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"BCOUNCIL 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:
Official Journal
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
Amended by:
"A1 Act of Accession of Austria, Sweden and Finland C 241 21 29.8.1994
(adapted by Council Decision 95/1/EC, Euratom, ECSC) L 1 1 1.1.19951993L0016 — EN — 25.10.1997 — 002.001 — 1
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 proposal from the Commission,In cooperation with the European Parliament (
1),
Having regard to the opinion of the Economic and Social Committee (2),
Whereas Council Directives 75/362/EEC of 16 June 1975 concerning the
mutual recognition of diplomas, certificates and other evidence of formal
qualifications in medecine, including measures to facilitate the effective
exercise of the right of establishment and freedom to provide services (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, the
said Directives should be consolidated; whereas it is in addition
advisable, by grouping together the said Directives in a single text, to
incorporate therein Council Directive 86/457/EEC of 15 September 1986
on specific training in general medical practice (5);
Whereas, pursuant to the Treaty, all discriminatory treatment based on
nationality with regard to establishment and provision of services is
prohibited as from the end of the transitional period; whereas the
principle of such treatment based on nationality applies in particular to
the grant of any authorization required to practise as a doctor and also to
the registration with, or membership of, professional organizations or
bodies;
Whereas it nevertheless seems desirable that certain provisions be
introduced to facilitate the effective exercise of the right of establishment
and freedom to provide services in respect of the activities of doctors;
Whereas, pursuant to the Treaty, the Member States are required not to
grant any form of aid likely to distort the conditions of establishment;
Whereas Article 57 (1) of the Treaty provides that directives be issued
for mutual recognition of diplomas, certificates and other evidence of
formal qualifications; whereas the aim of this Directive is the
recognition of diplomas, certificates and other evidence of formal
qualifications whereby activities in the field of medicine can be taken up
and pursued and the recognition of diplomas, certificates and other
evidence 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 technical amendments necessary in order to take into account, in
particular, the changes in the titles of diplomas, certificates and other
evidence of formal qualifications in these professions or in the!B
(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. 26.1993L0016 — EN — 25.10.1997 — 002.001 — 2
designation of certain medical specializations, as well as of the
establishment of certain new medical specializations or the discontinuing
of certain former specialization which have taken place in some Member
States;
Whereas it is advisable to make provision for measures relating to
acquired rights with regard to the mutual recognition of diplomas,
certificates and other evidence of formal qualifications in medicine
issued by the Member State and approving training which had
commenced before the implementation of this Directive;
Whereas, with regard to the possession of a formal certificate of training,
since a Directive on the mutual recognition of diplomas does not
necessarily imply equivalence in the training covered by such diplomas,
the use of such qualifications should be authorized only in the language
of the Member State of origin or of the Member State from which the
foreign national comes;
Whereas, to facilitate the application of this Directive by the national
authorities, Member States may prescribe that, in addition to formal
certificates of training, the person who satisfies the conditions of training
required by this Directive must provide a certificate from the competent
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, professional organizations or
bodies, 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 the
temporary nature of his activity; whereas this requirement should
therefore be abolished; whereas, however, in this event, control over
professional 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 person concerned
may be required to submit to the competent authority of the host Member
State particulars relating to the provision of services;
Whereas, with regard to the requirements relating to good character and
good repute, a distinction should be drawn between the requirements to
be satisfied on first taking up the profession and those to be satisfied to
practise it;
Whereas, with a view to mutual recognition of diplomas, certificates and
other evidence of formal qualifications in specialized medicine and in
order to put all members of the profession who are nationals of the
Member States on an equal footing within the Community, some
coordination of the requirements for training in specialized medicine
seems 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 given and
the place where it is to be carried out, as well as the supervision to which
it should be subject; whereas these criteria only concern the specialities
common to all the Member States or to two or more Member States;
Whereas the coordination of the conditions for the pursuit of these
activities, as envisaged by this Directive, does not exclude any
subsequent coordination;
Whereas the point has now been reached where it is almost universally
recognized that there is a need for specific training for the general
medical practitioner to enable him better to fulfil his function; whereas
this function, which depends to a great extent on the doctor’ s personal!B1993L0016 — EN — 25.10.1997 — 002.001 — 3
knowledge of his patients’ environment, consists of giving advice on the
prevention of illness and on the protection of the patients’ general health,
besides giving appropriate treatment;
Whereas this need for specific training in general medical practice has
emerged mainly as a result of the development of medical science, which
has increasingly widened the gap between medical research and teaching
on the one hand and general medical practice on the other, so that
important aspects of general medical practice can no longer be taught in
a satisfactory manner within the framework of the Member States’
current basis medical training;
Whereas, apart from the benefit to patients, it is also recognized that
improved training for the specific function of general medical
practitioner would contribute to an improvement in health care,
particularly by developing a more selective approach to the consultation
of specialists, use of laboratories and other highly specialized establish-
ments and equipment;
Whereas improved training for general medical practice will upgrade the
status of the general medical practitioner;
Whereas, although this situation seems irreversible, it has developed at
different rates in the various Member States; whereas it is desirable to
ensure that the various trends converge in successive stages, without
however forcing the pace, with a view to appropriate training for every
general medical practitioner in order to satisfy the specific requirements
of general medical practice;
Whereas, to ensure the gradual introduction of this reform, it is necessary
in an initial stage to institute in each Member State specific training in
general medical practice which satisfies minimum quality and quantitiy
requirements, and supplements the minimum basic training which
medicalpractitioners must receive in accordance with this Directive;
whereas it is immaterial whether this training in general medical practice
is received as part of, or separately from, basic medical training as laid
down nationally; whereas, in a second stage, provision should be made to
subject the exercise of general medical practice under a social security
scheme to completion of specific training in general medical practice;
whereas further proposals to complet the reform should subsequently be
put forward;
Whereas this Directive does not affect the power of the Member States to
organize their national security schemes and to determine what activities
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 other evidence
of formal qualifications certifying completion of specific training in
general medical practice will render possible the mutual recognition of
these diplomas, certificates or other evidence of formal qualifications by
the Member States;
Whereas, pursuant to this Directive, a host Member State is not entitled
to require medical practitioners, in possession of diplomas obtained in
another Member State and recognized pursuant to this Directive, to
complete any additional training in order to practise within its social
security scheme, even where such training is required of holders of
diplomas of medicine obtained in its own territory; whereas this
consequence of this Directive will remain in effect as regards the
exercise of general medical practice under social security schemes until 1
January 1995, from which date this Directive requires all Member States
to make the exercise of general medical practice in the context of their
social security schemes subject to the possession of specific training in
general medical practice; whereas medical practitioners established in
practice before that date pursuant to this Directive must have an acquired
right to practise as general medical practitioners under the national social
security scheme of the host country even if they have not completed
specific training in general medical practice;!B1993L0016 — EN — 25.10.1997 — 002.001 — 4
Whereas the coordination envisaged by this Directive covers the
professional training of doctors, whereas, as far as training is concerned,
most Member States do not at present distinguish between doctors who
pursue their activities as employed persons and those who are
self-employed; whereas rules relating to good character or good repute,
professional discipline or use of title for the professions covered are or
may be applicable, depending on the individual Member States, both to
employed and self-employed persons; whereas the activities of doctors
are subject in all Member States to possession of a diploma, certificate or
other evidence of formal qualification in medicine; whereas such
activities are pursued by both employed and self-employed persons, or by
the same persons in both capacities in the course of their professional
career; whereas, in order to encourage as far as possible the free
movement of those professional persons within the Community, it
therefore appears necessary to extend this Directive to employed doctors;
Whereas, this Directive must not affect the obligations of the Member
States concerning the deadlines for transposition set out in Annex III,
Part B,
HAS ADOPTED THIS DIRECTIVE:
TITLE I
SCOPE
Article 1
This Directive shall apply to the activities of doctors working in a
self-employed or employed capacity who are nationals of the Member
States.
