30. 12. 87 Official Journal of the European Communities No C 353/17 
Proposal for a Council Directive amending Directives 75/362/EEC, 77/452/EEC, 
78/686/EEC, 78/1026/EEC and 80/154/EEC relating to the mutual recognition of diplomas, 
certificates and other evidence of formal qualifications as doctor, nurse responsible for 
general care, dental practitioner, veterinary surgeon and midwife, together with Directives 
75/363/EEC, 78/1027/EEC and 80/155/EEC concerning the coordination of provisions laid 
down by law, regulation or administrative action relating to the activities of doctors, 
veterinary surgeons and midwives 
COM(87) 577 final 
(Submitted by the Commission to the Council on 2 December 1987) 
(87/C 353/02) 
THE COUNCIL OF THE EUROPEAN COMMUNITIES, 
Having regard to the Treaty establishing the European 
Economic Community, and in particular Articles 49, 57 
and 66 thereof, 
Having regard to the proposal from the Commission, 
In cooperation with the European Parliament, 
Having regard to the opinion of the Economic and 
Social Committee, 
Whereas certain technical amendments should be made 
to Council Directives 75/362/EEC (l), 77/452/EEC (2), 
78/686/EEC (3), 78/1026/EEC (4) and 80/154/EEC (5), as 
last amended by the Act of Accession of Spain and 
Portugal, concerning the mutual recognition of dip­
lomas, certificates and other evidence of formal qualifi­
cations of doctors, nurses responsible for general care, 
dental practitioners, veterinary surgeons and midwives, 
and to Council Directive 75/363/EEC (6), as last 
amended by Directive 82/76/EEC(7), and Council 
Directives 78/1027/EEC (8) and 80/155/EEC (9) concern­
ing the coordination of provisions laid down by law, 
regulation or administrative action in respect of the 
activities of doctors, veterinary surgeons and midwives 
in order to take account in particular of changes in the 
titles of diplomas, certificates and other evidence of 
formal qualifications in these professions or in the 
designation of certain medical specialties, as well as of 
the establishment of certain new medical specialties of 
the discontinuing of certain former specialties which 
have taken place in some Member States; 
Whereas it is necessary to protect at Community level 
the acquired rights of the holders of former qualifi­
cations which are no longer awarded as a result of the 
above changes which have taken place in the rules of 
the Member States which awarded the qualification 
to them and to supplement where necessary in this 
connection the abovementioned Directives by appropri­
ate provisions; 
(J) OJ No L 167, 30. 6. 1975, p. 1. 
(2) OJ No L 176, 15. 7. 1977, p. 1. 
(3) OJNoL233, 24. 8. 1978, p. 1. 
(4) OJ No L 362, 23. 12. 1978, p. 1. 
(5) OJNoL33, 11.2. 1980, p. 1. 
(6) OJ No L 167, 30. 6. 1975, p. 14. 
(7) OJNoL43, 15.2. 1982, p. 21. 
(8) OJ No L 362, 23. 12. 1978, p. 7. 
(9) OJNoL33, 11.2. 1980, p. 8. Whereas it is advisable to provide, for reasons of equity 
and in the light of the special situation in one Member 
State, for certain transitional measures for the holders 
of diplomas, certificates and other evidence of formal 
qualifications in veterinary medicine awarded in that 
Member State, following training commenced after 
entry into force of Directives 78/1026/EEC and 78/ 
1027/EEC and not complying fully with Article 1 of 
Directive 78/1027/EEC; whereas, however, it is advis­
able to restrict these measures to persons who com­
menced their training before 1 January 1985, the necess­
ary supplementary training being provided in the case 
of training commenced at a later date, where necessary 
during the course of studies, 
HAS ADOPTED THIS DIRECTIVE: 
CHAPTER 1 
Amendments relating to Directives 75/362/EEC and 75/ 
363/EEC (mutual recognition of diplomas, certificates 
and other evidence of formal qualifications in medicine 
and coordination of the provisions laid down by law, 
regulation or administrative action in respect of activi­
ties of doctors) 
Article 1 
Article 3 of Directive 75/362/EEC is hereby amended 
as follows: 
1. Under the heading '(f) in Italy', the text is replaced 
by the following: 
'"diploma di laurea in medicina e chirurgia" (dip­
loma 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 Com­
mission.' 
