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
Date: 1991-12-12
Institutions: European Commission
Subjects: freedom to provide services, physician, recognition of diplomas, right of establishment

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 

of  the  Council  of  16  June  1975  concerning  the  mutual 
75/362/EEC 
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 
-  ct  or 
coordination 
administrative action in respect of activities of doctors 
(0J  No L 167, 30.6.1975, p. 14.) 

ν ovic'rn-  fï r;  άνν, 

i, 

b> 

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 

List  of  Directives 

Title I 

Title Π 

- 4 -

CONTENTS TABLE 

Scope 

Mutual recognition of diplomas,  certificates and  other evidence 
of formal  qualifications in medicine 

Chapter I 

Chapter Π 

Chapter III 

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 

Chapter IV 

Existing circumstances 

Chapter V 

Use of academic  title 

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. 

B. 

C. 

Provisions specifically relating  to the right 
of establishment 
Special provisions relating  to the provision 
of services 
Provision common to  the right of  establishment 
and freedom  to provide services 

Title ΠΙ 

Tide IV 

Title V 

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 

Annex I 

Characteristics of full-time and part-time training  of specialists 

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 

Annex  A 
Annex  Β 
Annex  C 

List of  repealed Directives 
Implementation delay  for the codified  Directives 
Correlation  table 

Page 

3 

10 

10 

10 

13 

20 

30 

33 

33 

33 
33 

36 
36 

37 

39 

44 

50 

52 

53 

54 
55 
56 

-  5  -

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), 

to 

the 

facilitate 

the  directives 

Whereas 
free 
movement  of  doctors  and  the  mutual  recognition  of 
their  diplomas,  certificates  and  other  evidence  of 
out  in  Annex  A, have 
formal  qualifications,  set 
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 
the  grant  of  any 
to 
authorization  required  to  practise  as  a  doctor  and 
also  to  the  registration  with  or  membership  of 
professional organizations or bodies; 

in  particular 

Whereas  it  nevertheless  seems  desirable  that  certain 
provisions  be  introduced  to  facilitate  the  effective 
exercise of  the  right of  establishment and  freedom  to 
provide  services 
in  respect  of  the  activities  of 
doctors; 

Whereas,  pursuant  to the  Treaty,  the  Member States 
are  required  not  to  grant  any  form  of  aid  likely  to 
distort the conditions of establishment; 

Whereas  Article  57 (1)  of  the  Treaty  provides  that 
for  mutual  recognition  of 
directives  be 

issued 

(>)  OJ  No  C 
(')  OJ  No C 

75/362/EEC 

2. 

3. 

4. 

- 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; 

75/362/EEC 

Whereas,  with regard  to the  training of 
mutual  recognition  of 
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; 

training  qualifications 

specialists, 

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; 

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 
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; 

the 

in 

to 

facilitate 

the  application  of 

this 
Whereas, 
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 
law,  regulation  or  administrative 
laid  down  by 
action 
the  Member  States,  which  prohibit 
companies  or  firms  from  practising  medicine  or 
impose on them certain conditions for such  practice; 

in 

82/76/EEC 
(adapted) 

1. 

+ 

1. 

89/594/EEC 

8.  75/362/EEC 

9. 

10. 

in 

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 
the  host  country,  would 
activity  pursued 
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 
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; 

the  responsibility  of 

is 

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 
subsequent 
coordination; 

exclude 

any 

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 
in  a  satisfactory  manner  within  the 
longer  be  taught 
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  general  medical 
practitioner; 

the  status  of 

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 
the  specific 
to  satisfy 
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 
Directive ; whereas  it  is 
accordance  with 
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 ; 

this 

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; 

11. 

86/457/EEC 

- 9 -

this 

this 

Whereas,  under 
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 
Directive 
will  remain  in  effect  as  regards  the  exercise  of  general 
medical  practice  under  social  security  schemes  until  1 
January  1995,  from  which  date 
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 
;  must  have  an  acquired  right  to  practise  as 
Directive 
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; 

this 

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 
it 
therefore  appears  necessary  to  extend  this  Directive 
to employed doctors; 

the  Community, 

4. 

75/363/EEC 

(adapted) 

13. 

75/362/EEC 

Whereas 
obligations  of 

this  Directive  must  not  affect 

the 
the  Member  State*  concerning  the 

deadlines  for  transposai  set  out  in Amex  B, 

HAS  ADOPTED  THIS  DIRECTIVE: 

75/362/EEC 

- 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 

CHAPTER  1 

DIPLOMAS,  CERTIFICATES  AND OTHER  EVIDENCE 
OF FORMAL QUALIFICATIONS IN  MEDICINE 

Article 2 

of 

and 

other 

evidence 

Each  Member  State  shall  recognize  the  diplomas, 
certificates 
formal 
qualifications  awarded  to  nationals  of  Member 
States  by  the  other  Member  States  in  accordance 
an^ 
with  Article  23 
in  Article  3,  by  giving  such 
which  are 
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. 

listed 

Article 3 

The  diplomas,  certificates  and  other  evidence  of 
formal  qualifications  referred  to  in  Article  2  are  as 
follows: 

75/362/EEC 

89/594/EEC 

75/362/EEC 

-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); 

(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;. 

