
medicine and clinical subspecialty (it is only reading, not studying hard to memorize everything,
to
refresh your mind as it is for static stations which usually no difficult and your knowledge from
studying
to USMLE CK/Australia MCQ/PLAB will help).It is all about basics.
How long does it take to prepare for NZREX?
I will depend how much you study but usually 3-4 months enough (Practice with friends ) This
is a link to
NZREX forum to communicate with who taking NZREX exam and to make study group online or
when
coming to NZ a week or two before the exams(It also contain most of previous NZREX exams
questions)
The exam location at Auckland city of New Zealand
I took me 3 months to prepare for NZREX exam.
http://www.rxpgonline.com/tags/nzrex
Exam result: 5 days after exam date: So you will get the result while you staying at NZ after the
exam
.Then you can apply for work at anytime you like from NZ (easy to get visa extension if about
to finish)
or if you want go back home for any reason (Usually no interviews required to get a job offer
and start
working)
VISA
Visa issues about NZ, all information are available at http://www.immigration.govt.nz/branch/
DubaiBranchHome
Note: For those who apply from the Middle East, they should download the application form (I
contact
them and told me to apply to a visitor visa to take the exam) and send it to New Zealand
embassy at
DUBAI. For others see for the nearest branch to you at this website:
http://www.immigration.govt.nz/
migrant/general/aboutnzis/contactus.
At 1st send application with a copy of passport then they will ask you to send original once your
visa is
approved (usually take 3-4 weeks).You don’t need to go to Dubai to apply for the visa.
It is important to get the acceptance letter of NZREX exam showing date of your exam to send
it with
your application.
Fee about 100 USD and processing time 3-4 weeks and from the above website you can easily
find the
checklist for the required documents.
Cheapest air way to go to NZ from Egypt is Korean air way .However, sometime Singapore and
Emirates
airlines make good offers. Emirates airline go through Australia so Australian transit visa is
needed if you
are flying with it. No transit visa is needed if you are with Korean or Singapore airlines.
Costs:
Travel ticket from Egypt 1300 USD.
Living cost of a week in NZ: 200-300 USD.
After Passing NZREX
Applying for work: by yourself (30-40 NZ hospitals) or through an agent, Cost ZERO $.
Here is the link for all District Heath Boards (DHBs) of NZ that contain all NZ hospitals: http://
www.mcnz.org.nz/Links/Districthealthboards/tabid/139/Default.aspx
Here the link for all the Medical recruitment agencies (will apply on behalf of you) that you can
contact:
http://www.mcnz.org.nz/Links/Medicalrecruitmentagencies/tabid/140/Default.aspx
Time between passing NZREX and Work: average 2months.
Salary of 1st year $4600 NZD (3300 USD) after tax then increases every year. Average Single
person
savings 2000USD.
Provisional Registration scope:
A year work under-supervision including at least 3 months general medicine and 3 months
general
surgery as 1st year house officer (Resident)
Then you will be under General registration scope and you can apply for any specialty you like
in NZ (In
some parts of Australia also: for more details see this link:
http://www.amc.org.au/index.php/img/ca ).
After passing NZREX you can apply to 1st year house officer or at an International Medical
graduates
(IMG) program.
IMG programs: It is a government funded program run by Auckland Hospital 2 times per year
(6 months
at June and at December).It is useful that it familiarize you with NZ hospital health system.
Salary is same as 1st year house officer but 3 months counted for registration at MCNZ.You
usually will be a
buddy of house officer learning from him what to do.
IMG program is not a must to do to familiarize yourself with NZ health system but it may be
useful for
easy integration to clinical work if you are away for a period of time for any reason like doing
research.
It will take about 2-4 weeks to understand a hospital system and you will find who will direct
you.
N.B. In NZ, you can apply for work at any specialty (Medical, Surgical, OBS/GYN .......). Work in
NZ is
different than The USA as in the states you can't work as surgery resident without being
accepted to a
surgical residency program. However in NZ you can work at any specialty then apply for a
training
program
Trainees Vs non-Trainees:
-Trainees doctor= Non-Trainee (same work/salary/experience) + accepted by Royal Australian
college of
physician (RACP) as Trainee and exams will be arranged.
N.B.You can work as non trainee for lifelong but you will never be a consultant specialist except
by being
under a training program and passing the related exam.
In general it is easier to get accepted at medical training program in NZ than Surgical.
While working in NZ you can apply to USA residency (if you are still interested or you can apply
for both
NZ and USA training program until been accepted in either of them as some programs are
competitive in
both) while you are relaxed and has no pressure as you are already involved in a reasonable
health
system, able to pay for the Match and cost of travel to make your interviews.
While working in NZ you have a hand on (work) experience and being registered at English
speaking
country which will give you an advantage if you are taking NZ as a step to go to USA and for
sure you
visa will be easier.
Also you are working while waiting for the match result and time of employment (from Sept to
July).
• Training Programs
They are the same in NZ and Australia and follow the same organisation that is called Royal
Australian
College of Physicians (RACP)or surgeon.
Formed of :
The College's Physician Readiness for Expert Practice (PREP) program provides comprehensive
education and training to the majority of medical specialties represented by the College. The
PREP
Program requires a minimum of 6 years to complete:
3 years of Basic Training (Ex. Internal medicine . Almost = to USA residency)
College Written and Clinical Examinations
3 or more years of Advanced Training (Ex. Internal medicine Subspecialty like Cardiology.
Almost = To
USA fellowship)
Successful completion of training results in admission to Fellowship of the RACP.
Entry Criteria
To be eligible to apply to join the PREP program trainees must meet the following criteria:
Completed a medical degree
Completed an intern year: the first post-graduate year (post MBBS/MBChB)
Appointed to a hospital accredited by the College for basic physician training ( almost all NZ
hospital are
accredited )
Discussed their application with and received approval from the relevant hospital or
DPE/DPT/DPPT*
Been successful in selection process conducted by the DPE/DPT/DPPT at the local level
* Director of Physician Education (DPE) | Director of Physician Training (DPT) | Director of
Paediatric
Physician Training (DPPT) .
For more information about training programs see these links:
http://www.racp.edu.au/ and http://www.racs.edu.au/
It is your responsibility to apply to a training program not hospital. Any hospital wishes that all
their
doctors are Trainee doctors.
Basic training or advanced training can be done at many hospitals. I mean for example you can
finish
your basic training by working at several hospitals not to be confined to only one hospital. If
you are not
satisfied by a hospital you are free to apply to another one.
Documents required applying for registration at MCNZ:
Passing NZREX Then Applying for a job then once you get Job offer and signed the contract:
you need
to fill a registration application to MCNZ and providing 3 referee letters from any 3 doctors you
worked
under their supervision (doesn’t matter from where; any three with 3 valid emails)
You can download the referee forms from this link so they will be ready (filled and signed) with
you while
you are in NZ taking the exam:
http://www.mcnz.org.nz/portals/0/checklist/RP9.pdf
Then you give all the paperwork to the hospital who will sign and send this to MCNZ (425 NZD
fee
processing time 2-4 weeks)
At that time the hospital will give you some papers to apply for your work permit Then once
MCNZ approves your application, they will ask you to make a meeting with a council agent to
Search identify your identity and take a photocopy

following at that interview:

1) Current passport.
2) Certificate of good standing: from Egyptian medical syndicate (Niqaba); you can get one in
English for
10 L/.E. and also from any country you practice medicine as a registered doctor over the last 5
years.
You should get it just few days before going to NZ as it is valid only for 3 months from the time
you will
start work.
3) Your original medical qualification (Imtiaz.Kartoon, Transcript) and postgraduate
qualifications if you
have.
4) USMLE, PLAB part 1 or AMC MCQ score.
5) IELTS test report.
6) Letter of job offer.
Once you finished the interview you will need to pay fee for annual practicing certificate APC
(320-800
NZD according to your birth date and date of work); you will get this fee from the hospital once
you
start work.
Once you get APC enjoy working in NZ.
Then once you start working you have the score required to apply for permanent residency
(almost =US
green card) and 5 years after acceptance you will get the citizenship (NZ passport)
When you are a permanent resident: no visa required for any thing (Almost = NZ citizen but
without NZ
passport).
Documents required applying to Permanent Residency(PR):
Average processing time 6-9 months. I got it in $ months.
You need to apply 1st for Expression of Interest at immigration website (online) fee 450 NZD
(https://
www.immigration.govt.nz/secure/default.htm )
Then it will take 3-5 weeks processing and once approved they will ask you to provide the
following
documents (certified copy of Originals):
1) Birth certificate: You can get English one from the ministry of health for 10-15 LE instead of
translation the Arabic one.
2) Police clearance: one from your country of citizenship and from any other country you lived
for more
than a year over the last 5 years. It is good to get it few days before coming to NZ for the
exam and
translate it to English as it is valid only for 6 months from the date of issuance.(original is
needed)
3) Certified copy of your medical qualifications, NZREX pass letter, Job offer, IELTS and APC
certificate.
4) Work experience certificate if you have one.
5) Medical check up (450 NZD).
6) Fee: 1400 NZD
Then once accepted you need to send your passport with 300 NZD fee to get a PR stamp.
Total Fee for PR 2500 (It is at a different time periods while working and having salary so
money will not
be an issue).
NOTES
Why NZ ?????
1) Easy to get a visa (visitor visa for the exam, work permit and PR).
1) Easy to find jobs after passing exam in a short period of time (applications at any time).
3) Saving money + work experience in English speaking country (will help in applying to USA
residency
until being accepted if still interested in)
4) Easy to get Citizenship.
5) Easy to get training job compared to USA (Basic training).
6) Easy to get advanced training and fellowship: in the state if your residency program no
strong you
may wait for years until getting fellowship.
Now you have the option to apply in both either NZ training programs and USA residency (You
chances
of acceptance to one of the is high)
7)? Most of hospitals accepting IMG in the states are at same level of NZ (my own view) and
you
chances in NZ may be better.
8) Balanced work life working almost 50-60 hours weekly with about 3 full weekends off
monthly.
9) Missed match or unlatching means: wait at least for another year??? Aiming to get chance at
the next
match while in NZ passing exam mean finding job in a short time.
10) Any study leave/conferences/study related fees will be paid by hospital.
11) Work also in Australia and your degree is Australian.
- Islamic centers, schools and mosques: will depend which city.
-IELTS while applying for USA match (Plan B) so if you didn’t match you will be prepared to
apply for
NZREX instead of wasting time studying for IELTS then NZREX by that time the nest USA match
will be
soon so you may postpone NZREX then if you didn’t match again this mean that 2 years already
gone.
Finally I think NZ is a reasonable option for whom:
- Struggling of matching to an USA residency program.
-Want plan B while applying to match.
- Want transient helpful step until accepted by USA residency program (If thinking that NZ is
not
achieving your aim or dream).
-worked in NZ then interested to stay.

Examples of what may come in your exam:

This written by candidate of previous NZREX exams: I copied and pasted it
Just finished the NZREX yesterday (14 March 2009).
Would like to know what the other candidates thought of the exam.
I will also post the questions that I could remember...
There were 16 stations. 4 stations were static stations and I can't really recall them. They were
all paper
based with 4 to 8 case scenarios at each of them and results and a whole bunch of ECG's and 5
X-rays.
You had to choose the most appropriate management plan. But in order to do so, you obviously
had to
know what the right diagnosis was.
Now the active stations:
1) Take a history from a 9 year old boy with knee-joint pain; afterwards you have to talk to the
examiner and give a diagnosis and perhaps answer one or two questions.
2) A middle aged male that complains of abdominal pain. LFT result is provided with slightly
raised
Bilirubin and raised GGT and ALP. The task is to perform an appropriate physical examination
on him and
tell the examiner what you are doing while you examine and what you are looking for.
Afterwards talk to
the examiner and give a differential diagnosis. There are no real physical signs on examination.
They
want to see how you examine the patient and the differential diagnosis you will have to base on
the LFT
results.
3) This was a communication station: Scenario of a 25 y/o female that has been diagnosed with
PCOS
and was started on Estelle (oestradial and cyproterone) for this. The diagnosis was already
confirmed.
You had to see her during her follow-up consultation and discuss and agree with her on a
future
management plan and if necessary further tests. Answers any questions she may have.
4) Another communication station: Middle aged female with a BMI of 32 that had a whole lot of
tests
done because she is concerned about how much weight she has put on. Tell her the results of
the tests
and talk to her or advise her on lifestyle modifications.
5) A young male has been admitted and was operated for a tendon repair to his right hand. The
sisters
in the ward called you to assist because he wants to leave the hospital and is threatening to
remove his
stitches. They have already performed a delirium screen which was NEGATIVE. Manage the
situation.
6) Station where you had to suture a wound on a patients head. (Seems easy, but believe me
when you
are anxious and you have to perform every step right (working sterile etc.) it is not that simple;
one can
make stupid mistakes...)
7) A 62 y/o lady has been referred from the Blood Transfusion services because her Hb was
low. Take a
history.
8) 12 year old girl complaining of pain in right knee. Perform a physical exam and tell the
examiner what
you are doing and looking and feeling for.
9) Elderly male is complaining of chest pain. Take a history and afterwards discuss your findings
with the
examiner and give the most appropriate diagnosis and a list of differentials.
10) A middle aged male is complaining of headaches and a teary right eye with reduced vision
as well as
numbness to the right side of his face. Perform a focused and appropriate physical examination
on him
and tell the examiner what you are looking for. (PS: there was NO TUNING FORKS...)
11) Take a history from a women that was referred with high BP and 3 + protein uria. She is 32
weeks
pregnant.
mmm... this leaves us with 15 stations.... think the other station was also paper based stations
with xrays
and ecg's etc. Can't recall any other active stations ... perhaps some of the other candidates
can
help?
ou miss the history taking station for a TIA case of an old lady.
i passed my NZREX on Sept 08. I am currently working as a house surgeon in ACH under the
IMG
programme. I total disagree with u re: ppl will look down at you if you are an IMG.
If you passed this exam, u r as competent as those NZ grads.
The most important thing is confidence.
I passed this exam as well so would like to add some information to what was posted already.
First of all observership: I did it myself for 3 week.It was great in terms of getting to know how
things
work here and meeting people, but in terms of exam preparation it wasn't useful.Doctors
around you
are not their to teach you they are doing their jobs, and they don't examine patients according
to Talley
and O'Connor.

Material: If you have an access to NZ medical university libraries(Auckland Medical University,

Otago
Medical University )-there is "5th year OSCE questions" folder their.There are scenarios and
examiner's
marking sheet, which gives you a perfect idea how NZREX stations work and what they want
from us.I
have to tell you that our exam was very similar to 5th year exam for NZ medical students.So
you can
talk to NZ medical graduates as well about their 5th year exam.It's not identical though.
Books: I used Talley and O'Connor "Clinical examination" and Murtagh's General Practice.Also i
had OSCE
handbooks with different scenarios, Oxford handbook of clinical medicine,NZnz guidelines group
website,
but all of those were support material.
I would say that practicing for exam in a study group would be useful as well.
NXREX is not a very difficult exam after all, i had fun doing it( you think i must be mad), but if
you know
what to expect it's not that horrible at all.there are a lot of great posts on this site, read it and
stay
positive!
I am one of the guy who cleared NZREX this march, one thing which I noticed in this exam was
that the
patient's (or rather the simulators) were there to give you information, all you had to do was to
initiate
them to tell about their complaints and they give all the information which is necessary in one
shot. We
have to listen to their complaints carefully and repeat what they told you ( to make sure that
you've got
the information right) and then at the end ask relevant questions to rule out other DD's and
then the
usual Family H/O, drug H/O etc etc. In my opinion the examiners and the patients were very
good, very
very sweet and helpful, it was as if they were there to help you to get a pass. In fact at some
stations it
wasnt like an exam, me and the patients were having a good laugh. So act confidently and try
to be your
usual self and listen to what the patient says, even if it is a councelling station listen to what
they want
and answer that. I would have hardly spoken for 2 or 3 minutes even in the councelling station,
all I did
was made the patient talk and tried to empathise with him or her and tried to suggest changes
or
answer their questions.
