1993L0016 — EN — 20.11.2003 — 007.001 — 1
This document is meant purely as a documentation tool and the institutions do not assume any liability for its contents
►B COUNCILDIRECTIVE93/16/EEC
of5April1993
to facilitate the free movement of doctors and the mutual recognition of their diplomas, certifi-
catesandotherevidence offormal qualifications
(OJ L 165, 7.7.1993, p. 1)
Amended by:
Official Journal
No page date
►M1Directive 97/50/EC of the European Parliament and of the Council of 6
October 1997L 291 35 24.10.1997
►M2Commission Directive 98/21/EC of 8 April 1998 L 119 15 22.4.1998
►M3Commission Directive 98/63/EC of 3 September 1998 L 253 24 15.9.1998
►M4Commission Directive 1999/46/EC of 21 May 1999 L 139 25 2.6.1999
►M5Directive 2001/19/EC of the European Parliament and of the Council of
14 May 2001L 206 1 31.7.2001
►M6Regulation (EC) No 1882/2003 of the European Parliament and of the
Council of 29 September 2003L 284 1 31.10.2003
Amended by:
►A1Act of Accession of Austria, Sweden and Finland C241 21 29.8.1994
(adapted by Council Decision 95/1/EC, Euratom, ECSC) L 1 1 1.1.1995
▼B
COUNCILDIRECTIVE93/16/EEC
of5April1993
to facilitate the free movement of doctors and the mutual recogni-
tion of their diplomas, certificates and other evidence of formal
qualifications
THE COUNCIL OF THE EUROPEAN COMMUNITIES,
Having regard to the Treaty establishing the European Economic
Community, and in particular Article 49, Article 57 (1) and (2), first
and third sentences, and Article 66 thereof,
Having regard to the proposal from the Commission,In cooperation with the European Parliament (
1),
Having regard to the opinion of the Economic and Social
Committee (2),
Whereas Council Directives 75/362/EEC of 16 June 1975 concerning
the mutual recognition of diplomas, certificates and other evidence offormal qualifications in medecine, including measures to facilitate theeffective exercise of the right of establishment and freedom to provideservices (
3) and 75/363/EEC of 16 Juni 1975 concerning the coordina-
tion of provisions laid down by law, regulation or administrative action
in respect of activities of doctors (4) have been frequently and substan-
tially amended; whereas, therefore, for reasons of clarity andrationality, the said Directives should be consolidated; whereas it is inaddition advisable, by grouping together the said Directives in a single
text, to incorporate therein Council Directive 86/457/EEC of 15
September 1986 on specific training in general medical practice (
5);
Whereas, pursuant to the Treaty, all discriminatory treatment based on
nationality with regard to establishment and provision of services isprohibited as from the end of the transitional period; whereas the prin-ciple of such treatment based on nationality applies in particular to the
grant of any authorization required to practise as a doctor and also to
the registration with, or membershipof, p rofessional organizations orbodies;
Whereas it nevertheless seems desirable that certain provisions be
introduced to facilitate the effective exercise of the right of establish-
ment and freedom to provide services in respect of the activities of
doctors;
Whereas, pursuant to the Treaty, the Member States are required not to
grant any form of aid likely to distort the conditions of establishment;
Whereas Article 57 (1) of the Treaty provides that directives be issued
for mutual recognition of diplomas, certificates and other evidence of
formal qualifications; whereas the aim of this Directive is the recogni-
tion of diplomas, certificates and other evidence of formalqualifications whereby activities in the field of medicine can be takenup and pursued and the recognition of diplomas, certificates and otherevidence of formal qualifications in respect of specialists;
Whereas, with regard to the training of specialists, mutual recognition
of training qualifications is advisable where these qualifications, whilenot being a condition of access to take upthe activities of a sp ecialist,nonetheless entitle him to use a specialist title;
Whereas changes in the legislation of the Member States have made
certain technical amendments necessary in order to take into account,1993L0016 — EN — 20.11.2003 — 007.001 — 2
(1) OJ No C 125, 18. 5. 1992, p. 170; and OJ No C 72, 15. 3. 1993.
(2) OJ No C 98, 24. 4. 1992, p. 6.
(3) OJ No L 167, 30. 6. 1975, p. 1. Directive as last amended by Directive 90/
658/EEC (OJ No L 353, 17. 12. 1990, p. 73).
(4) OJ No L 167, 30. 6. 1975, p. 14. Directive as last amended by Directive 90/
658/EEC (OJ No L 353, 17. 12. 1990, p. 73).
(5) OJ No L 267, 19. 9. 1986, p. 26.
▼B
in particular, the changes in the titles of diplomas, certificates and other
evidence of formal qualifications in these professions or in the designa-tion of certain medical specializations, as well as of the establishment
of certain new medical specializations or the discontinuing of certain
former specialization which have taken place in some Member States;
Whereas it is advisable to make provision for measures relating to
acquired rights with regard to the mutual recognition of diplomas,
certificates and other evidence of formal qualifications in medicine
issued by the Member State and approving training which hadcommenced before the implementation of this Directive;
Whereas, with regard to the possession of a formal certificate of
training, since a Directive on the mutual recognition of diplomas does
not necessarily imply equivalence in the training covered by suchdiplomas, the use of such qualifications should be authorized only inthe language of the Member State of origin or of the Member Statefrom which the foreign national comes;
Whereas, to facilitate the application of this Directive by the national
authorities, Member States may prescribe that, in addition to formalcertificates of training, the person who satisfies the conditions oftraining required by this Directive must provide a certificate from thecompetent authorities of his country of origin or of the country from
which he comes stating that these certificates of training are those
covered by the Directive;
Whereas this Directive does not affect the provisions laid down by law,
regulation or administrative action in the Member States, which
prohibit companies or firms from practising medicine or impose on
them certain conditions for such practice;
Whereas, in the case of the provision of services, the requirement of
registration with, or membershipof, p rofessional organizations orbodies, since it is related to the fixed and permanent nature of the
activity pursued in the host country, would undoubtedly constitute an
obstacle to the person wishing to provide the service, by reason of thetemporary nature of his activity; whereas this requirement should there-fore be abolished; whereas, however, in this event, control overprofessional discipline, which is the responsibility of these professional
organizations or bodies, should be guaranteed; whereas, to this end, it
should be guaranteed; whereas, to this end, it should be provided,subject to the application of Article 62 of the Treaty, that the personconcerned may be required to submit to the competent authority ofthe host Member State particulars relating to the provision of services;
Whereas, with regard to the requirements relating to good character
and good repute, a distinction should be drawn between the require-ments to be satisfied on first taking upthe p rofession and those to besatisfied to practise it;
Whereas, with a view to mutual recognition of diplomas, certificates
and other evidence of formal qualifications in specialized medicineand in order to put all members of the profession who are nationals ofthe Member States on an equal footing within the Community, somecoordination of the requirements for training in specialized medicineseems necessary; whereas certain minimum criteria should be laid
down for this purpose concerning the right to take up specialized
training, the minimum training period, the method by which suchtraining is given and the place where it is to be carried out, as well asthe supervision to which it should be subject; whereas these criteriaonly concern the specialities common to all the Member States or to
two or more Member States;
Whereas the coordination of the conditions for the pursuit of these
activities, as envisaged by this Directive, does not exclude any subse-quent coordination;
Whereas the point has now been reached where it is almost universally
recognized that there is a need for specific training for the generalmedical practitioner to enable him better to fulfil his function; whereasthis function, which depends to a great extent on the doctor's personalknowledge of his patients' environment, consists of giving advice on1993L0016 — EN — 20.11.2003 — 007.001 — 3
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the prevention of illness and on the protection of the patients' general
health, besides giving appropriate treatment;
Whereas this need for specific training in general medical practice has
emerged mainly as a result of the development of medical science,which has increasingly widened the gapbetween medical research andteaching on the one hand and general medical practice on the other, sothat important aspects of general medical practice can no longer be
taught in a satisfactory manner within the framework of the Member
States' current basis medical training;
Whereas, apart from the benefit to patients, it is also recognized that
improved training for the specific function of general medical practi-
tioner would contribute to an improvement in health care, particularly
by developing a more selective approach to the consultation of specia-lists, use of laboratories and other highly specialized establishmentsand equipment;
Whereas improved training for general medical practice will upgrade
the status of the general medical practitioner;
Whereas, although this situation seems irreversible, it has developed at
different rates in the various Member States; whereas it is desirable toensure that the various trends converge in successive stages, without
however forcing the pace, with a view to appropriate training for every
general medical practitioner in order to satisfy the specific require-ments of general medical practice;
Whereas, to ensure the gradual introduction of this reform, it is neces-
sary in an initial stage to institute in each Member State specific
training in general medical practice which satisfies minimum qualityand quantitiy requirements, and supplements the minimum basictraining which medical practitioners must receive in accordance withthis Directive; whereas it is immaterial whether this training in generalmedical practice is received as part of, or separately from, basic
medical training as laid down nationally; whereas, in a second stage,
provision should be made to subject the exercise of general medicalpractice under a social security scheme to completion of specifictraining in general medical practice; whereas further proposals tocomplet the reform should subsequently be put forward;
Whereas this Directive does not affect the power of the Member States
to organize their national security schemes and to determine whatactivities are to be carried out under those schemes;
Whereas the coordination, pursuant to this Directive, of the minimum
conditions governing the issue of diplomas, certificates or otherevidence of formal qualifications certifying completion of specifictraining in general medical practice will render possible the mutualrecognition of these diplomas, certificates or other evidence of formalqualifications by the Member States;
Whereas, pursuant to this Directive, a host Member State is not entitled
to require medical practitioners, in possession of diplomas obtained inanother Member State and recognized pursuant to this Directive, tocomplete any additional training in order to practise within its social
security scheme, even where such training is required of holders of
diplomas of medicine obtained in its own territory; whereas this conse-quence of this Directive will remain in effect as regards the exercise ofgeneral medical practice under social security schemes until 1 January1995, from which date this Directive requires all Member States tomake the exercise of general medical practice in the context of their
social security schemes subject to the possession of specific training
in general medical practice; whereas medical practitioners establishedin practice before that date pursuant to this Directive must have anacquired right to practise as general medical practitioners under thenational social security scheme of the host country even if they have
not completed specific training in general medical practice;
Whereas the coordination envisaged by this Directive covers the
professional training of doctors, whereas, as far as training isconcerned, most Member States do not at present distinguish betweendoctors who pursue their activities as employed persons and those who1993L0016 — EN — 20.11.2003 — 007.001 — 4
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are self-employed; whereas rules relating to good character or good
repute, professional discipline or use of title for the professions coveredare or may be applicable, depending on the individual Member States,
both to employed and self-employed persons; whereas the activities of
doctors are subject in all Member States to possession of a diploma,certificate or other evidence of formal qualification in medicine;whereas such activities are pursued by both employed and self-employed persons, or by the same persons in both capacities in the
course of their professional career; whereas, in order to encourage as
far as possible the free movement of those professional persons withinthe Community, it therefore appears necessary to extend this Directiveto employed doctors;
Whereas, this Directive must not affect the obligations of the Member
States concerning the deadlines for transposition set out in Annex III,Part B,
HAS ADOPTED THIS DIRECTIVE:
TITLE I
SCOPE
Article 1
This Directive shall apply to the activities of doctors working in a self-
employed or employed capacity who are nationals of the MemberStates.
TITLE II
MUTUAL RECOGNITION OF DIPLOMAS CERTIFICATESANDOTHER EVID ENCE OF FORMAL QUALIFICATIONS IN
MEDICINE
CHAPTER I
DIPLOMAS, CERTIFICATES AND OTHER EVIDENCE OF
FORMALQUALIFICATIONSINMEDICINE
Article 2
Each Member State shall recognize the diplomas, certificates and other
evidence of formal qualifications awarded to nationals of MemberStates by the other Member States in accordance with Article 23 andwhich are ►
M5listed in Annex A ◄, by giving such qualifications,
as far as the right to take upand p ursue the activities of a doctor is
concerned, the same effect in its territory as those which the MemberState itself awards.