TITLE II
MUTUAL RECOGNITION OF DIPLOMAS CERTIFICATES AND
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 States
by the other Member States in accordance with Article 23 and which are
listed in Article 3, by giving such qualifications, as far as the right to take
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 accouche-
ments — 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 of medicine, the
Central Examining Board or the State University Education
Examining Board;!B1993L0016 — EN — 25.10.1997 — 002.001 — 5
(b)in Denmark:
‘bevis for bestået lægevidenskabelig embedseksamen’ (diploma of
medical practitioner required by law) awarded by a university faculty
of medicine and ‘dokumentation for gennemført praktisk udd-
annelse’, (certificate of practical training issued by the competent
authorities of the health serivce);
(c)in Germany:
1. ‘Zeugnis über die ärztliche Staatsprüfung’ (the State examin-
ation certificate in medicine) awarded by the competent
authoriteis, ‘Zeugnis über die Vorbereitungszeit als Medizinal-
assistent’ (certificate stating that the preparatory period as
medical assistant has been completed) in so far as German law
still requires such a period to complete medical training;
2. ‘Zeugnis über die ärztliche Staatsprüfung’ (the State examin-
ation certificate in medicine) awarded by the competent
authorities after 30 June 1988 and the certificat attesting to the
practice of medicine during a period of practical training (‘Arzt
im Praktikum’);
(d)in Greece:
‘Πτυ/khiί/omikronΙατρικής»( 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 of
medicine, the university joint faculties of medicine and
pharmacy, or by the universities;
2. ‘diplôme duniversité de docteur en médicine’ (university
diploma of doctor of medicine) where that diploma certifies
completion 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 certificate
of experience granted by that body which give entitlement to
registration 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 the Minister
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);!B1993L0016 — EN — 25.10.1997 — 002.001 — 6
(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’ (diploma
confirming the completion of general internship), awarded by the
competent 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 examining body and a
certificate of experience granted by that body which give entitlement
to registration as a fully registered medical practitioner;
(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 of
practical 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 training
issued 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 accordance
withArticles 24, 25, 26, and 29 and which are listed in Article 5, by
giving such qualifications the same effect in its territory as those which
the Member State itself awards.
Article 5
1. The diplomas, certificates and other evidence of formal qualifi-
cations 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
qualifications recognized in the various Member States and listed in
paragraph 3.
2. The diplomas, certificates and other evidence of formal qualifi-
cations awarded by the competent authorities or bodies referred to in
paragraph 1 are as follows:
in Belgium:
‘titre d’agrégation en qualité de médecin spécialiste — erkenningstitel
van geneersheer specialist’ (formal evidence of having qualified as a
medical 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 of
the health service;!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 7
in Germany:
‘Fachärztliche Anerkennung’ (recognized certificate of medical special-
ist, issued by the ‘Landesärztekammer’ (Chambers of Physicians of the
Land concerned);
in Greece:‘Τίτλ/omikronςΙατρικήςΕιδικ/omikronacuteτητας»( certificate of medical specialization)
awarded by the ‘ Ν/omikronµαρ/khiίες»( 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 awarded
by 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 Specialisten-
register’ (certificate of recognition and registration in the Register of
Specialists, 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 registration
issued by the ‘Sociaal-Geneeskundigen Registratie-Commissie
(SGRC)’ (Board of Registration of Doctors of Social Medicine);
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 medical practitioners;
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;!B
!A11993L0016 — EN — 25.10.1997 — 002.001 — 8
in Finland:
‘todistus erikoislääkärin tutkinnosta — betyg över specialläkarexamen’
(certificate of the degree of specialist in medicine) issued by the
competent authorities;
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: αναισθησι/omikronλ/omikronγία
Spain: anestesiología y reanimación
France: anesthésiologie-réanimation chirurgicale
Ireland: anaesthetics
Italy: anestesia e rianimazione
Luxembourg: anesthésie-réanimation
Netherlands: anesthesiologie
Portugal: anestesiologia
United 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: /khiειρ/omikronυργική
Spain: cirugía general y del aparato digestivo
France: chirurgie générale
Ireland: general surgery
Italy: chirurgia generale
Luxembourg: chirurgie générale
Netherlands: heelkundePortugal: cirurgia geral
United Kingdom: general surgery
Austria: Chirurgie
Finland: kirurgia / kirurgi
Sweden: kirurgi,
—neurological surgery:
Belgium: neurochirurgie / neurochirurgie
Denmark: neurokirurgi eller kirurgiske nervesygdomme
Germany: Neurochirurgie
Greece: νευρ/omikron/khiειρ/omikronυργική
Spain: neurocirugia
France: neurochirurgie
Ireland: neurological surgeryItaly: neurochirurgia
Luxembourg: neurochirurgie
Netherlands: neurochirurgie
Portugal: neurocirurgia!A1
!B
!A1
!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 9
United Kingdom: neurological surgery
Austria: Neurochirurgie
Finland: neurokirurgia / neurokirurgi
Sweden: neurokirurgi,
—obstetrics and gynaecology:
Belgium: gynécologie-obstétrique /
gynecologie-verloskunde
Denmark: gynækologi og obstetrik eller kvindesygdomme
og fødselshjæelp
Germany: Frauenheilkunde und Geburtshilfe
Greece: µαιευτική-γυναικ/omikronλ/omikronγία
Spain: obstetricia y ginecología
France: gynécologie-obstétrique
Ireland: obstetrics and gynaecology
Italy: ostetricia e ginecologia
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: παθ/omikronλ/omikronγία
Spain: medicina interna
France: médecine interne
Ireland: general (internal) medicineItaly: medicina interna
Luxembourg: maladies internes
Netherlands: inwendige geneeskunde
Portugal: medicina interna
United Kingdom: general medicine
Austria: Innere Medizin
Finland: sisätaudit / inremedicin
Sweden: internmedicin,
—ophthalmology:
Belgium: ophtalmologie / oftalmologie
Denmark: oftalmologie eller øjensygdomme
Deutschland: Augenheilkunde
Griechenland: /omikronφθαλµ/omikronλ/omikronγία
Spanien: oftalmología
Frankreich: ophtalmologie
Ireland: ophtalmology
Italy: oculistica
Luxembourg: ophtalmologie
Netherlands: oogheelkunde
Portugal: oftalmologia!B
!A1
!B
!A1
!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 10