Well, well, well... nzgirl... you should have shared your secret about those sample OSCE
scenarios for 5th
years with us earlier... It would have been a BIG help I am sure. That is actually the way to go
in
preparing for this NZREX. By practicing as amny scenarios and sample OSCE questions as you
possibly
can.
Just read through the Murtagh and practice physical exam methods from Talley O'Connor on
your
partner or family member etc.
I only had 2 weeks to study for this NZREX as they called my 2 weeks before the exam to say
that there
had been a cancellation... I was suppose to write in June... I read through the Murtagh and
practiced the
physical exams from the Talley O'Connor DVD. Then I used an OSCE book (actually used for
PLAB 2)
with scenarios and mark sheets to practice. All in just 2 weeks. Yeah, it was pretty much hell to
study
from dusk till dawn. I would not recommend people to study in such a short period. I just
decided to
took a chance and grab this opportunity... and with God's help it payed off. In my opinion the
more you
practice OSCE scenarios and exam techniques the better you will be prepared for the exam day.
If you
passed the USMLE 1 + 2 , you know your medical knowledge is good enough for this exam. All
you need
to do is refresh your memory and PRACTICE your clinical skills! Good COMMUNICATION skills
are the
key to passing this NZREX.
If you listen carefully to the patient and let them speak - all you have to do is think logically and
communicate well in English. Then you will find that NZREX is actually an easy exam... I know
that is
easy to say after you passed, but I have done alot of difficult exams in my life and this is not
one of
them. I think USMLE and PLAB are much more difficult than NZREX. However, here you have to
be able
to think on your feet and communicate well in English. This can only be done if you PRACTICE
as much
as you can. We all have the knowledge - what we need to pass this exam is the SKILL...
Anyway, it was GREAT of nzgirl to finally share her secret for preparing for this exam. Those
5th year
OSCE questions will be a great way to practice AND get to know how they mark this exam.
Wish I had
that before the exam... would have made me alot calmer the day of the exam... I guess it is not
always
WHAT you know but more WHO you know... Go to that libraries in Auckland and Dunedin and
copy take
out that OSCE samples!!!
Another suggestion, please concentrate on ENT , Opthal we are getting one station from either
of these
specialities every year.
Also in Paediatrics , Obs and Gynae and Psychiatry , think of the community or the public health
aspect
of these specialities.
Lets say in Paediatrics , a child's health is intricately related to his environment, if his parents
are not
taking care of him a child will not grow properly, if his house is overcrowded he would be
getting
infections-esp meningococcus, strepto, tb.
In Obs if a mother doesnt have good support it would affect her and her child, in Gynae esp a
teenage
girl take every oppurtunity to tell her abt STI's.
In Psychiatry assess if the patient is at a risk for himself (sucidal thoughts) or a risk to the
public
(schizophrenic with ideas of killing his neighbour etc etc). So concentrate on this and
demonstrate that
in the exam, this is what they are looking for, how safe a doctor you would be in terms of
taking care of
the patient and his surroundings.
16 stations
Search for people, places and 4 static stations- Write a discharge summary
ENT ( pictures of ear drum ) management-7 MCQs
Skin lesions (pictures ) management-7 MCQs
Headaches ( investigations and management)- 5 MCQs
12 stations- 3 physical examinations
DVT examination
CVS examination
Back pain & Lower limb neurological examination
SOB and chest pain - History
Tiredness and anaemia- history
Abdominal pain and blood stained stools - History
Vaginal discharge with Chlamydiasis +- History
Substance abuse and emotional abuse with maternal deprivationin 14yr old girl -
Communication station
Increased RBS - management - communication
Hypercalcemia in breast Ca patient , management- Councelling
ADHD in 10 yr old boy - discuss management with the mother
Also there was a case of termination of pregnancy for communication
Posted: Tue Jun 30, 2009 1:31 pm Post subject: NZREX Exam Recalls June 2009
case1
A mother came with complaints of child having disruptive behaviour. take history and answer
her
querries
case2
a 45 yrs old man, going to travel overseas.he wats to get his checkup done. he has an
asymptomatic
murmer. plz do the focused examination.
(SP had actual murmer)
case3
A 50 yr old man has been just back from long flight from thailand 2 days back. now he has pain
in the
calf and shortness of breath. do the focused examination on him.
pulse oximeter was also provided to check oxygen saturation)
case4
a 44 yrs olf female has amenorrhoea for 16 weeks, ur nurse has just performed a pregnancy
test and it is
+ve. She is very distressed and wants termination of this pregnancy. Tlak to her.
case5
a 16 yrs olf female has multiple cuts on wrist, now presented with cut wrist again, she has low
mood,
bandage on her wrist. take the history.
case6
A 50 yrs old women came for well man checkup
blood result show blood glucose:15.1
she doesnt want medications. talk to her abut lofestyle changes.
(her actual concern was her homeopathic medicines that she is taking)
case7
55 yr old man was admitted in hospital with pneumonia last week
did his blood tests and came out to HB 10.1
take focused history to find oiut cause of his problem
case8
a 23 yrs old man presented with severe back ache after lifting heavy box. pain goes to his right
foot, pls
examine him.
(he had no sensations on lateral side of foot)
case9
a 25 yr old women has been treated for chlamydia, presents with vague lower abdominal pain,
greenish
vaginal discharge with fishy smell. take history and tell D/D to examiner.
case10
pt came with SOB,take history.
(was CCF case)
case11
pt has mets of breast cancer to bone,has high blood calcium, contipation, nausea vomiting, pan
epigastrium, and lower back. talk to her about her concerns.
case12
pt 45 yrs old male.presented with bloody diarrhoea. cramps in tummy
take history
the statics were worst
case13 statics
5 pics of tympanic membranes.make diagnosis and treatment
case14.
pictures of skin lesions,
tell the treatments.
case 15
write down the discharge summary
(time was very short for that)
case16
static station about different headaches and their managements.
Posted: Sun Sep 28, 2008 4:30 am Post subject: Question of NZREX september 2008
Question of NZREX september 2008
1.A middle aged female on microgynon had three recording of high blood pressure.take history.
5. Four written station
6.One discharge summary
7.Elbow examination. lateral epicondylitis
8. Cardiovascular examination
9.EXamination of Bells palsy
10.6o yr old female with past history of bypass surgery having complaints of blurring of
vision.(TIA)
.history station
communication
11. Salmonella infection of child.couselling to father
12.breaking bad new.cancer of colon and USG showing metastasis
13.CHILD WITH recurrent cough(history)
14.child having severe cough and breadthing difficulty.management and diagnosis.
15. female with abdomen pain who had IVF .
16.INTERACTIVE STATION WITH EXAMINER IN WHICH SENARIO WAS DISCUSSED.
A PAT HAD KNEE OPERATION AND SUDDENLY GOT CONFUSED AND INVESTIGATION SHOWED
INCD
GGT AND MACROCYTOSIS
Hi, everyone
I've just passed the NZREX. I want to thank all the members of this forum because the
information that
I found here really helped me a lot.
I'm going to post the exam questions that I've managed to recall. I hope they will be helpful to
those
who are going to sit this exam later.
There were 16, but I can only recall 15.
There should be only 2 questions in the communication, 3 in the physical examination and 4 in
the
history-taking catergory, but I have 3, 4 and 5 questions respectively . No. 3, 5 and 11 might
belong to
the prioritisation/acute serious conditions categories (in dynamic form).
<Communication>
1.Woman says she wants to use oral contraceptive pills.
Help the woman make a decision. (Explain benefits, risks, clarify if she has any of the risk
factors, etc)
2.Woman worries about her dad who has just undergone an elective surgery for abdominal
aneurysm,
now in ICU connected to a ventilator. Explain what aneurysm is , future management
(extubation,
transfer to general ward etc). Address the daughter's distress and guilt as she is the one who
talked her
father into this. Reassure she did the right thing.
3.Explain a gastrocopy+biopsy report (duodenal ulcer). Positive urea breath test too. Includes
diagnosis,
treatment, etc. The patient's worried about having cancer.
<Physical examination>
4.A boy has just had an asthma attack.
5.A young woman had a termination procedure , now has vaginal bleeding ,fever, dizziness, abd
pain.
Examine the actress and then, using a dummy, do a pelvic examination (bimanual and
speculum).
Findings will be given by the examiner. Give diagnosis and treatment plan (retained tissues
cause
infection)
6.Old man suffers from rt ankle pain after excercise. He has great pain when lateral ankle is
palpate and
limited ankle inversion.
7.Young man has sorethroat and a neck lump. I think it's infectious mononucleosis. Check ears,
eyes,
throat, neck, liver spleen.
<Take history>
8.Woman complains tiredness. Duration: 6 months. Onset: after divorce. Has most symptoms of
depression.
9.Man has chronic cough. Hemoptysis, smoker. No TB risk factors. Most likely lung cancer.
10.Woman complains unilateral subacute hearing loss. Vertigo(?), tinnitus. I think it's Meniere's
disease.
11.Man has acute severe occipital headache after exercise. FH: sister had 'stroke' around 30,
had
operation and recovered. Could be SAH. The examiner asked about plan (CT), what to do if CT
negative
(LP if still suspect SAH?)
12.Young woman, has vomitting. Most likely anorexia nervosa. Has amenorrhea, on diet,
exercise
vigorously etc.
<Static stations>
13.Interpret X-ray and choose plan: have to determine whether there's fracture of fibula, skull,
wrist, ribs
and/or pneumothorax.(Prioritasation?)
14.differentiate different types of anemia :IDA, chronic disease, vitb12 deficiency
etc.(Tests/procedures?)
15.Pyelonephritis: interpret lab data ,diagnose, choose plan.(Acute serious conditions?)
I reckon none of the patients was real.
One very useful tip is : At the communication stations, always ask the actor if he has any
questions .
They will ask you to explain things that you forgot to explain (eg.'Do I have cancer? Can my
father talk
after extubation?)
I spent some time before the exam trying to memorize some important lab numbers, because
in Taiwan
we use different units. But it's totally unnecessary because all abnormal numbers will be
highlighted.
Books: Murtagh's General Practice, Tally&O'Connor's Clinical Examination and an OSCE book.
My background: Trained in Taiwan. Have two years of work experience (resident of the internal
medicine
department).
All the best.
Author: lilsmiles8, Posted: 04.13.08 Post subject:
Hi congrajulations Mailman,
Thanks for writing ur exam experience & guidelines for the exam. How did u feel about the
exam
overall? Are the examiners quiete strict ?
Could u pls explain us like how the exam conducted & how much time u had to invest at each
station.Did u get breaks inbetween.
How were ecgs? Could u pls tell us what qs came in the multple choice qs?
Thanks
Author: mailman0519, Posted: 04.13.08 Post subject:
Most examiners were nice. A few were kind of 'cold'. One nice examiner kind of reminded me
when I
made a silly mistake. (I said 'The 'respiratory' rate is 72/min' after I measured a patient's pulse
rate, and
he said' respiratory rate??'). So I'd say, just treat them like ordinary people.
I think the level of difficulty was moderate. To me , the difficult parts were 1)the questions
involving
O&G, pediatrics, orthopedic knowledge (luckily these were the minorities) and 2)communication
(mainly
because English is not my first language). All the other questions were easier for me, because I
have
two years of work experience in Internal Medicine Department. Therefore, I guess it really
depends on
individual experience and abilities. My opinion is, you need a balanced skill ,because they do
test you on
different aspects of medicine. Find your weakness and improve it. Don't let it jeopardise your
overall
performance.
It was held at the outpatient department. There were 16 stations (in 16 isolated rooms). We
had 10 mins
for each station, and 2 mins in between to read questions. There was a 6-min break after 8
stations. I
didn't notice any clock in the rooms, but personal timers (eg non-electronic watches) are
allowed. At the
history stations, it'd be better if you can allow some time for the examiners to ask what your
D/D is,
even if the question doesn't state you'll be asked. 30 seconds is enough.
This time, there were no ecgs.
I don't understand your last question. I passed USMLE step1 and step2CK before sitting NZREX.
If that's
what you mean by 'MCQ'.
Author: lilsmiles8, Posted: 04.13.08 Post subject:
Thats really nice of u to pen down all ur exam points.
I aapreciate ur efforts to recall ur exam events & share with us.
BY MCQ i meant that, heard there are stations composed of multiple choice qs , where u have
to tick
mark the most likely answer.Am not sure.....
Could u pls tell us what were the cases?
Could u pls give me ur notes as i assume that it would be of no use to u now....U can contact
me on
lilsmiles8 AT ya hoodot com.
Thanks
Author: mailman0519, Posted: 04.14.08 Post subject: About MCQ
I see what you mean know.
All the questions in the 'static' stations (13,14,15) that I mentioned were in MCQ form.
Most of them ask you to choose 'one' most suitable answer. A few require choosing more than
one. (eg,
choose four appropriate tests that you want to order) .
NZREX- 25th June 2011
My result is yet to be out so please pray for all of us who appeared for the exam. I am trying to
recall
questions and able to recall all 12 active stations but my language and information is superficial
but
gives you idea and actual questions were detailed and guides you very nicely what exactly you
must do
in the station and what is not marked for (even if you do). In fact your main task would be
highlighted.
There are 16 stations, one can start the exam from any station; suppose, I start from the 16th
station,
then my second station would be 1st until 15th. There is bell to get in the exam room and
different bell
when the time is over when you need to come out and start reading question for the next
station,
outside the next station room and wait for the bell to go inside ( 2 MINUTES TO READ
QUESTION
OUTSIDE THE STATION AND YOU HAVE THEN 10 MINUTES TO COMPLETE THE TASK INSIDE
). Try to
remember the name of the patient. Anyways one copy of question is inside also so you can
have a look
or ask the examiner for that. Orientation of the exam is given in the beginning and drinking
water
arrangements are there. There will be a break for washrooms and water after 8 stations.
Be quick in discharge summary station as long patient notes are given. Rest time would be
enough to
complete the task, examiner and patients give hints sometimes, so pay attention.
Knock the door, go inside, greet examiner then the patient and introduce yourself - eg. - Hello ,
I am Dr
XYZ, intern, house officer as written in the question stem and then ask the patient,” how are
you doing?
”and then, after sitting you can ask,” What brings in you today?” Or” How may I help
you?”...etc. Some
imp. sentences at the end such as “Am I clear to you?” ,” Do you want me to explain you
again? I would
be happy to do that”, “Is there anything else you would like to tell?””Are there any other
questions,
queries’ or concerns you would like to talk about?”... Don’t forget to wash your hands before
examination station and actually you have to wash hands, there is no hand sanitizer in the room
and
thank patient at the end especially after examination station. You can get idea from passed
recalls but
it’s not a complete question, your task would be very much clear to you in the real exam.
Yep, in this exam 100 percent questions were repeated except statics. Good luck folks here are
the
questions.
STATICS : ( In one static station there can be 5 or 6 mcqs )
My ans could be wrong but in statics you will get ideas about topics to know. common topics
are
headache, anaemia, skin lesions, vaginal discharge, x rays, ecg’s, scenarios- trauma,
haemetemesis,
diabetes, management, monitoring- its general idea about statics
1. Questions about diabetes-its management, monitoring, investigations, scenario was given
and
question was asked. I don’t remember all.