CHAPTER II
DIPLOMAS, CERTIFICATES AND OTHER EVIDENCE OF
FORMALQUALIFICATIONSINSPECIALISEDMEDICINE
Article 4
Each Member State with provisions in this field laid down by law,
regulation or administrative action shall recognise the diplomas, certifi-
cates and other evidence of formal qualifications in specialisedmedicine awarded to nationals of Member States by the other MemberStates in accordance with Articles 24, 25, 26 and 29 and which arelisted in Annexes B and C, by giving such qualifications the sameeffect in its territory as those which the Member State itself awards.1993L0016 — EN — 20.11.2003 — 007.001 — 5
▼M5
▼B
▼M5
▼M5
Article 5
The diplomas, certificates and other evidence of formal qualifications
referred to in Article 4 shall be those which, having been awarded by
the competent authorities or bodies listed in Annex B, correspond, forthe purposes of the specialised training in question, to the qualificationslisted in Annex C in respect of those Member States where suchtraining exists.
CHAPTER III
Article 8
1. Nationals of Member States wishing to acquire one of the
diplomas, certificates or other evidence of formal qualifications ofspecialist doctors not referred to in Article ►
M54◄, or which,
although referred to in Article ►M54◄, are not awarded in the
Member State of origin or the Member State from which the foreignnational comes, may be required by a host Member State to fulfil theconditions of training laid down in respect of the speciality by its ownlaw, regulation or administrative action.
2. The host Member State shall, however, take into account, in
whole or in part, the training periods completed by the nationalsreferred to in paragraph 1 and attested by the award of a diploma, certi-ficate or other evidence of formal training by the competent authoritiesof the Member State of origin or the Member State from which theforeign national comes provided such training periods correspond to
those required in the host Member State for the specialized training in
question.
It shall also take into account their professional experience, additional
training and continuing medical education.
3. The competent authorities or bodies of the host Member State,
having assessed the content and duration of the training of the personconcerned on the basis of the diplomas, certificates and other evidenceof formal qualifications submitted, and taking into account his profes-
sional experience, additional training and continuing medical education,
shall inform him of the period of additional training required and of thefields to be covered by it.
4. The Member State shall deliver its decision within four months of
the date on which the applicant submits his application together withfull supporting documentation.
CHAPTER IV
EXISTINGCIRCUMSTANCES
Article 9
1. Without prejudice to paragraph 3, in the case of nationals of
Member States whose diplomas, certificates and other evidence of
formal qualifications in medicine do not satisfy all the minimumtraining requirements laid down in Article 23, each Member State shallrecognize, as being sufficient proof, the diplomas, certificates and otherevidence of formal qualifications in medicine awarded by thoseMember States when they attest to training which commenced before:
— 1 January 1986 for Spain and Portugal,
— 1 January 1981 for Greece,— 20 December 1976 for the other Member States,
— the date of accession for Austria, Finland and Sweden,1993L0016 — EN — 20.11.2003 — 007.001 — 6
▼B
▼M5
▼B
▼M5
▼B
▼A1
▼B
accompanied by a certificate stating that those nationals have effec-
tively and lawfully been engaged in the activities in question for atleast three consecutive years during the five years prior to the date of
issue of the certificate.
2. Without prejudice to paragraph 4, in the case of nationals of
Member States whose diplomas, certificates and other evidence of
formal qualifications in specialized medicine do not satisfy the
minimum training requirements pursuant to Articles 24 to►
M526◄, each Member State shall recognize, as sufficient proof,
the diplomas, certificates and other evidence of formal qualificationsin specialized medicine awarded by those Member States when they
attest to training which commenced before:
— 1 January 1986 for Spain and Portugal,
— 1 January 1981 for Greece,
— 20 December 1976 for the other Member States,
— the date of accession for Austria, Finland and Sweden.
The host Member State may require that the diplomas, certificates and
other evidence of formal qualifications in specialized medicine be
accompanied by a certificate issued by the competent authorities or
bodies of the Member State of origin or in the Member State fromwhich they come, stating that the holders have, in specialized medicine,been engaged in activities in question for a period equivalent to twicethe difference between the period of specialized training of the MemberState of origin or of the Member State from which they come, and the
minimum requirements regarding the duration of training laid down in
Title III, where these periods are not equal to the minimum trainingperiods laid down in Article ►
M526◄.
However, if, before the dates given in the first subparagraph, the host
Member State required a minimum training period less than the one atissue referred to in Article ►
M526◄, the difference mentioned in
the second subparagraph can only be determined by reference to theminimum training period laid down by that State.
2a. Member States shall recognise evidence of formal qualifications
in specialised medicine awarded in Spain to doctors who completedspecialised training before 1 January 1995 which did not comply withthe formal training requirements laid down in Articles 24 to 27, if theevidence is accompanied by a certificate awarded by the competentSpanish authorities attesting to the fact that the person concerned has
passed the test of specific professional competence organised in the
context of the special regularisation measures contained in RoyalDecree 1497/99 with the aim of verifying that the person concernedhas a level of knowledge and competence comparable to that of doctorsholding the specialist doctors' qualifications which, in the case of
Spain, are referred to in Articles 5(3) and 7(2).
3. In the case of nationals of Member States whose diplomas, certi-
ficates and other evidence of formal qualifications in medicine attest totraining received on the territory of the former German DemocraticRepublic which does not satisfy all the minimum training requirements
laid down in Article 23, Member States other than Germany shall
recognize those diplomas, certificates and other evidence of formalqualifications as being sufficient proof if:
— they attest to training commenced before German unification,
— they entitle the holder to pursue the activities of a doctor
throughout the teritory of Germany under the same conditions as
the qualifications awarded by the competent German authorities
and referred to in ►
M5Annex A ◄,
— they are accompanied by a certificate issued by the competent
German authorities stating that those nationals have effectively andlawfully been engaged in the activities in question in Germany for1993L0016 — EN — 20.11.2003 — 007.001 — 7
▼A1
▼B
▼M5
▼B
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at least three consecutive years during the five years prior to the
date of issue of the certificate.
4. In the case of nationals of Member States whose diplomas, certi-
ficates and other evidence of formal qualifications in specialized
medicine attest to training received on the territory of the former
German Democratic Republic which does not satisfy the minimumtraining requirements laid down in Articles 24 to ►
M526◄,
Member States other than Germany shall recognize those diplomas,certificates and other evidence of formal qualifications as being suffi-cient proof if:
— they attest to training commenced before 3 April 1992, and
— they permit the pursuit, as a specialist, of the activity in question
throughout the territory of Germany under the same conditions as
the qualifications awarded by the competent German authorities
and referred to in Article ►
M55◄.
They may, however, require that these diplomas, certificates or other
evidence of formal qualifications be accompanied by a certificateissued by the competent German authorities or bodies stating that theholders have, as specialists, been engaged in the acitivity in questionfor a period equivalent to twice the difference between the period of
specialized training received on German territory and the minimum
duration of training laid down in Title III where they do not satisfythe minimum requirements regarding the duration of training laiddown in Article ►
M526◄.
5. In the case of nationals of the Member States whose diplomas,
certificates and other evidence of formal qualifications in medicine orin specialized medicine do not conform with the qualifications or
designations set out in ►
M5Annex A ◄or in Article ►M5
5◄, each Member State shall recognize as being sufficient proof the
diplomas, certificates and other evidence of formal qualificationsawarded by those Member States, accompanied by a certificate issuedby the competent authorities or bodies. The certificate shall state thatthese diplomas, certificates and other evidence of formal qualifications
in medicine or in specialized medicine were awarded following training
in accordance with the provisons of Title III referred to, as appropriate,in Article 2, or ►
M54◄, and are treated by the Member State
which awarded them as the qualifications or designations set out, asappropriate, in ►
M5Annex A ◄or in Article ►M55◄.
6. Those Member States which have repealed the provisions laid
down by law, regulation or administrative action relating to the award
of diplomas, certificates and other evidence of formal qualifications in
neuro-psychiatry, radiology, thoracic surgery, vascular surgery, gastro-enterological surgery, biological haematology, physiotherapy ortropical medicine and have taken measures relating to acquired rightson behalf of their own nationals, shall recognize the right of nationalsof the Member States to benefit from those same measures, provided
their diplomas, certificates and other evidence of formal qualifications
in neuro-psychiatry, radiology, thoracic surgery, vascular surgery,gastro-enterological surgery, biological haematology, physiotherapy ortropical medicine fulfil the relevant conditions set out either in para-graph 2 of this Article or in Articles 24, 25 and ►
M526◄and in
so far as the said diplomas, certificates and other evidence of formal
qualifications were awarded before the date on which the host MemberStates stopped awarding such diplomas, certificates and other evidenceof formal qualification in the specialization concerned.
7. The dates on which the Member States concerned repealed the
provisions laid down by law, regulation or administrative action inrespect of the diplomas, certificates and other evidence of formal quali-fications referred to in paragraph 6 are set out in Annex II.1993L0016 — EN — 20.11.2003 — 007.001 — 8
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CHAPTER V
USEOFACADEMICTITLE
Article 10
1. Without prejudice to Article 19, host Member States shall ensure
that the nationals of Member States who fulfil the conditions laid down
in Articles 2, ►M54◄and 9 have the right to use the lawful
academic title or, where appropriate, the abbreviation thereof, of theirMember State of origin or of the Member State from which they come,in the languages of that State. Host Member States may require thistitle to be followed by the name and location of the establishment orexamining board which awarded it.
2. If the academic title used in the Member State of origin, or in the
Member State from which a foreign national comes, can be confused inthe host Member State with a title requiring in that State additionaltraining which the person concerned has not undergone, the host
Member State may require such a person to use the title employed in
the Member State of origin or the Member State from which he comesin a suitable form to be drawn upby the host Member State.
CHAPTER VI
PROVISIONS TO FACILITATE THE EFFECTIVE EXERCISE
OF THE RIGHT OF ESTABLISHMENT ANDFREED OM TOPROVIDE SERVICES IN RESPECT OF THE ACTIVITIES OF
DOCTORS
A.Provisionsspecifically relatingtotherightofestablishment
Article 11
1. A host Member State which requires of its nationals proof of
good character or good repute when they take up for the first timeany activity of a doctor shall accept as sufficient evidence, in respect
of nationals of other Member States, a certificate issued by a competent
authority in the Member State of origin or in the Member State fromwhich the foreign national comes, attesting that the requirements ofthe Member State as to good character or good repute for taking upthe activity in question have been met.
2. Where the Member State of origin or the Member State from
which the foreign national comes does not require proof of good char-acter or good repute of persons wishing to take up the activity inquestion for the first time, the host Member State may require ofnationals of the Member State of origin or of the Member State from
which the foreign national comes an extract from the judicial record or,
failing this, an equivalent document issued by a competent authority inthe Member State of origin or the Member State from which theforeign national comes.
3. If the host Member State has detailed knowledge of a serious
matter which has occurred, prior to the establishment of the personconcerned in that State, outside its territory and which is likely toaffect the taking upwithin its territory of the activity concerned, itmay inform the Member State of origin or the Member State from
which the foreign national comes.
The Member State of origin or the Member State from which the
foreign national comes shall verify the accuracy of the facts. Its autho-rities shall decide on the nature and extent of the investigation to bemade and shall inform the host Member State of any consequential
action which they take with regard to the certificates or documents
they have issued.
