COMMISSION OF THE EUROPEAN COMMUNITIES 
SEC(91) 2316 final Brussels, 12 December 1991 
Proposal for a 
COUNCIL DIRECTIVE 
to facilitate the free movement of doctors and the mutual recognition 
of their diplomas, certificates and other evidence of 
formal qualifications 
(presented by the Commission) 
- 2 -
EXPLANATORY MEMORANDUM 
1. In the context of a people's Europe, the Commission attaches great importance 
to simplifying and clarifying Community law so as to make it clearer and more 
accessible to the ordinary citizen, thus giving him new opportunities and the 
chance to make use of the specific rights it gives him. 
This aim cannot be achieved so long as numerous provisions which have been 
amended several times, often quite substantially, remain scattered; so that 
they must be sought partly in the original instrument and partly in later 
amending ones. Considerable research work, comparing many different 
instruments, is thus needed to identify the current rules. 
For this reason a consolidation of rules that have frequently been amended Is 
essential if Community law is to be clear and transparent. 
2. By its decision of 1 April 1987 the Commission instructed its departments to 
produce a formal consolidated version of legislative instruments no later 
than after their tenth amendment, but made it clear that this was a minimum 
requirement, and that in the interests of clarity and of the ready 
comprehension of Community law, an effort should be made by each department 
to consolidate the instruments for which it is responsible at more frequent 
intervals. 
3. The attached proposal of the Commission for a consolidation of Council 
Directive, regrouping in a single text Directives 
75/362/EEC of the Council 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 
81/1057/EEC of the Council of 14 December 1981 supplementing Directives 
75/362/EEC, 77/686/EEC and 78/1026/EEC concerning the mutual recognition 
of diplomas, certificates and other evidence of the formal 
qualifications of doctors, nurses responsible for general care, dental 
practitioners and veterinary surgeons respectively, with regard to 
acquired rights 
75/363/EEC of the Council of 16 June 1975 concerning the coordination of 
provisions laid down by law, regulation or administrative action in 
respect of activities of doctors 
86/457/EEC of the Council of 15 September 1986 on specific training in 
general medical practice 
has been drafted in accordance with the fundamental principles agreed by 
Council, Parliament and the Commission in 1974; it aims at lealslat i ve 
consolidation: the existing Directives would be replaced by one new one, wich 
would leave their substance untouched but would assemble them into a single 
text, with only the formal amendments required by the operation itself. 
4. As in the past the text supplied here is collated from the original 
Directives as published in the Official Journal; the use of photocopies means 
that any improvements to the wording are immediately identifiable. The old 
numbering of the Articles has been retained in the margin for ease of 
reference, the new numbering being entered above the Articles: Annex C 
contains a concordance table relating the old system of numbering to the new. 
In order to preserve the dates for transposai of all the Directives 
concerned, a new Annex Β lists the deadline for implementation of each of the 
Directives now being repealed. 
- 3 -
LIST OF DIRECTIVES 
1. COUNCIL DIRECTIVE 75/362/EEC Of 16 June 1975 concerning the mutual 
recognition of diplomas, certificates and other evidence of formal 
qualifications in medicine, including measures to facilitate the 
effective exercise of the right of establishment and freedom to provide 
serv ices 
(OJ No L 167, 30.6.1975, p. 1.) 
Supplemented by directive : 
81/1057/EEC (OJ No L 385, 31.12.1981, p. 25.) 
Modified bv directives : 
82/76/EEC (OJ No L 43, 15.2.1982, p. 21.) 
89/594/EEC (OJ No L 341, 23.11.1989, p. 19.) 
Modified bv : 
- Act of Accession of Greece (OJ No L 291, 19.11.1979, p. 90.) and 
the Act of Accession of Spain and of Portugal (OJ No L 302, 
15.11.1985, p. 158.) 
- Directive 90/658/EEC of 4 December 1990 amending certain Directives 
on the recognition of professional qualifications consequent upon the 
unification of Germany 
(OJ No L 353, 17.12.1990, p. 73.) 
2. COUNCIL DIRECTIVE 75/363/EEC of 16 June 1975 concerning the 
coordination ν ovic'rn- fï r; άνν, b> i, - ct or 
administrative action in respect of activities of doctors 
(0J No L 167, 30.6.1975, p. 14.) 
Modified by directives : 
82/76/EEC (0J No L 43, 15.2.1982, p. 21.) 
89/594/EEC C0J No L 341, 23.11.1989, p. 19.) 
Modified bv : 
- Act of Accession of Greece (0J No L 291, 19.11.1979, p. 90.) and 
Act of accession of Spain and of Portugal (0J No L 302, 15.11.1985, p. 158.) 
Directive 90/658/EEC of 4 December 1990 amending certain 
Directives on the recognition of professional qualifications consequent 
upon the unification of Germany 
(0J No L 353, 17.12.1990, p. 73.) 
3. COUNCIL DIRECTIVE 86/4S7/EEC of 
training In general medical practice 
(0J No L 267, 19.9.1986, p. 26.) 15 September 1986 on specific 
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CONTENTS TABLE 
List of Directives 
Title I 
Title Π 
Title ΠΙ 
Tide IV 
Title V Scope 
Mutual recognition of diplomas, certificates and other evidence 
of formal qualifications in medicine 
Chapter I 
Chapter Π 
Chapter III 
Chapter IV 
Chapter V 
Chapter VI Diplomas, certificates and other evidence 
of formal qualifications in medicine 
Diplomas, certificates and other evidence 
of formal qualifications in specialized medicine 
common to all Member States 
Diplomas certificates and other evidence of 
formal qualifications in specialized medicine 
peculiar to two or more Member States 
Existing circumstances 
Use of academic title 
Provisions to facilitate the effective exercise of 
the right of establishment and freedom to provide 
services in respect of the activities of doctors 
Coordination of provisions laid down by law, regulation or administrative 
action in respect of activities of doctors 
Specific training in general medical practice 
Final provisions Page 
3 
10 
10 
10 
13 
20 
30 
33 
33 
A. Provisions specifically relating to the right 
33 of establishment 33 
B. Special provisions relating to the provision 
36 of services 36 
C. Provision common to the right of establishment 
and freedom to provide services 37 
39 
44 
50 
Annex I Characteristics of full-time and part-time training of specialists 52 
Annex Π : Dates from which some Member States repealed the provisions laid down 
by law, regulation or administrative action concerning the award of the 
diplomas, certificates and other evidence of formal qualifications 53 
Annex A 
Annex Β 
Annex C List of repealed Directives 
Implementation delay for the codified Directives 
Correlation table 54 
55 
56 
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Proposal for a 
COUNCIL DIRECTIVE 
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 ('), 
Having regard to the opinion of the Economic and Social 
Committee (2), 
Whereas the directives to facilitate the free 
movement of doctors and the mutual recognition of 
their diplomas, certificates and other evidence of 
formal qualifications, set out in Annex A, have 
been amended frequently and substantially; whereas 
for reasons of clarity and rationality, the said 
directives should be consolidated in a single text; 
-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; 75/362/EEC 
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; 2. 
Whereas, pursuant to the Treaty, the Member States 
are required not to grant any form of aid likely to 
distort the conditions of establishment; 3. 
