This is a working migration guide for Neurologists under ANZSCO 253318 in 2026. Sub-specialty internal medicine — RACP Specialist Pathway with neurology endorsement.
For costs and timelines see the 253318 cost & timeline case study. For RACP, see the skills assessment guide.

What 253318 covers
ANZSCO 253318 covers neurology consultant practice:
- General neurology — outpatient + inpatient
- Stroke — acute / thrombolysis / thrombectomy assessment
- Multiple sclerosis / neuro-immunology
- Movement disorders — Parkinson's, dystonia, DBS programming
- Epilepsy / EEG
- Neuromuscular — MND, myasthenia, neuropathy
- Headache — migraine clinic
- Dementia / cognitive neurology
- Neurogenetics
Visas open to 253318
| Visa | Open? | Notes |
|---|---|---|
| 189 Independent | ✅ | Full points-tested PR |
| 190 State-nominated | ✅ | Strong demand |
| 491 Regional state-nominated | ✅ | Critical regional shortage |
| 186 ENS Direct Entry | ✅ | Hospital sponsors |
| 494 Regional employer-sponsored | ✅ | Regional health |
| 482 Core Skills | ✅ | 4-year stream |
See Subclass 189, 190, 491, 186, 494, and 482.

RACP Specialist Pathway (Neurology)
Standard RACP Specialist Pathway:
- Application + qualifications + experience review (6-12 months)
- Outcome: Substantially Comparable / Partially Comparable / Not Comparable
- Medical Board Specialist Registration with neurology endorsement
- 12 months supervised practice (Substantially Comparable)
- FRACP + Neurology Fellowship granted
Expected evidence:
- Primary medical degree (MBBS / MD / equivalent)
- Internal medicine Fellowship (MRCP UK / FRCPC / ABIM)
- Neurology sub-specialty CCT / Fellowship
- Origin-side specialist registration with neurology endorsement
- Clinical experience evidence
- Continuing professional development records
- English language test (typically OET B grade)
RACP Specialist Pathway fees: ~AUD 5,000-12,000.
Sponsors that hire 253318
- Public hospital networks — all state DoHs employ neurologists
- Tertiary stroke / neurology centres — RPA, Royal Melbourne, Royal Brisbane, RAH, SCGH, Royal Hobart
- Comprehensive Stroke Centres — designated centres with thrombectomy capability
- Private hospital groups — Ramsay, Healthscope, St Vincent's
- Specialty epilepsy / movement disorder centres — Royal Melbourne, Westmead
- Regional neurology — substantial 491 / 494 sponsorship

Common mistakes
- Coding 253311 instead of 253318. Sub-specialty — confirm code
- Confusing with neurosurgery. 253515 = neurosurgeon (RACS pathway, not RACP)
- English test too old. OET / IELTS validity ~2-3 years
- Origin-side neurology endorsement absent. Required for streamlined pathway
Tools
- Eligibility wizard
- ANZSCO search — verify 253318 vs 253515 / 253311
- Document checklist
- Visa fee calculator
Where to verify
Next step
Want help mapping your neurology profile to RACP + Medical Board? Book a 30-minute free strategy call.
Neurologist
ANZSCO 253318
AHPRA
RACP
FRACP
Skilled Migration
189 Visa
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