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-halssygdomme
Germany: Hals-Nasen-Ohrenheilkunde
Greece: ωτ/omikronριν/omikronλαρυγγ/omikronλ/omikronγία
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-laryngologi),
—paediatrics:
Belgium: pédiatrie / kindergeneeskunde
Denmark: pædiatri eller børnesygdomme
Germany: Kinderheilkunde
Greece: παιδιατρική
Spain: pediatría sus áreas específicas
France: pédiatrie
Ireland: paediatricsItaly: pediatria
Luxembourg: pédiatrie
Netherlands: kindergeneeskunde
Portugal: pediatria
United 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: φυµατι/omikronλ/omikronγία-πνευµ/omikronν/omikronλ/omikronγία
Spain: neumologia
France: pneumologie
Ireland: respiratory medicine
Italy: tisiologia e malattie dell’apparato respiratorio
Luxembourg: pneumo-phtisiologie
Netherlands: longziekten en tuberculose
Portugal: pneumologia!B
!A1
!B
!A1
!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 11
United Kingdom: respiratory medicine
Austria: Lungenkrankheiten
Finland: keuhkosairaudet / lungsjukdomar
Sweden: lungsjukdomar (pneumonologi),
—urology
Belgium: urologie / urologie
Denmark: urologi eller urinvejenes kirurgiske sygdomme
Germany: Urologie
Greece: /omikronυρ/omikronλ/omikronγία
Spain: urología
France: chirurgie urologique
Ireland: urology
Italy: urologia
Luxembourg: urologieNetherlands: urologie
Portugal: urologia
United Kingdom: urology
Austria: Urologie
Finland: urologia / urologi
Sweden: urologi,
—orthopaedics:
Belgium: orthopédie / orthopedie
Denmark: ortopædisk kirurgi
Germany: Orthopädie
Greece: /omikronρθ/omikronπεδική
Spain: traumatología y cirugía ortopédica
France: chirurgie orthopédique et traumatologieIreland: orthopaedic surgery
Italy: ortopedia e traumatologia
Luxembourg: orthopédie
Netherlands: orthopedie
Portugal: ortopedia
United Kingdom: 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
vævsundersøgelse
Germany: PathologieGreece: παθ/omikronλ/omikronγικήανατ/omikronµική
Spain: anatomía patológica
France: anatomie et cytologie pathologique
Ireland: morbid anatomy and histopathology
Italy: anatomia patologica
Luxembourg: anatomie pathologique
Netherlands: pathologische anatomie
Portugal: anatomia patológica!B
!A1
!B
!A1
!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 12
United Kingdom: morbid anatomy and histopathology
Austria: Pathologie
Finland: patologia / patologi
Sweden: klinisk patologi,
—neurology:
Belgium: neurologie / neurologie
Denmark: neuromedicin eller medicinske nervesygdomme
Germany: Neurologie
Greece: νευρ/omikronλ/omikronγία
Spain: neurologia
France: neurologie
Ireland: neurology
Italy: neurologia
Luxembourg: neurologieNetherlands: neurologie
Portugal: neurologia
United Kingdom: neurology
Austria: Neurologie
Finland: neurologia / neurologi
Sweden: neurologi,
—psychiatry:
Belgium: psychiatrie / psychiatrie
Denmark: psykiatri
Germany: Psychiatrie
Greece: ψυ/khiιατρική
Spain: psiquiatría
France: psychiatrieIreland: psychiatry
Italy: psichiatria
Luxembourg: psychiatrie
Netherlands: psychiatrie
Portugal: psiquiatria
United Kingdom: psychiatry
Austria: Psychiatrie
Finland: psykiatria / psykiatriSweden: psykiatri.
4. The list of designations in paragraph 3 shall be amended in
accordance with the procedure laid down in Article 44a (2).!B
!A1
!B
!A1
!B
!A1
!M11993L0016 — EN — 25.10.1997 — 002.001 — 13
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 listed
in Article 7, by giving such qualifications the same effect in its territory
as those which the Member State itself awards.
Article 7
1. The diplomas, certificates and other evidence of formal qualifi-
cations referred to in Article 6 shall be those which, having been awarded
by the competent authorities or bodies listed in Article 5 (2), correspond
for 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: patologia diagnostica di laboratorio
Portugal: patologia clínica
Austria: Medizinische Biologie,
—biological haematology:
Denmark: klinisk blodtypeserologi
France: hématologieLuxembourg: hématologie biologique
Portugal: hematologia clínica
Finland: hematologiset laboratoriotutkimukseth /
ematologiska laboratorieundersökningar,
—microbiology-bacteriology:
Denmark: klinisk mikrobiologi
Germany: Mikrobiologie und Infektionsepidemiologie
Greece: µικρ/omikron/betatwoι/omikronλ/omikronγία
Spain: microbiología y parasitología
Ireland: microbiology
Italy: microbiologia
Luxembourg: microbiologie
Netherlands: medische microbiologie
United Kingdom: medical microbiology
Austria: Hygiene und Mikrobiologie
Finland: kliininen mikrobiologia / klinisk mikrobiologiSweden: klinisk bakteriologi,!B
!A1
!B
!A1
!B
!A11993L0016 — EN — 25.10.1997 — 002.001 — 14
—biological chemistry:
Denmark: klinisk kemi
Spain: bioquímica clínica
Ireland: chemical pathologyLuxembourg: chimie biologique
Netherlands: klinische chemie
United Kingdom: chemical pathology
Austria: Medizinische und Chemische Labordiagnostik
Finland: kliininen kemia / klinisk kemi
Sweden: klinisk kemi,
—immunology:
Spain: inmunología
Ireland: clinical immunology
United Kingdom: immunology
Austria: Immunologie
Finland: immunologia / immunologi
Sweden: klinisk immunologi,
—plastic surgery:
Belgium: chirurgie plastique / plastische heelkunde
Denmark: plastikkirurgi
Greece: πλαστική/khiειρ/omikronυργική
Spain: cirurgía plástica y reparadora
France: chirurgie plastique, reconstructrice et esthétiqueIreland: plastic surgery
Italy: chirurgia plastica
Luxembourg: chirurgie plastique
Netherlands: plastische chirurgie
Portugal: cirurgia plástica e reconstrutiva
United Kingdom: plastic surgery
Austria: Plastische Chirurgie
Finland: plastiikkakirurgia / plastikkirurgiSweden: plastikkirurgi,
—thoracic surgery:
Belgium: chirurgie thoracique /
heelkunde op de thorax
Denmark: thoraxkirurgi eller brysthulens kirurgiske
sygdomme
Greece: /khiειρ/omikronυργικήθώρακ/omikronς
Spain: cirurgía torácica
France: chirurgie thoracique et cardio-vasculaire
Ireland: thoracic surgery
Italy: chirurgia toracica
Luxembourg: chirurgie thoracique
Netherlands: cardio-pulmonale chirurgie
Portugal: cirurgia cárdio-torácica
United Kingdom: thoracic surgery
Finland: thorax- ja verisuonikirurgia /
thorax- och kärlkirurgiafi!B
!A1
!B
!A1
!B
!A1
!B
!A11993L0016 — EN — 25.10.1997 — 002.001 — 15
Sweden: thoraxkirurgi,
—paediatric surgery:
Greece: /khiειρ/omikronυργικήπαίδων
Spain: cirurgía pediátrica
France: chirurgie infantile
Ireland: paediatric surgeryItaly: chirurgia pediatrica
Luxembourg: chirurgie pédiatrique
Portugal: cirurgia pediátrica
United Kingdom: paediatric surgery
Austria: Kinderchirurgie
Finland: lastenkirurgia / barnkirurgi
Sweden: barn- och ungdomskirurgi,
—vascular surgery:
Belgium: chirurgie des vaisseaux / bloedvatenheelkunde
Spain: angiología y cirugía vascular
France: chirurgie vasculaire
Italy: chirurgia vascolare
Luxembourg: chirurgie cardio-vasculairePortugal: cirurgia vascular,
—cardiology:
Belgium: cardiologie / cardiologie
Denmark: cardiologi eller hjerte-og-kredsløbssygdomme
Greece: καρδι/omikronλ/omikronγία
Spain: cardiología
France: pathologie cardio-vasculaire