Whereas Article 57 (1) of the Treaty provides that 
directives be issued for mutual recognition of 4. 
(>) OJ No C 
(') OJ No C 
- 6 -
diplomas, certificates and other evidence of formal 
qualifications; whereas the aim of this Directive is 
the récognition 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 access to take up the activities of a 
specialist, nonetheless entitle him to use a specialist 
title; 75/362/EEC 
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 designation of certain medical 
specializations, as well as of the establishment of certain new 
medical specializations or the discontinuing of certain former 
specializations which have taken place in some Member 
States; 1. 
+ 
1. 82/76/EEC 
(adapted) 
89/594/EEC 
Whereas it is advisable to make provision for measures 
relating to acquired rights with regard to the nutual 
recognition of diplomas, certificates and other evidence of 
formal qualifications in medicine issued by the Member 
State and approving training which had commenced 
at least 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 covcrcd by the Directive; 
Whereas this Directive docs 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; 8. 75/362/EEC 
9. 
10. 
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 
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 practice 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 knowledge of his patients' environment, consists 
of giving advice on the prevention of illness and on the 
protection of the patient's general health, besides giving 
appropriate treatment ; 
Whereas this need for specific training in general medical 
practice has emerged mainly as a result of the develop­
ment 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 basic medical 
training ; 
- 8 -
Whereas, apart from the benefit to patients, it is also 
recognized that improved training for the specific func­
tion of general medical practitioner would contribute to 
an improvement in health care, particularly by developing 
a more selective approach to the consultation of special­
ists, use of laboratories and other highly specialized estab­
lishments 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 quantity 
requirements, and supplements the minimum basic 
training which medical practitioners must receive in 
accordance with this Directive ; whereas it is 
immaterial whether this training in general medical prac­
tice 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 
complete the reform should subsequently be put forward ; 
Whereas this Directive does not affect the power of the 
Member States to organize their national social 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 recogni­
tion of these diplomas, certificates or other evidence of 
formal qualifications by the Member States; 
- 9 -
Whereas, under this Directive, a host Member 
State is not entitled to require medical practitioners, in 
possession oí diplomas obtained in another Member State 
and recognized under this Directive, to completo 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 terri­
tory ; 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 under 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; 
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 State, both to enployedand self-etrployed 
persons; whereas the activities of doctors arc subject 
in all Member States to possession of a diploma, 
certificate or other evidence oí formal qualification 
in medicine; whereas such activities arc 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; 11. 
4. 
13. 86/457/EEC 
75/363/EEC 
(adapted) 
75/362/EEC 
Whereas this Directive must not affect the 
obligations of the Member State* concerning the 
deadlines for transposai set out in Amex B, 
HAS ADOPTED THIS DIRECTIVE: 
- 10 -
TITLE I 
SCOPE 
Artide 1 
This Directive shall apply to the activities of doctors. 
TITLE Π 
MUTUAL RECOGNITION OF DIPLOMAS 
CERTIFICATES AND OTHER EVIDENCE OF 
FORMAL QUALIFICATIONS IN MEDICINE 75/362/EEC 
CHAPTER 1 
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 an^ 
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, certificates and other evidence of 
formal qualifications referred to in Article 2 are as 
follows: 
-Il­
ia) in Germany: 
1. 'Zeugnis über die ärztliche Staatsprüfung' 
{the State examination certificate in medicine) 
awarded by the competent authorities and the 
'Zeugnis über die Vorbereitungszeit als 
Medizinalassistent' (certificate stating that the 
preparatory period as medical assistant has 
been completed) in so far as German law stili 
requires such a period to complete medical 
training; 
2. 'Zeugnis über die ärztliche Staatsprüfung' 
(the State examination certificate in medicine) 
awarded by the competent authorities after 
30 June 1988 and the certificate attesting to the 
practice of medicine during a period of practical 
training (*Arzt im Praktikum1); 75/362/EEC 
89/594/EEC 
(b) ht Belgium: 
'diplôme légal de docteur en médecine, chirurgie 
et accouchemcnts/Wettelijk diploms 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;. 75/362/EEC 
(c) in Denmark: 
'bevis for bestået lægevidenskabelig embeds­
eksamen' (diploma of doctor of medicine 
required by law) awarded by a university faculty 
of medicine and 'dokumentation for gennemført 
praktisk uddannelse' (certificate of practical 
training issued by the competent authorities of 
the health service); 
(d) in France: 
1. 'diplôme d'Etat 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 d'université de docteur " en 
médecine' (university diploma of doctor of 
medicine) where that diplotna certifies 
completion of the same training course as 
that laid down for the State diploma of 
doctor of medicine; 
- 12 -
(e) 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; 
(f) 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; 
(g) in Luxembourg: 
'diplôme d'État de docteur en médecine, 
chirurgie et accouchements" (State diploma of 
doctor of medicine, surgery and obstetrics) 
awarded by the State Examining Board, and 
endorsed by the Minister of Education, and 
'certificat de stage' (certificate of practical 
training) endorsed by the Minister for Public 
Health; 
(h) in the Netherlands: 
'universitair getuigschrift van arts' (university 
certificate of doctor); 
(i) 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; 75/362/EEC 
89/594/EEC 
82/76/EEC 
75/362/EEC 
- 13 -
(j) in Greece: 
'"Πτυχίο Ιατρικής' (degree in medicine) awarded 
by: 
— the faculty of medicine of a university, or 
— the faculty of health sciences, department of 
medicine, of a university; 89/594/EEC 
(k) in Spain: 
* Título di Licenciado en Medicina y Cirugía' 
(university degree in medicine and surgery) 
awarded by the Ministery of Education and Science 
or the rector of a university; 
(1) in Portugal: 
' Carta de curso de licenciatura em medi­
cina' (diploma confirming the comple­
tion of medical studies), awarded by a 
university, and the 'Diploma comprova­
tivo da conclusão do internato geral' 
(diploma confirming the completion of 
general internship), awarded by the com­
petent authorities of the Ministry of 
Health. Act of Accession 
of Spain and 
Portugal 
75/362/EEC 
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 with Articles 
24, 25, 26 and 29 an(j wh¡ch are listed in 
Article 5, by giving such qualifications the same 
effect in its territory as those which the Member 
State itself awards. 
Article S 
1. The diplomas, certificates and other evidence of 
formal qualifications referred to in Article 4 shall be 
those which, having been awarded by the cotnpetent 
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. 