4. Member States shall ensure the confidentiality of the information
which is forwarded.1993L0016 — EN — 20.11.2003 — 007.001 — 9
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Article 12
1. Where, in a host Member State, provisions laid down by law,
regulation or administrative action are in force laying down require-ments as to good character or good repute including provisions fordisciplinary action in respect of serious professional misconduct orconviction of criminal offences and relating to the pursuit of any of
the activities of a doctor, the Member State of origin or the Member
State from which the foreign national comes shall forward to the hostMember State all necessary information regarding measures or disci-plinary action of a professional or administrative nature taken inrespect of the person concerned or criminal penalties imposed on himwhen pursuing his profession in the Member State of origin or in the
Member State from which he came.
2. If the host Member State has detailed knowledge of a serious
matter which has occurred, prior to the establishment of the personconcerned in that State, outside its territory and which is likely to
affect the pursuit within its territory of the activity concerned, it may
inform the Member State of origin or the Member State from whichthe foreign national comes.
The Member State of origin or the Member State from which the
foreign national comes shall verify the accuracy of the facts. Its autho-
rities shall decide on the nature and extent of the investigation to bemade and shall inform the host Member State of any consequentialaction which they take with regard to the information which they haveforwarded in accordance with paragraph 1.
3. Member States shall ensure the confidentiality of the information
which is forwarded.
Article 13
Where a host Member State requires of its own nationals wishing to
take up or pursue any activity of a doctor, a certificate of physical ormental health, that State shall accept as sufficient evidence thereof thepresentation of the document required in the Member State of origin orthe Member State from which the foreign national comes.
Where the Member State of origin or the Member State from which the
foreign national comes does not impose any requirements of this natureon those wishing to take upor p ursue the activity in question, the hostMember State shall accept from such national a certificate issued by a
competent authority in that State corresponding to the certificates
issued in the host Member State.
Article 14
Documents issued in accordance with Articles 11, 12 and 13 may not
be presented more than three months after their date of issue.
Article 15
1. The procedure for authorizing the person concerned to take up
any activity of a doctor, pursuant to Articles 11, 12 and 13, must becompleted as soon as possible and not later than three months afterpresentation of all the documents relating to such person, withoutprejudice to delay resulting from any appeal that may be made uponthe termination of this procedure.
2. In the cases referred to in Articles 11 (3) and 12 (2), a request for
re-examination shall suspend the period laid down in paragraph 1.
The Member State consulted shall give its reply within a period of
three months.
On receipt of the reply or at the end of the period the host Member
State shall continue with the procedure referred to in paragraph 1.1993L0016 — EN — 20.11.2003 — 007.001 — 10
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Article 16
Where a host Member State requires its own nationals wishing to take
upor p ursue one of the activities of a doctor to take an oath or make asolemn declaration and where the form of such an oath or declaration
cannot be used by nationals of other Member States, that Member State
shall ensure that an appropriate and equivalent form of oath or declara-tion is offered to the person concerned.
B.Specialprovisionsrelating totheprovisionofservices
Article 17
1. Where a Member State requires of its own nationals wishing to
take upor p ursue any activity of a doctor, an authorization or member-
shipof, or registration with, a p rofessional organization or body, that
Member State shall in the case of the provision of services exemptthe nationals of Member States from that requirement.
The person concerned shall provide services with the same rights and
obligations as the nationals of the host Member State; in particular heshall be subject to the rules of conduct of a professional or administra-tive nature which apply in that Member State.
For this purpose and in addition to the declaration provided for in para-
graph 2 relating to the services to be provided, Member States may, so
as to permit the implementation of the provisions relating to profes-sional conduct in force in their territory, require either automatictemporary registration or pro forma membership of a professional orga-nization or body or, as an alternative, registration, provided that suchregistration or membershipdoes not delay or in any way comp licate
the provision of services or impose any additional costs on the person
providing the services.
Where a host Member State adopts a measure pursuant to the second
subparagraph or becomes aware of facts which run counter to theseprovisions, it shall forthwith inform the Member State where the personconcerned is established.
2. The host Member State may require the person concerned to
make a prior declaration to the competent authorities concerning the
provison of his services where they involve a temporary stay in its
territory.
In urgent cases this declaration may be made as soon as possible after
the services have been provided.
3. Pursuant to paragraphs 1 and 2, the host Member State may
require the person concerned to supply one or more documentscontaining the following particulars:
— the declaration referred to in paragraph 2,
— a certificate stating that the person concerned is lawfully pursuing
the activities in question in the Member State where he is estab-lished,
— a certificate that the person concerned holds one or other of the
diplomas, certificates or other evidence of formal qualificationappropriate for the provison of the services in question and referred
to in this Directive.
4. The document or documents specified in paragraph 3 may not be
produced more than 12 months after their date of issue.
5. Where a Member State temporarily or permanently deprives, in
whole or in part, the right of one of its nationals or of a national ofanother Member State established in its territory to pursue one of theactivities of a doctor, it shall, as appropriate, ensure the temporary orpermanent withdrawal of the certificate referred to in the second indentof paragraph 3.1993L0016 — EN — 20.11.2003 — 007.001 — 11
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Article 18
Where registration with a public social security body is required in a
host Member State for the settlement with insurance bodies of accounts
relating to services rendered to persons insured under social security
schemes, that Member State shall exempt nationals of Member Statesestablished in another Member State from this requirement, in casesof provision of services entailing travel on the part of the personconcerned.
However, the persons concerned shall supply information to this body
in advance, or, in urgent cases, subsequently, concerning the services
provided.
C.Provisionscommontotherightofestablishmentandfreedomto
provideservices
Article 19
Where in a host Member State the use of the professional title relating
to one of the activities of a doctor is subject to rules, nationals of otherMember States who fulfil the conditions laid down in Articles 2 and 9(1), (3) and (5) shall use the professional title of the host Member Statewhich, in that State, corresponds to those conditions of qualificationand shall use the abbreviated title.
The first paragraph shall also apply to the use of professional titles of
specialist doctors by those who fulfil the conditions laid down inArticle►
M54◄and 9 (2), (4), (5) and (6).
Article 20
1. Member States shall take the necessary measures to enable the
persons concerned to obtain information on the health and socialsecurity laws and, where applicable, on the professional ethics of thehost Member State.
For this purpose Member States may set up information centres from
which such persons may obtain the necessary information. In the case
of establishment, the host Member States may require the beneficiariesto contact these centres.
2. Member States may set up the centres referred to in paragraph 1
within the competent authorities and bodies which they must designate.
3. Member States shall see to it that, where appropriate, the persons
concerned acquire, in their interest and in that of their patients, thelinguistic knowledge necessary to the exercise of their profession in
the host country.
Article 21
Member States which require their own nationals to complete a
preparatory training period in order to become eligible for appointmentas a doctor of a social security scheme may impose the same require-ment on nationals of the other Member States for a period of five yearsbeginning 20 June 1975. The training period may not, however, exceedsix months.
Article 22
In the event of justified doubts, the host Member State may require of
the competent authorities of another Member State confirmation of the
authenticity of the diplomas, certificates and other evidence of formalqualifications issued in that other Member State and referred to inChapters I to IV of Title II and also confirmation of the fact that theperson concerned has fulfilled all the training requirements laid downin Title III.1993L0016 — EN — 20.11.2003 — 007.001 — 12
▼B
TITLE III
COORDINATION OF PROVISIONS LAID DOWN BY LAW,
REGULATION OR ADMINISTRATIVE ACTION IN RESPECT
OFACTIVITIESOFDOCTORS
Article 23
1. The Member States shall require persons wishing to take up and
pursue a medical profession to hold a diploma, certificate or otherevidence of formal qualifications in medicine referred to in►
M5Annex A ◄which guarantees that during his complete training
period the person concerned has acquired:
(a) adequate knowledge of the sciences on which medicine is based
and a good understanding of the scientific methods including theprinciples of measuring biological functions, the evaluation ofscientifically established facts and the analysis of data;
(b) sufficient understanding of the structure, functions and behaviour of
healthy and sick persons, as well as relations between the state of
health and physical and social surroundings of the human being;
(c) adequate knowledge of clinical disciplines and practices, providing
him with a coherent picture of mental and physical diseases, of
medicine from the points of view of prophylaxis, diagnosis andtherapy and of human reproduction;
(d) suitable clinical experience in hospitals under appropriate supervi-
sion.
2. A complete period of medical training of this kind shall comprise
at least a six-year course or 5500 hours of theoretical and practical
instruction given in a university or under the supervision of a univer-sity.
3. In order to be accepted for this training, the candidate must have
a diploma or a certificate which entitles him to be admitted to the
universities of a Member State for the course of study concerned.
4. In the case of persons who started their training before 1 January
1972, the training referred to in paragraph 2 may include six months'
full-time practical training at university level under the supervision of
the competent authorities.
5. Nothing in this Directive shall prejudice any facility which may
be granted in accordance with their own rules by Member States in
respect of their own territory to authorize holders of diplomas, certifi-
cates or other evidence of formal qualifications which have not beenobtained in a Member State to take upand p ursue the activities of adoctor.
6. Continuing training shall ensure, in accordance with the arrange-
ments prevailing in each Member State, that the persons who have
completed their studies can keep up with progress in medicine.
Article 24
1. Member States shall ensure that the training leading to a diploma,
certificate or other evidence of formal qualifications in specializedmedicine, meets the following requirements at least:
(a) it shall entail the successful completion of six years' study within
the framework of the training course referred to in Article 23,
during which appropriate knowledge of general medicine shallhave been acquired;
(b) it shall comprise theoretical and practical instruction;
(c) it shall be a full-time course supervised by the competent authori-
ties or bodies pursuant to point 1 of Annex I;1993L0016 — EN — 20.11.2003 — 007.001 — 13
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(d) it shall be in a university centre, in a teaching hospital or, where
appropriate, in a health establishment approved for this purpose bythe competent authorities or bodies;
(e) it shall involve the personal participation of the doctor training to
be a specialist in the activity and in the responsibilities of the
establishments concerned.
2. Member States shall make the award of a diploma, certificate or
other evidence of formal qualifications in specialized medicine subject
to the possession of one of the diplomas, certificates or other evidenceof formal qualifications in medicine referred to in Article 23. Issue ofthe diploma, certificate or other evidence of specialization in dental,oral and maxillo-facial surgery (basic medical and dental training) isalso subject to possession of one of the diplomas, certificates or other
evidence of qualifications as a dental practitioner referred to in Article
1 of Directive 78/687/EEC.
Article 25
1. Without prejudice to the principle of full-time training as set out
in Article 24 (1) (c), and until such time as the Council takes decisionsin accordance with paragraph 3, Member States may permit part-timespecialist training, under conditions approved by the competent
national authorities, when training on a full-time basis would not be
practicable for well-founded individual reasons.
2. Part-time training shall be given in accordance with point 2 of
Annex I hereto and at a standard qualitatively equivalent to full-time
training. This standard of training shall not be impaired, either by its
part-time nature or by the practice of private, remunerated professionalactivity.
The total duration of specialized training may not be curtailed in those
cases where it is organized on a part-time basis.
3. The Council shall decide, not later than 25 January 1989, whether
the provisions of paragraphs 1 and 2 are to be maintained or amended,
in the light of a re-examination of the situation and on a proposal by
the Commission, with due regard to the fact that the possibility ofpart-time training should continue to exist in certain circumstances tobe examined specialty by specialty.
Part-time specialist training begun before 1 January 1983 may be
completed in accordance with the provisions in effect before this date.
Article 26
Member States with provisions in this field laid down by law, regula-
tion or administrative action shall ensure that the minimum length ofthe specialised training courses may not be not less than the courselengths stipulated in Annex C in respect of each training course. Suchminimum course lengths shall be amended pursuant to the procedure
laid down in Article 44a(3).
