🇦🇺 Australia

Specialist Physicians Visa Pathway Australia

✓ MARA · Last reviewed: July 2026 · 7 min read · MARN 2518872

Specialist Physicians can migrate to Australia permanently via the 186 Employer Nomination Scheme visa or temporarily via the 482 Temporary Skill Shortage visa. Both require employer sponsorship and skills assessment from the Medical Board of Australia (AHPRA). The 186 offers permanent residence, while the 482 provides a two-year temporary work visa.

Key Facts
ANZSCO Code
253399
Specialist Physicians nec
SkillSelect minimum
80 pts
DHA round 2026-06-04 · tie-break 24/04/2026
Skills Assessor
Medical Board of Australia (AHPRA)
Skills Shortage
In shortage
Shortage in: ACT, NSW, NT, QLD, SA, TAS, VIC, WA · Jobs and Skills Australia, 2025-10
Visa Pathways
189, 190, 491, 485, 482, 186
Subclasses this occupation is eligible for
Source: DHA SkillSelect, March 2026

Skills demand for Specialist Physicians nec

Demand is the first thing to establish, because it quietly determines the rest: the visas worth considering, the competitiveness of an invitation round, and whether a state nomination is a credible option at all.

Jobs and Skills Australia currently assesses this occupation as being in shortage. That is an assessment of the labour market, not a promise about your application — but it is the signal states and employers pay attention to.

Visa pathways for Specialist Physicians nec

Which visas are available to you depends on which of the government's skilled occupation lists your occupation appears on. The lists are not interchangeable, and being on one of them does not put you on the others.

Because this occupation is on the Medium and Long-term Strategic Skills List, the independent, state-nominated and regional skilled visas are all in scope.

Inclusion on the Core Skills Occupation List makes the Skills in Demand visa's Core Skills stream available, subject to the usual sponsorship and nomination requirements.

Skills assessment for Specialist Physicians nec

The skills assessment is the gate. An assessing authority, independent of the Department, must agree that your qualifications and experience match this occupation before anything else counts.

We do not publish a fee for this authority. Its fee schedule is not available in a form we can source reliably and keep current, and a stale figure on a page like this is worse than no figure at all — it looks authoritative and it is wrong. Use the link to the authority's own page.

Points Scoring for Specialist Physicians

If pursuing a skilled independent visa pathway (such as the 189 Skilled Independent), specialist physicians typically score well on the points test. Age (18-55), English language proficiency (competent or higher), and Australian qualifications or experience contribute substantially. Specialist physicians with 8+ years of work experience, professional English language results (Proficient or Superior IELTS scores), and relevant Australian experience are well placed for the points-tested pathways.

If you do not meet the threshold for independent pathways, the employer-sponsored 482 or 186 routes bypass the points test entirely. These pathways are often more accessible for specialist physicians, as employer sponsorship removes the need to compete on points and focuses instead on your qualifications, experience, and fit for the sponsored role.

State Nomination Pathways

All Australian states and territories actively sponsor specialist physicians under their skilled migration programs. States with higher healthcare workforce gaps—such as Queensland, South Australia, Western Australia, and Tasmania—frequently nominate specialists across multiple medical specialties. Regional states particularly prioritize applications from specialists willing to commit to work in regional centres or underserved areas.

South Australia, for instance, offers state sponsorship for specialists in cardiology, gastroenterology, nephrology, psychiatry, and many other fields, particularly for applicants willing to work in regional South Australia. Queensland's health department actively recruits specialists to support its regional hospital networks. New South Wales (though primarily focused on Sydney metro centres) also sponsors specialists in high-demand fields.

If you secure state nomination, you become eligible for visa subclass 190 (Skilled Nominated) or 491 (Regional Sponsored Migration), both of which provide pathways to permanent residence. State sponsorship significantly improves your visa prospects and often removes the need for a private employer sponsor. Contact the relevant state health department or workforce recruitment agency to enquire about nomination opportunities in your specialty.

Step-by-Step Pathway for Specialist Physicians

  1. Verify ANZSCO code alignment: Confirm your medical specialty aligns with ANZSCO 253399 (Specialist Physicians nec) or another relevant code. Your qualification and experience must match the occupation description.
  2. Engage a migration agent: Consider engaging a MARN-registered migration agent or legal adviser experienced in medical professional migration. They will guide you through the process and ensure compliance with all requirements.
  3. Contact the Medical Board of Australia (AHPRA): Initiate enquiry with the Medical Board to understand the specific requirements for your specialty. Request guidance on documentation needed for skills assessment and any additional training or exams required.
  4. Prepare your skills assessment application: Compile certified copies of your qualifications, evidence of specialist training and experience, references from senior medical colleagues, and English language test results (IELTS, TOEFL, or PTE). Submit to the Medical Board for assessment.
  5. Secure employer sponsorship: Identify Australian healthcare employers (hospitals, private clinics, medical centres) actively recruiting in your specialty. Submit applications and negotiate an employment contract or sponsorship offer for either a 482 or 186 visa.
  6. Lodge your visa application: Once the Medical Board approves your skills assessment and your employer is ready to sponsor you, lodge your visa application with the Department of Home Affairs. For 186, include evidence of permanent employment. For 482, confirm the temporary role details and duration.
  7. Await visa outcome: Maintain contact with your employer and migration agent throughout. Provide any additional information requested by the Department quickly.
  8. Plan your arrival: Once your visa is approved, arrange your relocation to Australia. Register with the Medical Board (if not already done as part of assessment), secure accommodation, and coordinate your start date with your employer.
Practitioner Note
The single most common reason a skilled application fails is that the occupation was chosen to fit the applicant rather than the evidence. Get the ANZSCO code right first, and make sure your employment references actually describe the duties that code requires — not the job title.
MARN 2518872 (AU) · immi.tv
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Frequently Asked Questions

Do I need a skills assessment for this occupation?
Yes — and it must be for this occupation specifically. A positive assessment in a neighbouring occupation does not transfer, which is why establishing the correct ANZSCO code first is not a clerical detail.
Does meeting the minimum points score mean I will be invited?
No — and this is the single most consequential misunderstanding in the skilled program. The minimum is a lodgement threshold. Invitations go to the highest-ranked candidates first, so the effective requirement is set by your competition, not by the minimum.
Can a state nominate me for this occupation?
That depends entirely on the state. Each maintains its own list and its own requirements, both of which change regularly, so the answer today may not be the answer next quarter. Work from the nominating body's own page.

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General Information Only

This page provides general information only and does not constitute migration advice, legal advice, or any form of professional advice. It is not tailored to your individual circumstances and must not be relied upon as the basis for any decision, action, or omission.

Skilled occupation lists change frequently — occupations may be added, removed, or transferred between lists at any time by ministerial direction. This page reflects list status at the date shown above. Always verify current list membership on the Department of Home Affairs website before lodging a visa application.

Migration law changes frequently. While we endeavour to keep this content current, immi.tv makes no representation that the information is accurate, complete, or up to date at the time you read it. You should independently verify all information before acting on it.

No client or adviser relationship is created by your use of this site. To the maximum extent permitted by law, immi.tv expressly disclaims all liability for any loss or damage — including visa refusals, cancellations, application costs, and consequential loss — arising from reliance on this content. See our full Terms of Use.

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