2. (a) X-ray spine was given as scenario with history of trauma- Q- what will you do first? 1.
Immobilize 2.traction 3.ct scan 4.neurosurgical review (it appeared fracture L4 to me, so, I
opted
for 4) I am not sure which one is correct.
(b) X-ray ankle was given and was asked how will you manage it? 1. Cast and POP after 10
days 2. Cast
and then something don’t remember 3.internal fixation there were two more options (it
appeared
fracture lower end fibula extending into joint on lateral view so I opted for 3)
(c) Young male with history of fall on wrist 2 months back coming with pain in wrist,
movements of wrist
normal, no signs of inflammation- how will you manage? X ray was given 1. Refer to
physiotherapist
2.Refer to orthopaedician 3. Pain killers for 10 days there were two more options (x- ray
appeared
normal to me so I opted for 2 as patient was having pain at presentation so thought
physiotherapy is not
appropriate and if presenting after 2 months then might have taken pain killers before, but it
was not
mentioned in the questions, so don’t know what is rightJ
(d) Young man with trauma to chest AP, LAT. X ray films were given what will you do?
1. Intercostal needle 2.Intercostal drainage 3. More options were there, but there was not even
a single
option about cast, POP or surgery (x -ray appeared fracture medial end of left clavicle but it was
not
seen on other films. I checked lung field very nicely and bronchial markings were present still as
there
was no surgical option I just ticked 1 as a guess thinking, I was either missing pneumothorax
somewhere or, else, I did not understand the question)
(e) Child with trauma with headache and one dizzy spell after trauma x-ray skull AP, LAT views
were
given, what will you do first?
1. Neurosurgical review 2. Send home with pain medications 3 more options were there -don’t
remember
( it appeared periosteal discontinuity- fracture at vertex so could be fracture and I don’t
remember the
exact age of the baby but was definitely not under 2 yrs so I opted for 1)
3. (a) Scenario with haemetemesis with shock- What investigation will you do first? 1. FBC 2.
INR 3.
Blood sugar 4. Blood grouping and two more options were given (I opted for 4).
(b) 60/f on aspirin, lisinopril, and gliclazide admitted for some weakness and dizziness. Was
unable to
drink and eat but managed to take medication since two days…what test will you do first? 1.
Blood sugar
2.INR 3.FBC 4. CT HEAD …I opted for 1.
(c) Patient on various drugs with warfarin admitted for some infection…don’t remember exactly.
What
will you monitor...1.FBC 2.BLOOD SUGER 3. INR 4. PTT...I OPTED FOR 3.
(d) Child with bruises, bleeding gums...Pt., inr, platelets all normal...no history of viral
disease...What is
the diagnosis...1. von will bonds disease and there were 4 other options do not remember. I
opted for 1
only.
** Young lady for contraception advice with history of DVT in the past..which contracetives are
contraindicated 1.progesterone only pill 2.IUCD 3. Oestrogen+progesterone pill…I opted for 3.
**Young man- brick layer with fever, night sweats and weight loss what investigation will you
do first?
1.Chest x ray 2.lymph node biopsy and some more options were there..dont remember exactly
There were 4 more scenarios but I don’t remember-sorry!
1. Prepare a discharge summary…2 pages of follow up of patient was given …I could not finish
it as I
did not pay attention to the time…see any summary in NZ hospital you’ ll get an idea it’s same
everywhere but headings and all that is little different…Write Name, Age, sex, DOB , Hospital
Number, Admission date, discharge date, Final diagnosis then start with Clinical summary- he or
she ( don’t write patient) aged so and so presented with ……….with background history
of……….o/
e, inv done then write was managed with………… and improved and being discharge in stable
condition, then write DISCHARGE PLAN, then PATIENT NOTE, then medication, then Follow up
with GP or OPD whatever is given…write your name, designation and sign…in actual discharge
there is reason for admission, previous record details ,inv- pending but no need as I have been
suggested by senior who already passed and working as a house officer and anyway if you
write
everything you won’t get time. In my case I was unable to read given info also.
Probably above statics won’t come in the next exam…as whatever was not in march 2011 exam
came in
this June exam. That is just a guess and yes, there were 7 questions from November 2009 in
this exam,
so recalls and practice with study partners or with senior is very important at least 20 to 30
days .
ACTIVE STATIONS: (all repeated from past recalls especially nov 2009)
1. 30 yrs. male with heart murmur who is planning to travel overseas. You are an intern and do
CVS
examination. No marks given for history.
(I found apex at anterior axillary line and could not listen to his heart sounds clearly…forgot to
auscultate on rt. side- hope it’s not dextrocardia case.Hahahahah….god knows whether it was
normal
heart or with murmur. I checked my diaphragm of stetho twice spend time on apex as I was
not getting
it…there was no JVP rise no, Brui anywhere, only positive findings I got were, mild pedal
oedema and
deviated apex…I just said murmur can’t be appreciated coz of tachycardia but heart sounds
were
muffled but then it was not case of pericarditis so just said what I felt right and did not
commented
about muffled sounds. Imp. is to do all steps given in Tally o Conner video-whether you
diagnose or not
is not imp. That’s what I have been guided by the seniors. I might be wrong as I am not a
cardiologist or
an expert in heart auscultation)
1. You are intern in ED and you are about to see young man in 30s with history of severe
headache
while playing squash and was brought in by friend. Discuss your differentials with examiner at
the
end.
(Time management imp. as examiner might ask you or might not interrupt you so finish history
in 7-8
mins and then say you are done with it, thank patient and turn towards examiner and start
giving your
differentials. Examiner may ask you something else. ….my dd were SAH, meningitis,
migraine….but as it
was grade 9 pain, without stiffening, without fever, and it’s been 3 hrs. now and his pain is
better but still
grade 3-4 pain is there…no such episode in the past…had headache once in a while in 6-7
months which
is always relieved with panadol…I said I’ ll admit and will run some test including urgent brain
scan.
Examiner asked if scan is normal, then I said lumber puncture…then examiner asked me
anything else it
could be, then I said could be, but in this case, likelihood of SAH is more and being worst
prognosis
would like to rule out first. I was still having time may be 1 min more. Examiner asked me I can
go out
and wait outside until bell rings for the next station…it could have been cluster headache,
cervical
spondylitis. I did not mention it but when examiner asked me anything else, I should have
given all list
of headache as it was dd only.
1. 3o yrs. female with 8 wks pregnancy by IVF came with history of tummy pain. Talk to the
patient
about her concerns and manage it. USG report was given it was single pregnancy intrauterine
and
normal, pv finding- os closed, no bleeding, no discharge- all normal, vitals were normal.
(in history, it was grade 3-4 pain continuous since two days, no urinary, no bowel, no relation
to food, no
radiation of pain, no aggravating or relieving factor, partner cooperative but at present overseas
for 7
days, no fever, nausea, vomiting, no other symptoms, pt otherwise comfortable, …initially I said
your
investigations are all normal, pain is not severe, I would be happy to send you home coz in
pregnancy
uterus increases in size and can push other organs and can give mechanical pain, then she
suddenly said
will this pain will be there whole pregnancy then…I said no, but we need to be in follow up
…then I
asked her before sending you home please let me know how far do you stay from the hospital
..she
answered it would be a 20 mins drive, then I have asked will u be able to reach hospital in
same time if
pain increases or u feel unwell or if there is any bleeding from private parts. She said I can call
taxi or
ambulance, and then I asked will your partner be able to drive you here. she said, she is in
Australia for
work and started asking should I call her back?...i said in that case I would like to keep you
here and
observe you and monitor your pain and see if pain worsens or it settles after giving pain
medications. I
asked her is that okay. She said yes…
I think I should have mentioned about urine culture test as well coz many a times it can be
there
without symptoms and I forgot to ask about history of trauma…but I asked is there anything
else. She
said no, in such cases one can simply ask what is your opinion why you are having pain? If
patient says
its doc job then at least we tried to know what we have missed to ask or not remembering at
that
moment.)
1. Young female, 25 year old came with pain in lower tummy and bleeding from private parts
since 24
hrs and still bleeding and feeling sick and dizzy. H/o termination of pregnancy 10 days back. Do
relevant examination and tell the patient if you need to do pelvic examination as well…and then
discuss your management plan with examiner *** there were two trolleys- one trolley was with
the real patient and another one with mannequin and gloves, gelly, speculum was lying on the
table…
( I took the permission to examine the patient but forgot to wash hands….started with she is
alert, not in
distressed, took her pulse it was regular, normal volume, symmetrical, then started taking BP
there
examiner interrupted and said its 120/70…then before pv exam I said I want to wash my
hands.
Examiner said no need…I wore gloves and started taking instrument. Examiner asked what do
you want
tell me.I said speculum and gelly…he said here it is and he himself adjusted mannequin in
lithotomy
position .. I took bed sheet to cover it but examiner said its okay. I started saying as a robot- it
won’t be
painful but can cause discomfort ,just relax .examiner said ok ok do it.I asked for light-he
turned it on
then I inserted speculum vertically with gelly of course and then tried to turn in horizontal but it
was not
moving..examiner asked that’s alright just remove it and tell me what you are looking for…I
answered
bleeding, discharge, tissues but did not ask about os .Examiner said os opened products of
conception
seen in the os, bleeding +, then he asked what else ..i said finger examination but instead, I
would have
said bimanual palpation it would have been better. He said do it. I forgot to take gelly, inserted
but was
not finding cervix. Examiner asked what u are looking for.I said whether uterus anteverted or
retroverted, size of the uterus, cervical tenderness, and feel for both the ovaries bimanually –
examiner
said anteverted, bulky uterus, ovaries normal…then he asked me to sit and asked me my plan.i
said run
some tests.he asked what tests.I ans- FBC, KFT, LFT, S. ELECTROLYTE and prepare for D & C
and do a
USG scan post procedure…he asked anything else..i sais nothing..then he asked will u do blood
grouping
,blood culture I said yes…then he again asked what else. I kept quiet…but he was expecting
coagulation
profile which I remember when I came out.
1. A 35 year male with left ear pain, and decreased hearing- examine his ear. No marks given
for the
history. You are house officer in ENT department.
I knocked the door, went inside and wished the examiner and greeted the patient by his name
and
introduced myself as HO then asked how are you? Then took permission- I would like to
examine your
ear, is that okay with you? He said yes. Then I said, “I will wash my hands and come back to
you”. While
washing hands I asked him what sports does he like – he answered, “he does not like any
sport” LOL. I
started with inspection from rt. ear and kept saying findings again like a robot but actually
watching- no
scar, no swelling, no redness, no bulging of mastoid, no discharge or deformity. Then same on
the lt.
side. Then was looking for auto scope it was just there but I could not see it and by mistake I
grabbed
similar instrument but without mirror- I actually applied cap but when I did not see thing to look
through
I asked the examiner where is autoscope- she said its here..hahah…..let me know if I hurt
you…then did
autoscopy of the rt ear then left ear…saying no scar, no swelling, no erythema, no wax
impaction, no
discharge, tympanic membrane normal colour, no bulging and no perforation. Then felt for
lymph nodes,
parotid, submandibular gland and checked nose with torch again giving findings to the
examiner- no
swelling of septum, no discharge, no polyps.then asked patient to open mouth – did use spatula
–no
swelling of tonsils, no pharyngeal redness, no ulcer, gums normal dentition normal (forgot to
mention
about exudates and ask patient to touch the tongue to palate to see base of tongue).then I
realized I
am yet to do renies and weber test I did it then, and I found bone conduction was more than
air
conduction in the left ear and in weber left ear was better heard- I concluded left conductive
deafness
and then thanked the patient.)
1. 60 year male with background history of heart disease-don’t remember exactly but sure that
it was
related to atherosclerosis coming with history of left leg swelling and pain. Examine the patient
and
do CVS examination. No marks for the history.
( after greeting, permission, hand washing, talking to patient while washing hands about sports
–he said
he likes boxing and he used to play boxing before, then I asked what about cricket- he said he
expected
I would ask about it Hahaha…I started examination from the rt. leg(normal) then left then did
full cvs
starting from hands as in tally o conner video but did not check heaving impulse and did not
feel base of
heart for palpable murmur thinking I need to check respiratory system as well….i did take bp in
one
hand- 140/70 something if I am not mistaking as there were CVS examination before also but in
that
examiner said its normal no need to take bp, was unable to do respi. Then the exam bell rang I
said to
complete my examination I would like to do respiratory exam….but I did listen to bases of both
lungs
quickly…) don’t know how examiner would rate this. It was DVT case that’s why respiratory
examination
is required in a view of pulmonary embolism.
1. Patient 2 days after knee replacement surgery is aggressive, disoriented o/e- temperature-
38.6,
pulse-102, SPO2- 88 %, rest all normal, no comment on cardiorespiratory examination as
patient
being restless it was not possible to listen to heart and chest. Other than question paper, one
more
paper was there with detailed history and examination and investigation. Investigations-
Macrocytosis+, GGT-raised, ALP- normal, Hb –normal…history of 2-3 beers a day before
surgery.
Talk to the examiner, tell your differentials, and tell how you will manage this case. It was an
interactive station.
(I knocked the door, wished the examiner, there was no patient, I asked the examiner I want
to read
question again as I was unable to read it completely outside. Took another minute to
understand…then
started saying differentials- Alcohol withdrawal- examiner asked y? I said history of alcohol
consumption
daily, Mcv raised, ggt raised, and then I said Hypoxia- she asked what could be the cause of
hypoxia? I
said hypoxia coz 88 % saturation and causes could be any infection. she asked what infection I
am
thinking of? I said could be hypostatic pneumonitis which is common after surgeries,
thrombophlebitis,
wound infection, urinary tract infection. forgot to mentioned about Lung collapse…and said I
am not
sure in this case coz we could not examine patient because of restlessness- she asked how will
you
investigate then- I said x ray- she asked x ray of what- (so one need to be clear) I said chest x
ray, FBC,
INFLAMMATORY MARKERS, BLOOD CULTURE AND ALSO CHECK , wound culture, urine culture,
KFT
which can be deranged in septisaemia with ARF then I added I would like to do electrolytes as
well to
rule out electrolyte misbalances – she specifically asked what electrolyte I am looking for – I
said Na, K,
Ca, Cl, Mg but I am more interested in Na and potassium…then she asked how would you
mange this
case…I said with iv sedation with diazepam or lorazepam..iv coz patient is disoriented and
restless….( I
should have said- start broad spectrum antibiotics as well until we get the culture results then
give
sensitive antibiotics, coz he is having fever but even in lung collapse you can get fever and in
thrombophlebitis as well but we don’t give antibiotics in throbophlebitis – I don’t know what is
right here)
…then she asked what else is the possibility- I answered Hospital Psychosis and explain why it
is not the
case as there fever is +, saturation is low, mcv is raised, ggt is raised and possibility of alcohol
withdrawal is more…( I should have said with some infection as well )…then she said what else
could be
the cause of hypoxia- then I realized and said pulmonary embolism and added disorientation
also could
be because of stroke and also need to do Coagulation profile and CT BRAIN AND CT CHEST to
rule
out..she further asked me how can I diagnose pulmonary embolism – I said tachycardia, ecg ,
D-dimers
but it’s not specific and go for CT scan of chest. Then she again asked “anything else”, I kept
quiet and
was thinking then she said I can go and wait outside until bell rings...here she did not expect
just
differentials but explanation as well…
1. 26 months old baby is being discharged from the hospital, baby was admitted with episodes
of
diarrhea and on investigation Salmonella infection was established and now baby is symptom
free
and fine. Talk to father about baby’s condition, his concerns and legal matters. Father runs a
sandwich shop and shop is on the ground floor and family lives up stairs and they often eat
what
they prepare in their sandwich pub. He supplies burgers to some of the offices for their
employees.