Article 28
As a transitional measure and notwithstanding Articles 24 (1) (c) and
25, Member States whose provisions, laid down by law, regulation, or
administrative action, provided for part-time specialist training on 20
June 1975, may continue to apply these provisions to candidates whohave begun training as specialists not later than 31 December 1983.
Each host Member State shall be authorized to require the beneficiaries
of the first paragraph to produce, in addition to their diplomas, certifi-cates and other evidence of formal qualifications, an attestationcertifying that for at least three consecutive years out of the five yearspreceding the issue of the attestation they have in fact been lawfullypractising as specialists in the field concerned.1993L0016 — EN — 20.11.2003 — 007.001 — 14
▼M5
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Article 29
As a transitional measure and notwithstanding Article 24 (2):
(a) as regards Luxembourg, and in respect only of the Luxembourg
diplomas covered by the law of 1939 of Luxembourg on the
conferring of academic and university degrees, the issue of a certi-
ficate as a specialist shall be conditional simply upon thepossession of the diploma of doctor of medicine, surgery and obste-trics awarded by the Luxembourg State Examining Board;
(b) as regards Denmark, and in respect only of the Danish diplomas of
medical practitioners required by law awarded by a Danish univer-sity faculty of medicine in accordance with the decree of theMinistry of the Interior of 14 May 1970, the issue of a certificate
as specialist shall be conditional simply upon the possession of the
abovementioned diplomas.
The diplomas referred to under (a) and (b) may be awarded to candi-
dates who began their training before 20 December 1976.
TITLE IV
SPECIFICTRAININGINGENERALMEDICALPRACTICE
Article 30
Each Member State which dispenses the complete training referred to
in Article 23 within its territory shall institute specific training in
general medical practice meeting requirements at least as stringent as
those laid down in Articles 31 and 32, in such a manner that the firstdiplomas, certificates or other evidence of formal qualificationsawarded on completion of the course are issued not later than 1January 2006.
Article 31
1. The specific training in general medical practice referred to in
Article 30 must meet the following minimum requirements:
(a) entry shall be conditional upon the successful completion of at least
six years' study within the framework of the training coursereferred to in Article 23;
(b) it shall be a full-time course lasting at least three years, and shall
be supervised by the competent authorities or bodies;
(c) it shall be practically rather than theoretically based; the practical
instruction shall be given, on the one hand, for at last six months
in an approved hospital or clinic with suitable equipment and
services and, on the other hand, for at least six months in anapproved general medical practice or in an approved centre wheredoctors provide primary care; it shall be carried out in contact withother health establishments or structures concerned with generalmedical practice; however, without prejudice to the aforesaid
minimum periods, the practical instruction may be given for a
maximum period of six months in other approved health establish-ments or structures concerned with general medical practice;
(d) it shall entail the personal participation of the trainee in the profes-
sional activities and responsibilities of the persons with whom heworks.
2. Where the training course referred to in Article 23 involves prac-
tical training given in an approved hospital or clinic with suitable
equipment and services in general medicine or in an approved generalmedical practice or in an approved centre where doctors provideprimary care, the duration of that training may be included, subject toa maximum of one year, in the period laid down in paragraph 1(b).1993L0016 — EN — 20.11.2003 — 007.001 — 15
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This option shall be available only to Member States in which, on 1
January 2001, the duration of specific training in general medical prac-tice is two years.
Should the Commission note, when this paragraph is being applied,
that major difficulties arise for a Member State with regard to the levelof training indicated in paragraph 1(b), it shall take the opinion of theCommittee of Senior Officials on Public Health established by Council
Decision 75/365/EEC (
1) and shall inform the European Parliament and
the Council. The Commission shall submit to the European Parliamentand the Council, where appropriate, proposals directed towards greatercoordination of the duration of specific training in general medicine.
3. Member States shall make the issue of diplomas, certificates, or
other evidence of formal qualifications awarded after specific trainingin general medical practice, conditional upon the candidate's holdingone of the diplomas, certificates or other evidence of formal qualifica-
tions referred to in ►
M5Annex A ◄.
Article 32
If, at 22 September 1986, a Member State was providing training in
general medical practice by means of experience in general medical
practice acquired by the medical practitioner in his own surgery under
the supervision of an authorized training supervisor, that Member Statemay retain this type of training on an experimental basis on conditionthat:
— it complies with Article 31 (1) (a) and (b), and (3);
— its duration is equal to twice the difference between the period laid
down in Article 31 (1) (b) and the sum of the periods laid down inthe third indent hereof,
— it involves a period in an approved hospital or clinic with suitable
equipment and services and a period in an approved general
medical practice or in an approved centre where doctors provideprimary care; as from 1 January 1995, each of these periods shallbe of at least six months' duration.
Article 33
On the basis of experience acquired, and in the light of developments
in training in general medical practice, the Commission shall submit tothe Council, by 1 January 1996 at the latest, a report on the implemen-tation of Articles 31 and 32 and suitable proposals in order to achievefurther harmonization of the training of general medical practitioners.
The Council shall act on these proposals in accordance with procedures
laid down by the Treaty before 1 January 1997.
Article 34
1. Without prejudice to the principle of full-time training laid down
in Article 31 (1) (b), Member States may authorize specific part-time
training in general medical practice in addition to full-time trainingwhere the following particular conditions are met:
— the total duration of training may not be shortened because it is
being followed on a part-time basis,
— the weekly duration of part-time training may not be less than
►
M550 %◄of weekly full-time training,
— part-time training must include a certain number of full-time
training periods, both for the training conducted at a hospital or
clinic and for the training given in an approved medical practiceor in an approved centre where doctors provide primary care. Thesefull-time training periods shall be of sufficient number and durationas to provide adequate preparation for the effective exercise ofgeneral medical practice.1993L0016 — EN — 20.11.2003 — 007.001 — 16
(1) OJ L 167, 30.6.1975, p. 19.▼B
▼B
2. Part-time training must be of a level of quality equivalent to that
of full-time training. It shall lead to a diploma, certificate or otherevidence of formal qualification, as referred to in Article 30.
Article 35
1. Irrespective of any acquired rights they recognize, Member States
may issue the diploma, certificate or other evidence of formal qualifi-
cation referred to in Article 30 to a medical practitioner who has notcompleted the training referred to in Articles 31 and 32 but who holdsa diploma, certificate or other evidence of formal qualification issuedby the competent authorities of a Member State, attesting to completion
of another additional training course; however, the Member States may
issue such diploma, certificate or other evidence of formal qualificationonly if it attests to a level of skill equivalent to that reached on comple-tion of the training referred to in Articles 31 and 32.
2. In adopting their rules in accordance with paragraph 1, Member
States shall specify the extent to which the additional training already
completed by the candidate and his professional experience may be
taken into account in place of the training referred to in Articles 31and 32.
Member States may issue the diploma, certificate or other evidence of
formal qualification referred to in Article 30 only if the candidate hasacquired at least six months' experience in general medical practice in a
general medical practice or a centre where doctors provide primary
care, as referred to in Article 31 (1) (c).
Article 36
1. From 1 January 1995, and subject to the acquired rights it has
recognized, each Member State shall make the exercise of generalmedical practice under its national social security scheme conditionalon possession of a diploma, certificate or other evidence of formalqualification as referred to in Article 30.
However, Member States may exempt from this condition persons who
are undergoing specific training in general medical practice.
2. Each Member State shall specify the acquired rights that it recog-
nizes. However, it shall recognize the right to exercise the activities ofgeneral medical practitioner under its national social security schemewithout the diploma, certificate or other evidence of formal qualifica-tion referred to in Article 30 as having been acquired by all those
doctors who on 31 December 1994 possess such a right pursuant to
Articles 1 to 20 and who are established on its territory on that dateby virtue of Article 2 or 9 (1)
3. Each Member State may apply paragraph 1 before 1 January
1995, subject to the condition that any doctor who has completed thetraining referred to in Article 23 in another Member State shall be
able to establish himself in practice on its territory until 31 December
1994 and to practise under its national social security scheme by virtueof Article 2 or 9 (1).
4. The competent authorities of each Member State shall issue on
request a certificate granting doctors possessing acquired rights byvirtue of paragraph 2 the right to practise as general medical practi-
tioners under its national social security scheme without the diploma,
certificate or other evidence of formal qualifications referred to inArticle 30.
5. Nothing in paragraph 1 shall prejudice the possibility, which is
open to Member States, of granting, in accordance with their own rulesand in respect of their own territory, the right to practise as general
practitioners under a social security scheme to persons who do not
possess diplomas, certificates or other formal evidence of medicaltraining and of specific training in general medical practice obtainedin both cases in a Member State, but who possess diplomas, certificatesor other evidence of either or both of these types of training obtained ina non-member country.1993L0016 — EN — 20.11.2003 — 007.001 — 17
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Article 37
1. Each Member State shall recognize under its national social
security scheme, for the purposes of the exercise of the activities ofgeneral medical practitioner, the diplomas, certificates, or otherevidence of formal qualifications referred to in Article 30, issued to
nationals of Member States by other Member States in accordance
with Articles 31, 32, 34 and 35.
2. Each Member State shall recognize the certificates referred to in
Article 36 (4) issued to nationals of Member States by other Member
States, and shall consider them as equivalent within its territory to thediplomas, certificates or other evidence of formal qualifications whichit issues itself, and which permit the exercise of the activities ofgeneral medical practitioner under its national social security scheme.
Article 38
Nationals of Member States to whom a Member State has issued the
diplomas, certificates or other evidence of formal qualifications
referred to in Article 30 or 36 (4) shall have the right to use in thehost Member State the professional title existing in that State and theabbreviation thereof.
Article 39
1. Without prejudice to Article 38, host Member States shall ensure
that the nationals of Member States covered by Article 37 have the
right to use the lawful academic title, or, where appropriate, the abbre-
viation thereof, of their Member State of origin or of the Member Statefrom which they come, in the language of that Member State. HostMember States may require this title to be followed by the name andlocation of the establishment or examining board which awarded it.
2. If the academic title of the Member State of origin, or of the
Member State from which a national comes, can be confused in thehost Member State with a title requiring, in that State, additionaltraining which the person concerned has not undergone, the host
Member State concerned may require such person to use the title of
the Member State of origin or of the Member State from which hecomes in a suitable form to be indicated by the host Member State.
Article 40
On the basis of experience acquired, and in the light of developments
in training in general medical practice, the Commission shall submit to
the Council by 1 January 1997 at the latest a report on the implementa-
tion of this Title and, if necessary, suitable proposals with a view toappropriate training for every general medical practitioner in order tosatisfy requirements of general medical practice. The Council shall acton those proposals in accordance with the procedures laid down in theTreaty.
Article 41
As soon as a Member State has notified the Commission of the date of
entry into force of the measures it has taken in conformity with Article30, the Commission shall publish an appropriate notice in the Official
Journal of the European Communities , indicating the designations
adopted by that Member State for the diploma, certificate or otherevidence of formal qualifications and, where appropriate, the profes-
sional title in question.
TITLE V
FINALPROVISIONS
Article 42
Member States shall designate the authorities and bodies competent to
issue or receive the diplomas, certificates and other evidence of formal1993L0016 — EN — 20.11.2003 — 007.001 — 18
▼B
qualifications as well as the documents and information referred to in
this Directive and shall forthwith inform the other Member States andthe Commission thereof.
Article 42a
Member States shall notify the Commission of the laws, regulations or
administrative provisions they adopt as regards the award of diplomas,certificates and other evidence of formal qualifications in the field
covered by this Directive. The Commission shall publish an appropriate
notice in the Official Journal of the European Communities , listing the
names adopted by the Member States for the training qualificationsconcerned and, where applicable, for the corresponding professionaltitle.
