About the role

Pain Medicine Specialists in New Zealand implement biopsychosocial assessment and management of individuals with complex pain.

Their responsibilities span clinical care, education, and collaboration, ensuring high-quality care for patients across various settings.

At Health New Zealand, we take a holistic approach, integrating physical, psychological, and social care to help patients achieve improved quality of life and greater functional independence, especially when the underlying condition is not directly treatable.

Salary, responsibilities and qualifications

Salary

Senior Medical Officers receive a base salary relative to their level of experience. This is agreed upon at the time of the job offer. There is a 15-step pay scale that SMOs continue to progress through on a yearly basis.

In New Zealand, the salaries and benefits of some roles are determined by collective agreements between unions and employers.

Employment agreementsexternal link

Additional allowances are paid on top of base salary and vary due to location and service, and are often not specified in the collective agreement.

Allowances

There is a range of additional allowances for:

  • on-call
  • evening, night and weekend work
  • call back
  • job size
  • recruitment and retention
  • special contribution.

Leave

Leave entitlements include:

  • 6 weeks of paid annual leave
  • a minimum of 10 days of sick leave per year
  • 10 days of paid continuing medical education leave (CME), plus the ability to use annual leave tacked onto the end of your CME travel
  • 6 to 12 months of parental leave, depending on the length of service, including 6 weeks of fully paid parental leave
  • 12 paid public holidays and time in lieu or alternative holiday if rostered on
  • long service leave and sabbatical opportunities.

Additional benefits

Additional benefits include:

  • an annual continuing medical education (CME) allowance of NZD $16,000 (pro-rated for part-time employees)
  • membership subscriptions of medical professional bodies are reimbursed by Health NZ
  • your professional indemnity insurance is covered by Health NZ
  • if eligible, up to a 6% matching superannuation contribution from Health NZ as your employer
  • a relocation package for international candidates.

KiwiSaver (superannuation savings scheme)

Leadership and career development opportunities

Health NZ encourages Senior Medical Officers to be involved in the design, implementation and performance of facilities and technology involved in the delivery of healthcare services to ensure an effective, efficient and safe workplace.

Specific opportunities vary by location and service; however, they can include:

  • support and encouragement for research and publications
  • mentorship opportunities for apprentice Junior Doctors/Registrars
  • regional and national networks allowing for subspeciality research and practice.
  • ongoing development and support for career growth with on-the-job coaching and a variety of in-house training programmes.

The work of Pain Specialists in New Zealand may vary based on location and service, some key roles and responsibilities may include:

Comprehensive pain assessment

  • Conduct thorough biopsychosocial evaluations of patients experiencing acute pain.
  • Develop individualised management plans addressing the medical, psychological, and social aspects of pain.
  • Work closely with patients, families, and referring agencies to ensure comprehensive care.

Interdisciplinary collaboration

  • Participate in multidisciplinary teams that include physiotherapists, psychologists, social workers, nurses, and other medical specialists.
  • Collaborate with services such as palliative care and alcohol and drug services to provide integrated care for patients with complex needs.

Clinical management

  • Provide inpatient assessments for acute pain and acute-on-chronic pain cases.
  • Assist in pain education programmes to equip patients with self-management tools and strategies.

Pain interventions

  • Perform minimally invasive pain procedures, such as nerve blocks and other interventional techniques, depending on expertise and practice scope.

Education and mentorship

  • Teach and mentor registrars, house officers, and other healthcare professionals.
  • Contribute to the education of patients through group sessions and individual consultations.

Service development

  • Engage in quality improvement initiatives, clinical audits, and research to advance pain management practices.
  • Contribute to the development and implementation of clinical pathways to enhance patient care.

Medical qualification

You must hold a Bachelor of Medicine and Bachelor of Surgery (MBChB) or an equivalent overseas qualification recognised by the Medical Council of New Zealand (MCNZ).

Registration with the Medical Council of New Zealand (MCNZ)

You must obtain vocational registration in pain medicine with the MCNZ.

This typically requires:

  • completion of a primary specialist qualification relevant to pain medicine
  • completion of the Faculty of Pain Medicine (FPM) training program, which includes:
    • a minimum of 2 years full-time equivalent of approved clinical experience directly related to pain medicine
    • regular workplace-based and in-training assessments
    • long case assessments
    • successful completion of the FPM Fellowship examination
    • completion of a clinical case study
  • award of the Fellowship of the Faculty of Pain Medicine (FFPMANZCA) upon successful completion of the above requirements.

Annual Practising Certificate (APC)

You must maintain a valid APC issued by the MCNZ, which must be renewed annually.

To retain your APC, you must:

  • provide evidence of ongoing competence in your field
  • participate in Continuing Professional Development (CPD) activities.

Registering to work as a Senior Medical Officer in Aotearoa New Zealand

To work as a Senior Medical Officer in Aotearoa New Zealand, you will need to obtain vocational registration with the Medical Council of New Zealand (MCNZ).