- 14 -
2. The diplomas, certificates and other evidence of 
formal qualifications awarded by the competent 
authorities or bodies referred to in paragraph 1 arc 
as follows: 75/362/EEC 
in Germany: 
'die von den Landesärztekammern erteilte 
fachärztliche Anerkennung* (recognized certificate of 
medical specialist, issued by the Chamber of 
Physicians of the 'Land' concerned); 
«•1 in Belgium: 
Le titre d'agrégation en qualité de médecin 
spécialiste/erkcnningsiiiel van geneesheer specialist' 
(formal evidence of having qualified as a medical 
specialist) issued by the Minister responsible for public 
health; 89/594/EEC 
in Denmark: 
'bevis for tilladelse til at betegne sig som 
speciallæge' (certificate concerning the tide of 
specialist) issued by the competent authorities of the 
health service; 75/362/EEC 
in France: 
— 'le 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 specialized studies in medicine) 
issued by a university faculty of medicine, 
university joint faculties of medicine and 
pharmacy or equivalent ceitificates drawn up 
under a decree of the Minister for Education; 
— ' le diplôme d'études spécialisées de médecine délivré 
par les universités·,' (diploma of specialized studies 
in medicine awarded by a university); 89/594/EEC 
in Ireland: 
certificate of specialist doctor issued by the 
competent authority recognized for this purpose by 
the Minister for Health; 75/362/EEC 
- 15 -
in Italy: 
'diploma di medico specialista, rilasciati dal renore 
di una università* (diploma of specialized doctor, 
granted by a Rector of a University); 75/362/EEC 
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: 
—'het door de Specialisten-Registratiecommissie (SRC) 
afgegeven getuigschrift van erkenning en inschrijving 
in het Specialistenrcgister' (certificate of recognition 
and registration in the Register of Specialists, issued 
by the Commission for the Registration of Specialists 
(CRS) ); 
-'Het door de Sociaal-Geneeskundigen 
Registratie-Comissie (SGRC) afgegeven 
getuigschrift van erkenning en inschrijving in 
het Register von Sociaal-Geneeskundigen' 
(certificate of approval and registration issued 
by the board of registration of doctors of social 
medicine); 89/594/EEC 
in the United Kingdom: 
certificate of completion of specialist training issued 
by the competent authority recognized for this 
purpose; 75/362/EEC 
in Greece: 
Τίτλος Ιατρικής ειδικότητας χορηγούμενος από τις 
Νομαρχίες (certificate of medical specialization), 
awarded by the prefectures; 89/594/EEC 
in Spain: 
'Título de Especialista' (professional qualifi­
cation of specialist) awarded by the Ministry of 
Education and Science; 
in Portugal: 
' Grau de Assistente' (assistant grade), 
awarded by the competent authorities of the 
Ministry of Health, or 'Título de Especialista1 
(professional qualification of specialist) 
awarded by the professional association for 
medical practitioners; Act of Accession 
of Spain and 
Portugal 
- Ιό -
3. The titles currently used in the Member States 
which correspond to the specialized training courses 
in question are as follows: 
— anaesthetics: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal : 
— general surgery: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal : Anesthesiologie 
anesthesiologie/anesthesiologie 
anæstesiologi 
ancsthésiologie-réanimation chirurgicale 
anaesthetics 
anestesia e rianimazione 
anesthésie-réanimation 
anesthesiologie 
anaesthetics; 
άναισθησιολογία 
anestesiolog ía y reanimación 
anestesiología· 
Chirurgie 
chirurgie/heelkunde 
kirurgi eller kirurgiske 
sygdomme 
chirurgie générale 
genera! surgery 
chirurgia generale 
chirurgie générale 
heelkunde 
general surgery 
χειρουργική 
cirurgia general y de! aparato digestivo 
cirurgia geral ; 75/362/EEC 
82/76/EEC 
89/594/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
neurological surgery: 
Germany: Neurochirurgie 
Belgium: neurochirurgie/neurochirurgie 
Denmark: neurokirurgi eller kirurgiske 
nervesygdomme 
France: neurochirurgie 
Ireland: neurological surgery 
Italy: neurochirurgia 
Luxembourg: neurochirurgie 
Netherlands: neurochirurgie 
United Kingdom: neurological surgery 
G recce: νευροχπροΐ'ργι κ-ή 
Spain: neurocirugia 
Portugal: neurocirurgia * Act of Accession of 
Greece 
89/594/EEC 
Act of Accession of 
Spain and Portugal 
Acts of Accession of 
Greece, Spain and 
Portugal 
- 17 -
75/362/EEC 
obstetrics and gynaecology: 
Germany: Frauenheilkunde und Geburts­
hilfe 
Belgium: ! gynécologie-obstétrique/gynecologie-
verloskunde 
Denmark: gynækologi og obstetrik eller 
kvindesygdomme og fødsels­
hjælp 
France: ' gynécologie-obstétrique 
Ireland: obstetrics and gynaecology 
Italy: obtetricia e ginecologia 
Luxembourg: gynecologie-obstetrique 
Netherlands: verloskunde en gynaecologie 
United Kingdom: obstetrics and gynaecology 
Grcccc: μαιευτική—γυναικολογία 
Spain : obstetricia y ginecología 
Portugal : ginecologia e obstetricia -1 
general (internal) medicine: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Grecce: 
Spain: 
Portugal: Innere Medizin 
médiane inteme/inwendgie 
geneeskunde 
intern medicin eller medicinske 
sygdomme 
médecine interne 
general (internal) medicine 
medicina interna 
maladies internes 
inwendige geneeskunde 
general medicine 
παθολογία 
medicina interna 
medicina interna ; 
- ophthalmology: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
(ί rcccc: 
Spain: 
Portugal : Augenheilkunde 
opktalmologic-oftalmologic 
oftalmologi eller øjensygdomme 
ophtalmologie 
ophthalmology 
oculistica 
ophtalmologie 
oogheelkunde 
ophthalmology 
ό<!>0<ιλ|!υλυγία 
oftalmologia 
oftalmologia ; -82/76/EEC 
Acts of Accession of 
- Greece, Spain and 
Portugal 
Acts of Accession of 
Greece, Spain and 
Portugal 
• 89/594/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
- 18 -
— oto rhino laryngology: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
(•rocce: 
Spain: 
Portugal: Hals-Nasen-Ohrenheilkunde 
oto-rhino-laryngologie/otorhino-
laryngologie 
oto-rhino-laryngologi eller 
øre-næse-halssygdomme 
oto-rhino-laryngologic 
otolaryngology 
otorinolaringoiatria 
oto-rhino-laryngologic 
keel-, neus-, en oorheelkunde 
otolaryngology 
ωτορινολαρυγγολογία 
otorrinolaringolog ía 
otorrinolaringologia ', 
— paediatrics: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Circeo·: 
Spain: 
Portugal : Kinderheilkunde 
pédiatrie/kindergeneeskunde 
pediatri eller børnesygdomme 
pédiatrie 
paediatrics 
pediatria 
pediatrie 
kindergeneeskunde 
paediatrics 
παιδιατρική 
pediatr ía y sus áreas específicas 
pediatria *, 75/362/EEC 
— 82/76/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
82/76/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
— respiratory medicine: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Grcccc: 
Spain: 
Portugal: Lungen- und Bronchialheil­
kunde 
pneumologie/pneumologie 
medicinske lungesygdomme 
pneumologie 
respiratory medicine 
tisiologia e malattie 
dell'apparato respiratorio 
pneumo-phtisiologie 
longziekten en tuberculose 
respiratory medicine 
φυμαχιολογία — πνευμονολογία 
neumología 
pneumologia ; Ir 89/594/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
- 19 -
— urology: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
'G recce: 
Spain: 
Portugal: 
orthopaedics: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland; 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Circeo.-: 
Spain: 
Portugal: Urologie 
urologie/urologie 
urologi eller urinvejenes 
kirurgiske sygdomme 
chirurgie urologique 
urology 
urologia 
urologie 
urologie 
urology; 
ουρολογία 
urología 
urologia; 
Orthopädie 
orthopédie/orthopedic 
ortopædisk kirurgi 
chirurgie orthopédique et traumatologie 
orthopaedic surgery 
ortopedia , c traumatologia 
orthopédie 
orthopedie 
orthopaedic surgery 
όρΟοπϊόική 
traumatoligía y cirugía ortopédica 
ortopedia; 75/362/EEC 
89/594/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
89/594/EEC 
Acts of Accession of 
Greece, Spain snd 
Portugal 
pathological anatomy 
Germany: 
Belgium: 
Dcnmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal: Pathologie 
anatomie pathologique/ 
pathologische anatomie 
patologisk anatomi og histo­
logi eller vaevsundersøgelsc 
anatomie et cythologie 
pathologique 
morbid anatomy and 
histopathology 
anatomia patologica 
anatomie pathologique 
pathologische anatomie 
morbid anatomy and 
histopathology 
παθολογική ανατομική 
anatomía patológica 
anatomia patológica; 89/594/EEC 
- 20 -
neurology 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Grecco: 
Spain: 
Portugal: 
psychiatry 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal: Neurologie 
neurologie/neurologie 
neuromedicin eller medicinske 
nervesygdomme 
neurologie 
neurology 
neurologia 
neurologie 
neurologie 
neurology 
Νενρολογία 
neurología 
neurologia; 
Psychiatrie 
psychiatrie/psychiatrie 
psykiatri 
psychiatrie 
psychiatry 
psichiatria 
psychiatrie 
psychiatrie 
psychiatry 
Ψυχιατρική 
psiquiatría 
psiquiatria. 89/594/EEC 
75/362/EEC 
CHAPTER lil 
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 to nationals of Member States by the 
other Member States in accordancc 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. 