2. Under the heading '(j) in Greece', the text is replaced 
by the following: 
"TlTUxto I(upiKf|c;" (degree in medicine) awarded 
by: 
— the faculty of medicine of a university, or 
— the faculty of health sciences, department of 
medicine, of a university.' 
No C 353/18 Official Journal of the European Communities 30. 12. 87 
3. Under the heading '(k) in Spain', the text is replaced 
by the following: 
'"Titulo de licenciado en Medicina y Cirugia" (uni­
versity degree in medicine and surgery) awarded by 
the Ministry of Education and Science or the rector 
of a university.' 
Article 2 
Article 5 (2) of Directive 75/362/EEC is hereby amended 
as follows: 
1. Under the heading 'in Belgium', the text is replaced 
by the following: 
'"le titre d'agregation en qualite de medecin 
specialiste/erkenningstitel van geneesheer specia­
list" (formal evidence of having qualified as a medi­
cal specialist) issued by the Minister for Public 
Health.' 
2. Under the heading 'in Greece', the text is replaced 
by the following: 
'"TixA,o<; IatpiKfiq EISIKOTTITCU; xopr|Yoi)|ievo<; 
ano TIC, Nouxxpxiec/' (title of medical specialty) 
awarded by the prefectures.' 
3. Under the heading 'in Spain', the text is replaced by 
the following: 
'"Titulo de Especialista" (professional qualification 
of specialist) awarded by the Ministry of Education 
and Science or the rector of a university.' 
Article 3 
Article 5 (3) of Directive 75/362/EEC is hereby amended 
as follows: 
1. Under 'anaesthetics', the subheading relating to the 
Netherlands is replaced by the following: 
'Netherlands: anesthesiologie'. 
2. Under 'ophthalmology', the subheading relating to 
Belgium is replaced by the following: 
'Belgium: ophtalmologie — oftalmologie'. 
3. Under 'respiratory medicine', the subheading relat­
ing to the Netherlands is replaced by the following: 
'Netherlands: longziekten en tuberculose'. 
4. The following heading is added at the end of Ar­
ticle 5: 
'— pathological anatomy: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: Pathologie 
anatomie pathologique — 
pathologische anatomie 
patologisk anatomi og histo-
logi eller vajvsundersogelse 
anatomie et cythologiepa-
thologique 
morbid anatomy and histo-
pathology 
anatomia patologica Luxembourg: anatomie pathologique 
Netherlands: pathologische anatomie 
United Kingdom: morbid anatomy and histo-
pathology 
Greece: 7ta6oXoyiKf| avaxouiKf| 
Spain: anatomia patologica 
Portugal: anatomia patologica.' 
Article 4 
Article 7 (2) of Directive 75/362/EEC is hereby amended 
as follows: 
1. In all tKe language versions other than the French 
and the Portuguese, under 'biological haetna-
tology' the subheading relating to Spain is deleted. 
2. The heading 'pathological anatomy' is deleted. 
3. Under 'vascular surgery': 
— in the Dutch language version the title of the 
heading is replaced by 'chirurgie van bloed-
vaten', 
— the subheading relating to Italy is replaced by 
the following: 
'Italy: chirurgia vascolare'. 
4. Under 'gastroenterology': 
— the subheading relating to the Netherlands is 
replaced by the following: 
'Netherlands: gastro-enterologie', 
— the subheading relating to Greece is replaced 
by the following: 
'Greece: yao-TpevTepoXoyia'. 
5. Under 'endocrinology', the following subheading 
is added relating to France: 
'France: endocrinologie — maladies metaboli-
ques'. 
6. Under 'physiotherapy', the subheading relating to 
Greece is replaced by the following: 
'Greece: (puaiKf| laipiKfj Kai arcoKax&CTTaari'. 
7. Under 'neurology', the following subheading is 
added relating to Belgium: 
'Belgium: neurologie — neurologie'. 
8. Under 'psychiatry', the following subheading is 
added relating to Belgium: 
'Belgium: psychiatrie — psychiatrie'. 
9. Under 'neuropsychiatry', the subheading relating 
to Greece is replaced by the following: 
'Greece: veupoXoyia — v|/uxiaxpiKf|'. 
10. Under 'dermato-venereology', the subheading 
relating to the Netherlands is replaced by the fol­
lowing: 
'Netherlands: dermatologie en venerologie'. 