Article 42b
Each Member State shall recognise as sufficient proof, in respect of
nationals of Member States whose diplomas, certificates and otherevidence of formal qualifications in the field covered by this Directivedo not correspond to the names listed for that Member State in thisDirective, the diplomas, certificates and other evidence of formal quali-
fications awarded by those Member States and accompanied by a
certificate issued by the competent authorities or bodies. The certificateshall state that the diplomas, certificates and other evidence of formalqualifications in question have been awarded on completion of educa-tion and training that complies with the provisions of this Directive andare treated by the awarding Member State as equivalent to those whose
names are listed therein.
Article 42c
Member States shall examine diplomas, certificates and other evidence
of formal qualifications in the field covered by this Directive obtainedby the holder outside the European Union in cases where thosediplomas, certificates and other evidence of formal qualifications have
been recognised in a Member State, as well as of training undergone
and/or professional experience gained in a Member State. The MemberState shall give its decision within three months of the date on whichthe applicant submits his application together with full supportingdocumentation.
Article 42d
Where the application is rejected, Member States shall duly give the
reasons for decisions on applications for recognition of diplomas, certi-ficates and other evidence of formal qualifications in the field coveredby this Directive.
Applicants shall have a right of appeal before the courts under national
law. That right of appeal shall likewise apply in the event of failure to
reach a decision within the stipulated period.
Article 43
Where a Member State encounters major difficulties in certain fields,
when applying this Directive, the Commission shall examine these
difficulties in conjunction with that State and shall request the opinion
of the Committee of Senior Officials on Public Health set upby Deci-sion No 75/365/EEC (
1).
When necessary, the Commission shall submit appropriate proposals to
the Council.1993L0016 — EN — 20.11.2003 — 007.001 — 19
(1) OJ No L 167, 30. 6. 1975, p. 19.▼M5
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Article 44
The Directive listed in Annex III, Part A, are hereby repealed, without
prejudice to the obligations of the Member States concerning the dead-
lines for transposition set out in Annex III, Part B.
References to the said Directives shall be construed as references to
this Directive and should be read in accordance with the correlationtable in Annex IV.
Article 44a
1. Where the procedure laid down in this Article is to be followed,
the Commission shall be assisted by the Committee of Senior Officialson Public Health, set upunder Decision 75/365/EEC (
1).
3. Articles 4 and 7 of Decision 1999/468/EC (2) shall apply, having
regard to the provisions of Article 8 of that Decision.
The period laid down in Article 4(3) of Decision 1999/468/EC shall be
set at two months.
4. The Committee shall adopt its rules of procedure.
Article 45
This Directive is addressed to the Member States.1993L0016 — EN — 20.11.2003 — 007.001 — 20
(1) OJ L 167, 30. 6. 1975, p. 19. Decision as last amended by Decision 80/157/
EEC (OJ L 33, 11. 2. 1980, p. 15).
(2) Council Decision 1999/468/EC of 28 June 1999 laying down the procedures
for the exercise of implementing powers conferred on the Commission (OJ
L 184, 17.7.1999, p. 23).▼M1
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ANNEX I
Characteristics of the full-time and part-time training of specialists as
referred toinArticles24(1)(c)and25
1.Full-time training of specialists
Such training shall be carried out in specific posts recognized by the compe-
tent authority.
It shall involve participation in all the medical activities of the department
where the training is carried out, including on-call duties, so that the trainee
specialist devotes to this practical and theoretical training all his professional
activity throughout the duration of the standard working week and throughout
the year according to provisions agreed by the competent authorities. Accord-
ingly these posts shall be subject to appropriate remuneration.
Training may be interrupted for reasons such as military service, secondment,
pregnancy or sickness. The total duration of the training shall not be reduced
by reason of any interruption.
2.Part-time training of specialists
This training shall meet the same requirements as full-time training, from
which it shall differ only in the possibility of limiting participation in
medical activities to a period at least half of that provided for in the second
paragraph of point 1.
The competent authorities shall ensure that the total duration and quality of
part-time training of specialists are not less than those of full-time trainees.
Appropriate remuneration shall consequently be attached to such part-time
training.1993L0016 — EN — 20.11.2003 — 007.001 — 21
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ANNEX II
DatesfromwhichcertainMemberStatesrepealedtheprovisionslaiddownbylaw,regulationor
administrative action concerning the award of diplomas, certificates and other evidence of
formalqualificationsreferred toinArticle 9(7)
BELGIUM
Thoracic surgery: 1 January 1983
Vascular surgery: 1 January 1983Neuro-psychiatry: 1 August 1987, except for persons having commenced
training before that date
Gastro-enterological surgery: 1 January 1983DENMARK
Biological haematology: 1 January 1983, except for persons having commenced
training before that date and who have
completed it by the end of 1988
Physiotherapy: 1 January 1983, except for persons having commenced
training before that date and who have
completed it by the end of 1988
Tropical medicine: 1 August 1987, except for persons having commenced
training before that date
FRANCE
Radiology: 3 December 1971
Neuro-psychiatry: 31 December 1971LUXEMBOURG
Radiology: The diplomas, certificates and other evidence of formal
qualifications are no longer awarded in respect of training
commenced after 5 March 1982
Neuro-psychiatry: The diplomas, certificates and other evidence of formal
qualifications are no longer awarded in respect of training
commenced after 5 March 1982
NETHERLANDS
Radiology: 8 July 1984
Neuro-psychiatry: 9 July 19841993L0016 — EN — 20.11.2003 — 007.001 — 22
▼B
ANNEX III
Part A
RepealedDirectives
(referred to in Article 44)
1. Directive 75/362/EEC
2. Directive 75/363/EEC
and their successive amendments:
— Directive 81/1057/EEC: only the references made by Article 1 to the provisions of the
repealed Directives 75/362/EEC and 75/363/EEC
— Directive 82/76/EEC
— Directive 89/594/EEC: only Articles 1 to 9.— Directive 90/658/EEC: only Article 1 (1) and (2), and Article 2
3. Directive 86/457/EEC
Part B
Deadlinesfortranspositionintonationallaw
(as referred to in Article 44)
Directive Deadline for transposition
75/362/EEC (OJ No L 167, 30. 6. 1975, p. 1) 20 December 1976(*)
81/1057/EEC (OJ No L 385, 31. 12. 1981, p. 25) 30 June 198275/363/EEC (OJ No L 167, 30. 6. 1975, p. 14) 20 December 1976(**)
82/76/EEC (OJ No L 43, 15. 2. 1982, p. 21) 31 December 1982
89/594/EEC (OJ No L 341, 23. 11. 1989, p. 19) 8 May 199190/658/EEC (OJ No L 353, 17. 12. 1990, p. 73) 1 July 199186/457/EEC (OJ No L 267, 19. 9. 1986, p. 26) 1 January 1985
(*) 1 January 1981 for Greece, 1 January 1986 for Spain and Portugal.
(**) 1 January 1981 for Greece, 1 January 1986 for Spain and Portugal. For the territory of the former German
Democratic Republic, Germany shall take the measures necessary to apply Articles 2 to 5 of Directive75/363/EEC (Articles 24 to ►
M526◄of this Directive) by 3 April 1992 (Directive 90/658/EEC, Article 2).1993L0016 — EN — 20.11.2003 — 007.001 — 23
ANNEX IV
This Directive Directive 75/362/EEC Directive 75/363/EEC Directive 86/457/EEC Directive 81/1057/EEC Directive 89/594/EEC Directive 82/76/EEC
Article 1 Articles 1 and 24
Article 2 Article 2►
M5Annex A ◄ Article 3
Article 4 Article 4Article 5 Article 5►
M5Article 4 ◄ Article 6
►M5Article 5 ◄ Article 7
Article 8 Article 8Article 9 (1) Article 9 (1) Article 1Article 9 (2) Article 9 (2) Article 1Article 9 (3) Article 9a (1)Article 9 (4) Article 9a (2)Article 9 (5) Article 9 (3)Article 9 (6) Article 9 (1)
Article 9 (7) Article 9 (2)
Article 10 Article 10Article 11 Article 11Article 12 Article 12Article 13 Article 13
Article 14 Article 14
Article 15 Article 15Article 16 Article 15aArticle 17 Article 16Article 18 Article 17Article 19 Article 18Article 20 Article 20Article 21 Article 21Article 22 Article 22Article 23 Article 1Article 24 Article 2Article 25 (1) Article 3 (1)Article 25 (2) Article 3 (2)Article 25 (3) first subpar-
agraphArticle 3 (3) first subpar-
agraph▼B1993L0016 — EN — 20.11.2003 — 007.001 — 24
This Directive Directive 75/362/EEC Directive 75/363/EEC Directive 86/457/EEC Directive 81/1057/EEC Directive 89/594/EEC Directive 82/76/EEC
Article 25 (3) second
subparagraphArticle 14
Article 26 Article 4
►M5Article 26 ◄ Article 5
Article 28 Article 7
Article 29 Article 8
Article 30 Article 1
Article 31 Article 2 (1), (2) and (3)
Article 32 Article 3
Article 33 Article 4
Article 34 Article 5
Article 35 Article 6
Article 36 Article 7
Article 37 Article 8
Article 38 Article 9
Article 39 Article 10
Article 40 Article 11
Article 41 Article 12 (2)
Article 42 Article 23 Article 2 (4)Article 43 Article 26 Article 10Article 44Article 45 Article 27Annex I AnnexAnnex II Annex▼B1993L0016 — EN — 20.11.2003 — 007.001 — 25
ANNEX A
Titlesofdiplomas,certificates andotherevidenceofformal qualificationsinmedicine
Country Title of qualification Awarding body Certificate accompanying qualification
Belgique/België/
Belgien— Diploma van arts
— Diplôme de docteur en médecine1. De universiteiten/les universités
2. De bevoegde Examencommissie van
de Vlaamse Gemeenschap/le Jury
compétent d'enseignement de la
Communauté française
Danmark Bevis for bestået lægevidenskabelig
embedseksamenMedicinsk universitetsfakultet 1. Autorisation som læge, udstedt af
Sundhedsstyrelsen og
2. Tilladelse til selvstændigt virke som
læge (dokumentation for gennemført
praktisk uddannelse), udstedt af Sund-
hedsstyrelsen
Deutschland 1. Zeugnis über die Ärztliche Prüfung
2. Zeugnis über die Ärztliche Staat-
sprüfung und Zeugnis über die
Vorbereitungszeit als Medizinalassis-
tent, soweit diese nach den
deutschen Rechtsvorschriften noch
für den Abschluss der ärztlichen
Ausbildung vorgesehen warZuständige Behörden 1. Bescheinigung über die Ableistung der
Tätigkeit als Arzt im Praktikum
2. —
Ελλάς Πτυχίο Iατρικής 1) Iατρική Σχολή Πανεπιστηµίου
2)Σχολή Επιστηµών Υγείας, Τµήµα
Iατρικής Πανεπιστηµίου
España Título de Licenciado en Medicina y
CirugíaMinisterio de Educación y Cultura/El
rector de una Universidad
France Diplôme d'Etat de docteur en médecine Universités
Ireland Primary qualification Competent examining body Certificate of experience
Italia Diploma di laurea in medicina e chir-
urgiaUniversità Diploma di abilitazione all'esercizio della
medicina e chirurgia▼M51993L0016 — EN — 20.11.2003 — 007.001 — 26
Country Title of qualification Awarding body Certificate accompanying qualification
Luxembourg Diplôme d'Etat de docteur en médecine,
chirurgie et accouchementsJury d'examen d'Etat Certificat de stage
Nederland Getuigschrift van met goed gevolg
afgelegd artsexamenFaculteit Geneeskunde
Österreich 1. Urkunde über die Verleihung des
akademischen Grades Doktor der
gesamten Heilkunde (bzw. Doctor
medicinae universae, Dr.med.univ.)