- 21 -
Article 7 
1. The diplomas, certificates and other evidence of 
formal qualifications referred to in Article 6 shall be 
those which, having been awarded by the competent 
authorities or bodies listed in Article S (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: 
France: 
Italy: 
Spain: 
Portugal : biologie clinique/klinische biologie 
biologie médicale 
patologia diagnostica di 
laboratorio 
análisis clínicos 
patologia clinica; } Act of Accession of ' Spain and Portugal 
biological haematology: 
Denmark: 
France: 
Luxembourg: 
Portugal: klinisk blodtypeserologi 
hématologie 
hématologie biologique 
hematologia clínica; 89/594/EEC 
Act of Accession of 
" Spain and Portugal 
microbiology — bacteriology: 
Germany: 
Denmark: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: Mikrobiologie und 
Infektions epidemiologie 
klinisk mikrobiologi 
microbiology 
microbiologia 
microbiologie 
medische microbiologie 
medical microbiology 
μικροβιολογία 
microbiolog ía y parasitología ; } Acts of Accession of 
• Greece, Spain and 
Portugal 
biological chemistry: 
Denmark: 
Ireland: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Spain: klinisk kemi 
chemical pathology 
chimie biologique 
klinische chemie 
chemical pathology 
bioquímica clinica; > 
J Act of Accession of 
Spain and Portugal 
- 22 -
immunology: 
Ireland: 
United Kingdom: 
Spain: 
plastic surgery: 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal: clinical immunology 
immunology 
immunologia ; 
chirurgie plastique/ 
plastische heelkunde 
plastikkirurgi 
chirurgie plastique, 
esthéthique 
plastic surgery 
chirurgia plastica 
chirurgie plastique 
plastishe chirurgie 
plastic surgery 
πλαστική χειρουργική 
cirugía plástica y reparadora 
cirurgia plastica ; reconstructrice et 
thoracic surgery: 
Belgium: chirurgie thoracique/heelkunde op Belgium: 
de thorax 
Denmark: thoraxkirurgi eller brysthulens 
kirurgiske sygdomme 
France: chirurgie thoracique et cardio-vascu-
laire 
Ireland: thoracic surgery 
Italy: chirurgia toracica 
Luxembourg: chirurgie thoracique 
Netherlands: cardio-pulmonale chirurgie 
United Kingdom: thoracic surgery 
Greece: χειρουργική θώρακος 
Spain: cirugía torácica 
Portugal: circurgia torácica; l· 
paediatric surgery: 
France: 
Ireland: 
Italy: 
Luxembourg: 
United Kingdom: 
Greece: 
Spain: 
Portugal: chirurgie infantile 
paediatric surgery 
chirurgia pediatrica 
chirurgie pédiatrique 
paediatric surgery; 
χειρουργική παίδων 
cirugía pediàtrica 
cirurgia pediátrica; > 
> 75/362/EEC 
Act of Accession of 
Spain and Portugal 
-89/594/EEC 
Acts of Accession of 
• Greece, Spain and 
Portugal 
89/594/EEC 
Acts of Accession of 
• Greece, Spain and 
Portugal 
-89/594/EEC 
- 82/594/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
- 23 -
vascular surgery: 
Belgium: 
France: 
"Italy: 
Luxembourg: 
Spain: 
Portugal: 
cardiology; 
Belgium: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal : chirurgie des vaisseaux/ 
bloedvatcnheelkunde 
chirurgie vasculaire 
chirurgia vascolare 
chirurgie cardio-vasculaire 
angiologia y cirugía vascular 
cirurgia vascular; J 
} 
cardiologie/cardiologie 
cardiologi eller hjerte — 
og kredsløbssygdomme 
pathologie cardio-vasculaire 
cardiology 
cardiologia 
cardiologie et angiologie 
cardiologie 
cardio-vascular disease 
καρδιολογία 
cardiologia 
cardiologia/ > 
gastroenterology: 
Belgium: gastro-enterologie/ 
gastro-enterologie 
Denmark: medicinsk gastroenterologi eller 
medicinske mave-tarmsygdomme 
France: gastro-entérologie et hépatologie 
Ireland: gastroenterology 
Italy: malattie dell'apparato digerente 
della nutrizione e del ricambio 
Luxembourg: gastro-entérologie 
Netherlands: gastro-enterologie 
United Kingdom: gastroenterology 
Greece: γαστρεντεολογία 
Spain: aparato digestivo 
Portugal : gastro-enterologia; 
rheumatology: 
Belgium: rhumatologie/reumatologie 
Denmark: reumatologi 
France: rhumatologie 
Ireland: rheumatology 
Italy: reumatologia 
Luxembourg: rhumatologie 
Netherlands: reumatologie 
United Kingdom: rheumatology 
Greecc: ρευματολογία 
Spain: reumatologia 
Portugal: reumatologia; 75/362/EEC 
S9/594/EEC 
Act of Accession of 
Spain and Portuga! 
