1993L0016 — EN — 22.06.1999 — 005.001 — 1
This document is meant purely as a documentation tool and the institutions do not assume any liability for its contents
►B COUNCIL DIRECTIVE 93/16/EEC
of 5 April 1993
to facilitate the free movement of doctors and the mutual recognition of their diplomas, certificates
and other evidence of formal qualifications
(OJ L 165, 7.7.1993, p. 1)
Amended by:
OfficialJournal
No page date
►M1 Directive 97/50/EC of the European Parliament and of the Council of 6
October 1997 L 291 35 24.10.1997
►M2 Commission Directive 98/21/EC of 8 April1998 L 119 15 22.4.1998
►M3 Commission Directive 98/63/EC of 3 September 1998 L 253 24 15.9.1998
►M4 Commission Directive 1999/46/EC of 21 May 1999 L 139 25 2.6.1999
Amended by:
►A1 Act of Accession of Austria, Sweden and Finland C 241 21 29.8.1994
(adapted by CouncilDecision 95/1/EC, Euratom, ECSC) L 1 1 1.1.1995
▼B
COUNCIL DIRECTIVE 93/16/EEC
of 5 April 1993
to facilitate the free movement of doctors and the mutual
recognition 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 proposalfrom the Commission,In cooperation with the European Parliament (
1),
Having regard to the opinion of the Economic and SocialCommittee (2),
Whereas CouncilDirectives 75/362/EEC of 16 June 1975 concerning
the mutualrecognition of dipl omas, 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 coordination
of provisions laid down by law, regulation or administrative action in
respect of activities of doctors (4) have been frequently and substantially
amended; whereas, therefore, for reasons of clarity and rationality, thesaid Directives should be consolidated; whereas it is in additionadvisable, by grouping together the said Directives in a single text, toincorporate therein CouncilDirective 86/457/EEC of 15 September
1986 on specific training in generalmedicalpractice (
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 transitionalperiod; whereas theprinciple of such treatment based on nationality applies in particular tothe grant of any authorization required to practise as a doctor and also to
the registration with, or membership of, professionalorganizations or
bodies;
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 mutualrecognition of dipl omas, certificates and other evidence offormalqual ifications; whereas the aim of this Directive is the
recognition of diplomas, certificates and other evidence of formal
qualifications whereby activities in the field of medicine can be taken upand 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, while not
being a condition of accessto take up the activities of a specialist,nonetheless entitle him to use a specialist title;
Whereas changes in the legislation of the Member States have made
certain technicalamendments necessary in order to take into account, inparticular, the changes in the titles of diplomas, certificates and other1993L0016 — EN — 22.06.1999 — 005.001 — 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
evidence of formalqual ifications in these professions or in the
designation of certain medical specializations, as well as of theestablishment of certain new medical specializations or the disconti-
nuing 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 mutualrecognition of dipl omas,
certificates and other evidence of formalqual ifications 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 formalcertificate of
training, since a Directive on the mutualrecognition of dipl omas does
not necessarily imply equivalence in the training covered by suchdiplomas, the use of such qualifications should be authorized only in thelanguage of the Member State of origin or of the Member State fromwhich the foreign nationalcomes;
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 membership of, professionalorganizations 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 shouldtherefore 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 of thehost 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 requirements tobe satisfied on first taking up the profession and those to be satisfied topractise it;
Whereas, with a view to mutualrecognition of dipl omas, certificates and
other evidence of formal qualifications in specialized medicine and inorder to put all members of the profession who are nationals of theMember States on an equalfooting 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 such training is givenand the place where it is to be carried out, as well as the supervision towhich it should be subject; whereas these criteria only concern thespecialities 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 anysubsequent 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 on the1993L0016 — EN — 22.06.1999 — 005.001 — 3
▼B
prevention of illness and on the protection of the patients' general health,
besides giving appropriate treatment;
Whereas this need for specific training in generalmedicalpractice has
emerged mainly as a result of the development of medical science,which has increasingly widened the gap between medical research andteaching on the one hand and generalmedicalpractice on the other, sothat important aspects of generalmedicalpractice can no l onger be
taught in a satisfactory manner within the framework of the Member
States' current basis medicaltraining;
Whereas, apart from the benefit to patients, it is also recognized that
improved training for the specific function of generalmedical
practitioner would contribute to an improvement in health care,
particularly by developing a more selective approach to the consultationof specialists, use of laboratories and other highly specialized establish-ments and equipment;
Whereas improved training for generalmedicalpractice wil lupgrade the
status of the generalmedicalpractitioner;
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
generalmedicalpractitioner in order to satisfy the specific requirementsof generalmedicalpractice;
Whereas, to ensure the gradualintroduction of this reform, it is
necessary in an initialstage to institute in each Member State specific
training in generalmedicalpractice which satisfies minimum qual ity andquantitiy requirements, and supplements the minimum basic trainingwhich medicalpractitioners must receive in accordance with thisDirective; whereas it is immaterialwhether this training in generalmedicalpractice is received as part of, or separatel y from, basic medical
training as laid down nationally; whereas, in a second stage, provision
should be made to subject the exercise of general medical practice undera socialsecurity scheme to compl etion of specific training in generalmedical practice; whereas further proposals to complet the reformshould subsequently be put forward;
Whereas this Directive does not affect the power of the Member States
to organize their nationalsecurity 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 medicalpractitioners, in possession of dipl omas 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 thisconsequence of this Directive will remain in effect as regards theexercise of generalmedicalpractice under socialsecurity schemes until1 January 1995, from which date this Directive requires all MemberStates to make the exercise of generalmedicalpractice in the context of
their socialsecurity schemes subject to the possession of specific
training in generalmedicalpractice; whereas medicalpractitionersestablished in practice before that date pursuant to this Directive musthave an acquired right to practise as generalmedicalpractitioners underthe nationalsocialsecurity 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
professionaltraining of doctors, whereas, as far as training is concerned,most Member States do not at present distinguish between doctors whopursue their activities as employed persons and those who are self-1993L0016 — EN — 22.06.1999 — 005.001 — 4
▼B
employed; whereas rules relating to good character or good repute,
professional discipline or use of title for the professions covered are ormay 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, certificateor other evidence of formalqual ification in medicine; whereas suchactivities are pursued by both employed and self-employed persons, orby 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 professionalpersons within the Community, ittherefore appears necessary to extend this Directive to employeddoctors;
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 Member States.
TITLE II
MUTUAL RECOGNITION OF DIPLOMAS CERTIFICATESAND OTHER EVIDENCE OF FORMAL QUALIFICATIONS IN
MEDICINE
CHAPTER I
DIPLOMAS, CERTIFICATES AND OTHER EVIDENCE OF
FORMAL QUALIFICATIONS IN MEDICINE
Article 2
Each Member State shall recognize the diplomas, certificates and other
evidence of formal qualifications awarded to nationals of Member Statesby the other Member States in accordance with Article 23 and which arelisted in Article 3, by giving such qualifications, as far as the right totake up and pursue the activities of a doctor is concerned, the same
effect in its territory as those which the Member State itself awards.
