AMC Pathway · Updated August 2026

AMC Certificate: What Happens Next

By the Mostly Medicine team · reviewed by an AMC pass-graduate IMG on our team

The single most common misunderstanding at this stage: the AMC certificate is not registration, and it does not qualify you for general registration on its own. Under the Standard pathway you apply for provisional registration, complete 12 months of approved supervised practice in Australia, and only then apply for general registration.

You have passed the AMC CAT MCQ and either the AMC clinical examination or an approved workplace-based assessment, and the AMC has issued your certificate. That was the hard part. What follows is administrative, but the sequence matters — and the sequence most candidates assume is the wrong one.

What the AMC certificate actually is

The certificate is proof that you have completed the AMC's assessment process: primary source verification of your medical degree, the CAT MCQ, and the clinical exam or WBA. In the AMC's own words, it “will enable you to apply for registration with the Medical Board of Australia” — it enables the application, it is not the registration.

Practising medicine in Australia without registration is unlawful. Your name has to appear on the AHPRA public register before you do any clinical work, paid or unpaid.

The real sequence, in order

Step 1 — Download and secure your certificate

Log into your AMC candidate portal and download the certificate PDF. Note that the certificate is issued with the first and last names on your AMC candidate account, and the AMC does not accept name changes once it has been issued — so check your account details are correct and match your passport before the certificate is generated, not after.

Keep several copies. You will upload it to AHPRA, to visa applications, and to every hospital HR system you deal with.

Step 2 — Apply for provisional registration (not general)

This is the step the drafts and forums most often get wrong. The Medical Board is explicit: “AMC certificate holders must apply for provisional registration so they can complete a period of approved supervised practice to become eligible for general registration.”

Provisional registration is not a lesser registration — it is the stage that lets a hospital employ you in an intern-equivalent role while the Board satisfies itself that your clinical practice meets Australian standards. Our AHPRA registration guide for IMGs walks through the portal, the documents and the fees in detail.

You will need to satisfy the Board's registration standards, including English language skills (see IELTS vs OET for doctors), criminal history — which means police clearances from every country you have lived in, and these take time, so start them the week your results arrive — and recency of practice.

There is an alternative worth knowing about: IMGs who have passed the CAT MCQ can apply for limited registration for postgraduate training or supervised practice, or for an area of need, and complete some or all of the required supervised practice under that registration. But you are not qualified for general registration until the AMC certificate has actually been awarded.

Step 3 — Line up the job and the visa in parallel

Because provisional registration exists to enable supervised practice, the job and the registration are entangled: you generally need a supervised post for the registration to be meaningful, and most hospitals will make an offer conditional on registration being granted. Run both at once rather than waiting for one to finish.

On the visa side, the route depends on whether an employer sponsors you. Employer-sponsored doctors most commonly use the Skills in Demand visa (subclass 482), which replaced the old Temporary Skill Shortage arrangement — the TSS short-term stream is closed to new applicants. Points-tested skilled visas (subclass 189, 190 and 491) and employer nomination (subclass 186) are the other common routes. Immigration policy moves frequently, so treat any timeline you read online — including ours — as indicative and confirm with the Department of Home Affairs. Our IMG visa pathway guide maps the options against the registration stages.

For where to look for posts: state health service recruitment portals (NSW Health, Queensland Health, Victorian public health services), Seek, and the annual RMO campaigns are the realistic starting points. Our RMO jobs guide for IMGs covers how those campaigns work, and if you are applying this cycle, see the NSW RMO 2027 campaign page.

Step 4 — Complete 12 months of approved supervised practice

This is the substantive requirement between you and general registration. The Standard pathway requires 12 months of specified supervised practice — a minimum of 47 weeks full-time equivalent. It is served under supervision, in an approved post, and your supervisor reports on it.

Plan around the 47-week figure rather than the 12-month one. Leave, part-time rosters and gaps between contracts all count against full-time equivalence, and candidates are routinely surprised to find themselves a few weeks short at the end of what felt like a full year.

Step 5 — Apply for general registration

Once you hold the AMC certificate and have completed the supervised practice, you apply to convert. The Board has published guidance on the documentary evidence required — the evidence of supervised practice is the part that trips people up, so keep your supervisor reports and employment records as you go rather than reconstructing them at the end.

General registration is not automatic. You must apply for it, though the application is considerably simpler than your first one.