Ireland: cardiology
Italy: cardiologia
Luxembourg: cardiologie et angiologie
Nederland: cardiologie
Portugal: cardiologia
United Kingdom: cardio-vascular disease
Finland: kardiologia / kardiologi
Sweden: kardiologi,
—gastro-enterology:
Belgium: gastro-entérologie / gastro-enterologie
Denmark: medicinsk gastroenterologi eller medicinske
mave-tarmsygdomme
Greece: γαστρεντερ/omikronλ/omikronγία
Spain: aparato digestivo
France: gastro-entérologie et hépatologie
Ireland: gastro-enterology
Italy: malattie dell’apparato digerente, della nutrizione
e del ricambio
Luxembourg: gastro-entérologie
Netherlands: gastro-enterologie
Portugal: gastrenterologia
United Kingdom: gastro-enterology
Finland: gastroenterologia / gastroenterologi!A1
!B
!A1
!B
!A1
!B
!A11993L0016 — EN — 25.10.1997 — 002.001 — 16
Sweden: medicinsk gastro-enterologi och hepatologi,
—rheumatology:
Belgium: rhumatologie / reumatologie
Denmark: reumatologi
Greece: ρευµατ/omikronλ/omikronγία
Spain: reumatologíaFrance: rhumatologie
Ireland: rheumatology
Italy: reumatologia
Luxembourg: rhumatologie
Netherlands: reumatologie
Portugal: reumatologia
United Kingdom: rheumatology
Finland: reumatologia / reumatologi
Sweden: reumatologi,
—general haematology:
Greece: αιµατ/omikronλ/omikronγία
Spain: hematología hemoterapia
Ireland: haematologyItaly: ematologia
Luxembourg: hématologie
Portugal: imuno-hemoterapia
United Kingdom: haematology
Finland: kliininen hematologia / klinisk hematologi
Sweden: hematologi,
—endocrinology:
Greece: ενδ/omikronκριν/omikronλ/omikronγία
Spain: endocrinología y nutrición
France: endocrinologie - maladies
Ireland: endocrinology and diabetes mellitus
Italy: endocrinologia
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: φυσικήιατρικήκαιαπ/omikronκατάσταση
Spain: rehabilitación
France: rééducation et réadaptation fonctionnelles
Italy: fisioterapia
Netherlands: revalidatie
Luxembourg: rééducation et réadaptation fonctionnellesPortugal: fisiatria
Austria: Physikalische Medizin!A1
!B
!A1
!B
!A1
!B
!A1
!B
!A11993L0016 — EN — 25.10.1997 — 002.001 — 17
Finland: fysiatria / fysiatri
Sweden: rehabiliteringsmedicin,
—stomatology:
Spain: estomatología
France: stomatologie
Italy: odontostomatologiaLuxembourg: stomatologie
Portugal: estomatologia,
—neuro-psychiatry:
Belgium: neuropsychiatrie / neuropsychiatrie
Germany: Nervenheilkunde (Neurologie und Psychiatrie)Greece: νευρ/omikronλ/omikronγία—ψυ/khiιατρική
France: neuropsychiatrie
Italy: neuropsichiatria
Luxembourg: neuropsychiatrie
Netherlands: zenuw - en zielsziekten,
—dermato-venereology:
Belgium: dermato-vénéréologie / dermato-venereologie
Denmark: dermato-venerologie eller hud- og
koønssygdomme
Germany: Dermatologie und Venerologie
Greece: δερµατ/omikronλ/omikronγία-αφρ/omikronδισι/omikronλ/omikronγία
Spain: dermatología médico-quirúrgica y venereología
France: dermatologie et vénéréologie
Italy: dermatologia e venerologiaLuxembourg: dermato-vénéréologie
Netherlands: dermatologie en venerologie
Portugal: dermatovenereologia
Austria: Haut- und Geschlechtskrankheiten
Finland: iho- ja sukupuolitaudit / hud- och
könssjukdomar
Sweden: hud- och könssjukdomar,
—dermatology:
Ireland: dermatology
United Kingdom: dermatology,
—venereology:
Ireland: venereology
United Kingdom: venereology,
—radiology:
Germany: Radiologie
Greece: ακτιν/omikronλ/omikronγία—ραδι/omikronλ/omikronγία
Spain: electrorradiología
France: électro-radiologie
Italy: radiologia
Luxembourg: électroradiologie
Netherlands: radiologie
Portugal: radiologia,
—diagnostic radiology:
Belgium: radiodiagnostic / röntgendiagnose
Denmark: diagnostisk radiologi eller - røntgenundersøgelse
Germany: Radiologische Diagnostik
Greece: ακτιν/omikronδιαγνωστική!A1
!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 18
Spain: radiodiagnóstico
France: radiodiagnostic et imagerie médicale
Ireland: diagnostic radiology
Luxembourg: radiodiagnostic
Netherlands: radiodiagnostiek
Portugal: radiodiagnóstico
United Kingdom: diagnostic radiology
Austria: Medizinische Radiologie-Diagnostik
Finland: radiologia / radiologiSweden: medicinsk radiologi,
—radiotherapy:
Belgium: radio- et radiumthérapie / radio- en
radiumtherapie
Denmark: terapeutisk radiologi eller stralebehandlingGermany: Strahlentherapie
Greece: ακτιν/omikronθεραπευτική
Spain: oncología radioterápica
France: oncologie, option radiothérapie
Ireland: radiotherapy
Luxembourg: radiothérapie
Netherlands: radiotherapie
Portugal: radioterapia
United Kingdom: radiotherapy
Austria: Strahlentherapie — Radio-onkologie
Finland: syöpätaudit ja sädehoito / cancersjukdomar och
radioterapi
Sweden: onkologi,
—tropical medicine:
Denmark: tropemedicin
Ireland: tropical medicine
Italy: medicina tropicale
Portugal: medicina tropical
United Kingdom: tropical medicine,
—child psychiatry:
Denmark: børnepsykiatri
Germany: Kinder- und Jugendpsychiatrie
Greece: παιδ/omikronψυ/khiιατρική
France: pédo-psychiatrie
Ireland: child and adolescent psychiatry
Italy: neuropsichiatria infantile
Luxembourg: 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!B
!A1
!B
!A1
!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 19
United Kingdom: geriatrics
Finland: geriatria / geriatri
Sweden: geriatrik,
—renal diseases:
Denmark: nefrologi eller medicinske nyresygdomme
Greece: νεφρ/omikronλ/omikronγία
Spain: nefrología
France: néphrologie
Ireland: nephrology
Italy: nefrologia
Luxembourg: néphrologie
Portugal: nefrologia
United Kingdom: renal disease
Finland: nefrologia / nefrologi
Sweden: medicinska njursjukdomar (nefrologi),
—communicable diseases:
Ireland: communicable diseases
Italy: malattie infettiveUnited Kingdom: communicable diseases
Finland: infektiosairaudet / infektionssjukdomar
Sweden: infektionssjukdomar,
—community medicine
France: santé publique et médecine sociale
Ireland: community medicine
United Kingdom: community medicine
Austria: Sozialmedizin
Finland: terveydenhuolto — hälsovård,
—pharmacology:
Germany: Pharmakologie
Spain: farmacología clínica
Ireland: clinical pharmacology and therapeutics
United Kingdom: clinical pharmacology and therapeutics
Austria: Pharmakologie und Toxikologie
Finland: kliininen farmakologia / klinisk farmakologiSweden: klinisk farmakologi,
—occupational medicine:
Denmark: samfundsmedicin/arbejdsmedicin
Germany: Arbeitsmedizin
Greece: ιατρικήτηςεργασίας
France: médecine du travail
Italy: medicina del lavoro
Ireland: occupational medicine
Netherlands: arbeids- en bedrijfsgeneeskunde
Portugal: medicina do trabalho!B
!A1
!B
!A1
!B
!A1
!B
!A1
!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 20
United Kingdom: occupational medicine
Austria: Arbeits- und Betriebsmedizin
Finland: työterveyshuolto / företagshälsovård
Sweden: yrkes- och miljömedicin,
—allergology:
Greece: αλλεργι/omikronλ/omikronγία
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 del aparato digestivo
France: chirurgie viscérale
Italy: chirurgia dell’apparato digerente
Finland: gastroenterologia / gastroenterologi,
—nuclear medicine:
Belgium: médecine nucléaire / nucleaire geneeskunde
Germany: Nuklearmedizin
