Specialist Physicians nec (ANZSCO 253399)

On the Medium and Long-term Strategic Skills List and Core Skills Occupation List

From the official Home Affairs skilled occupation lists, as at 2026-08-12. Lists change at each government update — always confirm on the official page before acting.

Which lists is Specialist Physicians nec on?

MLTSSL — Medium and Long-term Strategic Skills List. The widest list — occupations on the MLTSSL can access the points-tested permanent skilled visas including the Skilled Independent visa (subclass 189), which needs no state nomination or employer.

CSOL — Core Skills Occupation List. The employer-sponsorship list — occupations on the CSOL can be nominated for the Skills in Demand visa (subclass 482) and the Employer Nomination Scheme 186.

Visas this occupation can access

Being on a list makes the occupation nominatable for these visas — each visa still has its own requirements (points, age, English, a positive skills assessment, and for sponsored visas a willing employer or state).

Skills assessment

A positive skills assessment for Specialist Physicians nec comes from:

What the assessment actually involves

This is the genuine catch-all within RACP's remit, and it is structurally different from the other "nec" code in this family, 253999. RACP publishes a defined list of 26 assessable subspecialties — Addiction Medicine, Clinical Genetics, Occupational and Environmental Medicine, Palliative Medicine, Public Health Medicine, Sleep Medicine, Sexual Health Medicine among them — that do not carry their own dedicated ANZSCO code elsewhere in this family. A specialist whose training matches one of these named areas is assessed here, through RACP's ordinary Standard or Accelerated process.

Where these applications come unstuck

The trap is assuming "nec" means unassessed or informally handled. It does not, for this code — RACP names each of these 26 subspecialties explicitly and assesses each on the same criteria as Cardiology, Gastroenterology or any other named RACP category. The real risk is the opposite: an applicant whose training genuinely does not match any of RACP's 26 named areas, or any other family code, has no confirmed default here either — 253399 is a defined list, not an open-ended residual.

An honest read on this pathway

If an applicant's specialty is one of RACP's 26 named subspecialties without its own ANZSCO code, this pathway is as open and well-documented as any other in the family: up to twelve months supervised practice for substantially comparable, twenty-four for partially comparable, via Standard or the country-restricted Accelerated pathway. Confirm the specialty appears on RACP's own list by name before assuming this code applies.

Whichever authority assesses you, the paperwork is the part applicants underestimate. The Document Vault keeps a single register of every document, what it was needed for, and what is still missing.

Talk it through with a registered agent

Whether nominating Specialist Physicians nec is your best route depends on your points, experience evidence and timing — exactly what a MARA-registered agent works through in an initial consultation. Describe your situation once through Migratio and compare real consultation quotes from registered agents, free.

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