Little more history was given don’t remember.
( WHILE SITTING YOU SHOULD LEAN FORWARD AND NOT TO KEEP YOUR SPINE VERY
STRAIGHT – I
LEARNED IT FROM NZ INTERN- MY FRIEND TOO, ACTUALLY HE HAS SHOWN ME VIDEOS
WHERE IT IS
BEEN TAUGHT IN NZ MEDICAL COLLEGES RIGHT FROM THE FIRST YEAR HOW TO SIT, HOW
TO
CARRY ON CONVERSATION WITH PATIENT- SO ITS AUTHENTIC INFO…it’s a communication
station so
no marking is given for history..coz history is given in question stem but in some
communication if
present complaint is given then you have to evaluate little bit so that you also develop a rapport
with
patient especially where you are breaking a bad news and questions are framed that ways so
you will
get the hint. Like here it says, baby is coming with…….. and doing fine now and being
discharged where
as in breaking bad news it says patient is having pain since 3 wks was investigated and was
found so
and so and discuss report…here you need to ask about pain in bit more detail and take
and not to go in details in history so that you don’t miss out on actual station of communication
and
breaking a bad news )
Ans. (knocked the door, entered room greeted the examiner; the examiner introduced me to
the father
of the baby he was standing. I introduced myself as dr…….intern, asked him, “How are you
doing?” Then
offered him to sit and then I sat on chair and asked how is baby doing now? Has anyone talked
to you
about baby’s condition and further plan? He said yes that his baby is being discharged and
doing well. I
said “good”. Then I asked has anyone talked to you about what is the cause of his diarrhea? He
said “
yes they said some bug.” Then I asked again what do you know about the bug? He said that it’s
just a
bug and nothing more he knows about that. I said alright and started explaining him that this
bug is
called Salmonella and it’s an infectious disease which can spread from person to person through
food
and food handlers and person can be symptom free but still bug can be there in the body and
can
spread, I will arrange stool tests for his child in follow up and will have to do these tests until
bug is
cleared from the body. He said that’s clever.
Then I said there are certain precautions you and all family members and workers at the pub
have to
take care of- such as washing hands with soap after using toilets, before cooking, before
serving food
and before eating food, after changing baby’s nappy or soiled bed sheets, after handling pets
and should
encourage everyone for frequent hand washing, then vegetables and meat should be washed
thoroughly
and separately and should be chopped on different chopping boards and food should be cooked
properly…I said I will make sure I ll arrange print outs for you to know more about salmonella
and its
precautions and if you find any queries, please let us know we would be happy to explain
you…then I
said salmonella is infectious disease that is why I will have to inform about it to the infectious
disease
control team and they will get in touch with you and will run stool tests on every family
members and
workers just to make sure everyone is healthy- he said there are no workers its only he and his
wife
working there…ok then I said they will also take some food sample to check any bug and might
close
your shop for a while and then I observed some bad expression on his face and started saying I
do
understand that your earning is from shop and for that I will arrange social worker to see you
who
might help you with that…he said ok. Then I asked “am I clear to you till now?” He said
yes…then I
asked do you want me to explain to you again? I would be happy to do that. He said no
need…then I
thanked and went out…)
1. 65 year male Mr. Cramer has primary colon cancer removed 6 months back came last week
with
history of pain in tummy and USG of abdomen was organized and report is back today which
shows multiple lesions in the lesion-metastatic lesions. Talk to patient and discuss the result.
(Same started with knocking greeting…I started how is your pain now? He said he is still having
pain…
then I took pain history like where the pain is- he showed with finger on rt. upper quadrant,
then asked
whether pain moves anywhere? He said no. Then asked about the intensity scale as 10 being
worst pain
and 0 being no pain. how would you rate your pain..he said 5-6..then asked is there anything
which
worsens the pain? He said when he moves pain increase and then asked is there anything
which makes
it better.he said he tried taking panadol but did not help. then asked since how long he is
having that
pain. he said 3-4 weeks…then I asked has anyone talked to you about test? He said yes…I
asked could
you please tell me what you know about the tests. He said it was scan of my tummy to see
what is
causing pain .i said good..I said Mr Cramer results are back and do you want anyone from your
family
here while I tell you the report? Is there anyone waiting for you outside? If you want we can
arrange
consultation on a later date where he can come with family members?...he said no and he is
here to
know about report…
I said okay took some pause hmm and said, “ I am sorry to tell you that your test found to be
positive
for lesions in your liver then again took a pause hmm and said these lesions are spread of
cancer from
the bowel which we removed last time.” I stopped for a while and said Mr. Cramer if you want I
can talk
to you on a later date…( I was thinking he will get emotional or will be angry but he did not, so
no need
to offer tissues, if not crying) I can’t feel your pain but can understand it is a shock for you and
your
family…he said what next….how many days left for me? .i took a pause and said ..i am sorry
but I am
not in a position to answer this question but what I can do is, I can refer him to a specialist who
might
do few more tests and can suggest about treatment options..then took a pause and said usually
there
can be three options like surgery( can be done some time for palliation), chemo and radiation
therapy
but specialist would be a better judge in this…then I asked is that okay? He said yes….i thought
he
would ask something else or ll be angry but he did not. Then I asked is there any other queries’
? he
said no. then same thing…am I clear to you? He said yes. Do you want me to explain again? he
said no…
then bell rang…I thanked..( here one can add if u have any further queries and if family
members want
to know about it. you can always come back and have a chat)…
1. 52/ f came with concern of diabetes as she had her sugar tested at her work place where she
works as a designer was 15 mnole two days back and yesterdays reading was 16 mmol. She
has a
history of gestational diabetes 23 yrs back and then her sugars were on higher side 1 year back
at
GPS clinic but she was not in the follow up. Talk to her about her concerns. (This was history
plus
communication…so you can recognize from the stem in which station you don’t have to take
much
history and which station both is imp. like in salmonella case no need to take history in detail..in
metastatic cancer case no need except pain history to develop rapport and even if you don’t
take
history in colon case it’s okay I think so…I might be wrong)
(took history of diabetic symptoms polyuria, polydipsia, polyphagia, wt loss, wt gain, system
review to
make sure no other symptoms are missing starting from fever, headache, vomiting, sore throat,
chest
pain, coughing, racing of heart, tummy pain, tummy mass, urinary habits, bowel habits then
past historyht,
diabetes in the family, CAD, Asthma, Thyroid D, Allergies , previous hospitalization. Then took
personal and social history. when you take this history always ask IS IT OKAY IF I ASK YOU
FEW
QUESTIONS ABOUT YOUR SOCIAL AND PERSONAL HISTORY then proceed..do you smoke?
How often?
Do you drink? How often ? Since how long? Do u use recreational drugs? Have you used it
before?
Family history- whether stressful? About partner? What do you do for living? Is it stressful? In
this case I
got positive history of sedentary work, smoking, overweight, junk food habits…then i said thank
you for
being patient and ans to my questions then I said yes its likely to be diabetes still I would like
to do more
tests to double check. she said what tests – I answered HBA1c which tells glucose control over
last three
months (then I wanted to say lipid profile, kidney function tests, base line ECG, eye testing –
but she
said clever just when I explained about HBA1c and I forgot to mention it) then I suggested her
life style
modification like cut down on smoking- she said not possible then I said please think again and
if you
change your mind we can help you with that then suggested about regular exercise if not then
at least 3
times a week 30 min brisk walk, and cut on fatty and junk food and go for complex
carbohydrate like
whole meal bread and lots of vegetables and fruits and self monitoring which we will teach
her…then
she again asked can’t I tell her now if it is diabetes? I said there are high chances that it is
diabetes but
I still want to double check and then said about homeopathic medicines I am not sure but I will
talk to
my senior and let you know and requested her to bring homeopathic medicine next time…then
she said
ok. I just asked are you happy with consultation? She said yes but her look was anxious…as bell
rang I
did not say what I used to say in every station hahaha..
1. 60 year male was admitted 6 weeks back with Pneumonitis, at that time his HB was low, now
came
after 1 month with fresh report og FBC with HB-105 and rest all normal. Take a history and
discuss
your plan with patient.
(on taking history- SIGECAPS-sleep-N, interest-N, guilty-NO, energy-N, concentration-N,
appetite-N,
psychomotor agitation-NO, suicidal plan-attempt-ideation-NIL, no weight loss, no pain
anywhere, no
masses anywhere, no bleeding from anywhere, no history of cancer anywhere, no weight loss,
no
jaundice, no NSAID or steroid use, smoker, occasional alcoholic, divorced-lives alone-forgot to
ask since
how long he is divorced and is there anyone who is supporting him, when asked about diet he
said
normal but when asked in detail then gave account that he eats bread and butter most of the
time and
can’t afford vegetables, fruits and meat, and he twice said that his urinary habits are normal but
have to
wake up at night for urine- I forgot to ask about urinary frequency and stream of urine to see
any
prostate pathology but no back pain no history of HT, DM,CAD, Asthma, arthritis, surgeries,
allergies….i
took history thinking of Anaemia- (nutritional, hemolytic, blood loss), malignancy, depression,
chronic
disease. but nothing was found except poor diet but did not elaborate well- should have asked
since
when he is eating so and also did not ask about…then I said I am not very much sure about
why his HB
is low but from chat with him it looks like because of nutritional deficiency but there are other
possibilities as well like internal blood loss through bowel and need to do further blood tests
and camera
test- he asked what is camera test and bell rang. I said in hurry it’s a tube we pass through
mouth and
bottom to see any bleeding, ulcer, polyps and thanked him..)
1. Young nurse 40/f coming with concern of hepatitis. H/o sore throat 10 days back for which
she has
taken augmentin for 5 days then she was fine but noticed yellowish sclera since today morning
and
itching and dark urine since 2 days..Take a history and talk about her concern and manage.
(on history- no needle stick injury, no transfusion, no surgeries, no hepatitis in the past, no
travel, no food
from outside, no pregnancy but had dental treatment in the past, did not ask about
tattooing….and
system review- means no-fever, headache, nausea, vomiting, chest pain, racing of heart,
coughing,
tummy pain, wt loss, masses, urinary and bowel habits normal except dark urine, no leg
swelling no skin
changes…I said from what she told so far it seems like the side effect of augmentin which can
sometime
cause drug induced liver damage but to rule out possibility of any hepatitis I would like to do
hepatitis
markers and if markers are negative then diagnosis would be drug induced hepatitis and no
need of
treatment and it will fade in some days…
I did many mistakes, missed imp things sometimes, so my way is not ideal but tried to share
information so that you can have idea about exam and some idea about how to go about
it…That’s all, I
wish all the best to you all. I would like to thank NZ house officer, seniors, study partners who
helped
me a lot and practiced recalls with me and guided me through out. I don’t know my result but
whatever I
could do it was all because of them –thank you all.
NZREX August 13, 2011 examination:
Static stations (3): (all MCQ)
1- 5 chest X-rays with different scenarios: appropriate management
2- 8 scenarios of different types of anemia and blood diseases :
(Tests/procedures/management)
3- 5 pics of tympanic membranes and audiograms .make diagnosis and/or management
Examination Stations (5):
1- Cranial nerve examination on a 12 year old.
2- Elbow examination: A middle aged male working as bar tender complaining of left elbow
pain.
The task is to perform an appropriate physical examination on him and tell the examiner what
you are
doing while you examine and what you are looking for. Afterwards talk to the examiner and
give a
differential diagnosis.
3- Abdominal Examination: A 60 y/o male with history of Hepatits B infection, cholecystectomy
and ascites with previous tapping. The task is to perform an appropriate physical examination
on him to
determine whether he needs another tapping or not. Tell the examiner what you are doing
while you
examine and what you are looking for. (The patient actually had real signs: flappy tremor,
spider nevi,
Kocher scar, abdominal distention, and +ve shifting dullness. Also the patient has H/o humerus
fracture
with absent radial pulse on right side and ulnar nerve injury/deformity).
4- Neurological examination: A 60 y/o with h/o stroke 1 year ago. The task is to perform an
appropriate physical examination on him and tell the examiner what you are doing while you
examine
and what you are looking for. The instructions mentioned do not perform a cranial nerve
examination,
although the patient had facial asymmetry. (The patient was a real stroke patient with real
signs of
hemiplegia and UMNL)
5- Abdominal examination: A middle aged male patient referred from his GP with abdominal
pain and suspected AAA. The task is to perform an appropriate physical examination on him
and tell
the examiner what you are doing while you examine and what you are looking for. (the patient
had
visible epigastric pulsations).
History and communication Stations (8):
1- A middle aged female with vaginal bleeding. Take a history and afterwards discuss your
findings with the examiner and give the most appropriate diagnosis and/or differentials.
2- A pt has mets of breast cancer to bone, has high blood calcium, constipation, nausea
vomiting, pain in epigastrium and lower back. Take brief history, talk to her about her concerns
and
discuss with her about appropriate management.
3- A 55 y/o female patient complaining of LLQ pain and alternating bowel habits. Take history.
(IBD)
4- A young female has a cut on wrist, she has low mood, bandage on her wrist. Take the
history,
risk assessment and management. (depression with multiple suicide attempts)
5- A mother brings in her 9 months baby (only the mother was present) complaining that he
has
fever for two days and a barking cough. Take brief history and discuss management with
mother. ( the
examiner will provide you with a sheet that has examination findings)
6- Breaking Bad news: A patient just diagnosed with breast cancer on biopsy with axillary lymph
node involvement and the patient has no idea that she has cancer.
7- A young aged female on OCP had three recording of high blood pressure. Take history and
counsel the patient. (She has H/o 10 years of smoking and family history of heart disease).
8- A 44 aged female with vaginal bleeding and positive pregnancy test. Talk to the patient
about her condition and address her concerns. (The patient had no idea she is pregnant and did
not
want this pregnancy. Her last menstrual period was 4 months ago).
23 june 2012 paper(all from past papers)
history
weight loss 48yr old male
tiredness plus depression
epigastric pain 68yr old female
counselling
ivf
pcod
asthma
interactive station of post op delirium with examiner
examinations
eye
cvs
backache with lower limb neurological
post op history examination n fluid charting
sorethroat with lymph node
4 static stations
_________________________________________________________________________
More on IELTS exam
Mohamed Mazen El Rakhawy
Wow Ibrahim, that's a great effort, Jazak ALLAH khayran.
Well, Here is my contribution ... It's my advice on IELTS exam, I think it could be more difficult
for some
more than the NZREX itself ;)
Anyway, here it is ...
1st resources:
a. Books ... I think Cambridge IELTS books are more than enough ... They include 7 books for
practice
test, labeled from 1 to 7 and u could skip the 1st 2 of the series because they include the old
speaking
module + 2 additional books ...
- Cambridge Insight into IELTS ... which gives insight into each part of the test, what it entails,
how it
goes and what is required from u.
- Cambridge Action Plan ... Which gives u advices on each part of the test and how to perform
best in it.
b. Online resources ... There are many, however, only one that I find particularly helpful which
is a blog
prepared by a former IELTS examiner, it takes u step by step and answers all ur inquiries, I
think it is
particularly helpful in both writing and speaking parts .. here is the link .... http://ielts-
simon.com/
2nd, preparation plan...
1. Start by reading both the Insight and Action plan to get an idea on how it goes. This should
take
couple of days no more.
2. Check Simon's online blog, read all the parts and check the comments as well, they are very
helpful
would give u an idea on how to move on and would answer most of ur inquiries, Simon himself
would
answer any of urs.
3. Use the Cambridge books to practice for the test, do as many listening as u could, u'd need
to get
35-36/40 correct answers in order to get a band 7.5 in listening and about 32/40 correct
answers in
order to get a band 7 in reading.