Article 3
The diplomas, certificats and other evidence of formal qualifications
referred to in Article 2 are as follows:
(a)in Belgium:
‘diplôme légal de docteur en médecine, chirurgie et
accouchements — Wettelijk diploma van doctor in de genees-,
heel- en verloskunde’ (diploma of doctor of medicine, surgery and
obstetrics required by law) awarded by the university faculties ofmedicine, the CentralExamining Board or the State UniversityEducation Examining Board;
(b)in Denmark:
‘bevis for bestået lægevidenskabelig embedseksamen’ (diploma of
medicalpractitioner required by l aw) awarded by a universityfaculty of medicine and ‘dokumentation for gennemført praktiskuddannelse’, (certificate of practical training issued by thecompetent authorities of the health serivce);1993L0016 — EN — 22.06.1999 — 005.001 — 5
▼B
(c)in Germany:
1. ‘Zeugnis über die ärztliche Staatsprüfung’ (the State examination
certificate in medicine) awarded by the competent authoriteis,
‘Zeugnis über die Vorbereitungszeit als Medizinalassistent’(certificate stating that the preparatory period as medicalassistant has been completed) in so far as German law stillrequires such a period to complete medical training;
2. ‘Zeugnis über die ärztliche Staatsprüfung’ (the State examination
certificate in medicine) awarded by the competent authoritiesafter 30 June 1988 and the certificat attesting to the practice of
medicine during a period of practicaltraining (‘Arzt im
Praktikum’);
(d)in Greece:
‘Πτυχίο Ιατρικής ’(degree in medicine) awarded by:
— the faculty of medicine of a university, or
— the faculty of health sciences, department of medicine, of a
university;
(e)in Spain:
‘Título de Licenciado en Medicina y Cirugia’ (university degree in
medicine and surgery) awarded by the Ministry of Education and
Science or the rector of a university;
(f)in France:
1. ‘diplôme d'État de docteur en médecine’ (State diploma of
doctor of medicine) awarded by the university faculties ofmedicine, the university joint faculties of medicine andpharmacy, or by the universities;
2. ‘diplôme duniversité de docteur en médicine’ (university
diploma of doctor of medicine) where that diploma certifiescompletion of the same training course as that laid down for the
State diploma of doctor of medicine;
(g)in Ireland:
a primary qualification granted in Ireland after passing a qualifying
examination held by a competent examining body and a certificateof experience granted by that body which give entitlement toregistration as a fully registered medical practitioner;
(h)in Italy:
‘diploma di laurea in medicina e chirurgia’ (diploma of graduate in
medicine and surgery) awarded by a university, accompanied by a‘diploma di abilitazione all'esercizio della medicina e chirurgia’
(diploma conferring the right to practise medicine and surgery)
awarded by the State Examining Commission;
(i)in Luxembourg:
‘diplôme d'État de docteur en médecine, chirurgie et accouche-
ments’ (State diploma of doctor of medicine, surgery and obstetrics)awarded by the State Examining Board, and endorsed by theMinister of Educations, and ‘certificat de stage’ (certificate of
practical training) endorsed by the Minister for Public Health;
(j)in the Netherlands:
‘universitair getuigschrift van arts’ (university certificate of doctor);
(k)in Portugal:
‘Carta de curso de licenciatura em medicina’ (diploma confirming
the completion of medical studies), awarded by a university, and the‘Diploma comprovativo da conclusão do internato geral’ (diplomaconfirming the completion of general internship), awarded by thecompetent authorities of the Ministry of Health;
(l)in the United Kingdom:
‘a primary qualification granted in the United Kingdom after
passing a qualifying examination held by a competent examining1993L0016 — EN — 22.06.1999 — 005.001 — 6
▼B
body and a certificate of experience granted by that body which
give entitlement to registration as a fully registered medicalpractitioner;
(m)in Austria:
‘Doktor der gesamten Heilkunde’ (diploma of doctor of medicine)
awarded by auniversity faculty of medicine and ‘Diplom über die
spezifische Ausbildung in der Allgemeinmedizin’ (diploma of
specialist training in general medicine), or ‘Facharztdiplom’(diploma as a specialist doctor) issued by the competent authority;
(n)in Finland:
‘todistus lääketieteen lisensiaatin tutkinnosta — bevis om medicine
licentiat examen’(certificate of the degree of licentiate in medicine)awarded by a university faculty of medicine and a certificate ofpractical training issued by the competent public health authorities;
(o)in Sweden:
‘läkarexamen’ (university diploma in medicine) awarded by a
university faculty of medicine and a certificate of practical trainingissued by the National Board of Health and Welfare.
CHAPTER II
DIPLOMAS, CERTIFICATES AND OTHER EVIDENCE OF
FORMAL QUALIFICATIONS IN SPECIALIZED MEDICINE
COMMON TO ALL MEMBER STATES
Article 4
Each Member State shall recognize the diplomas, certificates and other
evidence of formal qualifications in specialized medicine awarded to
nationals of Member States by the other Member States in accordancewith Articles 24, 25, 26, and 29 and which are listed in Article 5, bygiving such qualifications the same effect in its territory as those whichthe Member State itself awards.
Article 5
1. The diplomas, certificates and other evidence of formal qualifica-
tions referred to in Article 4 shall be those which, having been awarded
by the competent authorities or bodies listed in paragraph 2 correspond,for the purpose of the specialized training concerned, to the qualifica-tions recognized in the various Member States and listed in paragraph 3.
2. The diplomas, certificates and other evidence of formal qualifica-
tions awarded by the competent authorities or bodies referred to inparagraph 1 are as follows:
in Belgium:‘titre d'agrégation en qualité de médecin spécialiste — erkenningstitel
van geneersheer specialist’ (formal evidence of having qualified as amedical specialist) issued by the Minister responsible for public health;
in Denmark:
‘bevis for tilladelse til at betegne sig som speciallæge’ (certificate
concerning the title of specialist) issued by the competent authorities ofthe health service;
in Germany:
‘Fachärztliche Anerkennung’ (recognized certificate of medical specia-
list, issued by the ‘Landesärztekammer’ (Chambers of Physicians of theLand concerned);1993L0016 — EN — 22.06.1999 — 005.001 — 7
▼A1
▼B
▼B
in Greece:
‘Τίτλος Ιατρικής Ειδικότητας ’ (certificate of medicalspecial ization)
awarded by the ‘ Νοµαρχίες ’ (prefectures);
in Spain:
‘Título de Especialista’ (professional qualification of specialist) awarded
by the Ministry of Education and Science;
in France:
— ‘certificat d'études spéciales de médecine’ (certificate of specialized
studies in medicine) issued by a university faculty of medicine,university joint faculties of medicine and pharmacy or by
universities,
— certificates of qualified medical specialist, drawn up by the Council
of the Ordre des médecins,
— le ‘certificat d'études spéciales de médecine’ (certificate of specilized
studies in medicine) issued by a university faculty of medicine,university joint faculties of medicine and pharmacy or equivalent
certificates drawn up under a decree of the Minister for Education,
— ‘diplôme d'études spécialisées de médecine délivré par les
universités’ (diploma of specialized studies in medicine awardedby a university);
in Ireland:
certificate of specialist doctor issued by the competent authority
recognized for this purpose by the Minister of Health;
in Italy:
‘diploma di medico specialista, rilasciati dal rettore di una universita’
(diploma of specialized doctor, granted by a rector of a university);
in Luxembourg:
‘certificat de médecin spécialiste’ (certificate of specialist doctor) issued
by the Minister for Public Health on the advice of the medical college;
in the Netherlands:
— ‘Getuigschrift van erkenning en inschrijving in het Specialistenreg-
ister’ (certificate of recognition and registration in the Register ofSpecialists, issued by the ‘Specialisten-Registratiecommissie (SRC)’
(Commission for the Registration of Specialists (CRS)),
— ‘Getuigschrift van erkenning en inschrijving in het Register von
Sociaal-Geneeskundigen’ (certificate of approval and registrationissued by the ‘Sociaal-Geneeskundigen Registratie-Commissie(SGRC)’ (Board of Registration of Doctors of SocialMedicine);
in Portugal:
‘Grau de Assistente’ (assistant grade), awarded by the competent
authorities of the Ministry of Health, or ‘Título de Especialista’
(professional qualification of specialist) awarded by the professional
association for medicalpractitioners;
in the United Kingdom:
certificate of completion of specialist training issued by the competent
authority recognized for this purpose;
in Austria:
‘Facharztdiplom’ (diploma of medical specialist) issued by the
competent authority;
in Finland:
‘todistus erikoislääkärin tutkinnosta — betyg över specialläkarexamen’
(certificate of the degree of specialist in medicine) issued by thecompetent authorities;1993L0016 — EN — 22.06.1999 — 005.001 — 8
▼A1
▼A1
in Sweden:
‘bevis om specialistkompetens som läkare utfärdat av Socialstyrelsen’
(certificate of the right to usethe title of specialist) issued by the
National Board of Health and Welfare.