Greece: πυρηνικήιατρική
Spain: medicina nuclear
Frankreich: médecine nucléaire
Italy: medicina nucleare
Netherlands: nucleaire geneeskunde
Portugal: medicina nuclear
United Kingdom: nuclear medicine
Austria: Nuklearmedizin
Finland: isotooppitutkimukset / isotopundersökningar,
—maxillo-facial surgery (basic medical training):
Spain: cirugía oral y maxilofacial
France: chirurgie maxillo-faciale et stomatologie
Italy: chirurgia maxillo-facciale,
—dental, oral and maxillo-facial surgery (basic medical and 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.!B
!A1
!B
!A1
!B
!A1
!B
!A1
!B
!A11993L0016 — EN — 25.10.1997 — 002.001 — 21
!M1
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 of specialist
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 national comes, may be required
by a host Member State to fulfil the conditions of training laid down in
respect of the speciality by its own law, regulation or administrative
action.
2. The host Member State shall, however, take into account, in whole or
in part, the training periods completed by the nationals referred to in
paragraph 1 and attested by the award of a diploma, certificate or other
evidence of formal training 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 the
host 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 the
person concerned on the basis of the diplomas, certificates and other
evidence of formal qualifications submitted, shall inform him of the
period of additional training required and of the fields to be covered by
it.
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 of formal
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 other
evidence of formal qualifications in 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,
accompanied by a certificate stating that those nationals have effectively
and lawfully been engaged in the activities in question for at least three
consecutive years during the five years prior to the date of issue of the
certificate.
2. Without prejudice to paragraph 4, in the case of nationals of Member
States whose diplomas, certificates and other evidence of formal
qualifications in specialized medicine do not satisfy the minimum
training requirements pursuant to Articles 24 to 27, each Member 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,!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 22
— 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 which
they come, stating that the holders have, in specialized medicine, been
engaged in activities in question for a period equivalent to twice the
difference 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 in
Title III, where these periods are not equal to the minimum training
periods 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 the
second subparagraph can only be determined by reference to the
minimum training period laid down by that State.
3. In the case of nationals of Member States whose diplomas,
certificates and other evidence of formal qualifications in medicine
attest to training received on the territory of the former German
Democratic Republic which does not satisfy all the minimum training
requirements laid down in Article 23, Member States other than
Germany shall recognize those diplomas, certificates and other evidence
of formal qualifications as being sufficient proof if:
— they attest to training commenced before German unification,— they entitle the holder to pursue the activities of a doctor throughout
the teritory of Germany under the same conditions as the
qualifications awarded by the competent German authorities and
referred to in 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 and
lawfully been engaged in the activities in question in Germany for at
least three consecutive years during the five years prior to the date of
issue of the certificate.
4. In the case of nationals of Member States whose diplomas,
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 minimum training
requirements laid down in Articles 24 to 27, Member States other than
Germany shall recognize those diplomas, certificates and other evidence
of formal qualifications as being sufficient proof if:
— they attest to training commenced before 3 April 1992, and— they permit the pursuit, as a specialist, of the activity in question
throughout the territory of Germany under the same conditions as the
qualifications awarded by the competent German authorities and
referred to in Articles 5 and 7.
They may, however, require that these diplomas, certificates or other
evidence of formal qualifications 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 period
equivalent to twice the difference between the period of specialized
training received on German territory and the minimum duration of
training laid down in Title III where they do not 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 formal qualifications in medicine or in
specialized medicine do not conform with the qualifications or
designations set out in Article 3, 5 or 7, each Member State shall!B
!A1
!B1993L0016 — EN — 25.10.1997 — 002.001 — 23
recognize as being sufficient proof the diplomas, certificates and other
evidence of formal qualifications awarded by those Member States,
accompanied by a certificate issued by the competent authorities or
bodies. The certificate shall state that these diplomas, certificates and
other evidence of formal qualifications in medicine or in specialized
medicine were awarded following training in accordance with the
provisons of Title III referred to, as appropriate, in Article 2, 4 or 6, and
are treated by the Member State which awarded them as the
qualifications 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 of
diplomas, certificates and other evidence of formal qualifications in
neuro-psychiatry, radiology, thoracic surgery, vascular surgery, gastro-
enterological surgery, biological haematology, physiotherapy or tropical
medicine and have taken measures relating to acquired rights on behalf
of their own nationals, shall recognize the right of nationals of the
Member States to benefit from those same measures, provided their
diplomas, certificates and other evidence of formal qualifications in
neuro-psychiatry, radiology, thoracic surgery, vascular surgery, gastro-
enterological surgery, biological haematology, physiotherapy or tropical
medicine fulfil the relevant conditions set out either in paragraph 2 of
this Article or in Articles 24, 25 and 27 and in so far as the said diplomas,
certificates and other evidence of formal qualifications were awarded
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 in
respect of the diplomas, certificates and other evidence of formal
qualifications referred to in paragraph 6 are set out in Annex II.
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 of
origin or of the Member State from which they come, in the languages of
that State. Host Member States may require this title to be followed by
the name and location of the establishment or examining board which
awarded it.
