2026 Indivitive SIMG Anaesthesia
| Substantially comparable | Partially comparable (PA) | Partially comparable (exam) | Pathway to ANZCA fellowship (expedited cohorts only) | |
| SIMG application | $1,040 | $1,040 | $1,040 | $0 |
| SIMG interview | $0 | $7,115 | $7,115 | $0 |
| SIMG annual fee | $3,410 | $3,410 | $3,410 | $3,410 |
| SIMG final examination | $0 | $0 | $7,330 | $0 |
| SIMG performance assessment (PA) | $10,395 | $10,395 | $0 | $5,150 |
| Effective Management of Anaesthetic Crises (EMAC)* | $3,500 | $3,500 | $3,500 | $3,500 |
| Total fee (indictive) | $18,345 | $25,460 | $22,395 | $8,560 |
2026 Indivitive SIMG Pain Medicine
| Substantially comparable | Partially comparable (PA) | Partially comparable (exam) | |
| SIMG application | $1,040 | $1,040 | $1,040 |
| SIMG interview | $7,115 | $7,115 | $7,115 |
| SIMG annual fee | $3,410 | $3,410 | $7,330 |
| FPM fellowship examination | $0 | $0 | $3,700 |
| SIMG performance assessment (PA) | $10,395 | $10,395 | $0 |
| Effective Management of Anaesthetic Crises (EMAC)* | $3,500 | $3,500 | $3,500 |
| Total fee (indictive) | $25,460 | $25,460 | $15,265 |
2026 Indivitive SIMG Anaesthesia & Pain Medicine (Dual Applicant)
| Substantially comparable | Partially comparable (PA) | Partially comparable (exam) | |
| SIMG application | $1,555 | $1,555 | $1,555 |
| SIMG interview | $7,155 | $10,675 | $10,675 |
| SIMG annual fee | $5,045 | $5,045 | $5,045 |
| SIMG final examination (anaesthesia ) | $0 | $0 | $7,330 |
| FPM fellowship examination (pain medicine) | $0 | $0 | $3,500 |
| SIMG performance assessment (anaesthesia) | $10,359 | $10,359 | $0 |
| SIMG performance assessment (pain medicine) | $10,359 | $10,359 | $0 |
| Effective Management of Anaesthetic Crises (EMAC) | $3,500 | $3,500 | $3,500 |
| Total fee (indictive) | $37,933 | $41,493 | $31,605 |
Please note:
- These fees based on SIMGs undertaking the process in Australia.
- An SIMG Annual fee will be charged for each year of the candidate’s individual program.
- Subsequent fees will apply for additional examination or PA attempts.
- EMAC course fee varies by center. The fee listed is an average indicative fee.
- Additional fees apply for Area of Need applications.
Indivitive STT fees
| STT application fee | $615 |
| STT extension fee | $295 |
Indicative Fees Aotearoa New Zealand (2026)
| Fee payable to MCNZ | Fee Payable to ANZCA |
Application for provisional vocational registration (for international medical graduates with overseas specialist qualifications – VOC3 and VOC4) | $4,505.65 | n/a |
MCNZ Interview fee (for those whom MCNZ requests an interview) | $2,305.00 | n/a |
ANZCA SIMG Pathway to Fellowship Interview | n/a | $5,775.00 |
SIMG annual fee (anaesthesia or pain medicine) | n/a | $3,885.00 |
SIMG annual fee (anaesthesia AND pain medicine) | n/a | $5,670.00 |
SIMG Examination | n/a | $7,115.00 (AUD) |
SIMG Performance Assessment (either MCNZ VPA OR ANZCA PA) | $19,725.47 (assessment pathway applicants only) | $11,855.00 (all applicants) |
SIMG Performance Assessment (Fast Track (VOC4) applicants only) | n/a | $5,720.00 |
SIMG Application fee (for those who wish to reapply after their ANZCA interview has expired) | n/a | $1,185.00 |
Please note:
- The above fees are in NZD and inclusive of GST (15%), and indicative only
- MCNZ fees are subject to change. Please see the MCNZ website for details
- ANZCA fees are valid January-December 2026
- The MCNZ Interview can be used as the FANZCA Pathway interview if the SIMG wishes to pursue FANZCA
- Subsequent fees will apply for additional examination or WBA attempts.
Annual fees
Annual SIMG fees are due on the date of your interim assessment (see Report 1) and the anniversary of this date each year. Annual fees SIMGs are required to pay an annual fee. The first of these must be paid within 4 weeks of the date of their acceptance into the SIMG pathway. SIMG's that have not paid their annual fee by the due date will have their status changed to ‘not active’. This will render them unable to credit any CPA time, undertake assessments including SIMG PA and SIMG examination, access the CPD system or gain credit for any other SIMG related activities. SIMGs that remain ‘not active’ for a period of 2 months will be withdrawn from the SIMG process. Should they subsequently wish to recommence the SIMG process an application must be submitted to the college justifying the resumption of their SIMG process. Those accepted for a resumption of the SIMG process may be required to undertake a new assessment and incur the associated fees
If you are unable to pay your annual fees by the due date, please contact the SIMG Team to request an extension of SIMG annual fee due date or to discuss a payment plan option. Approval of such requests are based on individual circumstances.
Explore this section
Eligibility criteria for overseas-trained anaesthetists to practice in Australia and gain ANZCA fellowship through the SIMG pathway.
Information for overseas-trained specialist anaesthetists and specialist pain medicine physicians wishing to practice in New Zealand.
The Medical Board of Australia (MBA) expedited specialist pathway is for SIMGs seeking specialist registration in Australia.
The Medical Council of New Zealand (MCNZ) has introduced a new fast-track registration for specialist international medical graduates (SIMGs), enhancing support for New Zealand’s medical workforce.
Applicants who wish to enter a short-term training (STT) position in specialist anaesthesia or pain medicine in Australia must be assessed for the purpose of medical registration. This pathway does not lead to fellowship.
The SPR is prepared for all applicants in Australia and summarises the initial assessment of an SIMG’s suitability to enter the SIMG process.
The clinical practice assessment (CPA) period is the period of supervised clinical practice an SIMG must complete during their individual program.
The SIMG PA is a one-day assessment conducted by two fellows and at times an observer in the SIMG’s actual working environment.
Find information about the required fee payments as part of the ANZCA SIMG & STT Pathways.
As an SIMG supervisor, you play a vital role in the training, assessment, and welfare of your SIMG and should have a broad understanding of the SIMG program.
The Area of Need (AoN) process applies to Australia only and is used to address medical workforce shortages in designated areas. It doesn't directly lead to fellowship or specialist registration by the Medical Board of Australia.
Frequently asked questions about ANZCA & FPM SIMG pathways
Specialist international medical graduates share their experiences of the journey to attaining ANZCA fellowship.