3. The titles currently used in the Member States which correspond to
the specialized training courses in question are as follows:
—anaesthetics:
Belgium: anesthésiologie — anesthesiolgie
Denmark: anæsteasiolgi
Germany: Anästhesiologie
Greece: αναισθησιολογία
Spain: anestesiología y reanimación
France: anesthésiologie-réanimation chirurgicaleIreland: anaesthetics
Italy: anestesia e rianimazione
Luxembourg: anesthésie-réanimation
Netherlands: anesthesiologie
Portugal: anestesiologiaUnited Kingdom: anaesthetics
Austria: Anästhesiologie und Intensivmedizin
Finland: anestesiologia — anestesiologi
Sweden: anestesi och intensivvård,
—general surgery:
Belgium: chirurgie — heelkunde
Denmark: kirurgi eller kirurgiske sygdomme
Germany: Chirurgie
Greece: χειρουργική
Spain: cirugía generaly delaparato digestivoFrance: chirurgie générale
Ireland: general surgery
Italy: chirurgia generale
Luxembourg: chirurgie générale
Netherlands: heelkundePortugal: cirurgia geral
United Kingdom: generalsurgery
Austria: Chirurgie
Finland: kirurgia — kirurgi
Sweden: kirurgi,
—neurological surgery:
Belgium: neurochirurgie — neurochirurgie
Denmark: neurokirurgi eller kirurgiske nervesygdommeGermany: Neurochirurgie
Greece: νευροχειρουργική1993L0016 — EN — 22.06.1999 — 005.001 — 9
▼B
▼A1
▼B
▼A1
▼B
▼B
Spain: neurocirugia
France: neurochirurgie
Ireland: neurological surgery
Italy: neurochirurgia
Luxembourg: neurochirurgie
Netherlands: neurochirurgiePortugal: neurocirurgia
United Kingdom: ►
M3neurosurgery ◄
Austria: Neurochirurgie
Finland: neurokirurgia — neurokirurgi
Sweden: neurokirurgi,
—obstetrics and gynaecology:
Belgium: gynécologie-obstétrique — gynecologie-verlos-
kunde
Denmark: gynækologi og obstetrik eller kvindesygdomme
og fødselshjæelp
Germany: Frauenheilkunde und Geburtshilfe
Greece: µαιευτική -γυναικολογία
Spain: obstetricia y ginecología
France: gynécologie-obstétrique
Ireland: obstetrics and gynaecology
Italy: ►M4ginecologia e ostetricia ◄
Luxembourg: gynécologie-obstétriqueNetherlands: verloskunde en gynaecologie
Portugal: ginecologia e obstetricia
United Kingdom: obstetrics and gynaecology
Austria: Frauenheilkunde und Geburtshilfe
Finland: naistentaudit ja synnytykset — kvinnosjukdomar
och förlossningar
Sweden: obstetrik och gynekologi,
—general (internal) medicine:
Belgium: médecine interne — inwendige geneeskunde
Denmark: intern medicin eller medicinske sygdomme
Germany: Innere Medizin
Greece: παθολογία
Spain: medicina interna
France: médecine interneIreland: general (internal) medicine
Italy: medicina interna
Luxembourg: maladies internes
Netherlands: inwendige geneeskunde
Portugal: medicina internaUnited Kingdom: ►
M3general(internal ) medicine ◄
Austria: Innere Medizin1993L0016 — EN — 22.06.1999 — 005.001 — 10
▼A1
▼B
▼A1
▼B
▼A1
▼A1
Finland: sisätaudit — inremedicin
Sweden: internmedicin,
—ophthalmology:
Belgium: ophtalmologie — oftalmologie
Denmark: oftalmologie eller øjensygdomme
Deutschland: AugenheilkundeGriechenland: οφθαλµολογία
Spanien: oftalmología
Frankreich: ophtalmologie
Ireland: ophtalmology
Italy: ►
M4oftalmologia ◄
Luxembourg: ophtalmologie
Netherlands: oogheelkunde
Portugal: oftalmologia
United Kingdom: opthalmology
Austria: Augenheilkunde und Optometrie
Finland: silmätaudit — ögonsjukdomar
Sweden: ögonsjukdomar (oftalmologi),
—oto rhino laryngology:
Belgium: oto-rhino-laryngologie — otorhinolaryngologie
Denmark: oto-rhino-laryngologi eller øre-næse-halssyg-
domme
Germany: Hals-Nasen-OhrenheilkundeGreece: ωτορινολαρυγγολογία
Spain: otorrinolaringología
France: oto-rhino-laryngologie
Ireland: otolaryngology
Italy: otorinolaringoiatriaLuxembourg: oto-rhino-laryngologie
Netherlands: keel-, neus- en oorheelkunde
Portugal: otorrinolaringologia
United Kingdom: otolaryngology
Austria: Hals-, Nasen- und Ohrenkrankheiten
Finland: korva-, nenä- ja kurkkutaudit — öron-, näs- och
strupsjukdomar
Sweden: öron-, näs- och halssjukdomar (oto-rhino-laryn-
gologi),
—paediatrics:
Belgium: pédiatrie — kindergeneeskunde
Denmark: pædiatri eller børnesygdomme
Germany: Kinderheilkunde
Greece: παιδιατρική
Spain: pediatría sus áreas específicas1993L0016 — EN — 22.06.1999 — 005.001 — 11
▼B
▼A1
▼B
▼A1
▼B
▼B
France: pédiatrie
Ireland: paediatrics
Italy: pediatria
Luxembourg: pédiatrie
Netherlands: kindergeneeskunde
Portugal: pediatriaUnited Kingdom: paediatrics
Austria: Kinder- und Jugendheilkunde
Finland: lastentaudit — barnsjukdomar
Sweden: barn- och ungdomsmedicin,
—respiratory medicine:
Belgium: pneumologie — pneumologie
Denmark: medicinske lungesydomme
Germany: Lungen- und Bronchialheilkunde
Greece: φυµατιολογία -πνευµονολογία
Spain: neumologia
France: pneumologie
Ireland: respiratory medicine
Italy: ►
M4malattie dell'apparato respiratorio ◄
Luxembourg: pneumo-phtisiologieNetherlands: longziekten en tuberculose
Portugal: pneumologia
United Kingdom: respiratory medicine
Austria: Lungenkrankheiten
Finland: keuhkosairaudet — lungsjukdomar
Sweden: lungsjukdomar (pneumonologi),
—urology
Belgium: urologie — urologie
Denmark: urologi eller urinvejenes kirurgiske sygdommeGermany: Urologie
Greece: ουρολογία
Spain: urología
France: chirurgie urologique
Ireland: urologyItaly: urologia
Luxembourg: urologie
Netherlands: urologie
Portugal: urologia
United Kingdom: urology
Austria: Urologie
Finland: urologia — urologi
Sweden: urologi,1993L0016 — EN — 22.06.1999 — 005.001 — 12
▼A1
▼B
▼A1
▼B
▼A1
▼B
—orthopaedics:
Belgium: orthopédie — orthopedie
Denmark: ortopædisk kirurgiGermany: Orthopädie
Greece: ορθοπεδική
Spain: traumatología y cirugía ortopédica
France: chirurgie orthopédique et traumatologie
Ireland: orthopaedic surgeryItaly: ortopedia e traumatologia
Luxembourg: orthopédie
Netherlands: orthopedie
Portugal: ortopedia
United Kingdom: ►
M3trauma and orthopaedic surgery ◄
Austria: Orthopädie und Orthopädische Chirurgie
Finland: ortopedia ja traumatologia — ortopedi och
traumatologi
Sweden: ortopedi,
—pathological anatomy:
Belgium: anatomie pathologique — pathologische
anatomie
Denmark: patologisk anatomi og histologi eller vævsunder-
søgelse
Germany: PathologieGreece: παθολογική ανατοµική
Spain: anatomía patológica
France: anatomie et cytologie pathologique
Ireland: morbid anatomy and histopathology
Italy: anatomia patologicaLuxembourg: anatomie pathologique
Netherlands: pathologische anatomie
Portugal: anatomia patológica
United Kingdom: ►
M3histopathology ◄
Austria: Pathologie
Finland: patologia — patologi
Sweden: klinisk patologi,
—neurology:
Belgium: neurologie — neurologie
Denmark: neuromedicin eller medicinske nervesygdomme
Germany: Neurologie
Greece: νευρολογία
Spain: neurologia
France: neurologie
Ireland: neurology
Italy: neurologia1993L0016 — EN — 22.06.1999 — 005.001 — 13
▼A1
▼B
▼A1
▼B
▼B
Luxembourg: neurologie
Netherlands: neurologie
Portugal: neurologia
United Kingdom: neurology
Austria: Neurologie
Finland: neurologia — neurologi
Sweden: neurologi,
—psychiatry:
Belgium: psychiatrie — psychiatrie
Denmark: psykiatriGermany: Psychiatrie
Greece: ψυχιατρική
Spain: psiquiatría
France: psychiatrie
Ireland: psychiatryItaly: psichiatria
Luxembourg: psychiatrie
Netherlands: psychiatrie
Portugal: psiquiatria
United Kingdom: ►
M3generalpsychiatry ◄
Austria: Psychiatrie
Finland: psykiatria — psykiatriSweden: psykiatri,
—diagnostic radiology:
Belgium: radiodiagnostic — röntgendiagnose,
Denmark: diagnostisk radiologi eller røntgenundersøgelse,
Germany: Radiologische Diagnostik,
Greece: ακτινοδιαγνωστική,
Spain: radiodiagnóstico,
France: radiodiagnostic et imagerie médicale,Ireland: diagnostic radiology,
Italy: radiodiagnostica,
Luxembourg: radiodiagnostic,
Netherlands: radiodiagnostiek,
Austria: Medizinische Radiologie-Diagnostik,Portugal: radiodiagnóstico,
Finland: radiologia — radiologi,
Sweden: medicinsk radiologi,
United Kingdom: diagnostic radiology,
—radiotherapy:
Belgium: radio- et radiumthérapie — rado- en radiumther-
apie,
Denmark: terapeutisk radiologi eller strälebehandling,1993L0016 — EN — 22.06.1999 — 005.001 — 14
▼A1
▼B
▼A1
▼M4
▼M4
Germany: Strahlentherapie,
Greece: ακτινοθεραπευτική,
Spain: oncologia radioterápica,
France: oncologie, option radiothérapie,
Ireland: radiotherapy,
Italy: radioterapia,Luxembourg: radiothérapie,
Netherlands: radiotherapie,
Austria: Strahlentherapie-Radioonkologie,
Portugal: radiotherapy radiodiagnóstico,
Finland: syöpätaudit ja sädehoito — cancersjukdomar och
radioterapi,
Sweden: onkology,
United Kingdom: radiotherapy.