4. Reading: I think that the Cambridge Action plan book is particularly helpful in developing the
skills
needed for the reading part.
5. Writing: I think if u sticked to Simon's technique in writing and developed many ideas, u'd
get the
required 7 in writing so easily.
6. Listening: U need to read the questions carefully before u listen to the recording, practice
targeted
listening, u don't have to understand everything u listen to, u just need to listen to and
understand the
info required for u to answer the question. It is useful for u to listen to BBC news, watch movies
and
series without subtitles and try to understand them. It takes time, but practice makes perfect.
7. Speaking:
a. If u could get a native speaker to speak to, it would be a great help, If u have friends in AUC,
or
Friends who lived in English speaking countries for years, or English speaking friends living in ur
country,
use them to practice the speaking part. U could use the Cambridge books to practice with them,
or they
might just pick random topics and ask u about them.
b. U need to prepare and develop ideas for all the topics that u might encounter in the test, so
that u'd
be prepared with a band 7 Vocabulary during the test and u'd be flowing easily.
P.S. There is a difference between flowing ( i.e. developing ideas so easily and keep going non
stop as in
the 2nd part of the speaking test they would assess if u were able to keep going for 2 minutes
without
help or not ) and fluent ( i.e. not hesitating or stopping in order to compose ur sentences).
c. U need to think, speak, drink, eat and dream in English, the week b4 the test, in order to be
fluent at
the exam day.
d. I'd recommend as a final step for u is to register for a practice test in both writing and
speaking at the
British Council, they do that for 100 EGPs for each part, it will give u a feedback on how to
improve
urself especially in speaking.
Well, I hope that was helpful, good luck to u all.
_____________________________________________________________________________
_
Questions and Answers
Athman A O Baathman
Cambridge and oxford series?
can you talk abt them
how many book for each series
how much is it cost
how long it take for the preparation
and thanks for the great article
Ibrahim Hassan
Cambridge iws about 5 books each contain 5 practice exams.All 20 exams.
Oxford is 2 books :It is taking about each part of the exam and how to deal with it in a proper
way .Thus
I think it is useful to read it be4 practicing cambridge exams.
I have most of this at my computer and will try to sort with Mohamed a way to upload for easy
download by all.
Ahmad Shata I have a question :
What about success rates in NZREX ?
Ibrahim Hassan
you need 50% to pass.The success rate as published at MCNZ.co.NZ is 55-60% .
Adel Bakouch
‫عليكم السالم‬
‫لو االسئلة بعض لى وآان بنيوزيلندا الخاص الفيديو الى استمعت ولقد الطريق توضيح على اخى اشكرك ‪:‬‬
‫تسمح‬
‫لم لو بالنسبة ؟ عالمى انه اعتقد ‪ -‬نيوزيلندا فى الزم وال مصر فى امتحنه عادى اظن ‪ - 1 Ilets‬امتحان‬
‫باالسكور ااتى‬
‫؟ معينة مدة باستنى وال االمتحان على تانى اقدم ممكن عادى هل المطلوب‬
‫ياريت بس المعلومة معرفش انا ؟ اخرى دولة اى او نيوزيلندا فى وانا المريكا فيزا على اقدر ممكن فعال هل‬
‫‪ - 2‬متاآد لو‬
‫تاآدهالى‬
‫السنة بعد الطريق آيف هيكون عليها اقدم عايز لو واالعصاب المخ لجراحة المتخصصة للجراحات بالنسبة‬
‫‪ - 3‬الن االولى‬
‫لديك فهل امريكا نظام حسب وده علطول فبتدا عداها تخصصية ثم فترة عامة قبلها بيكون الجراحات باقى‬
‫عن فكرة‬
‫نيوزيلندا فى االولى سنة على تعدى ما بعد نيوزيالندا من بدال استراليا فى اقدم اقدر وهل ؟ نيوزيلندا نظام‬
‫وهل ؟‬
‫؟ بها اآلنيكية وخبرة بحث تتطلب انها ام الجراحات هذه على الحصول سهل‬
‫‪ - 4‬ال فى بتقضيها معينة مدة او سنة فيه يكون ان موضوع فيه النيابات فى نيوزيلندا بتاع السيستم هل‬
‫? ‪Research‬‬
‫اشتغلت باننى بتفيد خبرة شهادة باقدر هل ‪ - 5 non - training position‬ك مجال فى سنة عملت انا لو‬
‫هذا فى‬
‫؟ دى السنة المجال‬
‫وتم نيوزيلندا فى االولى السنة انهوا اللى االطباء تقبل استراليا غير اخرى دول عن فكرة لديك حضرتك هل‬
‫‪-6‬‬
‫اسمها حاجة احيانا باشوف آنت انا ؟ تقبل ممكن آندا يعنى ؟ النيوزيلندى االطباء مجلس فى تسجيلهم‬
‫المجلس‬
‫؟ تذآرها ذلك عن فكرة عندك لو فياريت االسترالى الكندى‬
‫‪Ibrahim Hassan‬‬
‫‪1) yes u can have at any country at anytime as many as u like without waiting period in‬‬
‫‪between.‬‬
‫‪2)I think yes :if u have work permit at any country you can apply for a visa to any country (my‬‬
‫)‪own view‬‬
‫‪.‬‬
‫‪3)I don't know for more info look this website: http://www.racs.edu.au/ . Yes u can apply in‬‬
‫‪Australia:look at this link http://www.amc.org.au/index.php/img/ca .Nothing non competitive‬‬
‫‪and‬‬
‫‪nothing impossible.‬‬
‫‪4)NO.‬‬
‫‪5)Yes.‬‬
‫‪6)No I am not sure:but if you want to know about any county accepting this :Just go for‬‬
‫‪medical council‬‬
‫‪of this country and look at what is needed for registration at this country....etc.‬‬
‫‪I hope the above is helpful and sorry if I couldn't answer all your questions.‬‬
‫‪Ahmad Nasser‬‬
‫‪dr ibrahim...........on which basis do they differentiate between applicants for different‬‬
‫‪specialties in‬‬
‫?‪residency programs after intern year‬‬
‫‪Ibrahim Hassan‬‬
‫‪On basis of COMPETITIONS : How many applicants Vs how many needed.‬‬
Ahmad Nasser ‫امريكا زى اساسه على بيفرقوا وسكور امتحانات فى هل بس ابراهيم دآتور يا شكر الف‬
‫على‬
‫لتر والريكومنديشن وااللكتفز السكور اساس‬.........‫تخصص ايه؟يعنى اساس على التنافس نيوزيالند فى‬
‫المنافسة‬
‫ايه؟ اساس على منهم هيختاروا آتير والمتقدمين عالية عليه‬
Ibrahim Hassan
no scores needed but to look for requirement u have to read through the college websites:
http://www.racp.edu.au/ and http://www.racs.edu.au/
I have no ideas about how they make a decision
Ahmed Jaber
Dr Ibrahim,
Thank you for the heaps of info you provided here brother.
I looked in all your post and found many of my answers. But I still have these questions.
Could you please tell me:
1- Are doctors who already undertook their internship in their home country still able to use
ACE scheme
to get jobs?
2- Vice Versa of the above question: Are the doctors who has done ONLY their internship in
their country
i.e. they don't have any job experience other than internship in their own country able to apply
for PGY2
(RMO) positions by applying directly to DHB's?
3- Can I go to Australia to work after 9 months - 1 year of work in New Zealand if I can get a
job in
Australia? Or is there any kind of strings attached when you get registered in NZ? My brother is
a
student in Australia, he will finish his studies in 2 years. After he finishes his studies I will
probably return
to NZ.
4- Like I said, even if I find a job in Australia and go there after 1 year of work in NZ, I intend
to return
to NZ again eventually.
Now the question is: If I turn my PROVISIONAL general registration into FULL general
registration during
my first year of stay in NZ, can I keep my FULL general registration status by any means after I
leave NZ
( for example by paying the annual registration fee while I work in Australia) until I return to NZ
again?
For example, lets suppose I start working in Nov 2011. By Nov 2012, I will certainly get my
FULL General
Registration(Am I right? or not?). Now if I go to Australia for one year to stay with my
brother(and
experience Australian health system too), is there a way that I can keep my FULL general
registration in
NZ so I won't have to go through any compulsory Continuing Professional Development
programs when
I return to NZ in Nov 2013? Can I simply pay an annual registration fee and put my registration
on hold
and then return to NZ to work easily without any hassle?
Thank you very much in anticipation.
Ibrahim Hassan
1) I think they can but they will be chosen at the 2nd match not the 1st as written in the
website: http://
www.healthcareers.org.nz/student/WelcometoACE/tabid/345/language/en-US/Default.aspx if
more
details needed.
2)you should do 1st year HO after NZREX to get ur full registration even if u have post
internship
experience.
3)You should finish 1 year in NZ after NZREX to be able to apply in Australia:here is the web
site : http://
www.amc.org.au/index.php/img/ca
4)You are free to work anywhere.
5)no because to register u should have work: if u want to return to NZ after that u needed to
get a letter
of good conduct from Australian medical council and that is it.Experience in Australia is
accredited in NZ .
when u return back to NZ ,once u have a job offer u can apply for registration.I don't think it is
a big deal.
Ahmed Jaber
WOW! That was a quick answer. Thank you very much for the reply and links you provided.
Sorry a couple of more questions:
1- If I apply to sit NZREX in June and pass the exam, I think I have the option of applying
directly to
DHB's to start internship work from August rather than applying to ACE and waiting for start of
my work
from November. On the other hand, I have heard that if I don't start my internship from the
first run
(November), I may face some problems with hospitals getting all 4 required runs for obtaining
Full
General Registration. To what extents do you think what I have heard is right?
Although everyone likes to start earning $ sooner, but if starting from August 2011 causes me
hardships
getting the required four runs from hospitals, I MAY decide to apply for ACE and start from NOV
2011 to
be sure I get my full registration until Nov 2012.
As someone who works in NZ health system, what do you suggest me to do?
2- The following sentence is from MCNZ website:
http://www.mcnz.org.nz/Registration/Howtobecomearegistereddoctor/Generalscope/tabid/85/
Default.aspx
“[ Full Registration is for] Doctors who have worked within a provisional general scope for 12-24
months,
and during that time have completed the Council’s “
Isn’t the internship 12 months? Under what circumstances it may take more than 12 months? Is
it even
common to happen?
Once again thank you.
Ibrahim Hassan
1) finish ur exam and apply to work once passed :at the hospital I work,all who passed NZREX
got their
full registration after a year of work.
2)means u have 4 runs (each 3 months) and u should a good feedback from ur consultant at
end of each
run .If u get them in 1st 4 runs then u will get ur full registration (which usually happen).if not
u need
more time to get it (upto 2 years which uncommon to get bad report)
February 16 2011
Ahmed Jaber
Dear Dr Ibrahim,
First accept my congratulations for our victory and freedom ...
I have two further questions about working in NZ. Thank you in advance for your time.
1- How many days the annual leave in NZ health is? Will I be able to get a lump leave i.e get all
my
annual leave entitlements in one go? Or does each of the runs has it's own dedicated leave
quota which
is non-transferable to next run(s)?
2- Suppose I work 6 months in NZ then I go overseas and stay out of NZ for 9 months to 1 year
(I have
some personal problems awaiting for me and I guess it will take at least 9 months to be
resolved ). After
resolving the problems, will it be easy for me to return to NZ to continue my job to get full
registration?
Will I have to undergo any Continuing Professional Development program before I can get
registered
again?
Thank you once again. I am ashamed of shooting you repetitive questions!
Ibrahim Hassan
1) 6 weeks a year.u can get all together according to hospitals.only 1st year you have
maximum 3 weeks
of each run but u can get 3 weeks at end or run and another 3 at beginning of 2nd.
2)dont know.pass ur exam then do ur personal issues ,then start applying 4 work
Athman A O Baathman
hi ibrahim
now if i took plab 1 and plab2
will plab2 took place of NZREX
can you check it for me i try to read abt it and found nothing
thanks
Ahmed Jaber
Dr Ibrahim, with your permission I answer Athman.
@Athman
Approved Medical Examinations are mentioned in this self-assessment tool:
http://www.mcnz.org.nz/Registration/SelfAssessmentforRegistration/tabid/70/Default.aspx
As you can see, PLAB 2 is not among them.
So I think your the answer to your question is no.
Still this is only my idea. Maybe Dr Ibrahim can help you better.
Ibrahim Hassan
@ Athman A O Baathman.
Plab 2 didnt take place of NZREX except if you have 2 years work experience in UK
Ibrahim Hassan
@ Ahmad :
1) Instead of this complicated question: apply to both ACE and directly to DHBS.IF you get a
job from
DHBs then start work and decline offers from ACE until you finish your 1st year.Closing date of
ACE is
end of June so If your exam in JUNE you will not be able to apply.It is easy to get job without
ACE.
2) Yes if u did another unrelief 3 months in Surgery and 3 months in medicine.As relief no
considered as
full medical or surgical run..
3)I got it twice without doing 50 hours continuing professional development.
Athman A O Baathman "Plab 2 didnt take place of NZREX except if you have 2 years work
experience in
UK"
thats great but can you supply me with the source to what you are saying
Ibrahim Hassan
please see the below link(It is now 3 years work experience in UK or other countries)
http://www.mcnz.org.nz/Registration/SelfAssessmentforRegistration/OptionG/tabid/234/Default.
aspx
Athman A O Baathman
but this says you must work 3 years not 2 years
so i guess we are back to the NZREX
it is just too expensive the i was thinking about find replacement
plab exams are not that expensive compare to nzrex
Jose Sánchez
Hi Dr Hassan, I went through your entire article and I should say great work...
My question for you is that: how many times in my pathway to work in New Zealand I will have
to
present my original Spanish “certificate of graduation” to MCNZ? I have my original academic
transcript
with me (inventory of the courses taken and grades earned), but I don’t have the certificate of
graduation.
The reason for this is that the Medical authorities haven’t given me my “certificate of
graduation” ( and
many others) until I do a year of clinical clerkships and also one year of social service in-country
after
graduation. They only allow me to have my original “Certificate of graduation” only for 4 weeks
for
translation purposes in case I plan to do postgraduate training in other countries.
Of course I won’t request my “Certificate of graduation” from them until the time I want to
present it to
MCNZ for provisional registration. But do you think it will be the only time I will have to present
my
original Spanish “certificate of graduation” to MCNZ or any other NZ authority in the years to
come? Will
the certified copy and translation of “Certificate of graduation” suffice in the future?
Ibrahim Hassan
Yes It is the Only time at the interview after passing NZREX and starting Registration with
MCNZ.
Then at that time you can make many certified certified copies from a NZ JP(Justice of peace).
Good luck with your exams
Jose Sánchez
Well this is great news!
I wanted to be sure before I pay for the expensive exam!
So they totally accept their own certification by NZ JP's? 100% no need for the original one in
future
registrations? Are doctors actually doing it?
By the way, do you have to attend a registration interview each year if you continue working in
NZ?
Ibrahim Hassan
They should see the Original at the interview then you can make certification by NZ JP's.
I think you will need certified copy later on when u will apply to training program at royal
college.
Jose Sánchez
There is still a point I think I didn't quite get.
First we attend a registration interview ( to get provisional registration) at which we have to
present our
original degree to MCNZ. After a year working in NZ, we apply for full general registration and
again
attend a registration interview this time for obtaining full general registration ( right??)
The point I didn't get was that "Can we present the certified copy of the degree in the second
registration interview instead of the original?"
Gracias!
Ibrahim Hassan There is no 2nd interview .it is only one just before working in NZ
Ahmed Jaber
Dr IBRAHIM,
Apparently the three referees must have been your supervisors or senior colleagues in the last
two
years, right?
