I'm a NZ citizen studying medicine overseas and I would like to come back to NZ. I know all about that process and the likely hood of getting a HO position, however i'm not here to discuss that. Assuming everything goes well and in my favour, how difficult is it to get certain registrar positions? What are the competition levels like? Also what steps would one have to take to highly increase the chances? (special courses etc) Also how does it work for the surgical sub-specialities? I'm very familiar with the U.S system of undergoing a residency and then you come through the other end as said specialist however how exactly does it work in NZ? I want to do Orthopedics, so is the process something like this? Get a surgical registrar position, then work through that to apply to Ortho? If it's incredibly difficult to get that initial surgical registrar position what can I do to improve those chances? Courses at Otago or Auckland? Any advice is welcome. Please don't harp on about the difficulty I will have to get a HO position, please assume i'm past that point for the sake of this discussion. Thank you.