89/594/EEC 
Acts of Accession of 
' Greece, Spain and 
Portugal 
• 89/594/EEC 
Act of Accession of 
Spain and Portugal 
89/594/EEC 
Acts of Accession of 
"Greece, Spain and 
Portugal 
- 24 -
general haematology: 
Ireland: 
Italy: 
Luxembourg: 
United Kingdom: 
Greece: 
Spain: 
Portugal : 
endocrinology: 
France: 
Ireland: 
Italy: 
Luxembourg: 
United Kingdom: 
Spain: 
Portugal: 
physiotherapy: 
Belgium: 
Denmark: 
France: 
Italy: 
Luxembourg: 
Netherlands: 
Greece: 
Spain: 
Portugal : 
stomatology: 
France: 
Italy: 
Luxembourg: 
Spain: 
Portugal: haematology 
ematologia 
hématologie 
haematology 
αιματολογία 
hematología y hemoterapia 
imunohemoterapiaj 
endocrinologie — maladies 
métaboliques 
endocrinology and diabetes 
mellitus 
endocrinologia 
endocrinologie, maladies du 
métabolisme et de la nutrition 
endocrinology and diabetes 
mellitus 
endocrinología y nutrición 
en docri nologia-nutriçao; l·-
médecine physique/fysische 
geneeskunde 
fysiurgi og rehabilitering' 
rééducation et réadaptation 
fonctionnelles 
fisioterapia 
rééducation et réadaptation 
fonctionnelles 
revalidatie 
ψυσική ιατρική και αποκατάσταση 
rehabilitaci ón 
fisiatria· h1 
stomatologie 
odontostomatologia 
stomatologie 
estomatología 
estomatologia; 75/362/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
89/594/EEC 
Act of Accession of 
Spain and Portugal 
• 82/76/EEC 
- 89/594/EEC 
Act of Accession of 
Spain and Portugal 
Act of Accession of 
Spain and Portugal 
- 25 -
neuro-psycbiatry: 
Germany: 
Belgium: 
France: 
Italy: 
Luxembourg: 
Netherlands: 
Greece: Nervenheilkunde (Neurologie und 
Psychiatrie) 
neuro-psychiatrie/ 
neuropsychiatrie 
neuro-psychiatrie 
neuropsichiatria 
neuro-psychiatrie 
zenuw- en zielsziekten; 
νευρολογία — ψυχιατρική ; 
dermato-venereology: 
Germany: Dermatologie und Venerologie 
Belgium: dermato-v énéréologie/ 
dermato-vcnereologic 
Denmark: dermato-venerologi eller hud- og 
kønssygdomme 
France: dermatologie et vénéréologie 
Italy: dermatologia e vencrologia 
Luxembourg: dermato-vénéreologie 
Netherlands: dermatologie en Venerologie 
Greece: δερματολογία — 
άφροδισιολογία 
Spain: dermatologia médico-quirurgica y 
venereologia 
Portugal : dermatovenereología ·, 
dermatology: 
Ireland: dermatology 
United Kingdom: dermatology; 
venereology: 
Ireland: venereology 
United Kingdom: venereology; 
radiology: 
Germany: 
France: 
Italy: 
Luxembourg: 
Netherlands: 
Crocce: 
Spain: 
Portugal: Radiologic 
électro-radiologie 
radiologia 
élcctro-radiologie 
radiologic 
άκτινολογία — ραδιολογία 
electroradiologia 
radiologia ; J-75/362/EEC 
• 82/76/EEC 
. 89/594/EEC 
89/594/EEC 
Acts of Accession of 
• Greece, Spain and 
Portugal 
89/594/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
- 26 -
diagnostic radiology: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal: 
radiotherapy: 
Germany: 
Belgium: 
Denmark: 
France: 
Ireland: 
Luxembourg: 
Netherlands: 
United Kingdom: 
(¡recce: 
Spain: 
Portugal: Radiologische Diagnostik 
radiodiagnostic/röntgcndiagnose 
diagnostisk radiologi eller 
røntgenundersøgelse 
radiodiàgnostic et imagerie médicale 
diagnostic radiology 
radiodiagnostic 
radiodiagnostiek 
diagnostic radiology 
'Ακτινοδιαγνωστική 
radiodiagnostico 
radiodiagnostico ·, S 
-y 
'3—1 
Strahlentherapie 
radio- et radiumthérapie/radio­
en radiumtherapie 
terapeutisk radiologi eller 
strålebehandling 
oncologie, option radiothérapie 
radiotherapy 
radiothérapie 
radiotherapie 
radiotherapy 
άκτινοΗεραπευτική 
oncologia radioterapica 
radioterapia ; Η 
tropical medicine: 
Denmark: 
Ireland: 
Italy: 
United Kingdom: 
Portugal: tropemedicin 
tropical medicine 
medicina tropicale 
tropical medicine 
medicina tropical ·, 
child psychiatry: 
Germany: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
United Kingdom: 
Greece: 
Portugal : Kinder- und Jugendpsychiatrie 
børnepsykiatri 
pédo-psychiatrie 
child and adolescent psychiatry 
ncuropsichiatria infantile 
psychiatrie infantile 
child and adolescent psychiatry 
παιδοψυχιατρική 
pedopsiquiatria ; } 
> 75/362/EEC 
89/594/EEC 
• 82/76/EEC 
Act of Accession of 
Spain and Portugal 
89/594/EEC 
• 82/76/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
Act of Accession of 
Spain and Portugal 
• 89/594/EEC 
. 82/76/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
- 27 -
geriatrics: 
Ireland: 
Netherlands:' 
United Kingdom: 
Spain: 
renal diseases: 
Denmark: 
France: 
Ireland: 
Italy: 
Luxembourg: 
United Kingdom: 
Crocce: geriatrics 
klinische geriatric 
gcriatrics 
geriatria ; J-
> 
Spain: 
Portugal: nefrologi eller medicinske 
nyresygdomme 
néphrologie 
nephrology 
nefrologia 
néphrologie 
renal diseases 
νεφρολογία 
nefrologia 
nefrologia ; 3-
3—1 
communicable diseases: 
Ireland: 
Italy: 
United Kingdom: communicable diseases 
malattie infettive 
communicable diseases; 75/362/EEC 
89/594/EEC 
Act of Accession of 
Spain and Portugal 
89/594/EEC 
Acts of Accession of 
Greece, Spain and 
Portugal 
community medicine: 
France: 
Ireland: 
United Kingdom: 
pharmacology: 
Germany: 
Ireland: 
United Kingdom: 
Spain : santé publique et médecine sociale 
community medicine 
community medicine; 
Pharmakologie 
clinical pharmacology and 
therapeutics 
clinical pharmacology and 
therapeutics 
farmacologia clinica ; • 89/594/EEC 
Act of Accession of 
Spain and Portugal 
- 28 -
occupational medicine: 
Germany: 
Denmark: 
France: 
Ireland: 
Italy: 
Netherlands: 
United Kingdom: 
Greece: 
Portugal: 
allergology: 
Italy: 
Netherlands: 
Greece: 
Spain: 
Portugal : Arbeitsmedizin 
samfundsmedicin / 
arbejdsmedecin 
médecine du travail 
occupational medicine 
medicina del lavoro 
arbeids- en bedrijfsgeneeskunde 
occupational medicine 
ιατρική της εργασίας 
medicina do trabalho;. F 
allergologia ed immunologia clinica 
allergologie. 