4. The list of designations in paragraph 3 shall be amended in
accordance with the procedure laid down in Article 44a (2).
CHAPTER III
DIPLOMAS, CERTIFICATES AND OTHER EVIDENCE OF
FORMAL QUALIFICATIONS IN SPECIALIZED MEDICINE
PECULIAR TO TWO OR MORE MEMBER STATES
Article 6
Each Member State with provisions on this matter laid down by law,
regulation or administrative action shall recognize the diplomas,certificates and other evidence of formal qualifications in specialized
medicine awarded tonationals of Member States by the other Member
States in accordance with Articles 24, 25, 27 and 29 and which are listedin Article 7, by giving such qualifications the same effect in its territoryas those which the Member State itself awards.
Article 7
1. The diplomas, certificates and other evidence of formal qualifica-
tions referred to in Article 6 shall be those which, having been awardedby the competent authorities or bodies listed in Article 5 (2), correspondfor the purposes of the specialized training in question to the
designations listed in paragraph 2 of this Article in respect of those
Member States which give such training.
2. The designations currently used in the Member States which
correspond to the specialist training courses in question are as follows:
—clinical biology:
Belgium: biologie clinique — klinische biologie
Spain: análisis clínicos
France: biologie médicale
Italy: ►
M4patologia clinica ◄
Portugal: patologia clínica
Austria: Medizinische Biologie
Luxembourg: biologie clinique,
—biological haematology:1993L0016 — EN — 22.06.1999 — 005.001 — 15
▼M1
▼B
▼A1
▼M3
▼B
▼B
Denmark: klinisk blodtypeserologi
France: hématologieLuxembourg: hématologie biologique
Portugal: hematologia clínica
Finland: hematologiset laboratoriotutkimukseth — emato-
logiska laboratorieundersökningar,
—microbiology-bacteriology:
Denmark: klinisk mikrobiologi
Germany: Mikrobiologie und InfektionsepidemiologieGreece: µικροβιολογία
Spain: microbiología y parasitología
Ireland: microbiology
Italy: ►
M4microbiologia e virologia ◄
Luxembourg: microbiologieNetherlands: medische microbiologie
United Kingdom: ►
M3medical microbiology and virology ◄
Austria: Hygiene und Mikrobiologie
Finland: kliininen mikrobiologia — klinisk mikrobiologi
Sweden: klinisk bakteriologi,
—biological chemistry:
Denmark: klinisk kemi
Spain: bioquímica clínica
Ireland: chemical pathology
Luxembourg: chimie biologique
Netherlands: klinische chemie
United Kingdom: chemicalpathol ogy
Austria: Medizinische und Chemische Labordiagnostik
Finland: kliininen kemia — klinisk kemiSweden: klinisk kemi
Italy: biochimica clinica,
—immunology:
Spain: inmunología
Ireland: clinical immunology
United Kingdom: immunology
Austria: Immunologie
Finland: immunologia — immunologi
Sweden: klinisk immunologi,
—plastic surgery:
Belgium: chirurgie plastique — plastische heelkunde1993L0016 — EN — 22.06.1999 — 005.001 — 16
▼A1
▼B
▼A1
▼B
▼A1
▼M4
▼B
▼A1
▼B
▼B
Denmark: plastikkirurgi
Greece: πλαστική χειρουργική
Spain: cirurgía plástica y reparadora
France: chirurgie plastique, reconstructrice et esthétique
Ireland: plastic surgery
Italy: ►M4chirurgia plastica e ricostruttiva ◄
Luxembourg: chirurgie plastique
Netherlands: plastische chirurgie
Portugal: cirurgia plástica e reconstrutiva
United Kingdom: plastic surgery
Austria: Plastische Chirurgie
Finland: plastiikkakirurgia — plastikkirurgi
Sweden: plastikkirurgi,
—thoracic surgery:
Belgium: chirurgie thoracique — heelkunde op de thorax
Denmark: thoraxkirurgi eller brysthulens kirurgiske
sygdomme
Greece: χειρουργική θώρακος
Spain: cirurgía torácica
France: chirurgie thoracique et cardio-vasculaire
Ireland: thoracic surgery
Italy: chirurgia toracicaLuxembourg: chirurgie thoracique
Netherlands: cardio-pulmonale chirurgie
Portugal: cirurgia cárdio-torácica
United Kingdom: ►
M3cardio-thoracic surgery ◄
Finland: thorax- ja verisuonikirurgia — thorax- och
kärlkirurgiafi
Sweden: thoraxkirurgi,
—paediatric surgery:
Greece: χειρουργική παίδων
Spain: cirurgía pediátrica
France: chirurgie infantile
Ireland: paediatric surgery
Italy: chirurgia pediatricaLuxembourg: chirurgie pédiatrique
Portugal: cirurgia pediátrica
United Kingdom: paediatric surgery
Austria: Kinderchirurgie
Finland: lastenkirurgia — barnkirurgi
Sweden: barn- och ungdomskirurgi,
—vascular surgery:1993L0016 — EN — 22.06.1999 — 005.001 — 17
▼A1
▼B
▼A1
▼B
▼A1
▼B
▼B
Belgium: chirurgie des vaisseaux — bloedvatenheelkunde
Spain: angiología y cirugía vascularFrance: chirurgie vasculaire
Italy: chirurgia vascolare
Luxembourg: chirurgie cardio-vasculaire
Portugal: cirurgia vascular
Greece: Αγγειοχειρουργική,
—cardiology:
Belgium: cardiologie — cardiologie
Denmark: cardiologi eller hjerte-og-kredsløbssygdomme
Greece: καρδιολογία
Spain: cardiologíaFrance: pathologie cardio-vasculaire
Ireland: cardiology
Italy: cardiologia
Luxembourg: cardiologie et angiologie
Nederland: cardiologiePortugal: cardiologia
United Kingdom: ►
M3cardiology ◄
Finland: kardiologia — kardiologi
Sweden: kardiologi,
—gastro-enterology:
Belgium: gastro-entérologie — gastro-enterologie
Denmark: medicinsk gastroenterologi eller medicinske
mave-tarmsygdomme
Greece: γαστρεντερολογία
Spain: aparato digestivo
France: gastro-entérologie et hépatologie
Ireland: gastro-enterologyItaly: ►
M4gastroenterologia ◄
Luxembourg: gastro-entérologie
Netherlands: gastro-enterologie
Portugal: gastrenterologia
United Kingdom: gastro-enterology
Finland: gastroenterologia — gastroenterologi
Sweden: medicinsk gastro-enterologi och hepatologi,
—rheumatology:
Belgium: rhumatologie — reumatologie
Denmark: reumatologi
Greece: ρευµατολογία
Spain: reumatología
France: rhumatologie
Ireland: rheumatology1993L0016 — EN — 22.06.1999 — 005.001 — 18
▼M3
▼B
▼A1
▼B
▼A1
▼B
▼B
Italy: reumatologia
Luxembourg: rhumatologie
Netherlands: reumatologie
Portugal: reumatologia
United Kingdom: rheumatology
Finland: reumatologia — reumatologi
Sweden: reumatologi,
—general haematology:
Greece: αιµατολογία
Spain: hematología hemoterapiaIreland: haematology
Italy: ematologia
Luxembourg: hématologie
Portugal: imuno-hemoterapia
United Kingdom: haematology
Finland: kliininen hematologia — klinisk hematologi
Sweden: hematologi,
—endocrinology:
Greece: ενδοκρινολογία
Spain: endocrinología y nutrición
France: endocrinologie - maladies
Ireland: endocrinology and diabetes mellitus
Italy: ►
M4endocrionologia e malattie del
ricambio ◄
Luxembourg: endocrinologie, maladies du métabolisme et de la
nutrition
Portugal: endocrinologia-nutrição
United Kingdom: endocrinology and diabetes mellitus
Finland: endokrinologia — endokrinologi
Sweden: endokrinologi,
—physiotherapy:
Belgium: médecine physique — fysische geneeskunde
Denmark: fysiurgi og rehabilitering
Greece: φυσική ιατρική και αποκατάσταση
Spain: rehabilitación
France: rééducation et réadaptation fonctionnelles
Italy: ►M4medicina fisica e riabilitazione ◄
Netherlands: revalidatie
Luxembourg: rééducation et réadaptation fonctionnellesPortugal: fisiatria
Austria: Physikalische Medizin1993L0016 — EN — 22.06.1999 — 005.001 — 19