My question is that how tough the MCNZ is on referees necessarily being from past TWO
YEARS? Is it a
strict rule? Can't the referees be from more than 2 years ago AT ALL?
Ahmed Jaber
I think I have made you tired with my frequent questions, haven't I?!
Ibrahim Hassan You are welcome at any time with any question.
Ibrahim Hassan please let me see the source of this info
Ahmed Jaber
Dr Ibrahim,
Thank you for the reply.
This is a link for a pdf file about ACE
http://www.healthcareers.org.nz/LinkClick.aspx?fileticket=1YTlfjVB0ak%3D&tabid=354&langua
ge=en-US
"References must also be obtained from placements you have completed in the
past 2 years from the time you make an application"
Ibrahim Hassan
This not at MCNZ website and at Referee form no determination date
:http://www.mcnz.org.nz/portals/0/
checklist/RP9.pdf (Personally I dont think it is a problem).
I think you asked me about this question: http://www.mcnz.org.nz/portals/0/checklist/REG9.pdf
Ahmed Jaber Thank you.
Search for people, places and things
Dr Ibrahim.
Here is a list of all New Zealand Hospitals:
http://en.wikipedia.org/wiki/List_of_hospitals_in_New_Zealand
1- After passing NZREX, will I have to apply to each hospital individually ( almost 180 hospitals
)? Or
should I just apply to the district health boards instead ( almost 20 DHB's)?
2- There are some private hospitals among the above list. Is applying to private hospitals even
worth it?
Is working in private hospitals considered toward full gerenral registration?
Thank you as always
Ibrahim Hassan
1)apply mainly to hospitals but some DHBs like Auckland are responsible for their hospitals job
offers.
2) I dont think that Private hospitals accept junior doctors and to get ur registration you need to
work to
one of DHBs.
Ahmed Jaber
Thanks for the reply.
Like I said there are almost 180 hospitals in New Zealand, but in ACE match there are only 20
hospitals
which can be selected by the applicants.
I don't want to apply for ACE match ( because I can't!), but I assume that junior doctors can
only
consider those 20 hospitals when they directly apply for work.
Is my assumption correct?
Ibrahim Hassan Yes but it is 21 DHBs and each one have 1 ,2 or 3 hospitals.
Mohamed Safey Eldin
HI ibrahim how r u?
I am planning isa to take the NZREX clinical in June. I have few concerns and questions i would
like to
ask u.
First, i was reading one of the forums on the NZREX and found the comment below:
"you can take it only in NZ and it is very biased....hand corrected. Local docs dont like IMGs. No
future,
almost impossible to get into specialization because they have very limited spots that are all
filled by
local grads. It is not like USA where there are many hospitals that have residency.
In Australia, they have oversupply of local grads and not enough PG spots to take them all. So
as IMG
you dont stand a chance. You can work if you pass as an intern all your life under supervision."
Is it true what this guy is saying, that it is almost impossible to get into the training pathway?
Secondly, do u know anyone who is taking the exam in june and would to form a study group?
Thank you.
Ibrahim Hassan
I think it is not correct:I have friends now who train in Cardiology,Internal
medicine,Gastroenterology,2
surgical consultants,surgical trainee ,anesthesia trainee...all of them IMGs.I don't know why this
guy said
that. The issue that it is competitive especially in surgical specialties. In general ,at our life,I
think
nothing noncompetitive.
Unfortunately I don't know anyone doing June exam but you can make notice at forum asking
for a
online study partner.
Ashruf Abugroun Dear ibrahim,
i am much thankful and appreciating for your enriched highly informative topic about new
Zealand.
One single request.
could u please tell us about your study for NZREX, detailed study experience and your strategy
for
taking the exam.
Ibrahim Hassan
I read the books at the reading list that I wrote previously and did practice with friends(2 keys
4
success.)
Can you please explain your question more? so I can give you a satisfiable answer.
when i check forums for usmle exams, i find people talking about exact details of their
preparations.
which indeed helped me a lot. details covering when to starts what to start with what chapters
to study
first what to focus on and what to ignore. how to efficiently allocate time for study, what clinical
procedures i have to master for the exam .........we all know that people use Kaplan materials
for step 2
exam but if u check forums u find experiences of people sharing what is similar to step by step
day by
day dar dar zanga zanga road map for studying.please check USMLE Step 1 guide on discussion
of this
group. i hope u got my point. with kindest regards for your patience answering our
overwhelmingly
increased questions.
Ahmed Jaber
Hi Dr Hassan,
You said to me that your hospital will give you all the necessary 4 rotations ( runs ) in your 12
month
contract so that you can get full general registration in 12 months.
Was the fact that the hospital would give you "4 necessary rotations (runs) in one year"
MENTIONED IN
YOUR CONTRACT when you wanted to sign the contract with the hospital?
Thank you, as always!
Ibrahim Hassan
most likely yes most who I know had 4 runs at a year.
You can negotiate with hospital and ask them which run they will roster you in before you sign
Ahmed Jaber
Thanks buddy,
Actually what I was trying to ask was that "was it MENTIONED in your contract that you would
have 4
necessary runs"?
From your reply, I guess that it was not mentioned. Is my guess correct?
Ibrahim Hassan
Usually you know what you you will do.not sure if written at contract or not.Either way If you
ask,you
will know
Ahmed Jaber
Dr Ibrahim,
One of my friends who has passed NZREX alsmost 6 months ago has not been able to secure a
job in
New Zealand yet despite constant trying. He said to me that almost all the slots are filled with
ACE
match applicants and the remainders are dedicated mostly to NZ citizens.
I know New Zealand citizens have priority over other applicant *in ACE match*, but I didn't
know they
also have priority when they approach the DHB's directly.
As you are working in NZ, do you have the same feeling about NZ citizens having any priority
over other
applicants when they approach the DHB's directly?
Ibrahim Hassan
I just have a friend who passed his exam 3 months ago and just starting work at my
hospital.He is from
Nigeria .I know to Egyptians at the moment who got many job offers from different
hospitals.Usually the
priority at ACE to NZ grades beca...See More
Ahmed Jaber
Thank you for your reply.
I will let him know about your hospital vacancy, he will be very delighted...
No he is not the person whom you mentioned...
Thank you once again brother...
Maged El-Gaaly
passing mrcp part 1 and 2 allow u to do nzrex clinical or not?
Hello Dr Hassan,
I have some questions for you buddy:
1) If I had passed NZREX, would I have been eligible to apply for this job: (this job is for PGY2
and
PGY3)
http://www.seek.co.nz/job/19324569?cid=jobmail
2) When searching for jobs, will we have a better chance of finding work if we give our details
to
MULTIPLE job agencies? ( instead of giving to only one?)
3) After NZREX, should we casually send our resume to ALL DHB's? Or should we send our
resume ONLY
to the DHB's which have published a vacancy in their website?
Thanks
Ibrahim Hassan
Hello Jose,
1) no.you need to apply for 1st year House Officer.
2)May be not sure.I sent emails to All DHBs and contacted 3 or 4 agents
3)Send it 1st to who published a vacancy then to the others so when they publish it they may
call you.
Jose Sánchez That was a fast reply!
There should probably be 2-3 hospitals operating under each DHB, right? So will I have to email
only to
DHB's ( which I think they are 21 of them) or should I send an email to all the hospitals?
Thanks
Ibrahim Hassan
To hospitals except Auckland to DHBs
Jose Sánchez
It is more like a chat!
As my final question, where can I find the contact details of hospitals?
Ibrahim Hassan At MCNZ website:(Via DHBs)
http://www.mcnz.org.nz/Links/Districthealthboards/tabid/139/Default.aspx
Jose Sánchez Thank you and have a good weekend.
Ibrahim Hassan
I dont know every category but General medicine and surgery is A , orthopedic is B
For D like Emergency department ,U cannt do it in 1st year as u may see pt and discharge him
by urself
without supervisor consult .the issue about 1st year to work under supervision.
Anyway after the 1st year ,You can apply at any category
Jose Sánchez
Dr Hassan,
If you noticed, I just deleted my post because I found the answer.
I leave it here for everyone else to see.
Thank you anyway buddy.
http://www.aucklanddoctors.co.nz/support/run-descriptions.aspx

It is really difficult questions to answer as you have the checklist of topics to read at website
and myself
I cant say concentrate on some and cancel some.The exam is mainly about BASICS.
What I did I read OCSE clinical handbook( all of it is very helpful , knowledgeable and important
to have
an ideas about the exam format.
Also the samples of previous exams are very helpful for practice with others.
Then I read through OXFORD of Clinical medicine and Clinical subspeciality about basic and
famous
topics and I didnt read whoever I personally think it is not important(but cant tell you what to
read and
what to not read as this was according to my understanding of previous exams and topic
checklist of
what can come in exam i.e. not based on any scientific evidence)
Then i had a look at the graphs and photos at Murtagh's textbook as some of the come in
exam.
Hopefully this may answer your questions.You are welcome at anytime for any further
questions.
Muhammad Kandee
l thank u very much Dr. Ibrahim Hassan for the humongous work
hats off to u
Mohamed El Sayed Gaber
DR Ibrahim i found this piece of information in a NZ site about IMGs and how they apply for
jobs in New
Zealand
it says:
"New Zealand:
You will be eligible for medical registration and be exempt
from sitting the New Zealand Registration Examination
(NZREX) if you fall in to one of the following categories:
1. You have a Primary Medical Degree from one of the
following:
• New Zealand • Australia
• UK • Ireland
2. You have a Specialist Qualication recognised by the
Medical Council of New Zealand as being eligible for
specialist registration
3. You have a medical degree (from a WHO recognised
school) and have worked for 3 out for the last 4 years in one
of the following comparable health systems:
North America (Canada, USA)
Western Europe (Austria, Belgium, France,
Germany, Greece, Iceland, Italy, Netherlands,
Spain, Switzerland)
Scandinavia (Denmark, Finland, Norway, Sweden)
Other (Hong Kong, Israel, Singapore) "
ana b2a bas2al 3la the third option ...a WHO recognized medical school y3ni Alexandria medical
school
tenf3? ana shoftaha fel site bta3 el WHO kanet mawgooda
w benesba lel 7etta bta3et spent 3 out of the last 4 yrs ....y3ni for example
lw doctor masry eshta3'al 3 yrs fi Germany ...sa3etha yenf3 to apply for a job in New Zealand?
w
sa3etha el job di 7ateb2a from scratch y3ni residency men awel w gedid akeno lesa memte7en
el NZREX
wla 7ayeb2a zayo zayo el dr el new zealandy ely b2alo 3 yrs residency (zay en el dr fi NZ
beyo3od 3 yrs
fi internal medicine b3d keda 3 yrs cardiology)
w fi 7aga kaman bnesba lel vocational wel provocational
howa el Fachrzt bta3et Germany ely bya7'odha el Dr b3d 5-7 yrs residency fi Germany di
te7'alih ye2dar
to apply lel vocational pathway w yeb2a zayo zay el NZ dr ely me7'alas neyabto??
thank u very much ya DR Ibrahim w bel tawfee2
Ashruf Abugroun
hi ibrahim, in ur record u mentioned that u did an observership in New zealnd. can u kinldy
explain
1- how to arrange for such observership+what are requirements needed in order to be
accepted in an
observership
2- did u make it before registering for the exam or after .
3- what type of visa is needed for observership,

vaccine.
2.I did it before my exam registration for some personal issues But I recommend to do it after
applying
for your exam so you can have it few weeks before your exam.
3.Work visa; trainee subtype
Ibrahim Hassan
@ Mohamed El Sayed Gaber
y3ni for example
lw doctor masry eshta3'al 3 yrs fi Germany ...sa3etha yenf3 to apply for a job in New Zealand?
Yes he
can apply without NZREX (?they may need IELTS).Then if he would like his years(if they are
residency
years .I mean not work experience only) to be counted as residency then they will ask him to
provide
details of his experiences and exams:If they found it comparable to NZ they may let him to do
only one
year of residency if they accept his application regarding this after assessment.
el Fachrzt bta3et Germany ely bya7'odha el Dr b3d 5-7 yrs residency ????I dont know waht is
this ?
Finally,Please write your comment in a proper English as I am little bit struggling to understand
all what
is written in this funny arabic way ?
Mohamed El Sayed Gaber
loooooool ok i will write in English only
i would like to know why NZ doctors move to Australia although the tax system in Australia is
worse and
the cost of living is higher than NZ
and what about rumors that when the australian graduates will be doubled in 2012 or 2013
...this will
make Australia and NZ unaccessible for IMGs
whats ur personal opinion about this?
what do u think of New Zealand as a country to settle in ? i mean everybody knows that USA
and
Canada are the best but i mean in comparison to europian countries and Australia
Thanks in advance
Ibrahim Hassan
i would like to know why NZ doctors move to Australia although the tax system in Australia is
worse and
the cost of living is higher than NZ ????? do u think They will move if this is the case:they move
because
of the reverse of what you write ;this what I heard .
I don't know anything about this rumors but personally I don't think that the shortage in any
country will
be solved by doubling the graduate of a year or two.
I don't live in Australia,Canada or USA so I cant give you a fair and reasonable comparison.NZ
lifestyle is
good and work life is relaxed not very hectic.
Marwa Badr
guys i know that the CS exam of the UMSLE is equevilant to the ILETS in irlanda...i dont know if
this applicable to newzelanda or not..
Ibrahim Hassan
@ Marwa.IELTS is the only English exam accepted in NZ.
Ashruf Abugroun
hi ibrahim, just one more question.in case i want to improve my cv so as to get job easily
following
passing NZREX.is MRCP recognized as a qualification that will be considered when applying for
a job
and make me more competitive ? ...is having a diploma in clinical reseach or in infectious
disease from
home country recognized in NZ. i mean what is the best thing i can make while i am in home
country so
as to ease my chance for job after passing NZREX.i wish from fellow mates to post their
questions in the
forum so we all get benefit from the question and its reply.... THanks in advance
Jose Sánchez
@Ashraf... As long as I know, you will not have that much of a problem finding jobs after
passing
NZREX... At least this is what I have heard... Good luck
Ibrahim Hassan
Aslam alikom Ashruf.The best thing you can do to ease your chance for job is to Pass NZREX.If
you
want to do anything else,do it for yourself .I mean,do it because you want to do it not because
you want

Hema Hema These are the previous questions and answers asked
to me : #
Mohamed Mazen El Rakhawy That's gr8, thanks a lot Ibrahim for these
valuable infos .. Jazak ALLAH khayran.
November 8, 2009 at 3:40pm · LikeUnlike
#
Ibrahim Hassan Thanks Mohamad.U r welcome
November 8, 2009 at 4:54pm · LikeUnlike
#
Ibrahim Hassan
Information abou IELTS test centers and dates are available at
www.ielts.org.
NZREX ( New Zealand Registration exam ) pronounced as N. Z. REX.
exam.
Exam fee : 3750 NZD ( = 2800 USD) is really expensive but there are no
fees to apply for w...ork after passing is
It is a clinical exam formed od 16 stations ( 7-8 History or
Examinationstations in a presence of an examiner who may ask you
questions , 2 communication skills stations ,and about 6 writing stations
like case scenario and asking about invstigations ( MCQ), interpreting
Xray or cbc ,... Management of acute cases or Prioritisation of acute
symptoms,...)all information about this exam are available at http://
www.mcnz.org.nz/Registration/NZREXClinicalExamination/tabid/75/
Default.aspx .