αλλεργιολσγία 
alergolog ía 
imuno-alergologia ; 
gastro-enterologfcal surgery: 
Belgium: 
Denmark: 
France: 
Italy: 
Spain: chirurgie abdominale/heejkunde 
op het abdomen 
kirurgisk gastroenterologi eller 
kirurgiske mave-tarmsygdomme 
chirurgie viscérale 
chirurgia dell'apparato digerente 
cinigia del aparato digestivo; > 75/362/EEC 
— 89/594/EEC 
89/594/EEC 
• Act of Accession of 
Spain and Portugal 
89/594/EEC 
Act of Accession of 
Spain and Portugal 
nuclear medicine: 
Germany: 
Belgium: 
France: 
Italy: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal: Nuklearmedizin 
médecine nucléaire/ • 
nucleaire geneeskunde 
médecine nucléaire 
medicina nucleare 
nucleaire geneeskunde 
nuclear medicine 
πυρηνική ιατρική 
medicina nuclear 
medicina nuclear; 89/594/EEC 
maxillo-facial surgery 
(basic medical training): 
France: chirurgie maxillo-faciale et 
stomatologie 
Italy: chirurgia maxillo-facciale 
Spain: cirugía oral y maxilofacial; 
-29-
denial, oral and maxillo-facial surgery 
(basic medical and dental training): 
Zalm-, Mund-, Kiefer- und 
Gesichischirurgie 
stomatologie/chirurgie orale et 
maxillo-faciale, 
stomatologie/orale en 
maxillo-facialc chirurgie 
oral and maxillo-facial 
surgery 
oral and maxillo-facial 
surgery. Germany: 
Belgium: 
Ireland: 
United Kingdom: 89/594/EEC 
75/362/EEC 
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 specialty by its 
own law, regulation or administrative action. 
2. The host Member State shall, however, take 
into account, in whole or in pan, 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. 
-30-
CHAPTER IV 
EXISTING CIRCUMSTANCES 
Article 9 
1. The diplomas, certificato and other evidence of formal 
qualifications in specialized medicine issued to nationals 
of the Member States and not satisfying the minimum 
training requirements laid down in Articles 24 to 27 shall 
be assimilated with those diplomas satisfying to these 
requirements when they attest to training which has 
commenced at least before : 
1 January 1986 for Spain and Portugal; 
1 January 1981 for Greece; 
20 December 1976 for the other Member States; 
without prejudice to paragraphs 2 and 3. 
The host Member. State may, however, require that the 
diplomas, certificates and other evidence of formal 
qualifications in medicine be 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. 
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 comei 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. 
- 31 -
2. 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 territory 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 (a), and 
— they are accompanied by a certificate issued by thè 
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. 
3. 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 docs 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 I 
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 activity 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. 90/658/EEC 
Article 9a 
- 32 -
4 - 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 0Γ 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 that these diplomas, certificates 
and other evidence of formal qualifications in medicine or 
in specialized medicine were awarded following training 
in accordance with the provisions of Title III 
referred to, as appropriate, in Article 2,4 89/594/EEC 
or • and arc treated by the 
Member State which awarded (hem as the qualifications 
or designations set out, as appropriate, in Article 3,5 or 7· 
5. 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, 
gastroenterological 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 
neuropsychiatry, radiology, thoracic surgery, vascular 
surgery, gastroenterological surgery, biological 
haematology, physiotherapy or tropical medicine fulfil the 
relevant conditions set out either in Artide 9 (2)-
or in Anides 2, 3 and 5 or in Articles 
24, 25 and 27 and in so far as the said diplomas, cenificates 
and other evidence of formal qualifications were awarded 
before the date on which the host Member Sute stopped 
awarding such diplomas, certificates and other evidence of 
formal qualification in the speaalization concerned. 
6. The dates on which the Member States concerned 
repealed the provisions laid down by law, regulation or 
administrative action in res pea of the diplomas, cenificates 
and other evidence of formal qualifications referred to in 
paragraph 5 are set out in Annex II. 89/594/EEC 
CHAPTER V 
USE OF ACADEMIC TITLE 
Artide 10 
1. Without prejudice to Artide 19, host Member 
States shall ensure that the nationals of Member 
States who fulfil the conditions laid down in Anides 
2, 4, 6 and 9 have the right to use the lawful 
acadcmic 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. 
CHAPTER VI 
PROVISIONS TO FACILITATE THE EFFECTIVE 
EXERCISE OF THE RIGHT OF ESTABLISHMENT 
AND FREEDOM TO PROVIDE 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. 
- 34 -
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 
activiry in question for the first unie, 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 conccrned, 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 • 
trom which the foreign national comes shall verify 
rhe 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 cenificates or documents they have 
issued. 
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 cbctor, 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 Sate has detailed 
knowledge of a serious maner which has occurred, 
prior to the establishment of the person concerned 
in that State, outside its territory and which is likely 
to at'fect 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. 
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 narure 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. 
Marter States shall ensure the confidentiality 
of the infornati on which is forwarded. 75/362/EEC 
82/76/EEC 
75/362/EEC 
82/76/EEC 
75/362/EEC 
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 x>f 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. 
Artide 14 
Documents issued in accordancc with Anieles 11,12 
and 13 may not be presented more than three 
months after their date of issue. 
Artide IS 
1. The procedure for authorizing the person 
conccrned to take up any activity of a 
(factor, 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 delays 
resulting from any appeal that may be made upon 
the termination of this procedure. 
2. In the cases referred to in Article 11 (3) and 
Article 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. 
- 36 -
Β. Special provisions relating to the provision 
oí services 
Artide 17 
L 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. 
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. 75/362/EEC 
Article 16 
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. 82/76/EEC 
Where a host Member State adopts a measure 
pursuant to the second subparagraph or becomes 
aware of faas 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 provision 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 rhe person conccrned to 
supply one or more documents containing the 
following particulars: 
— the declaration referred to in paragraph 2; 
— a certificate stating that the person concerncd is 
lawfully pursuing the activities in question in the 
Member State where he is established; 
- 37 -
a certificate that the person conccrncd holds one 
or other of the diplomas, certificates or other 
evidence of formal qualification appropriate for 
the provision of rhe services in question and 
referred to in this Directive. 75/362/EEC 
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 Sute 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 advancc, or, in urgent 
cases, subsequently, concerning the services provided. Article 17 
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 subiect to rules, nationals 
of other Member States.who fulfil the conditions laid 
down in Article 2 and Article 9 (1) and (2) 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 and 6 
and Article 9 ( 1 ), (3), (4) and (5). Article 18 
- 38 -
Article 20 
1. Member States shall take the necessary 
measures to enable the persons conccrned 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. 75/362/EEC 
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 St^cc and referred to in Chapters I to 'IV 
and also confirmation of the fact that the person 
concerned has fulfilled all the training requirements 
laid down in Articles 23 to 29. 