30. 12. 87 Official Journal of the European Communities No C 353/19 
11. Under 'radiology', the subheading relating to 
France is replaced by the following: 
'France: electroradiologie'. 
12. Under 'tropical medicine', the following subhead­
ing is deleted: 
'Belgium: medecine tropicale/tropische genees-
kunde'. 
13. Under 'child psychiatry', the following subheading 
is added relating to Ireland: 
'Ireland: child and adolescent psychiatry'. 
14. Under 'geriatrics', the following subheading is 
added relating to the Netherlands: 
'Netherlands: klinische geriatrie'. 
15. Under 'renal diseases', the following subheading is 
added relating to Luxembourg: 
'Luxembourg: nephrologie'. 
16. Under 'allergology', the subheading relating to 
Greece is replaced by the following: 
'Greece: aDtepYio^oyia'. 
17. The heading 'occupational medicine' is amended 
as follows: 
(a) The title of the heading is replaced, except in 
the English language version, by the following: 
' — Danish language 'arbejdsmedicin' 
version: 
— German language 'Arbeitsmedizin' 
version: 
— Greek language 'laxpiKT] xx\q epya-
version: mac/ 
— Spanish language 'medicina del trabajo' 
version: 
— French language 
version: 
— Italian language 
version: 
— Dutch language 
version: 
— Portuguese lan­
guage version: 'medecine du travail' 
'medicina del lavoro' 
'arbeidsgeneeskunde' 
'medicina do traba-
lho.' 
(b) Under this heading the following subheadings 
are added: 
Germany: 
Denmark: 
Italy: 
Greece: 
Spain: 
Portugal: 'Arbeitsmedizin' 
'samfundsmedicin' 
'medicina del lavoro' 
'laipiKfi xr\q epya 
aiac;' 
'medicina del trabajo 
'medicina do traba 
lho.' 
18. The following two new subheadings are added at 
the end of paragraph 2: — Belgium: 
— Italy: 
— Netherlands: 
— United Kingdom: 
— Greece: 
— Spain: 
— Portugal: 
maxillo-facial surgery: 
— Italy: 
— Spain: medecine nucleaire -
nucleaire genees-
kunde, 
medicina nucleare, 
nucleaire genees-
kunde, 
nuclear medicine, 
7tupr|ViKf| iaxpiKf|, 
medicina nuclear, 
medicina nuclear; 
chirurgia maxillo-fac-
ciale, 
cirugia oral y maxilo-
facial.' 
nuclear medicine: 
— Germany: Nuklearmedizin, Article 5 
Article 9 (3) of Directive 75/362/EEC is hereby replaced 
by the following: 
'3. 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 Articles 3, 5 and 7, each 
Member State shall 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 these diplomas, certificates and other 
evidence of formal qualifications in medicine or in 
specialized medicine were awarded following train­
ing in accordance with the provisions of Directive 
75/363/EEC, referred to, as appropriate, in Article 
2, 4 or 6 of Directive 75/362/EEC, and are treated 
by the Member State which awarded them as the 
qualifications or designations set out, as appropri­
ate, in Article 3, 5 or 7.' 
Article 6 
Article 2 (3) of Directive 75/363/EEC is hereby amended 
as follows: 
'3. Within the time limit laid down in Article 9, 
Member States shall designate the authorities or 
bodies competent to issue the diplomas, certificates 
and other evidence of formal qualifications referred 
to in paragraph 1.' 
Article 7 
The following entry is hereby added to Article 4 of 
Directive 75/363/EEC at the end of the heading 'Second 
group': 
'— pathological anatomy'. 
No C 353/20 Official Journal of the European Communities 30. 12. 87 
Article 8 
Article 5 of Directive 75/363/EEC is hereby amended 
as follows: 
1. Under 'First group': 
— in the Dutch language version the entry 'chirur-
gie van hart en bloedvaten' is replaced by 'chi-
rurgie van bloedvaten', 
— the following entry is added at the end: 
'— maxillo-facial surgery'. 