The exam is done 4 times per year.Next available exam is in
27/3/2010.Thus , I strongly recommend for those who have time and
looking for another option if they willnot match ,that they try to start now
to study for IELTS and pass it.Thus , if they didnt match ( I hope they
will),they can shift for another good option.However if they match,they
didnt loose anything by passing IELTS( This my own opinion )
For visa issues about NZ ,all information are available at http://
www.immigration.govt.nz/
Note : For those who apply from the Middle East , they should download
the application form ( I contact them and told me to apply for avisitor
visa to take the exam ) and send them to New Zealand embassy at
DUBAI.For others see for the nearest branch to you at this website :
http://www.immigration.govt.nz/migrant/general/aboutnzis/contactus.
Exam requirements : at http://www.mcnz.org.nz/Registration/
NZREXClinicalExamination/HowtoapplytositNZREXClinical/tabid/130/
Default.aspx.
Note : they Need Medical transcript , copy of elkartoon and its
translation , IELTS report , USMLE transcript ( apply for it at ECFMG :10
transcripts =50$) and 4 photos that are signed by any friend who know
you.
What is after passing NZREX ? = NZ graduates
Exam result will be available within 5 working days and after that it is
easily to find a job as there are high shortage.Applying for work costs
nothing .
1st year should be 6 months at medicine and 6 months at surgery under
category called provisional registration ( You called 1st yar house
officier / NZ as british use terms as house officer (= resident ) and
registrar ).
1st year salary = to about 4000 USD before tax and about 2900 USD
after tax.
What is after finishing 1st year ? you are now Registered doctor in NZ
and can apply for work in NZ and also in Australia without any additional
exams.
what is after that ? Brief talk about NZ health System will be available
soon
See More
November 8, 2009 at 5:40pm · LikeUnlike
#
Mohamed Mazen El Rakhawy Wowwwww ... Ibrahim this is
Amazzzzzzzzzzing ... Thank u soooooooooo much.
November 8, 2009 at 5:55pm · LikeUnlike
#
Ahmed Montaser Another wooooooooooow ..Jzakom Allah 5ayran
But I`m curious to know more about speciality training pathway.
Again..Thank u.we really appreciate it
November 8, 2009 at 10:07pm · LikeUnlike
#
Ahmed Montaser btw i tried with the IELTS one time back home but I
scored 6 overall.and yes,as u mentioned,it should be taken seriousely
but still very doable exam.
November 8, 2009 at 10:10pm · LikeUnlike
#
Ibrahim Hassan
Thanks ahmad. I wrote this about IELTS to confirm that everyone should
prepare for it be4 taking the exam not only depending on his living in an
english speaking country. Actually this is very helpful but should study
the mechanics of the e...xam concentrating more in Writing part.the
exam is not Easy but can be passed by good preparation.
NZREX is about 2 halfs : 1 nearly = to CS and other half is different i.e.
need more preparation.
I write details about training pathway today or tomorrow.Sorry to be
lateSee More
November 9, 2009 at 3:02am · LikeUnlike
#
Ahmed Montaser It is Ok brother.take ur time
how can we prepare for that part that`s different than CS?
November 9, 2009 at 3:04am · LikeUnlike
#
Ibrahim Hassan
Try to read these 2 PDFs :
1 ) http://www.mcnz.org.nz/portals/0/nzrex/2008%20handbook%20for
%20candidates.pdf
2) http://www.mcnz.org.nz/portals/0/nzrex/NZREX%20Clinical%
20sample%20questions.pdf
...
You will get all the details about the exam then we can talk.
I think they are very very helpful.See More
November 9, 2009 at 3:13am · LikeUnlike
#
Ahmed Montaser Ok,bro.I`ll.thank u so much
November 9, 2009 at 3:16am · LikeUnlike
#
Ibrahim Hassan
What is after finishing 1st year house officier in NZ ? you are now
Registered doctor in NZ and can apply for work in NZ and also in
Australia without any additional exams.
what is after that ? Either to be involved in NZ health system if ...you are
interested or to apply for USA residency while you are relaxed and has
no pressure as you are already involved in a reasonable health system ,
able to pay for the Match and cost of travel to make your interviews.
In NZ, you can apply for work at any speciality ( Medical , Surgical , OBS/
GYN .......). Work In NZ is different than The USA.
In USA , to start work you should be involved through a training
( Residency )Program while in NZ you can work at any speciality you like
for short or long period without be involved under training program. you
can work even all your life without involvement under any training
program. But the only way to be specialised or subspecialised is to be
involved under training program to be able to get the Royal college
certificate ( almost = American board )
Training Programs :
They are the same in NZ and Australia and follow the same organisation
that is called Royal Australian College of Physicians (RACP).
formed of :
The College's Physician Readiness for Expert Practice (PREP) program
provides comprehensive education and training to the majority of
medical specialties represented by the College. The PREP Program
requires a minimum of 6 years to complete:
3 years of Basic Training ( Ex. Internal medicine . Almost = to USA
residency )
College Written and Clinical Examinations
3 or more years of Advanced Training ( Ex. Internal medicine
Subspecislity like Cardiology . Almost = To USA fellowship)
Successful completion of training results in admission to Fellowship of
the RACP.
To be eligible to apply to join the PREP program trainees must meet the
following criteria:
Completed a medical degree
Completed an intern year: the first post-graduate year (post MBBS/
MBChB)
Appointed to a hospital accredited by the College for basic physician
training ( almost all NZ hospital are accredited )
Discussed their application with and received approval from the relevant
hospital or DPE/DPT/DPPT*
Been successful in selection process conducted by the DPE/DPT/DPPT at
the local level
* Director of Physician Education (DPE) | Director of Physician Training
(DPT) | Director of Paediatric Physician Training (DPPT)
It is your responsibility to apply to a training program not hospital. any
hospital wishes that all their doctors are Trainee doctors (+ Sign )
Applying to 6 year period training is together i.e. you aply for internal
medicine and cardiology or pediatric and cardiology......................not like
USA you apply 1st
May 20, 2011 at 5:29am · Like · 1
Amadeus Tolpa Tolbas Tolbaz
May 20, 2011 at 9:06am · Like · 1
Ashruf Abugroun Hello Ibrahim, there is a book named "AMC
handbook of clinical assessment" do u have any FeedBack about this
book ?
May 26, 2011 at 12:06am · Like
Hema Hema It is a clinical book about AMC exam(OSCE modules
like NZREX).It is also helpful in ur preparation for NZREX.Myself I
didnt have it or thought about having it as I think OSCE clinical
handbook is enough but If u would like to read it I wont be a loss
May 26, 2011 at 3:26am · Like
Jose Sánchez Hi Dr Hassan,
Yseterday I was taking a look at DHB's and their hospitals. You advised
me to contact each hospital instead of contacting DHB's. You also
mentioned in your comments that hospital contact details can be found
in DHB websites. But the contact details of hospitals are mostly
telephone numbers. Did you mean that I contact hospitals by telephone?
Or can the Email addresses of the hospitals be found from some
websites?
Thank you.
June 1, 2011 at 6:03am · Like
Hema Hema if you found email then email them if not call
June 1, 2011 at 7:15am · Like
Jose Sánchez Thank You,
June 1, 2011 at 8:09am · Like
Ahmad Shata Please Ibrahim Hassan, update the doc to mention
the fact that application for a USMLE transcript should be sent to
FSMB (not ECFMG) once a step3 application is made (whether u already
sat for the exam or not yet). Thanx.
June 9, 2011 at 12:38pm · Like
Ahmad Shata IELTS fees in Egypt is LE 900
June 9, 2011 at 1:45pm · Like
Hema Hema Done.Thanks Ahmad
June 9, 2011 at 8:00pm · Like
Marwa Badr guys i know that the step 2 CSA is equivilant to the
ELITS in countery like Irlanda ...but i am not sure if this applicable to
newzilanda or not...and if this applied to Irlanda why not to apply it for
newzlanda...had yeadem talab lehom,,,,who knows
June 10, 2011 at 3:33pm · Like
Hema Hema 2 @ Marwa. IELTS is the only English exam accepted in
NZ:look at this link please http://www.mcnz.org.nz/Registration/
NZREXClinicalExamination/NZREXClinicalFrequentlyAskedQuestions/
FAQAnswersApplyingtositNZREXClinical/tabid/254/Default.aspx#3
June 10, 2011 at 10:40pm · Like
Mizo Zizo yes dr. marwa, i know that the csa is equivlant to ilets in
irlanda ....but is the egyptien fellowship in surgery which is approved
by the royal college of irland considered to be aproeved exam or
accredeted hours..?...differs alot..
June 12, 2011 at 5:53am ·
NZ instead of US
what other than ielts and MCNZ is required also
and if he qualified in NZ does it also applied to austrlia too or it is a
different process
what abt the opposite i mean qualified in austrlia (amc exams) make him
accepted in NZ
2-when i asked u abt plab route and you said that i must have 3 years
clinical experiance
does research year counts too
and if i have 2 years experiance can i take the 3rd in NZ and get paid for
this one year experiance
June 12, 2011 at 8:23am · Like
Hema Hema 1st question is answered in the document(above):
Plab part 1 or AMC MCQ or USMLE 1 and 2 CK +IELTS+NZREX=can
apply to work in NZ.
Post 1 year working in NZ=can work in Australia (I am not sure about
vice versa but I think yes(you can send email to MCNZ and ask).
2.You need 3 years to work in NZ according to their website =cannot
take 3rd year in NZ.
does research year counts too ??? Dont know but it is worthy to send
them email and ask
Please let me know if my answer is not clear or you have more
questions.
June 12, 2011 at 11:42pm · Like · 1
Athman A O Baathman it is abt the 1st question?
i ment isnt there a NZ pathway
i mean if i dont have amc usmle or plab and i want to go to NZ what is
the pathway for that
i mean that those pathway like u says u were suppose to study in us but
u didnt get accepted and u already have usmle so that u went to NZ but
what if my 1st intention is to go direct to NZ what is there pathway?
June 13, 2011 at 1:58am · Like
Hema Hema Yes .This the NZ pathway :the written(MCQ)part is
non-NZ and the clinical part is NZ one
June 13, 2011 at 2:49am · Like
Athman A O Baathman so i go to NZ to take the exam as visitor
visa and i think you mean tourist
and i dont have to go back when i get the job to apply for another visa
type like a work visa
cause i have to change my visa from visitor to workin visa or i can do it
from there and change it without need to go back home
June 16, 2011 at 8:54pm · Like
Hema Hema U can do everything in NZ without going out
June 17, 2011 at 5:44am · Like
Abdul Sajjad Pathan Ibrahim Hassan: What are the possibilities of
getting the 1st year HO position in NZ? Already spent 3 years in the
US waiting for a spot. I wonder If I take this route, I may still have to
wait for finding a placement? Just wanted to know before investing for
NZREX Clinical & IELTS.
June 18, 2011 at 11:04am · Like
Hema Hema very good possibility.I didnt hear about one who pass
and didnt find a job
June 18, 2011 at 3:54pm · Like
Abdul Sajjad Pathan Can someone guide me about the Books to
Read for NZREX Clinical
June 19, 2011 at 3:37am · Like
Hema Hema Please read the doc above and u will find the answer
of ur question
June 19, 2011 at 7:43am · Like
Hema Hema Hi All:This link contain the emails of those responsible
to recruit doctors in all NZ Hospital.Please use it when you pass
NZREX while applying for hospitals
http://www.healthcareers.org.nz/rmo/CurrentRMOsApplyNow/
tabid/392/language/en-US/Default.aspx
2 seconds ago
July 5, 2011 at 3:25am · Like
July 9, 2011 at 9:53pm · Like
Mohammad Abdul Aliem Taha Thanks a lot Dr Ibrahi
August 23, 2011 at 4:03am · Like
Mohammad Abdul Aliem Taha When u talked about applying for
USA matching, do u mean those who took Yankee or all who took
NZREX . Another Q. Is there waiting list for NZREX
August 23, 2011 at 4:21am · Like
Hema Hema what do u mean by Yankee ??
August 23, 2011 at 7:58am · Like
Loai Dahabra i heard that you must have an work experience for
3-5 years for img befor applying to NZ, could you answer me if this
right or notIbrahim Hassan
August 23, 2011 at 7:44pm · Like
Mohammad Abdul Aliem Taha Sorry hahaha it was bad
suggestion from my HTC . I mean USMLE. I cleared AMC MCQ
11/2010 & I'm not sure if it's better to wait my clinical or I should apply
for NZREX which looks easier.
August 23, 2011 at 9:07pm · Like
Hema Hema At Loai: not True.
August 23, 2011 at 10:28pm · Like
Hema Hema At Mohamed :I know that the waiting list for AMC
clinical is very long but If you would like to save time apply for
NZREX.It is upto you at the end Australia or NZ.
August 23, 2011 at 10:30pm · Like
Mohammad Abdul Aliem Taha Thanks for reply, Dr Ibrahim. In
my first meaningless Q.,I wanted to ask After AMC & NZREX, will I be
eligible for US matching or you meant those who changed their path
after USMLE 1 & 2 (CK & CD). sorry for such a Q. as my data about USA
is ZERO. Thanks again
August 24, 2011 at 3:33am · Like
Hema Hema No you are not But I was saying for those who finished
USMLE and didnt match for resisdency ,a send option to try
NZREX.Thuswhen they secure a job in NZ ,they can apply to USA if they
are still interested and NZ doesnt fulfill their dreams
August 24, 2011 at 6:56am · Like · 1
Loai Dahabra thanx Ibrahim Hassan for answering me and for your
great effort to help us ,, what do you expect for the next few years
about the need of IMG if we know that the population of NZ is only 4
millions(not very larg) and every years there is new graduated medical
colleage from NZ ,,, do you expect that the situation will be more difficult
for IMG to get residncy or it still early to say that, thanx in advanced
August 24, 2011 at 1:45pm · Like
Loai Dahabra and as a doctor do we need to have a point system to
immigrate to NZ or not?
August 24, 2011 at 8:14pm · Like
Loai Dahabra ‫الي السنة واال بلدك في امتياز سنة معك اآون بطلبوا هل‬
‫وتغنيعن آافية المعادلة امتحانات اجتياز بعد المراقبة تحت الدآتور بعملها‬
‫ذلك؟‬
August 24, 2011 at 8:26pm · Like
Wael Sultan is radiology is very competitive in NZ as in the states ?
and after the provisional registeration year can i apply to radiology
training?
August 25, 2011 at 1:56pm · Like
Hema Hema Loai Dahabreh :To be honest,It is getting tighter from
year to year but I dont think it will be a problem in the near
future.BTW,statistically,30% of NZ gradutes leaving NZ every year (most
likely to Australia).
August 30, 2011 at 4:00am · Like · 2
Hema Hema Loai Dahabreh: Once you passed ur exam and have a
job offer for a year period,you will get the points to be accepted for
citizinship
August 30, 2011 at 4:02am · Like · 1
Hema Hema ??Emtiaz :not sure but I will have a look at their
website and will let you know
August 30, 2011 at 4:09am · Like
Hema Hema Wael Sultan ::It is competitive but easier than the
state >>
August 30, 2011 at 4:12am · Like
August 30, 2011 at 4:23am · Like · 2
Loai Dahabra thx dr Ibrahim Hassan and kol 3am wa enta be khier
August 30, 2011 at 4:55am · Like
Hema Hema Happy 3eed for all
August 30, 2011 at 6:28am · Like · 1
Moh Elnaghi Happy 3eed for all of you
August 30, 2011 at 3:54pm · Like · 2
Athman A O Baathman before ur usmle exam u take nbme form
that predict somehow your score in the actual exam
is there a similar website for the ielts exam
November 29, 2011 at 2:35pm · Like
Ahmed Kamal i want to ask after you finish your training in NZ how
can you continue in Australia ? do you need further examinations or
not? will you begin residency from the start?