- 39 -
TITLE III 
COORDINATION OF PROVISIONS LAID DOWN 
BY LAW, REGULATION OR ADMINISTRATIVE 
ACTION IN RESPECT OF ACTIVITIES OF DOCTORS 
Article 23 
1. The Member Stares shall require persons 
wishing to take up and pursue a medica! profession 
to hold a diploma, certificat«; or other evidence of 
formal qualifications in medicine referred to in 
Article 3 — ;— which 
guarantees that during his complete training period 
the person concerned has acquired: 75/363/EEC 
Art icle 1 
(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 the physical and social surroundings 
of the human being; 
(c) adequate knowledge oí clinica! 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 supervision. 
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 he admitted to the universities of a 
Member State for the course of study concerncd. 
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 
táke up and pursue the activities of a doctor. 
- AO -
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 Artide 23 · 
rhe training leading to the award of the diploma, 
certificate or other evidence of spedai ization in dental, 
oral and maxillo-fadal surgery (basic medical and dental 
training) also entails the sucessful completion of the 
training course as a dental practitioner referred to in 
Article 1 of Council Directive 78/687/EEC (1); 75/363/EEC 
Article 2 
89/594/EEC 
(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 the 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. 
2. Member States shall make the award òf 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-fadal 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. 75/363/EEC 
82/76/EEC 
75/363/EEC 
89/594/EEC 
(') OJ No 1. 2Î.Î, 24. 8. 1978, p. Ì0. 
- 41 -
Article 25 
1. Without prejudice to the principle of full-time 
training as set out in Article 2(^1) (c), and until such 
time as the Council takes decisi.ons 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 ï 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 3 
82/76/EEC 
82/76/EEC 
Article 14 
(adapted) 
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 ζ four years): 
— gynaecology and obstetrics 
— paediatrics 
— pneumo-phthisiology 
— pathological anatomy 
— neurology 
— psychiatry ; 
Third group (three years) : 
— anesthesiology and reanimation 
— ophthalmology 
— otorhinolaryngology. 75/363/EEC 
Article 4 
89/594/EEC 
75/363/EEC 
- 42 -
. 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 
— thoracic surgery 
— vascular surgery 
— neuro-psychiatry 
— paediatric surgery 
— gastroenterological surgery 
—maxi Ilo-facial surgery (basic medical training); 75/363/EEC 
Article 5 
] 89/594/EEC 
Second group C 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 maxi I lo-f acia I surgery (basic 
medical and dental training); 75/363/EEC 
89/594/EEC 
Third group ^three years) 
— general haematology 
— endocrinology 
— physiotherapy 
— stomatology 
— dermato-venereology 
— allergology t 75/363/EEC 
- 43 -
Article 28 
As a transitional mesasure 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 0n 20 June 1975, 82/76/EEC 
Article 7 
— 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 doctors of medicine 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 above-
mentioned diplomas. 
The diplomas referred to under (a) and (b) may be 
awarded to candidates who began their training 
before 20 December 1976. 75/363/EEC 
Article 8 
_ 44 -
TITLE IV 
SPECIFIC TRAINING IN 
GENERAL MEDICAL PRACTICE 
Artidi 30 
Each Member Sute which dispenses the complete 
training referred to in Article 23 1 
within its territory shall institute specific training in 
genera! medical practice meeting requirements at least as 
stringent as those laid down in Anieles 31 and 32 t 
in such a manner that the first diplomas, certi­
ficates or other evidence oí {ormai qualifications awarded 
on completion of the course are issued not later than I 
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 conditions! upon the successful comple­
tion of at least SIK 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 least 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 
generai medicai prae'ee 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 practice ; 
however, without prejudice to the aforesaid minimum 
periods, the practical instruction may be given for a 
maximum period of six months in other approved 
health establishments or structures concerned with 
general medical practice , 
(d) it shal! entail the persona! participation of the trainee 
in the professional activities and responsibilities of the 
persons with whom he works. 86/457/EEC 
Article 1 
Art i c I e 2 
- 45 -
2. Member States shall be entitled to defer application 
of the provisions of paragraph I (c) relating to minimum 
periods of instruction until I 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 qualifi­
cations referred to in Article 3. 
4. Member States shall designate the authorities or 
bodies competent to issue the diplomas, certificates or 
other evidence of formal qualifications awarded after 
specific training in general medical practice. 86/457/EEC 
Article 32 
If, by 22 September 1986, a Member State 
was providing training in general medical practice by 
means of expcriencc 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 Article31(l) (a) and (b), and Article31 
(3), 
— its duration is equal to twice the difference between 
the period laid down in Article 31(1) (I)) 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. 86/457/EEC 
Ar t i c I e 3 
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 tbe 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. 86/457/EEC 
Article 4 
- 46 -
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 arc 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 training 
given 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 prepara­
tion for the effective exercise of general medical 
practice. 
2. Part-time training must be of a level of quality 
equivalent to that of full-time training. It shall lead to a 
diploma, certificate or other evidence of formal qualifica­
tion, as referred. to in Article 30 · 86/457/EEC 
Article 5 
Article 3S 
1. Irrespective of any acquired rights they recognize. 
Member States may issue the diploma, certificate or other 
evidence of formal qualification referred to in Article30 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 qualifica­
tion issued by the competent authorities of a Member 
State, attesting to completion of another additonal 
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· 86/457/EEC 
Article 6 
2. In adopting their rules in accordance with paragraph 
1, Member Sutes shall specify the extent to which the 
additional training already completed by the candidate 
an'd his professional experience may be taken into 
account in place of the training referred to in Articles31 
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). 
- 47 -
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 qualifica­
tion as referred to in Article 30 -
However, Member States may exempt from this condition 
persons who are undergoing specific training in general 
medical practice. 
?.. Each Member State shall specify the acquired rights 
that it recognizes. However, it shall recognize the rijjht 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 under Articles 1 to 20 and who are estab­
lished on its territory on that date by virtue of Article 2 or 
Article 9 (S). 
3. Each Member State may apply paragraph 1 before 1 
January 5995, subject to the condition that any doctor 
who has completed the training referred to in Article 23' 
¡n another Member State shall be 
able to establish himself in practice on its territory unti! 
35 December 1994 and to practise under its national 
social security scheme by virtue of Article 2 or Article 9 
(1). 
4. The competent authorities of each Member State 
shall issue on request a certificate granting doctors posses­
sing acquired rights by virtue of paragraph 2 the right to 
practise as general medicai practitioners under its national 
social security scheme without the diploma, certificate or 
other evidence of formal qualifications referred to in 
Article 30. 
5- tothing 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 
medica! training and of specific training in genera! 
medical practice obtained in both eases in a Member 
State, but who possess diplomas, certificates oc other 
evidence of either or both of these types of training 
obtained in a non-member country. 86/457/EEC 
Article 7 
- 48 -
Article 37 
I. Each Member State shall recognize under its 
national social security schemc, for the purposes of the 
exercise of the activities of general medical practitioner, 
the diplomas, certificates, or other cvidcnce 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. 86/457/EEC 
Article 8 
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 Article 36 
(4) shall have the right to use in the host Member State 
the professional title existing in that State and the 
abbreviation thereof. 86/457/EEC 
Article 9 
. 