2. If the academic title used in the Member State of origin, or in the
Member State from which a foreign national comes, can be confused in
the host Member State with a title requiring in that State additional
training which the person concerned has not undergone, the host Member
State may require such a person to use the title employed in the Member
State of origin or the Member State from which he comes in a suitable
form to be drawn up by the host Member State.!B1993L0016 — EN — 25.10.1997 — 002.001 — 24
CHAPTER VI
PROVISIONS TO FACILITATE THE EFFECTIVE EXERCISE OF
THE RIGHT OF ESTABLISHMENT AND FREEDOM TO PRO-
VIDE 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 activity
of a doctor shall accept as sufficient evidence, in respect of nationals of
other Member States, a certificate issued by a competent authority in the
Member State of origin or in the Member State from which the foreign
national comes, attesting that the requirements of the Member State as to
good character or good repute for taking up the activity in question have
been met.
2. Where the Member State of origin or the Member State from which
the foreign national comes does not require proof of good character 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 from which the foreign national
comes an extract from the judicial record or, failing this, an equivalent
document issued by a competent authority in the Member State of origin
or the Member State from which the foreign national comes.
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 inform the Member
State of origin or the Member State from which the foreign national
comes.
The Member State of origin or the Member State from which the foreign
national comes shall verify the accuracy of the facts. Its authorities shall
decide on the nature and extent of the investigation to be made and shall
inform the host Member State of any consequential action which they
take with regard to the certificates or documents they have issued.
4. Member States shall ensure the confidentiality of the information
which is forwarded.
Article 12
1. Where, in a host Member State, provisions laid down by law,
regulation or administrative action are in force laying down requirements
as to good character or good repute including provisions for disciplinary
action in respect of serious professional misconduct or conviction of
criminal offences and relating to the pursuit of any of the activities of a
doctor, the Member State of origin or the Member State from which the
foreign national comes shall forward to the host Member State all
necessary information regarding measures or disciplinary action of a
professional or administrative nature taken in respect of the person
concerned or criminal penalties imposed on him when pursuing his
profession in the Member State of origin or in the Member State from
which he came.
2. If the host Member State has detailed knowledge of a serious matter
which has occurred, prior to the establishment of the person concerned 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 foreign national
comes.!B1993L0016 — EN — 25.10.1997 — 002.001 — 25
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 shall
inform the host Member State of any consequential action which they
take with regard to the information which they have forwarded in
accordance with paragraph 1.
3. Member States shall ensure the confidentiality of the information
which is forwarded.
Article 13
Where a host Member State requires of its own nationals wishing to take
up or pursue any activity of a doctor, a certificate of physical or mental
health, that State shall accept as sufficient evidence thereof the
presentation of the document required in the Member State of origin
or the Member State from which the foreign national comes.
Where the Member State of origin or the Member State from which the
foreign national comes does not impose any requirements of this nature
on those wishing to take up or pursue the activity in question, the host
Member 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 be
completed as soon as possible and not later than three months after
presentation of all the documents relating to such person, without
prejudice to delay resulting from any appeal that may be made upon the
termination of this procedure.
2. In the cases referred to in Articles 11 (3) and 12 (2), a request for
re-examination shall suspend the period laid down in paragraph 1.
The Member State consulted shall give its reply within a period of three
months.
On receipt of the reply or at the end of the period the host Member State
shall continue with the procedure referred to in paragraph 1.
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 a
solemn declaration and where the form of such an oath or declaration
cannot be used by nationals of other Member States, that Member State
shall ensure that an appropriate and equivalent form of oath or
declaration 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 or membership of,
or registration with, a professional organization or body, that Member
State shall in the case of the provision of services exempt the nationals of
Member States from that requirement.!B1993L0016 — EN — 25.10.1997 — 002.001 — 26
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 or administrative
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 to
professional conduct 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 that such
registration or membership does not delay or in any way complicate the
provision of services or impose any additional costs on the person
providing the services.
Where a host Member State adopts a measure pursuant to the second
subparagraph or becomes aware of facts which run counter to 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 provison of
his services where they involve a temporary stay in its territory.
In urgent cases this declaration may be made as soon as possible after the
services have been provided.
3. Pursuant to paragraphs 1 and 2, the host Member State may require
the person concerned to supply one or more 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 is
established,
— a certificate that the person concerned holds one or other of the
diplomas, certificates or other evidence of formal qualification
appropriate for the provison of the services in question and referred
to in this Directive.
4. The document or documents specified in paragraph 3 may not be
produced more than 12 months after their date of issue.
5. Where a Member State temporarily or permanently deprives, in
whole or in part, the right of one of its nationals or of a national of
another Member State established in its territory to pursue one of the
activities of a doctor, it shall, as appropriate, ensure the temporary or
permanent withdrawal of the certificate referred to in the second indent
of 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 accounts
relating to services rendered to persons insured under social security
schemes, that Member State shall exempt nationals of Member States
established 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 services
provided.!B1993L0016 — EN — 25.10.1997 — 002.001 — 27
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 State
which, in that State, corresponds to those conditions of qualification and
shall use the abbreviated title.
The first paragraph shall also apply to the use of professional titles of
specialist doctors by those who fulfil the conditions laid down in Articles
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 social security
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 of
establishment, the host Member States may require the beneficiaries to
contact these centres.
2. Member States may set up the centres referred to in paragraph 1
within the competent authorities and bodies which they must designate.
3. Member States shall see to it that, where appropriate, the persons
concerned acquire, in their interest and in that of their patients, the
linguistic knowledge necessary to the exercise of their profession in the
host country.
Article 21
Member States which require their own nationals to complete a
preparatory training period in order to become eligible for appointment
as a doctor of a social security scheme may impose the same requirement
on nationals of the other Member States for a period of five 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 formal
qualifications issued in that other Member State and referred to in
Chapters I to IV of Title II and also confirmation of the fact that the
person concerned has fulfilled all the training requirements laid down in
Title III.
TITLE III
COORDINATION OF PROVISIONS LAID DOWN BY LA W,
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 3!B1993L0016 — EN — 25.10.1997 — 002.001 — 28
which guarantees that during his complete training period the person
concerned has acquired:
(a) adequate knowledge of the sciences on which medicine is based and
a good understanding of the scientific methods including the
principles 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 of
health and physical and social surroundings of the human being;
(c) adequate knowledge of clinical disciplines and practices, providing
him with a coherent picture of mental and physical diseases, of
medicine from the points of view of prophylaxis, diagnosis and
therapy 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 practical
instruction 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 the
universities of a Member State for the course of study concerned.
4. In the case of persons who started their training before 1 January
1972, the training referred to in paragraph 2 may include six months’
full-time practical training at university level under the supervision of the
competent authorities.
5. Nothing in this Directive shall prejudice any facility which may be
granted in accordance with their own rules by Member States in respect
of their own territory to authorize holders of diplomas, certificates or
other evidence of formal qualifications 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 specialized
medicine, 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; the
training leading to the award of the diploma, certificate or other
evidence 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 to
in Article 1 of Council Directive 78/687/EEC of 25 July 1978
concerning the coordination of provisions laid down by law,
regulation or administrative action in respect of the activities of
dental practitioners (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;
(d) it shall be in a university centre, in a teaching hospital or, where
appropriate, in a health establishment approved for this purpose by
the competent authorities or bodies;
(e) it shall involve the personal participation of the doctor training to be
a specialist in the activity and in the responsibilities of the
establishments concerned.!B
(1) OJ No L 233, 24. 8. 1978, p. 10.1993L0016 — EN — 25.10.1997 — 002.001 — 29
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 the
diploma, certificate or other evidence of specialization in dental, oral and
maxillo-facial surgery (basic medical and dental training) is also subject
to possession of one of the diplomas, certificates or other evidence of
qualifications as a dental practitioner referred to in Article 1 of Directive
78/687/EEC.