▼A1
▼B
▼A1
▼B
▼A1
▼B
▼A1
▼A1
Finland: fysiatria — fysiatri
Sweden: rehabiliteringsmedicin,
—stomatology:
Spain: estomatología
France: stomatologieItaly: odontostomatologia
Luxembourg: stomatologie
Portugal: estomatologia,
—neuro-psychiatry:
Belgium: neuropsychiatrie — neuropsychiatrie
Germany: Nervenheilkunde (Neurologie und Psychiatrie)
Greece: νευρολογία —ψυχιατρική
France: neuropsychiatrie
Italy: neuropsichiatria
Luxembourg: neuropsychiatrieNetherlands: zenuw - en zielsziekten,
—dermato-venereology:
Belgium: dermato-vénéréologie — dermato-venereologie
Denmark: dermato-venerologie eller hud- og koønssyg-
domme
Germany: Dermatologie und Venerologie
Greece: δερµατολογία -αφροδισιολογία
Spain: dermatología médico-quirúrgica y venereologíaFrance: dermatologie et vénéréologie
Italy: dermatologia e venerologia
Luxembourg: dermato-vénéréologie
Netherlands: dermatologie en venerologie
Portugal: dermatovenereologia
Austria: Haut- und Geschlechtskrankheiten
Finland: iho- ja sukupuolitaudit — hud- och könssjuk-
domar
Sweden: hud- och könssjukdomar,
—dermatology:
Ireland: dermatology
United Kingdom: dermatology,
—venereology:
Ireland: venereology
United Kingdom: ►
M3genito-urinary medicine ◄,
—radiology:
Germany: Radiologie
Greece: ακτινολογία —ραδιολογία
Spain: electrorradiología1993L0016 — EN — 22.06.1999 — 005.001 — 20
▼B
▼A1
▼B
▼B
France: électro-radiologie
Italy: radiologia
Luxembourg: électroradiologie
Netherlands: radiologie
Portugal: radiologia,
—tropical medicine:
Denmark: tropemedicin
Ireland: tropical medicine
Italy: medicina tropicale
Portugal: medicina tropical
United Kingdom: tropicalmedicine,
—child psychiatry:
Denmark: børnepsykiatri
Germany: Kinder- und Jugendpsychiatrie
Greece: παιδοψυχιατρική
France: pédo-psychiatrie
Ireland: child and adolescent psychiatry
Italy: neuropsichiatria infantileLuxembourg: psychiatrie infantile
Portugal: pedopsiquiatria
United Kingdom: child and adolescent psychiatry
Finland: lasten psykiatria — barnspsykiatri
Sweden: barn- och ungdomspsykiatri
—geriatrics:
Spain: geriatría
Ireland: geriatrics
Netherlands: klinische geriatrie
United Kingdom: ►
M3geriatric medicine ◄
Finland: geriatria — geriatri
Sweden: geriatrik
Italy: geriatria,
—renal diseases:
Denmark: nefrologi eller medicinske nyresygdomme
Greece: νεφρολογία
Spain: nefrología
France: néphrologie
Ireland: nephrology
Italy: nefrologiaLuxembourg: néphrologie
Portugal: nefrologia1993L0016 — EN — 22.06.1999 — 005.001 — 21
▼M4
▼B
▼A1
▼B
▼A1
▼M4
▼B
▼B
United Kingdom: ►M3renalmedicine ◄
Finland: nefrologia — nefrologi
Sweden: medicinska njursjukdomar (nefrologi),
—communicable diseases:
Ireland: communicable diseases
Italy: malattie infettive
United Kingdom: ►M3infectious diseases ◄
Finland: infektiosairaudet — infektionssjukdomar
Sweden: infektionssjukdomar,
—community medicine
France: santé publique et médecine sociale
Ireland: community medicine
United Kingdom: ►M3public health medicine ◄
Austria: Sozialmedizin
Finland: terveydenhuolto — hälsovård
Sweden: socialmedicin
Greece: Κοινωνική Ιατρική
Spain: medicina preventiva y salud pública
Italy: igiene e medicina sociale,
—pharmacology:
Germany: Pharmakologie
Spain: farmacología clínica
Ireland: clinical pharmacology and therapeuticsUnited Kingdom: clinical pharmacology and therapeutics
Austria: Pharmakologie und Toxikologie
Finland: kliininen farmakologia — klinisk farmakologi
Sweden: klinisk farmakologi,
—occupational medicine:
Denmark: samfundsmedicin/arbejdsmedicin
Germany: ArbeitsmedizinGreece: ιατρική της εργασίας
France: médecine du travail
Italy: medicina del lavoro
Ireland: occupational medicine
Netherlands: ►
M2arbeid en gezondheid ◄
Portugal: medicina do trabalho
United Kingdom: occupationalmedicine1993L0016 — EN — 22.06.1999 — 005.001 — 22
▼A1
▼B
▼A1
▼B
▼A1
▼M2
▼M3
▼M4
▼B
▼A1
▼B
▼A1
Austria: Arbeits- und Betriebsmedizin
Finland: työterveyshuolto — företagshälsovård
Sweden: yrkes- och miljömedicin
Belgium: médecine du travail — arbeidsgeneeskunde
Luxembourg: médecine du travail,
—allergology:
Greece: αλλεργιολογία
Spain: alergologia
Italy: allergologia ed immunoligia clinica
Netherlands: allergologie
Portugal: imunoalergologia
Finland: allergologia — allergologi
Sweden: allergisjukdomar,
—gastro-enterological surgery:
Belgium: chirurgie abdominale — heelkunde op het
abdomen
Denmark: kirurgisk gastroenterologi eller kirurgiske mave-
tarmsygdomme
Spain: cirugía delaparato digestivo
France: chirurgie viscérale
Italy: chirurgia dell'apparato digerente
Finland: gastroenterologia — gastroenterologi
Luxembourg: chirurgie gastro-entérologique,
—nuclear medicine:
Belgium: médecine nucléaire — nucleaire geneeskunde
Germany: Nuklearmedizin
Greece: πυρηνική ιατρική
Spain: medicina nuclear
Frankreich: médecine nucléaireItaly: medicina nucleare
Netherlands: nucleaire geneeskunde
Portugal: medicina nuclear
United Kingdom: nuclear medicine
Austria: Nuklearmedizin
Finland: isotooppitutkimukset — isotopundersökningar
Luxembourg: médecine nucléaire,
—maxillo-facial surgery (basic medical training):
Spain: cirugía oraly maxil ofacial1993L0016 — EN — 22.06.1999 — 005.001 — 23
▼M2
▼B
▼A1
▼B
▼A1
▼M3
▼B
▼A1
▼M3
▼B
▼B
France: chirurgie maxillo-faciale et stomatologie
Italy: chirurgia maxillo-facciale
Luxembourg: chirurgie maxillo-faciale,
—dental, oral and maxillo-facial surgery (basic medicaland dental
training):
Belgium: stomatologie/chirurgie orale et maxillo-faciale; —
stomatologie/orale en maxillo-faciale chirurgie
Germany: Zahn-, Mund-, Kiefer- und Gesichtschirurgie
Ireland: oral and maxillo-facial surgery
United Kingdom: oral and maxillo-facial surgery
Finland: leukakirurgia — käkkirurgi
Luxembourg: chirurgie dentaire, orale maxillo-faciale,
—accident and emergency medicine
Ireland: accident and emergency medicine
United Kingdom: accident and emergency medicine;
—clinical neurophysiology
Denmark: klinisk neurofysiology
Spain: neurofisiologia clinica
Ireland: neurophysiology
Sweden: klinisk neurofysiologi
United Kingdom: clinical neurophysiology
3. The list of designations in paragraph 2 shall be amended in
accordance with the procedure laid down in Article 44a (2).
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 Articles 4 and 6, or which, although
referred to in Article 6, are not awarded in the Member State of origin or
the Member State from which the foreign nationalcomes, may berequired by a host Member State to fulfil the conditions of training laiddown in respect of the speciality by its own law, regulation oradministrative action.
2. The host Member State shall, however, take into account, in whole
or in part, the training periods completed by the nationals referred to inparagraph 1 and attested by the award of a diploma, certificate or otherevidence of formaltraining by the competent authorities of the Member
State of origin or the Member State from which the foreign national
comes provided such training periods correspond to those required in thehost Member State for the specialized training in question.