2. Under 'Second group': 
— the entry 'pathological anatomy' is deleted, 
— except in the English language version the entry 
'occupational medicine' is replaced as follows: 
Danish language 
version: 
German language 
version: 
Greek language 
version: 
Spanish language 
version: 
French language 
version: 
Italian language 
version: 
Dutch language 
version: 
Portuguese lan­
guage version: 
following entry is 'arbejdsmedicin' 
'Arbeitsmedicin' 
'iaxpiKf| xx]q epYaaia<;, 
' medicina del trabajo' 
'medecine du travail' 
'medicina del lavoro' 
'arbeidsgeneeskunde' 
'medicina do trabalho', 
added at the end of the 
list: 
'— nuclear medicine'. 
Article 9 
1. Those Member States which have repealed the 
provisions laid down by law, regulation or administrat­
ive action relating to the award of diplomas, certificates 
and other evidence of formal qualifications in neuro­
psychiatry, radiology, thoracic surgery, vascular sur­
gery, gastro-enterological surgery, biological haema-
tology or physiotherapy, and have taken measures relat­
ing 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 neuropsychiatry, radiology, thoracic 
surgery, vascular surgery, gastro-enterological surgery, 
biological haematology or physiotherapy fulfil the rel­
evant conditions set out either in Article 9 (2) of Direc­
tive 75/362/EEC or in Articles 2, 3 and 5 of Directive 
75/363/EEC and in so far as the said diplomas, certifi­
cates and other evidence of formal qualifications were 
awarded before the date on which the host Member 
State stopped awarding such diplomas, certificates and 
other evidence of formal qualifications in the specialty 
concerned. 2. 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 1 are set out in the Annex. 
3. Article 9 (4) of Directive 75/362/EEC and Article 
15 of Directive 82/76/EEC are hereby repealed. 
CHAPTER 2 
Amendments relating to Directive 77/452/EEC (mutual 
recognition of diplomas, certificates and other evidence 
of formal qualifications as nurse responsible for general 
care) 
Article 10 
Article 1 (2) of Directive 77/452/EEC is hereby amended 
as follows: 
1. Under 'in the United Kingdom', the text is replaced 
by the following: 
'State registered nurse or registered general nurse'. 
2. Under 'in Greece', the text is replaced by the fol­
lowing: 
'AinXaniaxoxixoq r\ TCTUXIOUXCX; voaoKo^oq, 
voCTTi^euxfn; f| voariXeuxpia'. 
Article 11 
Article 3 of Directive 77/452/EEC is hereby amended 
as follows: 
1. Unter '(f) in Italy', the text is replaced by the fol­
lowing: 
'the "diploma di infermiere professionale" awarded 
by State-recognized schools.' 
2. Under '(i) in the United Kingdom', the text is 
replaced by the following: 
'— a statement of registration as a registered gen­
eral nurse in part I of the register maintained 
by the United Kingdom Central Council for 
Nursing, Midwifery and Health Visiting.' 
3. Under '(j) in Greece', the text is replaced by the 
following: 
'— • "To SircAxoua A5etapf|c, NoaoKouac, xr\q 
Avcoxepa<; £xoA,f|<; ASeXqxbv NoaoKO-
UXDV" (diploma of general nurse from the 
advanced school of general nursing), certified 
by the Ministry of Social Services or by the 
Ministry of Health and Social Welfare, or 
30. 12. 87 Official Journal of the European Communities No C 353/21 
• "To mvxio NoaoKouoo xou Tufmaxo<; 
A8eA,(p(bv NOCJOKOUXQV xcov napataxpiKcbv 
Sxo^wv TODV Kevxpcov Avcoxepac, TexviKT|<; 
Kai ErcaYYE^I-iaxiKf|<; EK7tai8eo<xn<;" (degree 
in nursing from the nursing sections of the 
paramedical schools at the advanced centres 
of technical and vocational training) awarded 
by the Ministry of Education and Religious 
Affairs, or 
• "To rcxuxio voar|A,ei>xf| f| voor|A,£6xpia<; 
xcov TexvoXoyiKCov EiataiSeuxiKcbv 
ISpuuxxxcov (TEI)" (degree in nursing from 
the technological training establishments) run 
by the Ministry of Education and Religious 
Affairs, or 
• "To rcxuxio xr|<; Avcoxaxr|c; Nocrr|>.ei)xiKf|<; 
XT|<; "LxoX^q ETtayyeA-uaxcDV Yyeia*;, T^ifma 
Noo-r|X,£uxiKf|<; xou nav67tiCTxr||xiou A9T|-
vcbv" (degree in nursing from the faculty of 
health sciences, nursing section, University of 
Athens).' 