November 29, 2011 at 3:18pm · Like
Hema Hema At Athman A O Baathman: I dont think so they said at
IELTS website that it is expected thet ur score will increase by half
mark every 3 months of studying and practicing
November 30, 2011 at 11:01am · Like
Hema Hema at ahmad kamal :
No more exams just paperwork to register at AMC and u will continue
ur training program if u already started in NZ as both under same royal
college
November 30, 2011 at 11:04am · Like
Athman A O Baathman do u still think that this
"2) Clinical cases book: London Plab 2 Osce Handbook Hemanth
Kaukuntla it is not present at Egypt, u can buy it from England
(www.ebay.co.uk) or from amazon.com. (Very very very important and
useful book)"
is still very important
or u come to discover an alternative one for it in the present time
eBay - one of the UK's largest shopping
destinations
www.ebay.co.uk
Visit eBay.co.uk to buy and sell new, used and
vintage items from private or pro...See More
December 3, 2011 at 7:00am · Like
Mohamed Hamdy dr Ibrahim Hassan do u think plab is prefered or
usmle before applying for NZREX regarding:chance of pass & the idea
got by the examiners .
December 10, 2011 at 11:50am · Like
Hema Hema At Athman A O Baathman ,I almost did most of OSCE
books(about 4 or 5) but this one was the best at that time.I dont
know if there is any new books ??
December 11, 2011 at 2:53am · Like
Hema Hema At Mohammed Hamdi :I dont know anything about
PLAB exam but It is only one exam and for USMLE you have to do
both USMLE step 1 and step 2 CK.It is worth to think about PLAB or see
if anyone can help
December 11, 2011 at 2:55am · Like
Mohamed Hamdy thnx dr ibrahim
December 12, 2011 at 3:20am · Like · 1
Nermeen Khairy I want to ask about work in newzealand, when u
become ECFMG certified, can u apply to work or residency there ?
And if not, bring board certified after USA residency, ur certificate is
accepted in newzealand and u can work there or it has to be NZREX
December 12, 2011 at 4:56am via mobile · Like · 1
Nada Ashraf what about chances of obstetrics and gynacology in
newzeland?
December 12, 2011 at 8:22am · Like
Aditya Seju hello sir, thank you for your valuable information on NZ.
My q is that after passing NZREX and getting the job which is for 1 yr
we have to be registered under General scope. But after being
registered can we apply for PG training in australia also or do we have to
go through some other exams and supervised training before doing
so????
December 23, 2011 at 2:36pm · Like
Hema Hema Nermeen Khairy.If you are ECFMG certified ,you cant
work in NZ without IELTS and NZREX.IF you are board certified after
USA residency(i.e had 3 years experience in USA or most of european
countries ,canada) ,you can apply for registration at medical council and
work in NZ without NZREX.
February 12, 2012 at 11:06pm · Like
Hema Hema Nada Ashraf :it is possible to get OBS/GYN experience
in NZ then apply for Training program while working.I see here
indians,egyptians working in Gynae.Remember nothing uncompetitive
and not worthy to try
February 12, 2012 at 11:08pm · Like
Hema Hema @ Aditya Seju , yes at first you apply for registration at
AMC with no further exams then once start working in australia then
you can contact those responsible in your hospital about joining training
program and requirement of .
February 12, 2012 at 11:11pm · Like
Mohamed Moftah ‫ نخلص ما بعد ان بتقول حضرتك‬Ibrahim Hassan
‫بسطبيعه سؤالى وبنشتغل بنفسنا المستشفيات على بنقدم االمتحان‬
‫التخصصات علىآل بنعدى وال تخصصص اى وبنختار ايه شغلنا‬
March 18, 2012 at 8:57pm · Like
Hema Hema 1st year you should do at least 3 months general
medicine and 3 months general surgery.once you finished 1st year
,you are allowed to whatever you like
March 19, 2012 at 6:07am · Like · 1
Athman A O Baathman If someone become australian certified will
he become directly nz certified
March 19, 2012 at 6:25am · Like · 1
Hema Hema NO.you need to work for at least 3 years
March 19, 2012 at 6:32am · Like
Mohamed Moftah thx dr Ibrahim Hassan
March 19, 2012 at 7:44pm · Like
Ahmed Eissa ‫ فى باإليجاب بيؤثر اإليليكتف موضوع هل‬Ibrahim Hassan
‫مرتبط آله الموضوع وال مثال األمريكية المعادلة زى نيوزيلندا فى القبول‬
‫؟؟ نيوزيلندا اإلآلينيكىفى اإلمتحان بنتيجة‬
March 21, 2012 at 7:57pm · Like · 1
Hema Hema ?what do you mean by elective issue ?
March 22, 2012 at 4:44am · Like
Ahmed Eissa http://www.fmhs.auckland.ac.nz/faculty/international/
elective/default.aspx
Electives for international students
www.fmhs.auckland.ac.nz
This is the main page for faculty
March 22, 2012 at 7:48am · Like · 1
Hema Hema I dont know will it help or not but it is very costly to
come here and do electives (living costs) especially that it is not
needed as the USA
March 22, 2012 at 2:42pm · Like · 1
Ahmed Eissa that's exactly why i asked , thx alot doctor
March 22, 2012 at 2:44pm · Like · 1
Athman A O Baathman Can u provide a list with the agency that
we contact them after we finish nzrex
March 28, 2012 at 10:40am · Like
Hema Hema http://www.mcnz.org.nz/Links/
Medicalrecruitmentagencies/tabid/140/Default.aspx
Medical recruitment agencies
www.mcnz.org.nz
Medical recruitment agencies
March 29, 2012 at 7:12am · Like
Mohamed Hamdy drIbrahim Hassan what about chances of
radiology residency ,,& later on who want to do intervention
fellowships??thnx in advance
April 4, 2012 at 9:12pm · Like
Hema Hema it is not impossible but it is competitive
April 5, 2012 at 8:51am · Like

Hema Hema I dont know.I dont know neither how much available in
the states and how much available in NZ.difficult to answer
April 5, 2012 at 5:44pm · Like · 1
Mohamed Hamdy thnx alot dr ibrahim
April 5, 2012 at 5:46pm · Like
Hema Hema Mohammed Hamdi .there is Indian and asian at my
hospital who ar doing radiology so it is competitive but not impossible
April 5, 2012 at 5:49pm · Like · 2
Hema Hema NZREX August 13, 2011 examination:
Static stations (3): (all MCQ)
1- 5 chest X-rays with different scenarios: appropriate
management... See More
June 1, 2012 at 3:28am · Like
Hema Hema the above recall from someone failed NZREX but the
below one from someone passed NZREX ...may learn from both
experience
June 1, 2012 at 3:36am · Like · 1
Hema Hema NZREX- 25th June 2011
My result is yet to be out so please pray for all of us who appeared for
the exam. I am trying to recall questions and able to recall all 12 active
stations but my language and information is superficial but gives you
idea and act... See More
June 1, 2012 at 3:42am · Like · 1
Hema Hema STATICS : ( In one static station there can be 5 or 6
mcqs )
My ans could be wrong but in statics you will get ideas about topics to
know. common topics are headache, anaemia, skin lesions, vaginal
discharge, x rays, ecg’s, scenarios- trauma, haemete... See More
June 1, 2012 at 3:43am · Like
Hema Hema 1. Prepare a discharge summary…2 pages of follow up
of patient was given …I could not finish it as I did not pay attention
to the time…see any summary in NZ hospital you’ ll get an idea it’s same
everywhere but headings and all that is little differen... See More
June 1, 2012 at 3:44am · Like
Hema Hema 1. Young female, 25 year old came with pain in lower
tummy and bleeding from private parts since 24 hrs and still bleeding
and feeling sick and dizzy. H/o termination of pregnancy 10 days back.
Do relevant examination and tell the patient if you need t... See More
June 1, 2012 at 3:45am · Like
Hema Hema 1. 60 year male with background history of heart
disease-don’t remember exactly but sure that it was related to
atherosclerosis coming with history of left leg swelling and pain. Examine
the patient and do CVS examination. No marks for the history.
( a... See More
June 1, 2012 at 3:45am · Like
Hema Hema 1. 26 months old baby is being discharged from the
hospital, baby was admitted with episodes of diarrhea and on
investigation Salmonella infection was established and now baby is
symptom free and fine. Talk to father about baby’s condition, his
concern... See More
June 1, 2012 at 3:46am · Like
Hema Hema 1. 52/ f came with concern of diabetes as she had her
sugar tested at her work place where she works as a designer was 15
mnole two days back and yesterdays reading was 16 mmol. She has a
history of gestational diabetes 23 yrs back and then her sugars ... See
More
June 1, 2012 at 3:47am · Like
Mohammed M. Monem Ibrahim Hassan thanx alot & JAK
June 1, 2012 at 2:38pm · Like
Yazan Abu Gharbieh hi Dr Ibrahim Hassan i want to ask the
chances to get surgery ? it is difficult as US or easier ?
and about the salary for resident (3300 right ?) it enough for me and my
wife to have a good life or what ?
June 18, 2012 at 9:50pm · Like
Hema Hema yes Surgery here easier than the states but still
competitive(recent static chance of each applicant in gen surgery 1 to
3.
June 19, 2012 at 5:36am · Like · 2
Hema Hema Yes good salary to have good life with your wife

Hema Hema 23 june 2012 paper(all from past papers)

history
weight loss 48yr old male
tiredness plus depression
epigastric pain 68yr old female... See More
July 1, 2012 at 5:23pm · Like
Omar Mamlouk Thanx for your valuable info. Dr.Ibrahim Hema, if
we pass the IELTS and exam NZREX what is the chance of getting
into residency (IM) ? is it > 80%, does it depend on NZREX markk or is it
just pass or fail?
July 1, 2012 at 6:32pm · Like
Hema Hema doesnt depend on NZREX marks.I cannot say % but i
had no problems getting accepted at IM but in general very high
chance
July 1, 2012 at 7:09pm · Like
Hish Hsih i wanna ask about cardiothoracic surgery training in new
zealand is it as comp as usa and about the level of tarining , and is
there is a program for the training or just like here depending on ur
senior and thx .
July 3, 2012 at 5:19pm · Like · 2
Hema Hema Waw.Are you asking if cardiothoracic surgery,I am
sure it will be competitive (anywhere,everywhere,anytime,anysquare)
.I dont have any experience with it but if you will look at the link below
(gives details about it): ... See More
Royal Australasian College of Surgeons |
Selection Information - Cardiothoracic Surgery
Australia &.
www.surgeons.org
July 4, 2012 at 5:03am · Edited · Like
Karim Mahmoud Khamis does being ecfmg certified give u the
chance to join residency in australia or not
July 4, 2012 at 8:51am · Like · 2
Hish Hsih dont bother , but im shocked really its very comp indeed ,
only 5 persons were selected this year , that's not competitive , that's
crazy competitive even more than USA , though i think doable , the best
thing about those guys that they dont look to graduation date , but what
is meant by 2 terms in surgery and 1 term in CT surgery , do they mean
during the internship year or after it ? and thanks
July 4, 2012 at 9:10am · Like · 1
Hema Hema at Hish Hsih: do you know where is my answer went ?
I cannot see it. They mean after Graduation and after NZREX.
July 4, 2012 at 4:04pm · Like
Hema Hema at Karim: I am not in Australia .But in NZ ,it doesnt
make a difference
July 4, 2012 at 4:05pm · Like
Hish Hsih ya i know , im asking about the internship that i will do
after NZREX , will they allow me to do CT surgery rotation in that
year or its just general surgery that's allowed , also will they count it as a
term knowing that this year is a mandatory for registration .
July 4, 2012 at 6:10pm · Like
Aly Hosny Ashraf Hafez
July 10, 2012 at 3:17pm · Like
Hema Hema at Hish Hsih.I dont think that they will let you do it as
1st year but later on I think will be better chances.Anything will be
counted,doesnt matter mandatory or not
July 12, 2012 at 6:37am · Like · 1
Hish Hsih thank you
July 12, 2012 at 3:07pm · Like
Maher Maher i am sorry , but i wanted to be sure , the TOFEL is not
applicable instead of ILTS ? thank you
September 12, 2012 at 4:32pm · Like · 1
AbdulRahman El Masry i want to ask a question regarding the
levels of the working physicians there
Is there level up to the level of for example UK doctors or US trained
Egyptians or like egyptian professors or less?
and how is the country itself regarding acceptance of different cultures
and foreigners specially arabs?
September 12, 2012 at 4:53pm · Like
Hema Hema AbdulRahman El Masry. Same as everywhere.This is
what I think in my limited experience
September 14, 2012 at 8:58am · Like
Maher Maher i am sorry i have another Q , after finishing USMLE,
IELTS, we can apply there , no further exams will be done in
Switzerland ?
September 14, 2012 at 11:02am · Like
Hema Hema Maher Maher sorry man I was talking about New
Zealand not Switzerland.Please read file to get information about
New Zealand.i dont know anything about Switzerland
September 14, 2012 at 7:25pm · Like · 1
Islam Helal Ibrahim Hassan
First of all I would like to thank you Dr, Ibrahim for your valuable
data.
My question is that I found a forum that talk about how is too much
difficult right now to obtain a job offer of internship after passing NZREX
exam. an indian r... See More
October 8, 2012 at 11:24pm · Edited · Like
Hema Hema Islam Helal.After NZREX you apply to house officer job
not an internship job. The NZ graduates goes to australia as more
salaries not the other way around. All my friends who passed NZREX got
their jobs with... See More
October 9, 2012 at 2:20am · Edited · Like · 2
Islam Helal Thanks for your fast reply Dr, Ibrahim Hassan
I will finish my (emtiaz) in 2014 . I think it will be more complicated at
my time and the 2 weeks to be accepted for a job era will be a history
October 9, 2012 at 4:09am · Like
Hema Hema no one knows but ALLAH
October 10, 2012 at 8:56pm · Like
Aditya Seju sir i managed to clear ielts with overall 8 bands
(listening-9, reading-9, writing-7, speaking-7). but they have
mentioned 7.5 in speaking, so does that mean I have to reappear for
ielts?
November 22, 2012 at 1:54pm · Like
Ashruf Abugroun Yes
November 22, 2012 at 5:57pm via mobile · Like
Hema Hema yes as requirement is at least 7.5 at speaking and
listening and 7 at reading and writing.I know it is tough but this is the
rule
November 23, 2012 at 12:47pm · Like
Aditya Seju this is really bullshit.
November 23, 2012 at 1:52pm · Like
Aditya Seju I mean despite getting 8 bands overall i have to resit it
just because i didn't get that 0.5 in speaking. they shld really think
about ths individual requirements, don't u guys agree?
November 23, 2012 at 1:54pm · Like
Hema Hema previously requirement was 7.5 over all with at least 7
in each part then changed to new policy 7.5 at speaking and listening
and 7 at reading and writing so I dont think they will change this
depending on individual bases.
November 24, 2012 at 9:06am · Like
Aditya Seju then i think that was a pretty fair policy and i exactly
meant that when i said about individual requirements on ielts not
person-wise 'coz having achieved 9 in two not getting 0.5 should not
matter. And sometimes I feel that its pretty difficult to get that 0.5 bands
in speaking as it also depends on the examiner. He will give either 7 or
8, but 7.5 rarely.
November 26, 2012 at 2:48am · Edited · Like
Mahmoud Bahaa Mohamed Mahmoud
Wednesday at 11:42am · Like
‫ مصطفىأبوزيد‬Ahmed Mohammed Diaa
Wednesday at 2:54pm · Like
‫مصطفىأبوزيد عزت محمد‬
Wednesday at 2:55pm · Like
Mahmoud Bahaa Mohamed Mahmoud
Wednesday at 5:40pm · Like
Amr Adel Osman what about specialties required in new Zealand ?