The Medical Board of Australia is cracking down on international doctors in regional areas and stripping them of their registration.
Four out of Five overseas regional doctors are failing a clinical exam set by the MBA to prove they meet national standards.
In 2013 all international doctors were notified they had three years to pass the clinical exam or face deregistration.
Previously international doctors were not required to sit any local exams before being placed in regional centres.
It comes at a time were the region is already facing a doctor shortage.