4. Under '(k) in Spain', the text is replaced by the 
following: 
'"Titulo de Diplomado universitario en Enfer-
meria" (university diploma in nursing) awarded by 
the Ministry for Education and Science or the rector 
of a university.' 
Article 12 
Article 4 of Directive 77/452/EEC is hereby amended 
as follows: 
— The two existing paragraphs become paragraph 1 
and are preceded by the figure T. 
— The following new paragraph 2 is added: 
'2. In the case of nationals of Member States 
whose diplomas, certificates and other evidence of 
formal qualifications as nurse responsible for gen­
eral care do not conform with the qualifications or 
designations set out in Article 3, each Member State 
shall recognize as being sufficient proof the dip­
lomas, certificates and other evidence of formal 
qualifications awarded by those Member States, 
accompanied by a certificate issued by the com­
petent authorities or bodies. The certificate shall 
state that the diplomas, certificates and other evi­
dence of formal qualifications as nurse responsible 
for general care were awarded following training in 
accordance with the provisions of Directive 77/453/ 
EEC, referred to in Article 2 of Directive 77/452/ 
EEC, and are treated by the Member State which 
awarded them as the qualifications or designations 
set out in Article 3.' CHAPTER 3 
Amendments relating to Directive 78/686/EEC (mutual 
recognition of diplomas, certificates and other formal 
evidence of qualifications as dental practitioner) 
Article 13 
In Article 1 of Directive 78/686/EEC the text under the 
heading 'in Italy' is replaced by the following: 
'odontoiatra'. 
Article 14 
The following paragraph 3 is hereby inserted in Article 
7 of Directive 78/686/EEC: 
'3. In the case of nationals of Member States 
whose diplomas, certificates and other evidence of 
formal qualifications in dentistry or in specialist 
dentistry (orthodontics and oral surgery) do not 
conform with the qualifications or designations set 
out in Articles 3 and 5, each Member States shall 
recognize as being sufficient proof the diplomas, 
certificates and other evidence of formal qualifi­
cations awarded by these Member States, 
accompanied by a certificate issued by the com­
petent authorities or bodies. The certificate shall 
state that the diplomas, certificates and other evi­
dence of formal qualifications as dental practitioner 
or as specialist dental practitioner (orthodontics and 
oral surgery) were awarded following training in 
accordance with the provisions of Directive 78/687/ 
EEC, referred to, as appropriate, in Articles 2 or 4 
of Directive 78/686/EEC, and are treated by the 
Member State which awarded them as the qualifi­
cations or designations set out, as appropriate, in 
Article 3 or 5.' 
CHAPTER 4 
Amendments relating to Directives 78/1026/EEC and 
78/1027/EEC (mutual recognition of diplomas, certifi­
cates and other evidence of formal qualifications as 
veterinary surgeon and coordination of provisions laid 
down by law, regulation or administrative action in 
respect of the activities of veterinary surgeon) 
Article 15 
The second paragraph of Article 2 of Directive 78/1026/ 
EEC is hereby replaced by the following: 
'Where a diploma, certificate or other evidence of 
formal qualifications as listed in Article 3 was 
awarded before the implementation of this Direc­
tive, or was awarded after that date but following 
training commenced before that date, it shall be 
accompanied by a certificate from the competent 
authorities of the issuing country stating that it 
complies with Article 1 of Directive 78/1027/EEC 
No C 353/22 Official Journal of the European Communities 30. 12. 87 
Article 16 
Article 3 of Directive 78/1026/EEC is hereby amended 
as follows: 
1. Under '(j) in Greece', the text is replaced by the 
following: 
'"ITcoxio KTT|ViaTpiKf|c;" (diploma of veterinary 
surgeon from the faculty of geotechnical sciences of 
the Aristotle University of Saloniki or the School of 
veterinary medicine of the Aristotle University of 
Saloniki).' 
2. Under '(k) in Spain', the text is replaced by the 
following: 
'"Titulo de Licenciado en Veterinaria" (university 
degree in veterinary medicine) awarded by the Min­
istry for Education and Science or by the rector of 
a university.' 