3. The competent authorities or bodies of the host Member State,
having verified the content and duration of the specialist training of theperson concerned on the basis of the diplomas, certificates and otherevidence of formal qualifications submitted, shall inform him of theperiod of additionaltraining required and of the fiel ds to be covered byit.1993L0016 — EN — 22.06.1999 — 005.001 — 24
▼M3
▼B
▼A1
▼M3
▼M1
▼B
▼B
CHAPTER IV
EXISTING CIRCUMSTANCES
Article 9
1. Without prejudice to paragraph 3, in the case of nationals of
Member States whose diplomas, certificates and other evidence offormal qualifications in medicine do not satisfy all the minimum training
requirements laid down in Article 23, each Member State shall
recognize, as being sufficient proof, the diplomas, certificates and otherevidence of formalqual ifications in medicine awarded by those MemberStates 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,
accompanied by a certificate stating that those nationals have effectively
and lawfully been engaged in the activities in question for at least threeconsecutive years during the five years prior to the date of issue of thecertificate.
2. Without prejudice to paragraph 4, in the case of nationals of
Member States whose diplomas, certificates and other evidence offormal qualifications in specialized medicine do not satisfy theminimum training requirements pursuant to Articles 24 to 27, eachMember State shall recognize, as sufficient proof, the diplomas,certificates and other evidence of formal qualifications in 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 from whichthey come, stating that the holders have, in specialized medicine, beenengaged in activities in question for a period equivalent to twice thedifference between the period of specialized training of the Member
State of origin or of the Member State from which they come, and the
minimum requirements regarding the duration of training laid down inTitle III, where these periods are not equal to the minimum trainingperiods laid down in Articles 26 and 27.
However, if, before the dates given in the first subparagraph, the host
Member State required a minimum training period less than the one at
issue referred to in Articles 26 and 27, the difference mentioned in thesecond subparagraph can only be determined by reference to theminimum training period laid down by that State.
3. In the case of nationals of Member States whose diplomas,
certificates and other evidence of formalqual ifications in medicine attestto training received on the territory of the former German DemocraticRepublic which does not satisfy all the minimum training requirementslaid down in Article 23, Member States other than Germany shallrecognize those diplomas, certificates and other evidence of formal
qualifications as being sufficient proof if:
— they attest to training commenced before German unification,1993L0016 — EN — 22.06.1999 — 005.001 — 25
▼A1
▼B
▼A1
▼B
▼B
— they entitle the holder to pursue the activities of a doctor throughout
the teritory of Germany under the same conditions as thequalifications awarded by the competent German authorities and
referred to in points 1 and 2 of Article 3 (c),
— 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 for atleast three consecutive years during the five years prior to the date ofissue of the certificate.
4. In the case of nationals of Member States whose diplomas,
certificates 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 27, Member Statesother than Germany shall recognize those diplomas, certificates andother evidence of formalqual ifications as being sufficient proof if:
— they attest to training commenced before 3 April1992, and
— they permit the pursuit, as a specialist, of the activity in question
throughout the territory of Germany under the same conditions as thequalifications awarded by the competent German authorities andreferred to in Articles 5 and 7.
They may, however, require that these diplomas, certificates or other
evidence of formalqual ifications be accompanied by a certificate issued
by the competent German authorities or bodies stating that the holders
have, as specialists, been engaged in the acitivity in question for a periodequivalent to twice the difference between the period of specializedtraining received on German territory and the minimum duration oftraining laid down in Title III where they do not satisfy the minimum
requirements regarding the duration of training laid down in Articles 26
and 27.
5. In the case of nationals of the Member States whose diplomas,
certificates and other evidence of formalqual ifications in medicine or inspecialized medicine do not conform with the qualifications ordesignations set out in Article 3, 5 or 7, each Member State shallrecognize as being sufficient proof the diplomas, certificates and other
evidence of formalqual ifications awarded by those Member States,
accompanied by a certificate issued by the competent authorities orbodies. The certificate shall state that these diplomas, certificates andother evidence of formal qualifications in medicine or in specializedmedicine were awarded following training in accordance with the
provisons of Title III referred to, as appropriate, in Article 2, 4 or 6, and
are treated by the Member State which awarded them as thequalifications or designations set out, as appropriate, in Article 3, 5 or 7.
6. Those Member States which have repealed the provisions laid
down by law, regulation or administrative action relating to the award ofdiplomas, certificates and other evidence of formal qualifications in
neuro-psychiatry, radiology, thoracic surgery, vascular surgery, gastro-
enterological surgery, biological haematology, physiotherapy or tropicalmedicine and have taken measures relating to acquired rights on behalfof their own nationals, shall recognize the right of nationals of theMember States to benefit from those same measures, provided theirdiplomas, certificates and other evidence of formal qualifications in
neuro-psychiatry, radiology, thoracic surgery, vascular surgery, gastro-
enterological surgery, biological haematology, physiotherapy or tropicalmedicine fulfil the relevant conditions set out either in paragraph 2 ofthis Article or in Articles 24, 25 and 27 and in so far as the saiddiplomas, certificates and other evidence of formal qualifications wereawarded before the date on which the host Member States stopped
awardingsuch diplomas, certificates and other evidence of 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 formalqualifications referred to in paragraph 6 are set out in Annex II.1993L0016 — EN — 22.06.1999 — 005.001 — 26
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CHAPTER V
USE OF ACADEMIC TITLE
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, 4, 6 and 9 have the right to use the lawful academic title or,
where appropriate, the abbreviation thereof, of their Member State oforigin or of the Member State from which they come, in the languagesof that State. Host Member States may require this title to be followedby the name and location of the establishment or examining board whichawarded it.
2. If the academic title used in the Member State of origin, or in the
Member State from which a foreign nationalcomes, can be confused in
the host Member State with a title requiring in that State additional
training which the person concerned has not undergone, the hostMember State may require such a person to use the title employed in theMember State of origin or the Member State from which he comes in asuitable form to be drawn up by the host Member State.
CHAPTER VI
PROVISIONS TO FACILITATE THE EFFECTIVE EXERCISE
OF THE RIGHT OF ESTABLISHMENT AND FREEDOM TOPROVIDE SERVICES IN RESPECT OF THE ACTIVITIES OF
DOCTORS
A. Provisions specifically relating to the right of establishment
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 time any activityof 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 from which the foreignnationalcomes, attesting that the requirements of the Member State as togood character or good repute for taking up the activity in question havebeen met.
2. Where the Member State of origin or the Member State from
which the foreign nationalcomes does not require proof of goodcharacter or good repute of persons wishing to take up the activity in
question for the first time, the host Member State may require of
nationals of the Member State of origin or of the Member State fromwhich the foreign nationalcomes an extract from the judicialrecord or,failing this, an equivalent document issued by a competent authority inthe Member State of origin or the Member State from which the foreignnationalcomes.
3. If the host Member State has detailed knowledge of a serious
matter which has occurred, prior to the establishment of the person
concerned in that State, outside its territory and which is likely to affect
the taking up within its territory of the activity concerned, it may informthe Member State of origin or the Member State from which the foreignnationalcomes.
The Member State of origin or the Member State from which the foreign
national comes shall verify the accuracy of the facts. Its authorities shalldecide on the nature and extent of the investigation to be made and shallinform the host Member State of any consequentialaction 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 — 22.06.1999 — 005.001 — 27
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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 criminaloffences and rel ating to the pursuit of any of the
activities of a doctor, the Member State of origin or the Member State
from which the foreign nationalcomes shal lforward to the host MemberState all necessary information regarding measures or disciplinary actionof a professionalor administrative nature taken in respect of the personconcerned or criminalpenal ties imposed on him when pursuing hisprofession 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 which the foreignnationalcomes.
The Member State of origin or the Member State from which the foreign
national comes shall verify the accuracy of the facts. Its authorities shall
decide on the nature and extent of the investigation to be made and shallinform the host Member State of any consequentialaction which theytake with regard to the information which they have forwarded inaccordance 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 physicalor mentalhealth, that State shall accept as sufficient evidence thereof thepresentation of the document required in the Member State of originor the Member State from which the foreign nationalcomes.
Where the Member State of origin or the Member State from which the
foreign nationalcomes does not impose any requirements of this natureon those wishing to take up or pursue 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 upon thetermination 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 — 22.06.1999 — 005.001 — 28
▼B
Article 16
Where a host Member State requires its own nationals wishing to take
up or pursue 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 ordeclaration is offered to the person concerned.
B. Special provisions relating to the provision of services
Article 17
1. Where a Member State requires of its own nationals wishing to
take up or pursue any activity of a doctor, an authorization ormembership of, or registration with, a professionalorganization 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 he
shall be subject to the rules of conduct of a professional oradministrative nature which apply in that Member State.