2. Diplom über die spezifische Ausbil-
dung zum Arzt für Allgemeinme-
dizin bzw. Facharztdiplom1. Medizinische Fakultät einer Univer-
sität
2. Österreichische Ärztekammer
Portugal Carta de Curso de licenciatura em
medicinaUniversidades Diploma comprovativo da conclusão do
internato geral emitido pelo Ministério
da Saúde
Suomi/Finland Lääketieteen lisensiaatin tutkinto /
medicine licentiatexamen1. Helsingin yliopisto / Helsingfors
universitet
2. Kuopion yliopisto
3. Oulun yliopisto
4. Tampereen yliopisto5. Turun yliopistoTodistus lääkärin perusterveydenhuollon
lisäkoulutuksesta / examensbevis om
tilläggsutbildning för läkare inom
primärvården
Sverige Läkarexamen Universitet Bevis om praktisk utbildning som
utfärdas av Socialstyrelsen
United Kingdom Primary qualification Competent examining body Certificate of experience▼M51993L0016 — EN — 20.11.2003 — 007.001 — 27
ANNEX B
Titlesofdiplomas,certificates andotherevidenceofformalqualificationsinspecialisedmedicine
Country Title of qualification Awarding bodyCertificate accompa-
nying qualification
Belgique/België/Belgien Bijzondere beroepstitel van geneesheer-
specialist/Titre professionnel particulier de
médecin spécialisteMinister bevoegd voor Volksgezondheid/
Ministre de la Santé publique
Danmark Bevis for tilladelse til at betegne sig som
speciallægeSundhedsstyrelsen
Deutschland Fachärztliche Anerkennung Countryesärztekammer
Ελλάς Τίτλος Iατρικής Ειδικότητας 1.Νοµαρχιακή Αυτοδιοίκηση
2.Νοµαρχία
España Título de Especialista Ministerio de Educación y Cultura
France 1. Certificat d'études spéciales de méde-
cine
2. Attestation de médecin spécialiste
qualifié
3. Certificat d'études spéciales de méde-
cine
4. Diplôme d'études spécialisées ou spécia-
lisation complémentaire qualifiante de
médecine1. 3. 4. Universités
2. Conseil de l'Ordre des médecins
Ireland Certificate of Specialist doctor Competent authority
Italia Diploma di medico specialista UniversitàLuxembourg Certificat de médecin spécialiste Ministre de la Santé publique▼M51993L0016 — EN — 20.11.2003 — 007.001 — 28
Country Title of qualification Awarding bodyCertificate accompa-
nying qualification
Nederland Bewijs van inschrijving in een Specialis-
tenregister1. Medisch Specialisten Registratie
Commissie (MSRC) van de Koninklijke
Nederlandsche Maatschappij tot Bevor-
dering der Geneeskunst
2. Sociaal-Geneeskundigen Registratie
Commissie van de Koninklijke Neder-
landsche Maatschappij tot Bevordering
der Geneeskunst
3. Huisarts en Verpleeghuisarts Registratie
Commissie (HVRC) van de Koninklijke
Nederlandsche Maatschappij tot Bevor-
dering der Geneeskunst
Österreich Facharztdiplom Österreichische Ärztekammer
Portugal 1. Grau de assistente e/ou
2. Titulo de especialista1. Ministério da Saúde
2. Ordem dos Médicos
Suomi/Finland Erikoislääkärin tutkinto / specialläkar-
examen1. Helsingin yliopisto / Helsingfors univer-
sitet
2. Kuopion yliopisto3. Oulun yliopisto
4. Tampereen yliopisto
5. Turun yliopisto
Sverige Bevis om specialkompetens som läkare,
utfärdat av SocialstyrelsenSocialstyrelsen
United Kingdom Certificate of Completion of specialist
trainingCompetent authority▼M51993L0016 — EN — 20.11.2003 — 007.001 — 29
▼M5
ANNEX C
Titlesoftrainingcoursesinspecialisedmedicine
Country Title of qualification Awarding body
anaesthetics
Minimumlengthoftrainingcourse:3years
Belgique/België/
BelgienAnesthésie-réanimation/Anesthesie reanimatie
Danmark Anæstesiologi
Deutschland AnästhesiologieΕλλάς Αναισθησιολογία
España Anestesiología y Reanimación
France Anesthésiologie-Réanimation chirurgicale
Ireland Anaesthesia
Italia Anestesia e rianimazione
Luxembourg Anesthésie-réanimation
Nederland Anesthesiologie
Österreich Anästhesiologie und Intensivmedizin
Portugal Anestesiologia
Suomi/Finland Anestesiologia ja tehohoito / anestesiologi och inten-
sivvård
Sverige Anestesi och intensivvård
United Kingdom Anaesthetics
Country Title of qualification Awarding body
general surgery
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienChirurgie/heelkunde
Danmark Kirurgi eller kirurgiske sygdomme
Deutschland Chirurgie
Ελλάς Χειρουργική
España Cirugía general y del aparato digestivo
France Chirurgie généraleIreland General surgery
Italia Chirurgia generale
Luxembourg Chirurgie générale
Nederland Heelkunde
Österreich Chirurgie
Portugal Cirurgia geral
Suomi/Finland Yleiskirurgia / allmän kirurgi
Sverige Kirurgi
United Kingdom General surgery1993L0016 — EN — 20.11.2003 — 007.001 — 30
▼M5
Country Title of qualification Awarding body
neurological surgery
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienNeurochirurgie
Danmark Neurokirurgi eller kirurgiske nervesygdomme
Deutschland Neurochirurgie
Ελλάς Νευροχειρουργική
España Neurocirugía
France Neurochirurgie
Ireland Neurological surgery
Italia Neurochirurgia
Luxembourg Neurochirurgie
Nederland Neurochirurgie
Österreich Neurochirurgie
Portugal Neurocirurgia
Suomi/Finland Neurokirurgia / Neurokirurgi
Sverige Neurokirurgi
United Kingdom Neurosurgery
Country Title of qualification Awarding body
obstetricsandgynaecology
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienGynécologie — obstétrique/gynaecologie en verlos-
kunde
Danmark Gynækologi og obstetrik eller kvindesygdomme og
fødselshjælp
Deutschland Frauenheilkunde und Geburtshilfe
Ελλάς Μαιευτική -Γυναικολογία
España Obstetricia y ginecologíaFrance Gynécologie — obstétrique
Ireland Obstetrics and gynaecology
Italia Ginecologia e ostetricia
Luxembourg Gynécologie — obstétrique
Nederland Verloskunde en gynaecologie
Österreich Frauenheilkunde und Geburtshilfe
Portugal Ginecologia e obstetrícia
Suomi/Finland Naistentaudit ja synnytykset / kvinnosjukdomar och
förlossningar
Sverige Obstetrik och gynekologi
United Kingdom Obstetrics and gynaecology1993L0016 — EN — 20.11.2003 — 007.001 — 31
▼M5
Country Title of qualification Awarding body
general (internal)medicine
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienMédecine interne/inwendige geneeskunde
Danmark Intern medicin
Deutschland Innere Medizin
Ελλάς Παθολογία
España Medicina interna
France Médecine interne
Ireland General medicine
Italia Medicina interna
Luxembourg Médecine interne
Nederland Inwendige geneeskunde
Österreich Innere Medizin
Portugal Medicina interna
Suomi/Finland Sisätaudit / inre medicin
Sverige Internmedicin
United Kingdom General (internal) medicine
Country Title of qualification Awarding body
ophthalmology
Minimumlengthoftrainingcourse:3years
Belgique/België/
BelgienOphtalmologie/oftalmologie
Danmark Oftalmologi eller øjensygdomme
Deutschland Augenheilkunde
Ελλάς Οφθαλµολογία
España Oftalmología
France OphtalmologieIreland Ophthalmology
Italia Oftalmologia
Luxembourg Ophtalmologie
Nederland Oogheelkunde
Österreich Augenheilkunde und Optometrie
Portugal Oftalmologia
Suomi/Finland Silmätaudit / ögonsjukdomar
Sverige Ögonsjukdomar (oftalmologi)
United Kingdom Ophthalmology1993L0016 — EN — 20.11.2003 — 007.001 — 32
▼M5
Country Title of qualification Awarding body
otorhinolaryngology
Minimumlengthoftrainingcourse:3years
Belgique/België/
BelgienOto-rhino-laryngologie/ otorhinolaryngologie
Danmark Oto-rhino-laryngologi eller øre-næse-halssygdomme
Deutschland Hals-Nase-Ohrenheilkunde
Ελλάς Ωτορινολαρυγγολογία
España Otorrinolaringología
France Oto-rhino-laryngologie
Ireland Otolaryngology
Italia Otorinolaringoiatria
Luxembourg Oto-rhino-laryngologie
Nederland keel-, neus- en oorheelkunde
Österreich Hals-, Nase- und Ohrenkrankheiten
Portugal Otorrinolaringologia
Suomi/Finland Korva-, nenä- ja kurkkutaudit / öron-, näs- och halss-
jukdomar
Sverige Öron-, näs- och halssjukdomar (oto-rhino-laryngologi)
United Kingdom Otolaryngology
Country Title of qualification Awarding body
paediatrics
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienPédiatrie/pediatrie
Danmark Pædiatri eller sygdomme høs børn
Deutschland Kinderheilkunde
Ελλάς Παιδιατρική
España Pediatría sus áreas específicas
France Pédiatrie
Ireland Paediatrics
Italia Pédiatria
Luxembourg Pédiatrie
Nederland Kindergeneeskunde
Österreich Kinder- und Jugendheilkunde
Portugal Pediatria
Suomi/Finland Lastentaudit / barnsjukdomar
Sverige Barn- och ungdomsmedicin
United Kingdom Paediatrics1993L0016 — EN — 20.11.2003 — 007.001 — 33
▼M5
Country Title of qualification Awarding body
respiratorymedicine
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienPneumologie
Danmark Medicinske lungesygdomme
Deutschland Pneumologie
Ελλάς Φυµατιολ oγία-Πνευµονολογία
España Neumología
France Pneumologie
Ireland Respiratory medicine
Italia Malattie dell'apparato respiratorio
Luxembourg Pneumologie
Nederland Longziekten en tuberculose
Österreich Lungenkrankheiten
Portugal Pneumologia
Suomi/Finland Keuhkosairaudet ja allergologia / lungsjukdomar och
allergologi
Sverige Lungsjukdomar (pneumologi)
United Kingdom Respiratory medicine
Country Title of qualification Awarding body
urology
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienUrologie
Danmark Urologi eller urinvejenes kirurgiske sygdomme
Deutschland Urologie
Ελλάς Ουρολογία
España Urología
France Urologie
Ireland Urology
Italia Urologia
Luxembourg Urologie
Nederland Urologie
Österreich Urologie
Portugal Urologia
Suomi/Finland Urologia / urologi
Sverige Urologi
United Kingdom Urology1993L0016 — EN — 20.11.2003 — 007.001 — 34
▼M5
Country Title of qualification Awarding body
orthopaedics
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienChirurgie orthopédique/Orthopedische heelkunde
Danmark Ortopædisk kirurgi
Deutschland Orthopädie
Ελλάς Ορθοπεδική
España Traumatología y cirugía ortopédica
France Chirurgie orthopédique et traumatologie
Ireland Orthopaedic surgery
Italia Ortopedia e traumatologia
Luxembourg Orthopédie
Nederland Orthopedie
Österreich Orthopädie und Orthopädische Chirurgie
Portugal Ortopedia
Suomi/Finland Ortopedia ja traumatologia / ortopedi och traumatologi
Sverige Ortopedi
United Kingdom Trauma and orthopaedic surgery
Country Title of qualification Awarding body
pathologicalanatomy
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienAnatomie pathologique/pathologische anatomie
Danmark Patologisk anatomi eller vævs- og celleundersøgelser
Deutschland Pathologie
Ελλάς Παθολογική Ανατοµική
España Anatomía patológica
France Anatomie et cytologie pathologiquesIreland Morbid anatomy and histopathology