Article 17 
Article 4 of Directive 78/1026/EEC is hereby replaced 
by the following: 
'Article 4 
1. In the case of nationals of Member States 
whose diplomas, certificates and other evidence of 
formal qualifications do not satisfy all the minimum 
training requirements laid down in Article 1 of 
Directive 78/1027/EEC, each Member State shall 
recognize as being sufficient proof the diplomas, 
certificates and other evidence of formal qualifi­
cations in veterinary medicine awarded by those 
Member States before the implementation of Direc­
tive 78/1027/EEC or awarded after that date but 
following training commenced before that date, 
accompanied by a certificate stating that those 
nationals have effectively and lawfully been engaged 
in the activities in question for at least three consecu­
tive years during the five years prior to the date of 
issue of the certificate. 
2. In the case of nationals of Member States 
whose diplomas, certificates and other evidence of 
formal qualifications as veterinary surgeon do not 
conform with the qualifications or designations set 
out in Article 3, each Member State shall recognize 
as being sufficient proof the diplomas, certificates 
and other evidence of formal qualifications awarded 
by those Member States, accompanied by a certifi­
cate issued by the competent authorities or bodies. 
The certificate shall certify that the diplomas, cer­
tificates and other evidence of formal qualifications 
as veterinary surgeon were awarded following train­
ing in accordance with the provisions of Directive 
78/1027/EEC, referred to in Article 2 of Directive 
78/1026/EEC, and are treated by the Member State 
which awarded them as the qualifications or desig­
nations set out in Article 3.' Article 18 
The following new paragraph 5 is hereby added to 
Article 1 of Directive 78/1027/EEC: 
'5. As a transitional measure and notwithstand­
ing paragraph 2, Italy, whose provisions laid down 
by law, regulation or administrative action provided 
for a training programme which did not comply 
fully with that set out in the Annex when Directive 
78/1026/EEC and this Directive took effect, may 
continue to apply those provisions to persons who 
commenced their veterinary training not later than 
31 December 1984. 
Each host Member State shall be authorized to 
require of holders of diplomas, certificates or other 
evidence of formal qualifications as veterinary sur­
geon awarded by Italy following training com­
menced before 1 January 1985 that their diplomas, 
certificates and other evidence of formal qualifi­
cations be accompanied by a certificate stating that 
they have effectively and lawfully been engaged in 
the activities of veterinary surgeon for at least three 
consecutive years during the five years prior to the 
date of the issue of the certificate, unless the said 
diploma, certificate or other evidence of formal 
qualifications is accompanied by a certificate issued 
by the competent Italian authorities stating that it 
attests to training in full compliance with this Article 
and with the Annex.' 
Article 19 
In the Annex to Directive 78/1027/EEC in the Greek 
language version, under 'B. Specific subjects', the first 
indent of 'Group 2: Clinical sciences' 'XeipoupyiKT)' is 
hereby replaced by 'Maiei)TiKT|'. 
CHAPTER 5 
Amendments relating to Directives 80/154/EEC and 80/ 
155/EEC (mutual recognition of diplomas, certificates 
and other evidence of formal qualifications as midwife 
and coordination of the provisions laid down by law, 
regulation or administrative action in respect of the 
activities and exercise of the profession of midwife) 
Article 20 
Article 1 of Directive 80/154/EEC is hereby amended 
as follows: 
1. Under 'in the Federal Republic of Germany', the 
text is replaced by the following: 
'Hebamme' or 'Entbindungspfleger'. 
2. Under 'in Greece', the text is replaced by the fol­
lowing: 
'Maia' or 'MateuTf|c/. 
30. 12. 87 Official Journal of the European Communities No C 353/23 
Article 21 
Article 3 of Directive 80/154/EEC is hereby amended 
as follows: 
1. Under '(a) in the Federal Republic of Germany', the 
first indent is replaced by the following: 
'— the "Zeugnis iiber die staatliche Priifung fur 
Hebammen und Entbindungspfleger", awarded 
by the State Examining Board.' 
2. Under '(h) in the Netherlands', in all the language 
versions other than the Dutch language version, the 
term 'vroedvrouwdiploma' is replaced by 'diploma 
van verloskundige'. 
3. Under '(i) in the United Kingdom', the text is 
replaced by the following: 
'— a statement of registration as a midwife in part 
10 of the register maintained by the United 
Kingdom Central Council for Nursing, Mid­
wifery and Health Visiting.' 