For this purpose and in addition to the declaration provided for in
paragraph 2 relating to the services to be provided, Member States may,so as to permit the implementation of the provisions relating toprofessionalconduct in force in their territory, require either automatic
temporary registration or pro forma membership of a professional
organization or body or, as an alternative, registration, provided thatsuch registration or membership does not delay or in any waycomplicate the provision of services or impose any additional costs onthe 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 these
provisions, it shall forthwith inform the Member State where the person
concerned is established.
2. The host Member State may require the person concerned to make
a prior declaration to the competent authorities concerning the provisonof 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 documents containing 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 isestablished,
— 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 referredto 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 withdrawalof the certificate referred to in the second indentof paragraph 3.
Article 18
Where registration with a public social security body is required in a
host Member State for the settlement with insurance bodies of accounts1993L0016 — EN — 22.06.1999 — 005.001 — 29
▼B
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 cases of
provision of services entailing travel on the part of the person concerned.
However, the persons concerned shall supply information to this body in
advance, or, in urgent cases, subsequently, concerning the servicesprovided.
C. Provisions common to the right of establishment and freedom to
provide services
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 other
Member 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 qualification andshall 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 inArticles 4, 6 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 the
host Member State.
For this purpose Member States may set up information centres from
which such persons may obtain the necessary information. In the case ofestablishment, the host Member States may require the beneficiaries tocontact 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 thehost country.
Article 21
Member States which require their own nationals to complete a
preparatory training period in order to become eligible for appointment
as a doctor of a socialsecurity scheme may impose the samerequirement on nationals of the other Member States for a period offive years beginning 20 June 1975. The training period may not,however, exceed six 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 down inTitle III.1993L0016 — EN — 22.06.1999 — 005.001 — 30
▼B
TITLE III
COORDINATION OF PROVISIONS LAID DOWN BY LAW,
REGULATION OR ADMINISTRATIVE ACTION IN RESPECT
OF ACTIVITIES OF DOCTORS
Article 23
1. The Member States shall require persons wishing to take up and
pursue a medical profession to hold a diploma, certificate or other
evidence of formal qualifications in medicine referred to in Article 3which guarantees that during his complete training period the personconcerned 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 of
scientifically 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 ofhealth and physical and social surroundings of the human being;
(c) adequate knowledge of clinical disciplines and practices, providing
him with a coherent picture of mentaland physicaldiseases, ofmedicine from the points of view of prophylaxis, diagnosis andtherapy and of human reproduction;
(d) suitable clinical experience in hospitals under appropriate super-
vision.
2. A complete period of medical training of this kind shall comprise
at least a six-year course or 5 500 hours of theoretical and practicalinstruction given in a university or under the supervision of a university.
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 theuniversities 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 ofthe 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 respectof their own territory to authorize holders of diplomas, certificates or
other evidence of formalqual ifications which have not been obtained in
a Member State to take up and pursue the activities of a doctor.
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; thetraining leading to the award of the diploma, certificate or otherevidence of specialization in dental, oral and maxillo-facial surgery
(basis medical and dental training) also entails the successful
completion of the training course as a dental practitioner referred toin Article 1 of Council Directive 78/687/EEC of 25 July 1978concerning the coordination of provisions laid down by law,regulation or administrative action in respect of the activities ofdentalpractitioners (
1);
(b) it shall comprise theoretical and practical instruction;
(c) it shall be a full-time course supervised by the competent authorities
or bodies pursuant to point 1 of Annex I;1993L0016 — EN — 22.06.1999 — 005.001 — 31
(1) OJ No L 233, 24. 8. 1978, p. 10.
▼B
(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 theestablishments 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 evidence of
formal qualifications in medicine referred to in Article 23. Issue of thediploma, certificate or other evidence of specialization in dental, oraland maxillo-facial surgery (basic medical and dental training) is alsosubject 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 decisions inaccordance with paragraph 3, Member States may permit part-timespecialist training, under conditions approved by the competent nationalauthorities, 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-timetraining. This standard of training shall not be impaired, either by itspart-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, inthe light of a re-examination of the situation and on a proposal by theCommission, with due regard to the fact that the possibility of part-timetraining should continue to exist in certain circumstances to be examinedspecialty 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 shall ensure that the minimum length of the specialized
training courses mentioned below may not be less than the following:
First group (five years):— generalsurgery
— neuro-surgery
— internalmedicine
— urology— orthopaedics;
Second group (four years):
— gynaecology and obstetrics
— paediatrics
— pneumo-phthisiology— pathological anatomy— neurology— psychiatry
— diagnostic radiology
— radiotherapy1993L0016 — EN — 22.06.1999 — 005.001 — 32
▼M4
▼B
Third group (three years):
— anaesthesiology and reanimation
— opthhalmology
— otorhinoloaryngology.
The list of the minimum lengths of the specialized training courses
referred to in this Article shall be amended in accordance with the
procedure laid down in Article 44a (3).
Article 27
Member States which have laid down provisions by law, regulation and
administrative action in this field shall ensure that the minimum length
of the specialized training courses mentioned below may not be less thanthe following:
First group (five years):— plastic surgery
— horacic surgery
— vascular surgery— neuro-psychiatry
— paediatric surgery
— gastroenterological surgery— maxillo-facial surgery (basic medical training)
— accident and emergency medicine
Second group (four years):
— cardiology
— gastroenterology
— rheumatology
— clinical biology— radiology
— tropicalmedicine
— pharmacology
— child psychiatry— microbiology-bacteriology
— occupationalmedicine
— biological chemistry— immunology
— dermatology
— venereology— geriatrics
— renaldiseases
— contagious diseases— community medicine
— biological haematology
— nuclear medicine— dental, oral and maxillo-facial surgery (basic medical and dental
training);
— clinical neurophysiology1993L0016 — EN — 22.06.1999 — 005.001 — 33
▼M1
▼B
▼M3
▼B
▼M4
▼B
▼M3
▼B
Third group (three years):
— generalhaematol ogy
— endocrinology— physiotherapy— stomatology— dermato-venereology
— allergology.
The list of the minimum lengths of the specialized training courses
referred to in this Article shall be amended in accordance with theprocedure laid down in Article 44a (3).
Article 28
As a transitionalmeasure and notwithstanding Articl es 24 (1) (c) and 25,
Member States whose provisions, laid down by law, regulation, or
administrative action, provided for part-time specialist training on 20June 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,certificates and other evidence of formalqual ifications, an attestationcertifying that for at least three consecutive years out of the five yearspreceding the issue of the attestation they have in fact been lawfully
practising as specialists in the field concerned.
Article 29
As a transitionalmeasure and notwithstanding Articl e 24 (2):
(a) as regards Luxembourg, and in respect only of the Luxembourg
diplomas covered by the law of 1939 of Luxembourg on theconferring of academic and university degrees, the issue of acertificate as a specialist shall be conditional simply upon thepossession of the diploma of doctor of medicine, surgery and
obstetrics awarded by the Luxembourg State Examining Board;
(b) as regards Denmark, and in respect only of the Danish diplomas of
medicalpractitioners required by l aw awarded by a Danish
university faculty of medicine in accordance with the decree ofthe Ministry of the Interior of 14 May 1970, the issue of a certificateas specialist shall be conditional simply upon the possession of theabovementioned diplomas.
The diplomas referred to under (a) and (b) may be awarded to candidates
who began their training before 20 December 1976.
TITLE IV
SPECIFIC TRAINING IN GENERAL MEDICAL PRACTICE
Article 30
Each Member State which dispenses the complete training referred to in
Article 23 within its territory shall institute specific training in generalmedical practice meeting requirements at least as stringent as those laiddown in Articles 31 and 32, in such a manner that the first diplomas,
certificates or other evidence of formalqual ifications awarded on
completion of the course are issued not later than 1 January 1990.
Article 31
1. The specific training in generalmedicalpractice 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 course referredto in Article 23;1993L0016 — EN — 22.06.1999 — 005.001 — 34
▼M1
▼B
▼B
(b) it shall be a full-time course lasting at least two 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 an approved generalmedicalpractice or in an approved centre where doctors provideprimary care; it shall be carried out in contact with other healthestablishments or structures concerned with general medicalpractice; however, without prejudice to the aforesaid minimum
periods, the practicalinstruction may be given for a maximum
period of six months in other approved health establishments orstructures concerned with generalmedicalpractice;
(d) it shall entail the personal participation of the trainee in the
professionalactivities and responsibil ities of the persons with whomhe works.
2. Member States shall be entitled to defer application of the
provisions of paragraph 1 (c) relating to minimum periods of instructionuntil1 January 1995 at the l atest.
3. Member States shall make the issue of diplomas, certificates, or
other evidence of formalqual ifications awarded after specific training ingeneralmedicalpractice, conditionalupon the candidate's hol ding oneof the diplomas, certificates or other evidence of formal qualificationsreferred to in Article 3.