Pathways to vocational registration

Direct pathway to vocational registration
  • If you are an international medical graduate (IMG) with specialist qualifications from countries with medical systems deemed equivalent to New Zealand's (such as Australia, the UK, the USA, Canada and some European countries), you may be eligible to apply directly for vocational registration without needing first to obtain general registration.
  • In this pathway, MCNZ will assess your specialist qualifications, clinical experience, and the medical system where you trained. If these are deemed equivalent, you can apply directly for vocational registration in your specialty.
  • This pathway allows experienced specialists to bypass general registration and the provisional general phase, which is typically required for doctors without a recognised specialist qualification.
Provisional vocational registration pathway
  • If MCNZ determines that your qualifications and experience are largely equivalent but that you need some orientation or assessment within the New Zealand healthcare system, you may be granted provisional vocational registration.
  • This means you will practice in your specialty under supervision for a period, typically between 6 to 12 months, before being granted full vocational registration.
  • During this provisional vocational registration period, a specialist who practises in the same area of medicine as you will supervise you.
General registration pathway
  • If you do not meet the criteria for direct vocational registration, you may need to obtain general registration first if your qualifications and experience are not recognised as equivalent.
  • This process to gain vocational registration includes:
    • a period of provisional general registration (with supervised practice) if necessary
    • after obtaining general registration, you can later apply for vocational registration once you have completed any further assessments or additional supervised practice required by the MCNZ.

Self-assessment

The Medical Council of New Zealand have a self-assessment tool to help you easily determine which registration pathway you should take.

Registration self assessment tool — Medical Council of New Zealandexternal link

Find out more about life in New Zealand

We have a page dedicated to providing information to candidates about our recruitment process, what you need to work in Aotearoa New Zealand and key details about moving here.

Visas and settling in New Zealand

International Senior Medical Officers — why choose New Zealand?


Internationally respected, nationally integrated health system

Health NZ is the government organisation delivering publicly funded universal healthcare across 19 unique districts. Our integrated system streamlines administration, giving Specialists more time for patient care. Managing all public hospitals ensures consistency, collaboration, and career mobility across the country. For many clinicians, there are opportunities to work across various settings, offering flexibility in how and where you provide care.

Team-based care and professional autonomy

We take an open, collaborative approach to improving patient outcomes. Care is multi-disciplinary and holistic, with workflows designed to let clinicians concentrate on patient outcomes while feeling fully supported and empowered. We also prioritise cultural safety and upholding the principles of Te Tiriti o Waitangi, New Zealand’s founding treaty.

Competitive pay and professional support

SMOs in New Zealand enjoy strong, transparent salaries that provide excellent value, with a clear tax system and a favourable balance between take-home pay and living costs. Your income is enhanced with allowances for overtime, on-call, and availability, alongside generous leave entitlements. You will also receive a Continuing Medical Education (CME) allowance of NZD $16,000 per year (pro-rata), plus education leave and travel support. Key professional costs such as registration, practising certificates, College membership, and indemnity insurance are also covered.

Salary, leave and benefits for SMOs

Affiliation with medical schools and academic opportunities

As an SMO in New Zealand, you’ll have opportunities to contribute to training the next generation of clinicians. Many roles are affiliated with one of our medical schools, allowing you to teach, supervise, and mentor junior doctors, registrars, and medical students. You can also participate in research, quality improvement, and academic activities that support evidence-based practice and strengthen clinical services nationally.

Fast-tracked immigration and free support

Senior Medical Officers are on Tier 1 of New Zealand’s Green List, and with a job offer from us, you are eligible for a fast-tracked Straight to Residence Visa, which allows you and your family to apply for residency before you arrive. Your spouse/partner is also eligible to work here while on a dependent visa. Additionally, you will be provided free support from our in-house immigration service team.

Our complimentary Health Immigration Service

ACC: unique protection for healthcare professionals

When a patient experiences an accident or treatment injury, our hospitals provide the necessary treatment, and New Zealand's no-fault Accident Compensation Corporation (ACC) funds the associated costs of treatment and rehabilitation.

Instead of pursuing personal injury claims through the legal system, patients receive support and compensation directly through ACC. For clinicians, this means ACC cases are integrated into usual hospital workflows, with Health New Zealand covering indemnity insurance, enabling open communication, learning, and high-quality care without additional legal or financial barriers.

Safe, welcoming communities with free public services

New Zealand offers a clean, low-density environment that supports a healthy, balanced lifestyle. It is recognised as safe, stable, and welcoming, consistently ranking highly in OECD wellbeing and safety measures. Families benefit from free public schooling and access to public healthcare, making it an attractive place to live, work, and raise children.

Burwood Pain Management Centre

Located in Christchurch in the Canterbury region, the Burwood Pain Management Centre is a leader in providing comprehensive, interdisciplinary care for individuals living with chronic pain.

The centre has a strong focus on restoring functionality, improving quality of life, and empowering patients through self-management strategies and evidence-based approaches.

Help make a meaningful difference in chronic pain management and thrive in a team-oriented environment at Burwood Hospital.

Register for a role at Burwood Hospitalexternal link

Burwood Hospital
Jason Mann

Webinar: Registration for SMOs

Watch the webinar for Senior Medical Officers (SMOs) on emigrating to New Zealand to live and work.

Our Health Immigration Service, Immigration New Zealand, and the Medical Council of New Zealand ran this webinar to take you through the different steps towards starting a new adventure in New Zealand.
 
Learn more about moving to our beautiful country, directly from the people who process your applications.

Mount Hutt, Canterbury
Miles Holden

Explore New Zealand

Whether you prefer the vibrant urban centres of Auckland, Wellington, or Christchurch, the scenic landscapes of Otago and Nelson, or the close-knit community atmosphere in areas like Hawke's Bay and Taranaki, there’s a location to suit your lifestyle. 

Discover New Zealand

Explore New Zealand

Whether you prefer the vibrant urban centres of Auckland, Wellington, or Christchurch, the scenic landscapes of Otago and Nelson, or the close-knit community atmosphere in areas like Hawke's Bay and Taranaki, there’s a location to suit your lifestyle. 

Discover New Zealand