4. Under '(j) in Greece', the text is replaced by the 
following: 
'— the "IlTUxio Mcdac; f| Maieuxf|" authenticated 
by the Ministry of Health and Welfare, 
— the "rixuxio Avcoxepac; Lx0^1!? IxeA,ex(bv 
Yyeiac, KCU Koiv(oviKf|<; Jlpovoiac;, Tuf|uaxo<; 
MaieuxiKfjc;" issued by the faculty of health 
and social welfare workers, obstetrics section, 
of the advanced technical and vocational edu­
cation centres or by the technological training 
establishments run by the Ministry of Edu­
cation and Religious Affairs.' 
5. Under '(k) in Spain', the text is replaced by the 
following: 
'— the diploma of "asistente obstetrico (matrona) 
o matrona", awarded by the Ministry for Edu­
cation and Science or by the rector of a univer­
sity.' 
Article 22 
The following new paragraph 3 is hereby added to 
Article 5 of Directive 80/154/EEC: 
'3. Without prejudice to Article 4, in the case 
of nationals of Member States whose diplomas, 
certificates and other evidence of formal qualifi­
cations as midwife do not conform with the qualifi­
cations or designations set out in Article 3, each 
Member State shall recognize as being sufficient 
proof 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 the diplomas, certificates and other 
evidence of formal qualifications as midwife were 
awarded following training in accordance with the 
provisions of Directive 80/155/EEC, referred to in 
Article 2 of Directive 80/154/EEC and are treated 
by the Member State which awarded them as the 
qualifications or designations set out in Article 3.' 
Article 23 
The following new paragraph 5 is hereby added to 
Article 1 of Directive 80/155/EEC: 
'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 qualifi­
cations which have not been obtained in a Member 
State to take up and pursue the activities of mid­
wife.' 
Article 24 
In Article 4 (6) of Directive 80/155/EEC, in the Spanish 
language version, the text is hereby replaced by the 
following: 
'6. Llevar a cabo el parto normal cuando se trate 
de una presentacion de vertice, incluyendo, si es 
necesario, la episiotomia, y, en caso de urgencia, 
realizar el parto en presentacion de nalgas.' 
Article 25 
In Article 8 of Directive 80/155/EEC, in the German 
language version, the text is hereby replaced by the 
following: 
'Artikel 8 
Spatestens sechs Jahre nach Bekanntgabe dieser 
Richtlinie beschlieSt der Rat auf Vorschlag der 
Kommission und nach Stellungnahme des Bera-
tenden Ausschusses, ob die Ausnahme nach Teil B 
Nummer 3 des Anhangs geandert oder aufgehoben 
werden soil.' 
CHAPTER 6 
Final provisions 
Article 26 
Member States shall take the necessary measures to 
comply with this Directive by 1 April 1989. They shall 
forthwith inform the Commission thereof. 
Article 27 
This Directive is addressed to the Member States. 
No C 353/24 Official Journal of the European Communities 30. 12. 87 
ANNEX 
DATES FROM WHICH SOME MEMBER STATES ABOLISHED THE PROVISIONS LAID DOWN BY 
LAW, REGULATION OR ADMINISTRATIVE ACTION CONCERNING THE ISSUE OF THE DIP­
LOMAS, CERTIFICATES AND OTHER EVIDENCE OF FORMAL QUALIFICATIONS REFERRED TO 
IN ARTICLE 9 
BELGIUM 
— Thoracic surgery: 1 January 1983. 
— Vascular surgery: 1 January 1983. 
— Neuropsychiatry: 1 August 1987, save for persons having commenced training before that date. 
— Gastro-enterological surgery: 1 January 1983. 
DENMARK 
— Biological haematology; 
Physiotherapy: 1 January 1983, save for persons having commenced training before that date and who 
will complete it by the end of 1988. 
FRANCE 
— Radiology: 5 September 1972. 
— Neuropsychiatry: 31 December 1971. 
LUXEMBOURG 
— Radiology (') 
— Neuropsychiatry (') 
NETHERLANDS 
— Radiology: 9 July 1984. 
— Neuropsychiatry: 9 July 1984. 
(') The diplomas, certificates and other evidence of formal qualifications are no longer issued in respect of 
training commenced after 5 March 1982.