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 Slate 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. 86/457/EEC 
Article 10 
- 49 -
Article 40 
On the basis oí 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 practi­
tioner in order to satisfy the specific requirements of 
general medical practice. The Council shall act on those 
proposals in accordance with the procedures laid down in 
the Treaty. 86/457/EEC 
Article 11 
Article 41 
As soon as a Member State has notified the 
Commission of the date of entry into force of the 
measures it has taken in conformity with Article30, the 
Commission shall publish an appropriate notice in the 
Official Journal of the European Communities, indi­
cating the designations adopted by that Member State for 
the diploma, certificate or other evidence of formal quali­
fications and, where appropriate, the professional title in 
question. 86/457/EEC 
Article 12 par. 2 
- 50 -
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 Title I and shall 
forthwith inform the other Member States and the 
Commission thereof. 
Article 43 75/362/EEC 
Article 23 
This- - Directive applies to all nationals of a Member State with the 
intention to pnetiie, as self-employed or employed, the occupation of doctor 
in a host Member State. 
Article 44 
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 Council Decision 
No 75/365/EEC (1). 
When necessary, the Commission shall submit 
appropriate proposals to the Council. 75/362/EEC 
Article 26 
and 
75/363/EEC 
Article 10 
(1) OJ No L 167, 30.6.1975, p. 19. 
- 51 -
Article 45 
The Directives listed in Annex A are hereby repealed, 
without prejudice to the obligations of the Member States 
concerning the deadlines for transposai set out in Annex 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 Aimex C. 
Article 46 
This Directive is addressed to the Member States. 
Done at Brussels, For the Goincil 
The President 
- 52 -
ANNEX I 
82/76/EEC 
Characteristics of full-time and part-time training of specialists 
tøs referred to by Article 24 (1) (c) and Article 25) 
1. Full-time training of specialists 
Such training shall be carried out in specific posts recognized by the competent authority. 
It shall involve participation in all the medical activities of the department where the 
training is carried out, including on-call duties, so that the trainee specialist devotes to this 
practical and theoretical training all his professional 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 appropriate remuneration. 
Training may be interrupted for reasons such as military service, secondment, pregnancy or 
sickness. The total duration of the training shall not be reduced by reason of any 
interruption. 
2. Part-time training of specialists 
This training shall meet the same requirements as full-time training, from which it shall 
differ only in the possibility of limiting participation in medical activities to a period at least 
half of that provided for in the second subparagraph 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 pan-time training. 
- 53 -
ANNEX II 
Dates from which come Member Stales repealed the provisions laid down by law, regulation or administrative 
action concerning the award of the diplomas, cenificates and other evidence of formal qualifications referred to in 
Artide 9 (6) 
BELGIUM 
Thoracic surgery 1 January 1983 
Vascular surgery 1 January 1983 
Neuro-psychiatry 1 August 1987, 
Gastroenterological surgery 1 January 1983 
DENMARK 
Biological haematology 1 January 1983, save for persons having commenced training before that date 
Physiotherapy and who have completed it by the end of 1988 
Tropical medicine 1 August 1987, save for persons having commenced training before that 
date save for persons having commenced training before that 
date 89/594/EEC 
FRANCE 
Radiology 3 December 1971 
Neuropsychiatry 31 December 1971 
LUXEMBOURG 
Radiology 
Neuropsychiatry The diplomas, cenificates and other evidence of formal 
qualifications are no longer awarded in respect of training 
commenced after 5 March 1982 
NETHERLANDS 
Radiology 8 July 1984 
Neuropsychiatry 9 July 1984 
- 54 -
ANNEXA 
Repealed Directives 
(referred to in Article 45) 
- Directive 75/362/EEC 
- Directive 75/363/EEC 
and their successive amendments : 
- Directive 82/76/EEC 
- Directive 86/457/EEC 
- Directive 81/1057/EEC : only the references made by Article 1 to the 
provisions of the repealed Directives 
75/362/EEC and 75/363/CEE. 
- Directive 89/594/EEC : only Articles 1 to 9. 
- Directive 90/658/EEC : only Article 1 points (1) and (2), and 
Art icle 2. 
- 55 -
ANNEX Β 
Direct ive 
75/362/EEC (OJ No L 167, 30.6.1975, p. 1.) 
81/1057/EEC (OJ No L 385, 31.12.1981, p. 25.) 
75/363/EEC (OJ No L 167, 30.6.1975, p. 14.) 
82/76/EEC (OJ No L 43, 15.2.1982, p. 21.) 
89/594/EEC (OJ No L 341, 23.11.1989, p. 19.) 
90/658/EEC (OJ No L 353, 17.12.1990, p. 73.) 
86/475/EEC (OJ No L 267, 19.9.1986, p. 26.) Deadline for implementation 
20 December 1976 
30 June 1982 
20 December 1976(*) 
31 December 1982 
8 May 1991 
1 July 1991 
1 January 1995 
(*)However, for the territory of the former German Democratic Republic, Germany 
shall take the measures necessary to comply with Articles 2 to 5 by the end of the 
unification period, on April 3 1992 (90/658/EEC, Article 2). 
ANNEX C 
CORRELATION TABLE 
This DI reet i ve Directive Directive 
direct ive 75/362/EEC 75/363/EEC 86/475/EEC 
Article 1 Article 1 
ArtIcle 2 Article 2 
Art icle 3 Article 3 
Article 4 Article 4 
Art icle 5 Article 5 
ArtIcle 6 Art icle 6 
Art icle 7 Art icle 7 
Art le le 8 ArtIcle 8 
Article 9 (1) Art icle 9 (1 and 2) 
Article 9 (2) Article 9 a (1) 
Article 9 (3) Article 9 a (2) 
Article 9 (4) Article 9 (3) 
Art icle 9 (5) — 
Article 9 (6) — 
Article 10 Art icle 10 
Article 11 Art icle 11 
Article 12 Article 12 
Article 13 Article 13 
Article 14 Article 14 
Article 15 Article 15 
Art icle 16 Art icle 15 a 
Article 17 Article 16 
Article 18 Article 17 
Article 19 Article 18 
Article 20 Article 20 
Article 21 Art icle 21 
Article 22 Article 22 
Article 23 Article 1 
Art icle 24 ArtIcle 2 
This Di reetive Directive 
directive 75/362/EEC 75/363/EEC 
Article 25 (1) Article 3 (1) 
Article 25 (2) Article 3 (2) 
Art. 25 (3) 1st subpar. Art. 3 (3) 1st subparagraph 
Art. 25 (3) 2nd subpar. —— 
Art icle 26 Article 4 
Article 27 Art icle 5 
ArtIcle 28 Art icle 7 
Article 29 ArtIcle 8 
Article 30 
Article 31 
Art icle 32 
Article 33 
Article 34 
Art icle 35 
Article 36 
Art icle 37 
Article 38 
Art icle 39 
Article 40 \ 
Article 41 
Art icle 42 Article 23 
Article 43 Article 24 
Art icle 44 Article 26 
Art icle 45 — 
Article 46 Article 27 
Annex I Annex 
Annex 11 —— Direct ive 
86/475/EEC 
Article 1 
Article 2 
Article 3 
Article 4 
ArtIcle 5 
Art icle 6 
Art icle 7 
Article 8 
Art icle 9 
Article 10 
Article 11 
Article 12 (2)