Italia Anatomia patologica
Luxembourg Anatomie pathologique
Nederland Pathologie
Österreich Pathologie
Portugal Anatomia patológica
Suomi/Finland Patologia / patologi
Sverige Klinisk patologi
United Kingdom Histopathology1993L0016 — EN — 20.11.2003 — 007.001 — 35
▼M5
Country Title of qualification Awarding body
neurology
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienNeurologie
Danmark Neuromedicin eller medicinske nervesygdomme
Deutschland Neurologie
Ελλάς Νευρολογία
España Neurología
France Neurologie
Ireland Neurology
Italia Neurologia
Luxembourg Neurologie
Nederland Neurologie
Österreich Neurologie
Portugal Neurologia
Suomi/Finland Neurologia / neurologi
Sverige Neurologi
United Kingdom Neurology
Country Title of qualification Awarding body
psychiatry
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienPsychiatrie
Danmark Psykiatri
Deutschland Psychiatrie und Psychotherapie
Ελλάς Ψυχιατρική
España Psiquiatría
France PsychiatrieIreland Psychiatry
Italia Psichiatria
Luxembourg Psychiatrie
Nederland Psychiatrie
Österreich Psychiatrie
Portugal Psiquiatria
Suomi/Finland Psykiatria / psykiatri
Sverige Psykiatri
United Kingdom General psychiatry1993L0016 — EN — 20.11.2003 — 007.001 — 36
▼M5
Country Title of qualification Awarding body
diagnosticradiology
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienRadiodiagnostic/röntgendiagnose
Danmark Diagnostik radiologi eller røntgenundersøgelse
Deutschland Diagnostische Radiologie
Ελλάς Ακτιν oδιαγνωστική
España Radiodiagnóstico
France Radiodiagnostic et imagerie médicale
Ireland Diagnostic radiology
Italia Radiodiagnostica
Luxembourg Radiodiagnostic
Nederland Radiologie
Österreich Medizinische Radiologie-Diagnostik
Portugal Radiodiagnóstico
Suomi/Finland Radiologia / radiologi
Sverige Medicinsk radiologi
United Kingdom Clinical radiology
Country Title of qualification Awarding body
radiotherapy
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienRadiothérapie-oncologie/radiotherapie-oncologie
Danmark Onkologi
Deutschland Strahlentherapie
Ελλάς Ακτινοθεραπευτική —Ογκολογία
España Oncología radioterápica
France Oncologie radiothérapiqueIreland Radiotherapy
Italia Radioterapia
Luxembourg Radiothérapie
Nederland Radiotherapie
Österreich Strahlentherapie/Radioonkologie
Portugal Radioterapia
Suomi/Finland Syöpätaudit / cancersjukdomar
Sverige Tumörsjukdomar (allmän onkologi)
United Kingdom Clinical oncology1993L0016 — EN — 20.11.2003 — 007.001 — 37
▼M5
Country Title of qualification Awarding body
clinicalbiology
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienBiologie clinique/klinische biologie
Danmark
Deutschland
Ελλάς
España Análisis clínicos
France Biologie médicale
Ireland
Italia Patologia clinica
Luxembourg Biologie clinique
Nederland
Österreich Medizinische Biologie
Portugal Patologia clínica
Suomi/Finland
Sverige
United Kingdom
Country Title of qualification Awarding body
biological haematology
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark
Deutschland
Ελλάς
España
France HématologieIreland
Italia
Luxembourg Hématologie biologique
Nederland
Österreich
Portugal Hematologia clínica
Suomi/Finland
Sverige
United Kingdom1993L0016 — EN — 20.11.2003 — 007.001 — 38
▼M5
Country Title of qualification Awarding body
microbiology-bacteriology
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark Klinisk mikrobiologi
Deutschland Mikrobiologie und Infektionsepidemiologie
Ελλάς 1. Iατρική Βιοπαθολογία
2.Μικροβιολογία
España Microbiología y parasitología
France
Ireland Microbiology
Italia Microbiologia e virologia
Luxembourg Microbiologie
Nederland Medische microbiologieÖsterreich Hygiene und Mikrobiologie
Portugal
Suomi/Finland Kliininen mikrobiologia / klinisk mikrobiologi
Sverige Klinisk bakteriologi
United Kingdom Medical microbiology and virology
Country Title of qualification Awarding body
biological chemistry
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark Klinisk biokemi
Deutschland
Ελλάς
España Bioquímica clínica
France
Ireland Chemical pathology
Italia Biochimica clinica
Luxembourg Chimie biologique
Nederland Klinische chemie
Österreich Medizinische und chemische LabordiagnostikPortugal
Suomi/Finland Kliininen kemia / klinisk kemi
Sverige Klinisk kemi
United Kingdom Chemical pathology1993L0016 — EN — 20.11.2003 — 007.001 — 39
▼M5
Country Title of qualification Awarding body
immunology
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark Klinisk immunologi
Deutschland
Ελλάς
España Immunología
France
Ireland Clinical immunology
Italia
Luxembourg
Nederland
Österreich Immunologie
Portugal
Suomi/Finland
Sverige Klinisk immunologi
United Kingdom Immunology
Country Title of qualification Awarding body
plasticsurgery
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienChirurgie plastique, reconstructrice et esthétique/plas-
tische, reconstructieve en esthetische heelkunde
Danmark Plastikkirurgi
Deutschland Plastische Chirurgie
Ελλάς Πλαστική Χειρουργική
España Cirugía plástica y reparadora
France Chirurgie plastique, reconstructrice et esthétiqueIreland Plastic surgery
Italia Chirurgia plastica e ricostruttiva
Luxembourg Chirurgie plastique
Nederland Plastische chirurgie
Österreich Plastische Chirurgie
Portugal Cirurgia plástica e reconstrutiva
Suomi/Finland Plastiikkakirurgia / plastikkirurgi
Sverige Plastikkirurgi
United Kingdom Plastic surgery1993L0016 — EN — 20.11.2003 — 007.001 — 40
▼M5
Country Title of qualification Awarding body
thoracic surgery
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienChirurgie thoracique/heelkunde opde thorax
Danmark Thoraxkirurgi eller brysthulens kirurgiske sygdomme
Deutschland Herzchirurgie
Ελλάς Χειρουργική Θώρακος
España Cirugía torácica
France Chirurgie thoracique et cardiovasculaire
Ireland Thoracic surgery
Italia Chirurgia toracica
Luxembourg Chirurgie thoracique
Nederland Cardio-thoracale chirurgie
Österreich
Portugal Cirurgia cardiotorácica
Suomi/Finland Sydän-ja rintaelinkirurgia / hjärt- och thoraxkirurgi
Sverige Thoraxkirurgi
United Kingdom Cardo-thoracic surgery
Country Title of qualification Awarding body
paediatricsurgery
Minimumlengthoftrainingcourse:5years
Belgique/België/
Belgien
Danmark
Deutschland Kinderchirurgie
Ελλάς Χειρουργική Παίδων
España Cirugía pediátrica
France Chirurgie infantileIreland Paediatric surgery
Italia Chirurgia pediatrica
Luxembourg Chirurgie pédiatrique
Nederland
Österreich Kinderchirurgie
Portugal Cirurgia pediátrica
Suomi/Finland Lastenkirurgia / barnkirurgi
Sverige Barn- och ungdomskirurgi
United Kingdom Paediatric surgery1993L0016 — EN — 20.11.2003 — 007.001 — 41
▼M5
Country Title of qualification Awarding body
vascularsurgery
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienChirurgie des vaisseaux/bloedvatenheelkunde
Danmark Karkirurgi eller kirurgiske blodkarsygdomme
Deutschland
Ελλάς Αγγειοχειρουργική
España Angiología y cirugía vascular
France Chirurgie vasculaire
Ireland
Italia Chirurgia vascolare
Luxembourg Chirurgie vasculaire
Nederland
Österreich
Portugal Cirurgia vascular
Suomi/Finland Verisuonikirurgia / kärlkirurgi
Sverige
United Kingdom
Country Title of qualification Awarding body
cardiology
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienCardiologie
Danmark Kardiologi
Deutschland
Ελλάς Καρδιολογία
España Cardiología
France Pathologie cardio-vasculaireIreland Cardiology
Italia Cardiologia
Luxembourg Cardiologie et angiologie
Nederland Cardiologie
Österreich
Portugal Cardiologia
Suomi/Finland Kardiologia / kardiologi
Sverige Kardiologi
United Kingdom Cardiology1993L0016 — EN — 20.11.2003 — 007.001 — 42
▼M5
Country Title of qualification Awarding body
gastro-enterology
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienGastro-entérologie/gastroenterologie
Danmark Medicinsk gastroenterologi eller medicinske mave-
tarm-sygdomme
Deutschland
Ελλάς Γαστρεντερολογία
España Aparato digestivo
France Gastro-entérologie et hépatologie
Ireland Gastro-enterology
Italia Gastroenterologia
Luxembourg Gastro-entérologie
Nederland Gastro-enterologie
Österreich
Portugal Gastrenterologia
Suomi/Finland Gastroenterologia / gastroenterologi
Sverige Medicinsk gastroenterologi och hepatologi
United Kingdom Gastro-enterology
Country Title of qualification Awarding body
rheumatology
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienRhumatologie/reumatologie
Danmark Reumatologi
Deutschland
Ελλάς Ρευµατολογία
España Reumatología
France Rhumatologie
Ireland Rheumatology
Italia Reumatologia
Luxembourg Rhumatologie
Nederland Reumatologie
Österreich
Portugal Reumatologia
Suomi/Finland Reumatologia / reumatologi
Sverige Reumatologi
United Kingdom Rheumatology1993L0016 — EN — 20.11.2003 — 007.001 — 43
▼M5
Country Title of qualification Awarding body
general haematology
Minimumlengthoftrainingcourse:3years
Belgique/België/
Belgien
Danmark Hæmatologi eller blodsygdomme
Deutschland
Ελλάς Αιµατολογία
España Hematología y hemoterapia
France
Ireland Haematology
Italia Ematologia
Luxembourg Hématologie
Nederland
Österreich
Portugal Imuno-hemoterapia
Suomi/Finland Kliininen hematologia / Klinisk hematologi
Sverige Hematologi
United Kingdom
Country Title of qualification Awarding body
endocrinology
Minimumlengthoftrainingcourse:3years
Belgique/België/
Belgien
Danmark Medicinsk endokrinologi eller medicinske hormonsyg-
domme
Deutschland
Ελλάς Ενδοκρινολογία
España Endocrinología y nutriciónFrance Endocrinologie, maladies métaboliques
Ireland Endocrinology and diabetes mellitus
Italia Endocrinologia e malattie del ricambio
Luxembourg Endocrinologie, maladies du métabolisme et de la
nutrition
Nederland
Österreich
Portugal Endocrinologia
Suomi/Finland Endokrinologia / endokrinologi
Sverige Endokrina sjukdomar
United Kingdom Endocrinology and diabetes mellitus1993L0016 — EN — 20.11.2003 — 007.001 — 44
▼M5
Country Title of qualification Awarding body
physiotherapy
Minimumlengthoftrainingcourse:3years
Belgique/België/
BelgienMédecine physique et réadaptation/fysische genees-
kunde en revalidatie
Danmark
Deutschland Physikalische und Rehabilitative Medizin
Ελλάς Φυσική Iατρική και Αποκατάσταση
España Rehabilitación
France Rééducation et réadaptation fonctionnelles
Ireland
Italia Medicina fisica e riabilitazione
Luxembourg Rééducation et réadaptation fonctionnelles
Nederland Revalidatiegeneeskunde