Article 32
If, at 22 September 1986, a Member State was providing training in
generalmedicalpractice by means of experience in generalmedical
practice acquired by the medicalpractitioner in his own surgery under
the supervision of an authorized training supervisor, that Member Statemay retain this type of training on an experimentalbasis on conditionthat:
— it complies with Article 31 (1) (a) and (b), and (3);
— its duration is equalto twice the difference between the period l aid
down in Article 31 (1) (b) and the sum of the periods laid down in
the third indent hereof,
— it involves a period in an approved hospital or clinic with suitable
equipment and services and a period in an approved generalmedicalpractice or in an approved centre where doctors provide primary
care; as from 1 January 1995, each of these periods shall be of at
least six months' duration.
Article 33
On the basis of experience acquired, and in the light of developments in
training in generalmedicalpractice, the Commission shal lsubmit to theCouncil, by 1 January 1996 at the latest, a report on the implementationof Articles 31 and 32 and suitable proposals in order to achieve furtherharmonization of the training of generalmedicalpractitioners.
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-timetraining in general medical practice in addition to full-time trainingwhere the following particular conditions are met:
— the totalduration 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 60 %
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 hospitalor cl inic and for1993L0016 — EN — 22.06.1999 — 005.001 — 35
▼B
the traininggiven in an approved medicalpractice or in an approved
centre where doctors provide primary care. These full-time trainingperiods shall be of sufficient number and duration as to provide
adequate preparation for the effective exercise of generalmedical
practice.
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 other evidence
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 formalqualification referred to in Article 30 to a medical practitioner who
has not completed the training referred to in Articles 31 and 32 but who
holds a diploma, certificate or other evidence of formal qualificationissued by the competent authorities of a Member State, attesting tocompletion of another additional training course; however, the MemberStates may issue such diploma, certificate or other evidence of formal
qualification only if it attests to a level of skill equivalent to that reached
on completion 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 alreadycompleted by the candidate and his professional experience may be
taken into account in place of the training referred to in Articles 31 and
32.
Member States may issue the diploma, certificate or other evidence of
formal qualification referred to in Article 30 only if the candidate has
acquired at least six months' experience in general medical practice in a
generalmedicalpractice 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 general
medicalpractice under its nationalsocialsecurity scheme conditionalonpossession 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 generalmedicalpractice.
2. Each Member State shall specify the acquired rights that it
recognizes. However, it shall recognize the right to exercise theactivities of generalmedicalpractitioner under its nationalsocial
security scheme without the diploma, certificate or other evidence of
formal qualification referred to in Article 30 as having been acquired byall those doctors who on 31 December 1994 possess such a rightpursuant to Articles 1 to 20 and who are established on its territory onthat date by 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 the trainingreferred to in Article 23 in another Member State shall be able toestablish himself in practice on its territory until 31 December 1994 andto practise under its nationalsocialsecurity scheme by virtue of Articl e
2 or 9 (1).
4. The competent authorities of each Member State shall issue on
request a certificate granting doctors possessing acquired rights by virtueof paragraph 2 the right to practise as generalmedicalpractitionersunder its nationalsocialsecurity scheme without the dipl oma, certificate
or other evidence of formal qualifications referred to in Article 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 generalpractitioners under a socialsecurity scheme to persons who do not1993L0016 — EN — 22.06.1999 — 005.001 — 36
▼B
possess diplomas, certificates or other formal evidence of medical
training and of specific training in generalmedicalpractice obtained inboth cases in a Member State, but who possess diplomas, certificates or
other evidence of either or both of these types of training obtained in a
non-member country.
Article 37
1. Each Member State shall recognize under its national social
security scheme, for the purposes of the exercise of the activities ofgeneralmedicalpractitioner, the dipl omas, certificates, or other evidence
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 the
diplomas, certificates or other evidence of formal qualifications which itissues itself, and which permit the exercise of the activities of generalmedicalpractitioner under its nationalsocialsecurity 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 havethe right to use in the host MemberState the professionaltitl e existing in that State and the abbreviationthereof.
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 abbreviation
thereof, of their Member State of origin or of the Member State fromwhich they come, in the language of that Member State. Host MemberStates may require this title to be followed by the name and location ofthe 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 nationalcomes, can be confused in the hostMember State with a title requiring, in that State, additional trainingwhich the person concerned has not undergone, the host Member Stateconcerned may require such person to use the title of the Member Stateof origin or of the Member State from which he comes 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 generalmedicalpractice, the Commission shal lsubmit to theCouncil by 1 January 1997 at the latest a report on the implementationof this Title and, if necessary, suitable proposals with a view to
appropriate training for every generalmedicalpractitioner in order to
satisfy requirements of generalmedicalpractice. The Councilshal lacton 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 Article
30, 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 formalqual ifications and, where appropriate, the profes-sionaltitl e in question.1993L0016 — EN — 22.06.1999 — 005.001 — 37
▼B
TITLE V
FINAL PROVISIONS
Article 42
Member States shall designate the authorities and bodies competent to
issue or receive the diplomas, certificates and other evidence of formal
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 43
Where a Member State encounters major difficulties in certain fields,
when applying this Directive, the Commission shall examine thesedifficulties in conjunction with that State and shall request the opinion of
the Committee of Senior Officials on Public Health set up by Decision
No 75/365/EEC (
1).
When necessary, the Commission shall submit appropriate proposals to
the Council.
Article 44
The Directive listed in Annex III, Part A, are hereby repealed, without
prejudice to the obligations of the Member States concerning thedeadlines 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 correlation table inAnnex 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 Officials
on Public Health, set up under Decision 75/365/EEC (
2).
2. The representative of the Commission shall submit to the
committee a draft of the measures to be taken. The committee shalldeliver its opinion on the draft, within a time limit which the chairmanmay lay down according to the urgency of the matter, if necessary bytaking a vote.
The opinion shall be recorded in the minutes; in addition, each Member
State shall have the right to ask to have its position recorded in the
minutes.
The Commission shall take the utmost account of the opinion delivered
by the committee. It shall inform the committee of the manner in whichits opinion has been taken into account.
3. The representative of the Commission shall submit to the
committee a draft of the measures to be taken. The committee shall
deliver its opinion on the draft within a time limit which the chairmanmay lay down according to the urgency of the matter. The opinion shallbe delivered by the majority laid down in Article 148 (2) of the Treaty inthe case of decisions which the Councilis required to adopt on aproposalfrom the Commission. The votes of the representatives of the
Member States within the committee shall be weighted in the manner set
out in that Article. The chaiman shall not vote.
The Commission shall adopt measures which apply immediately.
However, if these measures are not in accordance with the opinion ofthe committee, they shall be communicated by the Commission to theCouncilforthwith.1993L0016 — EN — 22.06.1999 — 005.001 — 38
(1) OJ No L 167, 30. 6. 1975, p. 19.
(2) 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).▼M1
▼M1
In that event:
(a) the Commission shall defer application of the measures which it has
decided for a period of two months from the date of such
communication;
(b) the Council, acting by a qualified majority, may take a different
decision within the time limit referred to in point (a).
Article 45
This Directive is addressed to the Member States.1993L0016 — EN — 22.06.1999 — 005.001 — 39
▼B
▼B
ANNEX I
Characteristics of the full-time and part-time training of specialists as
referred to in Articles 24 (1) (c) and 25
1.Full-time training of specialists
Such training shall be carried out in specific posts recognized by the
competent 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 professionalactivity throughout the duration of the standard working week and throughout
the year according to provisions agreed by the competent authorities.
Accordingly these posts shall be subject to appropriate remuneration.
Training may be interrupted for reasons such as military service, secondment,
pregnancy or sickness. The totalduration of the training shal lnot 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 — 22.06.1999 — 005.001 — 40
▼B
ANNEX II
Dates from which certain Member States repealed the provisions laid down by law, regulation or
administrative action concerning the award of diplomas, certificates and other evidence of formal
qualifications referred to in Article 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
Tropicalmedicine: 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 — 22.06.1999 — 005.001 — 41
▼B
ANNEX III
Part A
Repealed Directives
(referred to in Article 44)
1. Directive 75/362/EEC
2. Directive 75/363/EECand 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
Deadlines for transposition into national law
(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 1991
86/457/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 necessaryto apply Articles 2 to 5 of Directive75/363/EEC (Articles 24 to 27 of this Directive) by
3 April1992 (Directive 90/658/EEC, Articl e 2).1993L0016 — EN — 22.06.1999 — 005.001 — 42
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 2Article 3 Article 3Article 4 Article 4Article 5 Article 5Article 6 Article 6Article 7 Article 7Article 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 — 22.06.1999 — 005.001 — 43
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
Article 27 Article 5Article 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 — 22.06.1999 — 005.001 — 44