The dependency map

Rather than a week-by-week calendar — which nobody can predict, because AHPRA processing, visa grants and hospital recruitment cycles all move independently — here is what actually depends on what.

MilestoneBlocked byCan start before it
Provisional registration applicationAMC certificate; police clearances; English evidenceJob applications, visa research
Job offerNothing formally — offers are often conditionalRegistration and visa both still pending
Visa grantSponsorship or points outcome, depending on routeRegistration application in progress
First clinical shiftRegistration granted AND visa grantedNothing — both are hard prerequisites
General registrationAMC certificate + 12 months (47 weeks FTE) supervised practice

Our own experience of IMG timelines, and the figure we use on the AHPRA guide, is roughly 4–6 months from starting primary-source verification to holding a registration number — and the delay is almost always document collection, not AHPRA's processing queue.

Common mistakes at this stage

  1. Applying for general registration first. It will not be granted. Provisional registration is the correct application for an AMC certificate holder who has not yet done supervised practice in Australia.
  2. Treating registration and visa as one approval. They are separate processes run by separate bodies, and you need both before you can legally work. Having one and not the other is common and is not progress.
  3. Leaving police clearances until AHPRA asks. Clearances from multiple countries are the slowest item on the list. Start them in week one.
  4. Omitting a training-grade registration from your history. AHPRA requires you to list every council you have ever registered with, including provisional or temporary ones, with a good-standing certificate for each.
  5. Counting 12 months instead of 47 weeks FTE. Leave and part-time work do not count the way candidates assume.
  6. Resigning or booking flights early. Do not move on a conditional offer alone.

After general registration

The obligations do not stop at the registration number. Once you hold general registration you must belong to a CPD home and complete 50 hours of continuing professional development each calendar year, and renew your registration annually. If your longer-term plan is general practice, that is where college training and the rural GP pathway come in.

Next steps

  1. Work through the AMC checklist to see which documents your provisional registration application still needs.
  2. Read the AHPRA registration guide before you open the portal — the registration-history section is where most applications stall.
  3. Ask the free AI mentor to map these steps against your own situation: your country, your clinical gap if you have one, and whether you are chasing sponsorship or a points-tested visa.

FAQ

Does the AMC certificate mean I can work as a doctor in Australia?

No. The AMC certificate is the qualification the Medical Board recognises — it is not registration and it is not a licence. Practising without registration is unlawful under the Health Practitioner Regulation National Law. AMC certificate holders must apply to the Medical Board of Australia for provisional registration first, which is what allows a hospital to employ you.

Can I apply for general registration straight after getting my AMC certificate?

No. Under the Standard pathway, general registration is granted to AMC certificate holders who have also completed a period of approved supervised practice in Australia — 12 months of specified supervised practice, a minimum of 47 weeks full-time equivalent. You do that supervised practice while holding provisional (or in some cases limited) registration, then apply to convert.

Do I need a job offer before I can get registered?

In practice, yes — provisional registration exists so you can complete supervised practice, so the Board needs to know where that practice will happen. This is why the job hunt and the registration application run in parallel rather than one after the other. Many hospitals make offers conditional on registration being granted.

Which visa do I need?

It depends on whether an employer is sponsoring you. Employer-sponsored doctors most commonly use the Skills in Demand visa (subclass 482); others use points-tested skilled visas (subclass 189, 190 or 491) or employer nomination (subclass 186). Note the old Temporary Skill Shortage short-term stream is closed to new applicants. Immigration rules change often — confirm current requirements with the Department of Home Affairs before you commit to a route.

Is there a separate state registration I need on top of AHPRA?

No. Medical registration in Australia is a single national scheme — one registration from the Medical Board of Australia covers every state and territory. What is state-level is employment credentialing: NSW Health, Queensland Health and the other services run their own credentialing and scope-of-practice checks before you start clinical work. That is an employer process, not a second licence.

What happens after I finally get general registration?

You take on the Medical Board's ongoing requirements: you must belong to a CPD home and complete 50 hours of continuing professional development each calendar year, and renew your registration annually.

Working through this stage now? The IMG community on Telegram shares real registration and visa timelines as they happen — more useful than any published estimate, including this one.


Last reviewed: 25 August 2026

Next review: 25 February 2027

Author: Mostly Medicine team

This page is general information, not immigration or legal advice. Registration and visa requirements change — always confirm against the Medical Board of Australia and the Department of Home Affairs before acting.