Österreich Physikalische Medizin
Portugal Fisiatria ou Medicina física e de reabilitação
Suomi/Finland Fysiatria / fysiatri
Sverige Rehabiliteringsmedicin
United Kingdom
Country Title of qualification Awarding body
stomatology
Minimumlengthoftrainingcourse:3years
Belgique/België/
Belgien
Danmark
Deutschland
Ελλάς
España Estomatología
France StomatologieIreland
Italia Odontostomatologia
Luxembourg Stomatologie
Nederland
Österreich
Portugal Estomatologia
Suomi/Finland
Sverige
United Kingdom1993L0016 — EN — 20.11.2003 — 007.001 — 45
▼M5
Country Title of qualification Awarding body
neuro-psychiatry
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienNeuropsychiatrie
Danmark
Deutschland Nervenheilkunde (Neurologie und Psychiatrie)
Ελλάς Νευρολογία —Ψυχιατρική
España
France Neuropsychiatrie
Ireland
Italia Neuropsichiatria
Luxembourg Neuropsychiatrie
Nederland Zenuw- en zielsziekten
Österreich Neurologie und Psychiatrie
Portugal
Suomi/Finland
Sverige
United Kingdom
Country Title of qualification Awarding body
dermato-venereology
Minimumlengthoftrainingcourse:3years
Belgique/België/
BelgienDermato-vénéréologie/dermato-venerologie
Danmark Dermato-venerologi eller hud- og kønssygdomme
Deutschland Haut- und Geschlechtskrankheiten
Ελλάς ∆ερµατολογία —Αφροδισιολογία
España Dermatología médico-quirúrgica y venereología
France Dermatologie et vénéréologie
Ireland
Italia Dermatologia e venerologia
Luxembourg Dermato-vénéréologie
Nederland Dermatologie en venerologie
Österreich Haut- und Geschlechtskrankheiten
Portugal Dermatovenereologia
Suomi/Finland Ihotaudit ja allergologia / hudsjukdomar och allergo-
logi
Sverige Hud- och könssjukdomar
United Kingdom1993L0016 — EN — 20.11.2003 — 007.001 — 46
▼M5
Country Title of qualification Awarding body
dermatology
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark
Deutschland
Ελλάς
España
France
Ireland Dermatology
Italia
Luxembourg
Nederland
Österreich
Portugal
Suomi/Finland
Sverige
United Kingdom Dermatology
Country Title of qualification Awarding body
venereology
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark
Deutschland
Ελλάς
España
FranceIreland Venereology
Italia
Luxembourg
Nederland
Österreich
Portugal
Suomi/Finland
Sverige
United Kingdom Genito-urinary medicine1993L0016 — EN — 20.11.2003 — 007.001 — 47
▼M5
Country Title of qualification Awarding body
radiology
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark
Deutschland Radiologie
Ελλάς Ακτινολογία —Ραδιολογία
España Electrorradiología
France Electro-radiologie
Ireland
Italia Radiologia
Luxembourg Électroradiologie
Nederland Radiologie
Österreich Radiologie
Portugal Radiologia
Suomi/Finland
Sverige
United Kingdom
Country Title of qualification Awarding body
Tropical medicine
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark
Deutschland
Ελλάς
España
FranceIreland Tropical medicine
Italia Medicina tropicale
Luxembourg
Nederland
Österreich Spezifische Prophylaxe und Tropenhygiene
Portugal Medicina tropical
Suomi/Finland
Sverige
United Kingdom Tropical medicine1993L0016 — EN — 20.11.2003 — 007.001 — 48
▼M5
Country Title of qualification Awarding body
childpsychiatry
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark Børne- og ungdomspsykiatri
Deutschland Kinder- und Jugendpsychiatrie und -psychotherapie
Ελλάς Παιδοψυχιατρική
España
France Pédo-psychiatrie
Ireland Child and adolescent psychiatry
Italia Neuropsichiatria infantile
Luxembourg Psychiatrie infantile
Nederland
Österreich
Portugal Pedopsiquiatria
Suomi/Finland Lastenpsykiatria / barnpsykiatri
Sverige Barn- och ungdomspsykiatri
United Kingdom Child and adolescent psychiatry
Country Title of qualification Awarding body
geriatrics
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark Geriatri eller alderdommens sygdomme
Deutschland
Ελλάς
España Geriatría
FranceIreland Geriatrics
Italia Geriatria
Luxembourg
Nederland Klinische geriatrie
Österreich
Portugal
Suomi/Finland Geriatria / geriatri
Sverige Geriatrik
United Kingdom Geriatrics1993L0016 — EN — 20.11.2003 — 007.001 — 49
▼M5
Country Title of qualification Awarding body
renaldiseases
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark Nefrologi eller medicinske nyresygdomme
Deutschland
Ελλάς Νεφρολογία
España Nefrología
France Néphrologie
Ireland Nephrology
Italia Nefrologia
Luxembourg Néphrologie
Nederland
Österreich
Portugal Nefrologia
Suomi/Finland Nefrologia / nefrologi
Sverige Medicinska njursjukdomar (nefrologi)
United Kingdom Renal medicine
Country Title of qualification Awarding body
communicablediseases
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark Infektionsmedicin
Deutschland
Ελλάς
España
FranceIreland Communicable diseases
Italia Malattie infettive
Luxembourg
Nederland
Österreich
Portugal
Suomi/Finland Infektiosairaudet / infektionssjukdomar
Sverige Infektionssjukdomar
United Kingdom Infectious diseases1993L0016 — EN — 20.11.2003 — 007.001 — 50
▼M5
Country Title of qualification Awarding body
communitymedicine
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark Samfundsmedicin
Deutschland Öffentliches Gesundheitswesen
Ελλάς Κοινωνική Ιατρική
España Medicina preventiva y salud pública
France Santé publique et médecine sociale
Ireland Community medicine
Italia Igiene e medicina sociale
Luxembourg Santé publique
Nederland Maatschappij en gezondheid
Österreich Sozialmedizin
Portugal
Suomi/Finland Terveydenhuolto / hälsovård
Sverige Socialmedicin
United Kingdom Public health medicine
Country Title of qualification Awarding body
pharmacology
Minimumlengthoftrainingcourse:4years
Belgique/België/
Belgien
Danmark Klinisk farmakologi
Deutschland Pharmakologie und Toxikologie
Ελλάς
España Farmacología clínica
France
Ireland Clinical pharmacology and therapeutics
Italia
Luxembourg
Nederland
Österreich Pharmakologie und Toxikologie
Portugal
Suomi/Finland Kliininen farmakologia ja lääkehoito / klinisk farma-
kologi och läkemedelsbehandling
Sverige Klinisk farmakologi
United Kingdom Clinical pharmacology and therapeutics1993L0016 — EN — 20.11.2003 — 007.001 — 51
▼M5
Country Title of qualification Awarding body
occupationalmedicine
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienMédecine du travail/arbeidsgeneeskunde
Danmark Arbejdsmedicin
Deutschland Arbeitsmedizin
Ελλάς Iατρική της Εργασίας
España
France Médecine du travail
Ireland Occupational medicine
Italia Medicina del lavoro
Luxembourg Médecine du travail
Nederland Arbeid en gezondheid, bedrijfsgeneeskunde
Arbeid en gezondheid, verzekeringsgeneeskunde
Österreich Arbeits- und Betriebsmedizin
Portugal Medicina do trabalho
Suomi/Finland Työterveyshuolto / företagshälsovård
Sverige Yrkes- och miljömedicin
United Kingdom Occupational medicine
Country Title of qualification Awarding body
allergology
Minimumlengthoftrainingcourse:3years
Belgique/België/
Belgien
Danmark Medicinsk allergologi eller medicinske overfølsom-
hedssygdomme
Deutschland
Ελλάς Αλλεργιολογία
España Alergología
FranceIreland
Italia Allergologia ed immunologia clinica
Luxembourg
Nederland Allergologie en inwendige geneeskunde
Österreich
Portugal Imuno-alergologia
Suomi/Finland
Sverige Allergisjukdomar
United Kingdom1993L0016 — EN — 20.11.2003 — 007.001 — 52
▼M5
Country Title of qualification Awarding body
gastro-enterological surgery
Minimumlengthoftrainingcourse:5years
Belgique/België/
BelgienChirurgie abdominale/heelkunde ophet abdomen
Danmark Kirurgisk gastroenterologi eller kirurgiske mave-tarm-
sygdomme
Deutschland
Ελλάς
España Cirugía del aparato digestivo
France Chirurgie viscérale et digestive
Ireland
Italia Chirurgia dell'apparato digestivo
Luxembourg Chirurgie gastro-entérologique
Nederland
Österreich
Portugal
Suomi/Finland Gastroenterologinen kirurgia / gastroenterologisk
kirurgi
Sverige
United Kingdom
Country Title of qualification Awarding body
nuclearmedicine
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienMédecine nucléaire/nucleaire geneeskunde
Danmark Klinisk fysiologi og nuklearmedicin
Deutschland Nuklerarmedizin
Ελλάς Πυρηνική Ιατρική
España Medicina nuclearFrance Médecine nucléaire
Ireland
Italia Medicina nucleare
Luxembourg Médecine nucléaire
Nederland Nucleaire geneeskunde
Österreich Nuklearmedizin
Portugal Medicina nuclear
Suomi/Finland Kliininen fysiologia ja isotooppilääketiede / klinisk
fysiologi och nukleärmedicin
Sverige
United Kingdom Nuclear medicine1993L0016 — EN — 20.11.2003 — 007.001 — 53
▼M5
Country Title of qualification Awarding body
accidentandemergency medicine
Minimumlengthofformation:5years
Belgique/België/
Belgien
Danmark
Deutschland
Ελλάς
España
France
Ireland Accident and emergency medicine
Italia
Luxembourg
Nederland
Österreich
Portugal
Suomi/Finland
Sverige
United Kingdom Accident and emergency medicine
Country Title of qualification Awarding body
clinicalneurophysiology
Minimumlengthofformation:4years
Belgique/België/
Belgien
Danmark Klinisk neurofysiologi
Deutschland
Ελλάς
España Neurofisiología clínica
FranceIreland Neurophysiology
Italia
Luxembourg
Nederland
Österreich
Portugal
Suomi/Finland Kliininen neurofysiologia / klinisk neurofysiologi
Sverige Klinisk neurofysiologi
United Kingdom Clinical neurophysiology1993L0016 — EN — 20.11.2003 — 007.001 — 54
▼M5
Country Title of qualification Awarding body
maxillo-facial surgery(basicmedicaltraining)
Minimumlengthofformation:5years
Belgique/België/
Belgien
Danmark
Deutschland
Ελλάς
España Cirugía oral y maxilofacial
France Chirurgie maxillo-faciale et stomatologie
Ireland
Italia Chirurgia maxillo-facciale
Luxembourg Chirurgie maxillo-faciale
Nederland
Österreich Mund-, Kiefer- und Gesichtschirurgie
Portugal
Suomi/Finland
Sverige
United Kingdom
Country Title of qualification Awarding body
dental,oralandmaxillo-facial surgery(basicmedical anddentaltraining)
Minimumlengthoftrainingcourse:4years
Belgique/België/
BelgienStomatologie et chirurgie orale et maxillo-faciale/
stomatologie en mond-, kaak- en aangezichtschirurgie
Danmark
Deutschland Mund-, Kiefer- und Gesichtschirurgie
Ελλάς
España
France
Ireland Oral and maxillo-facial surgery
Italia
Luxembourg Chirurgie dentaire, orale et maxillo-faciale
Nederland
Österreich
Portugal
Suomi/Finland Suu- ja leukakirurgia / oral och maxillofacial kirurgi
Sverige
United Kingdom Oral and maxillo-facial surgery1993L0016 — EN — 20.11.2003 — 007.001 — 55