Article 25
1. Without prejudice to the principle of full-time training as set out in
Article 24 (1) (c), and until such time as the Council takes decisions in
accordance with paragraph 3, Member States may permit part-time
specialist training, under conditions approved by the competent national
authorities, when training on a full-time basis would not be practicable
for well-founded individual reasons.
2. Part-time training shall be given in accordance with point 2 of Annex
I hereto and at a standard qualitatively equivalent to full-time training.
This standard of training shall not be impaired, either by its part-time
nature or by the practice of private, remunerated professional activity.
The total duration of specialized training may not be curtailed in those
cases where it is organized on a part-time basis.
3. The Council shall decide, not later than 25 January 1989, whether
the provisions of paragraphs 1 and 2 are to be maintained or amended, in
the light of a re-examination of the situation and on a proposal by the
Commission, with due regard to the fact that the possibility of part-time
training should continue to exist in certain circumstances to be examined
specialty by specialty.
Part-time specialist training begun before 1 January 1983 may be
completed in accordance with the provisions in effect before this date.
Article 26
Member States shall ensure that the minimum length of the specialized
training courses mentioned below may not be less than the following:
First group (five years):
— general surgery— neuro-surgery— internal medicine— urology— orthopaedics;
Second group (four years):
— gynaecology and obstetrics— paediatrics— pneumo-phthisiology— pathological anatomy— neurology— psychiatry
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).!B
!M11993L0016 — EN — 25.10.1997 — 002.001 — 30
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 than
the following:
First group (five years):
— plastic surgery— horacic surgery— vascular surgery— neuro-psychiatry— paediatric surgery— gastroenterological surgery— maxillo-facial surgery (basic medical training)
Second group (four years):
— cardiology— gastroenterology— rheumatology— clinical biology— radiology— diagnostic radiology— radiotherapy— tropical medicine— pharmacology— child psychiatry— microbiology-bacteriology— occupational medicine— biological chemistry— immunology— dermatology— venereology— geriatrics— renal diseases— contagious diseases— community medicine— biological haematology— nuclear medicine— dental, oral and maxillo-facial surgery (basic medical and dental
training);
Third group (three years):
— general haematology— 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 the
procedure laid down in Article 44a (3).!B
!M11993L0016 — EN — 25.10.1997 — 002.001 — 31
Article 28
As a transitional measure and notwithstanding Articles 24 (1) (c) and 25,
Member States whose provisions, laid down by law, regulation, or
administrative action, provided for part-time specialist training on 20
June 1975, may continue to apply these provisions to candidates who
have 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 formal qualifications, an attestation
certifying that for at least three consecutive years out of the five years
preceding the issue of the attestation they have in fact been lawfully
practising as specialists in the field concerned.
Article 29
As a transitional measure and notwithstanding Article 24 (2):
(a) as regards Luxembourg, and in respect only of the Luxembourg
diplomas covered by the law of 1939 of Luxembourg on the
conferring of academic and university degrees, the issue of a
certificate as a specialist shall be conditional simply upon the
possession 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
medical practitioners required by law awarded by a Danish university
faculty of medicine in accordance with the decree of the Ministry of
the Interior of 14 May 1970, the issue of a certificate as specialist
shall be conditional simply upon the possession of the abovemen-
tioned 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 general
medical practice meeting requirements at least as stringent as those laid
down in Articles 31 and 32, in such a manner that the first diplomas,
certificates or other evidence of formal qualifications awarded on
completion of the course are issued not later than 1 January 1990.
Article 31
1. The specific training in general medical practice referred to in
Article 30 must meet the following minimum requirements:
(a) entry shall be conditional upon the successful completion of at least
six years’ study within the framework of the training course referred
to in Article 23;
(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 general
medical practice or in an approved centre where doctors provide
primary care; it shall be carried out in contact with other health
establishments or structures concerned with general medical prac-
tice; however, without prejudice to the aforesaid minimum periods,
the practical instruction may be given for a maximum period of six!B1993L0016 — EN — 25.10.1997 — 002.001 — 32
months in other approved health establishments or structures
concerned with general medical practice;
(d) it shall entail the personal participation of the trainee in the
professional activities and responsibilities of the persons with whom
he works.
2. Member States shall be entitled to defer application of the provisions
of paragraph 1 (c) relating to minimum periods of instruction until 1
January 1995 at the latest.
3. Member States shall make the issue of diplomas, certificates, or
other evidence of formal qualifications awarded after specific training in
general medical practice, conditional upon the candidate’s holding one of
the diplomas, certificates or other evidence of formal qualifications
referred to in Article 3.
Article 32
If, at 22 September 1986, a Member State was providing training in
general medical practice by means of experience in general medical
practice acquired by the medical practitioner in his own surgery under
the supervision of an authorized training supervisor, that Member State
may retain this type of training on an experimental basis on condition
that:
— it complies with Article 31 (1) (a) and (b), and (3);— its duration is equal to twice the difference between the period laid
down in Article 31 (1) (b) and the sum of the periods laid down 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 general medical
practice 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 general medical practice, the Commission shall submit to the
Council, by 1 January 1996 at the latest, a report on the implementation
of Articles 31 and 32 and suitable proposals in order to achieve further
harmonization of the training of general medical practitioners.
The Council shall act on these proposals in accordance with procedures
laid down by the Treaty before 1 January 1997.
Article 34
1. Without prejudice to the principle of full-time training laid down in
Article 31 (1) (b), Member States may authorize specific part-time
training in general medical practice in addition to full-time training
where the following particular conditions are met:
— the total duration of training may not be shortened because it is being
followed on a part-time basis,
— the weekly duration of part-time training may not be less than 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 hospital or clinic and for
the traininggiven in an approved medical practice or in an approved
centre where doctors provide primary care. These full-time training
periods shall be of sufficient number and duration as to provide
adequate preparation for the effective exercise of general medical
practice.!B1993L0016 — EN — 25.10.1997 — 002.001 — 33
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 formal
qualification 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 qualification
issued by the competent authorities of a Member State, attesting to
completion of another additional training course; however, the Member
States may issue such diploma, certificate or other evidence of formal
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 already
completed 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
general medical practice or a centre where doctors provide primary care,
as referred to in Article 31 (1) (c).
Article 36
1. From 1 January 1995, and subject to the acquired rights it has
recognized, each Member State shall make the exercise of general
medical practice under its national social security scheme conditional on
possession of a diploma, certificate or other evidence of formal
qualification as referred to in Article 30.
However, Member States may exempt from this condition persons who
are undergoing specific training in general medical practice.
2. Each Member State shall specify the acquired rights that it
recognizes. However, it shall recognize the right to exercise the activities
of general medical practitioner under its national social security scheme
without the diploma, certificate or other evidence of formal qualification
referred to in Article 30 as having been acquired by all those doctors who
on 31 December 1994 possess such a right pursuant to Articles 1 to 20
and who are established on its territory on that 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 training
referred to in Article 23 in another Member State shall be able to
establish himself in practice on its territory until 31 December 1994 and
to practise under its national social security scheme by virtue of Article 2
or 9 (1).
4. The competent authorities of each Member State shall issue on
request a certificate granting doctors possessing acquired rights by virtue
of paragraph 2 the right to practise as general medical practitioners under
its national social security scheme without the diploma, 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 rules and in
respect of their own territory, the right to practise as general practitioners
under a social security scheme to persons who do not possess diplomas,
certificates or other formal evidence of medical training and of specific
training in general medical practice obtained in both 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.!B1993L0016 — EN — 25.10.1997 — 002.001 — 34
Article 37
1. Each Member State shall recognize under its national social security
scheme, for the purposes of the exercise of the activities of general
medical practitioner, the diplomas, 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 it
issues itself, and which permit the exercise of the activities of general
medical practitioner under its national social security scheme.
Article 38
Nationals of Member States to whom a Member State has issued the
diplomas, certificates or other evidence of formal qualifications referred
to in Article 30 or 36 (4) shall havethe right to use in the host Member
State the professional title existing in that State and the abbreviation
thereof.
Article 39
1. Without prejudice to Article 38, host Member States shall ensure that
the nationals of Member States covered by Article 37 have the right to
use the lawful academic title, or, where appropriate, the abbreviation
thereof, of their Member State of origin or of the Member State from
which they come, in the language of that Member State. Host Member
States may require this title to be followed by the name and location of
the establishment or examining board which awarded it.
2. If the academic title of the Member State of origin, or of the Member
State from which a national comes, can be confused in the host Member
State with a title requiring, in that State, additional training which the
person concerned has not undergone, the host Member State concerned
may require such person to use the title of the Member State of origin or
of the Member State from which 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 general medical practice, the Commission shall submit to the
Council by 1 January 1997 at the latest a report on the implementation of
this Title and, if necessary, suitable proposals with a view to appropriate
training for every general medical practitioner in order to satisfy
requirements of general medical practice. The Council shall act on those
proposals in accordance with the procedures laid down in the Treaty.
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 other
evidence of formal qualifications and, where appropriate, the pro-
fessional title in question.!B1993L0016 — EN — 25.10.1997 — 002.001 — 35
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 and the
Commission thereof.
Article 43
Where a Member State encounters major difficulties in certain fields,
when applying this Directive, the Commission shall examine these
difficulties in conjunction with that State and shall request the opinion of
the Committee of Senior Officials on Public Health set 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 the
deadlines 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 in
Annex IV .
Article 44a
1. Where the procedure laid down in this Article is to be followed, the
Commission shall be assisted by the Committee of Senior 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 shall deliver its
opinion on the draft, within a time limit which the chairman may lay
down according to the urgency of the matter, if necessary by taking 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 which
its 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 chairman may lay
down according to the urgency of the matter. The opinion shall be
delivered by the majority laid down in Article 148 (2) of the Treaty in the
case of decisions which the Council is required to adopt on a proposal
from 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.!B
(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).!M11993L0016 — EN — 25.10.1997 — 002.001 — 36
The Commission shall adopt measures which apply immediately.
However, if these measures are not in accordance with the opinion of
the committee, they shall be communicated by the Commission to the
Council forthwith.
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).!M11993L0016 — EN — 25.10.1997 — 002.001 — 37
Article 45
This Directive is addressed to the Member States.!B1993L0016 — EN — 25.10.1997 — 002.001 — 38
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 thetrainee specialist devotes to this practical and theoretical training all hisprofessional activity 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 appropriateremuneration.
Training may be interrupted for reasons such as military service,
secondment, pregnancy or sickness. The total duration of the training
shall not be reduced by reason of any interruption.
2. Part-time training of specialists
This training shall meet the same requirements as full-time training, from
which it shall differ only in the possibility of limiting participation inmedical activities to a period at least half of that provided for in the secondparagraph 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.!
B1993L0016 — EN — 25.10.1997 — 002.001 — 39
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 1983
Neuro-psychiatry: 1 August 1987, except for persons having commenced training
before that date
Gastro-enterological surgery: 1 January 1983
DENMARK
Biological haematology: 1 January 1983, except for persons having commenced training
before that date and who have completed it by theend of 1988
Physiotherapy: 1 January 1983, except for persons having commenced training
before that date and who have completed it by theend of 1988
Tropical medicine: 1 August 1987, except for persons having commenced training
before that date
FRANCE
Radiology: 3 December 1971
Neuro-psychiatry: 31 December 1971
LUXEMBOURG
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 1984!
B1993L0016 — EN — 25.10.1997 — 002.001 — 40
ANNEX III
Part A
Repealed Directives
(referred to in Article 44)
1. Directive 75/362/EEC
2. Directive 75/363/EEC
and their successive amendments:
— Directive 81/1057/EEC: only the references made by Article 1 to
the provisions of the repealed Directives
75/362/EEC and 75/363/EEC
— Directive 82/76/EEC
— Directive 89/594/EEC: only Articles 1 to 9.
— Directive 90/658/EEC: only Article 1 (1) and (2), and Article 2
3. Directive 86/457/EEC
Part B
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 1982
75/363/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 1991
90/658/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!B
(*) 1 January 1981 for Greece, 1 January 1986 for Spain and Portugal.
(**) 1 January 1981 for Greece, 1 January 1986 for Spain and Portugal. For the
territory of the former German Democratic Republic, Germany shall take
the measures necessary to apply Articles 2 to 5 of Directive75/363/EEC
(Articles 24 to 27 of this Directive) by 3 April 1992 (Directive 90/658/EEC,Article 2).1993L0016 — EN — 25.10.1997 — 002.001 — 41
ANNEX IV
This DirectiveDirective
75/362/EECDirective
75/363/EECDirective
86/457/EECDirective
81/1057/EECDirective
89/594/EECDirective
82/76/EEC
Article 1 Articles 1 and
24
Article 2 Article 2
Article 3 Article 3
Article 4 Article 4
Article 5 Article 5
Article 6 Article 6
Article 7 Article 7
Article 8 Article 8
Article 9 (1) Article 9 (1) Article 1
Article 9 (2) Article 9 (2) Article 1
Article 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 10
Article 11 Article 11
Article 12 Article 12
Article 13 Article 13
Article 14 Article 14
Article 15 Article 15
Article 16 Article 15a
Article 17 Article 16
Article 18 Article 17
Article 19 Article 18
Article 20 Article 20
Article 21 Article 21
Article 22 Article 22
Article 23 Article 1
Article 24 Article 2
Article 25 (1) Article 3 (1)
Article 25 (2) Article 3 (2)
Article 25 (3)
first
subparagraphArticle 3 (3)
first
subparagraph
Article 25 (3)
second
subparagraphArticle 14
Article 26 Article 4
Article 27 Article 5
Article 28 Article 7
Article 29 Article 8
Article 30 Article 1
Article 31 Article 2 (1), (2)
and (3)
Article 32 Article 3
Article 33 Article 4
Article 34 Article 5
Article 35 Article 6
Article 36 Article 7
Article 37 Article 8
Article 38 Article 9
Article 39 Article 10
Article 40 Article 11
Article 41 Article 12 (2)
Article 42 Article 23 Article 2 (4)
Article 43 Article 26 Article 10
Article 44
Article 45 Article 27
Annex I Annex
Annex II Annex!B1993L0016 — EN — 25.10.1997 — 002.001 — 42