(c)  in Denmark: 

lægevidenskabelig  embeds­
'bevis  for  bestået 
(diploma  of  doctor  of  medicine 
eksamen' 
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) 
faculties  of 
awarded  by 
the  university 
joint  faculties  of 
medicine,  the  university 
the 
and 
medicine 
universities; 

pharmacy,  or 

by 

2.  'diplôme 

de 

d'université 

docteur "  en 
médecine'  (university  diploma  of  doctor  of 
medicine)  where 
certifies 
completion  of  the  same  training  course  as 
that  laid  down  for  the  State  diploma  of 
doctor of  medicine; 

that  diplotna 

- 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; 

75/362/EEC 

(f)  in  Italy: 

89/594/EEC 

'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: 

82/76/EEC 

'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: 

75/362/EEC 

'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; 

- 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; 

(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. 

CHAPTER  II 

DIPLOMAS, CERTIFICATES  AND OTHER  EVIDENCE 
OF  FORMAL  QUALIFICATIONS  IN  SPECIALIZED 
MEDICINE  COMMON  TO  ALL  MEMBER  STATES 

Article 4 

89/594/EEC 

Act of Accession 
of Spain and 
Portugal 

75/362/EEC 

of 

and 

other 

evidence 

Each  Member  State  shall  recognize  the  diplomas, 
formal 
certificates 
qualifications  in  specialized  medicine  awarded  to 
nationals  of  Member  States  by  the  other  Member 
States  in  accordance  with  Articles 
an(j  wh¡ch  are  listed  in 
24,  25,  26  and  29 
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 
in  paragraph  2, 
authorities  or  bodies 
correspond,  for  the  purpose  of 
the  specialized 
training  concerned,  to  the  qualifications  recognized 
in the various Member States and listed in paragraph 3. 

listed 

- 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: 

von 

den 

Landesärztekammern 

erteilte 
'die 
fachärztliche  Anerkennung*  (recognized  certificate  of 
medical  specialist, 
the  Chamber  of 
issued  by 
Physicians of  the  'Land' concerned); 

titre  d'agrégation 

in Belgium: 
en  qualité  de  médecin 
Le 
«•1 
spécialiste/erkcnningsiiiel  van  geneesheer  specialist' 
(formal  evidence  of  having  qualified  as  a  medical 
specialist) issued  by  the Minister  responsible for public 
health; 

in  Denmark: 

sig  som 
tilladelse 
'bevis 
for 
speciallæge' 
tide  of 
(certificate  concerning 
specialist)  issued  by  the competent  authorities of  the 
health service; 

til  at  betegne 

the 

in France: 

—  'le  certificat  d'études  spéciales  de  médecine* 
(certificate  of  specialized  studies  in  medicine) 
issued  by  a  university 
faculty  of  medicine, 
university 
faculties  of  medicine  and 
joint 
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) 
faculty  of  medicine, 
issued  by  a  university 
university 
faculties  of  medicine  and 
pharmacy  or  equivalent  ceitificates  drawn  up 
under a decree of  the Minister for Education; 

joint 

—  ' le diplôme d'études spécialisées de médecine délivré 
par les  universités·,'  (diploma of  specialized studies 
in medicine  awarded  by a  university); 

89/594/EEC 

75/362/EEC 

89/594/EEC 

in Ireland: 

75/362/EEC 

certificate  of 
the 
specialist  doctor 
competent  authority  recognized  for  this  purpose  by 
the Minister for Health; 

issued  by 

- 15 -

in Italy: 

'diploma  di  medico  specialista,  rilasciati  dal  renore 
di  una  università*  (diploma  of  specialized  doctor, 
granted by  a  Rector of  a  University); 

in Luxembourg: 

(certificate  of 
'certificat  de  médecin  spécialiste' 
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 

de 

(SGRC) 

Sociaal-Geneeskundigen 
door 
Registratie-Comissie 
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); 

in the United Kingdom: 

certificate  of  completion  of  specialist  training  issued 
by  the  competent  authority  recognized 
for  this 
purpose; 

in Greece: 

Τίτλος  Ιατρικής  ειδικότητας  χορηγούμενος  από  τις 
Νομαρχίες 
(certificate  of  medical  specialization), 
awarded  by  the  prefectures; 

in Spain: 

'Título  de  Especialista'  (professional  qualifi­
cation of specialist) awarded by the  Ministry of 
Education and Science; 

in Portugal: 

(assistant  grade), 
' Grau  de  Assistente' 
awarded  by  the  competent  authorities  of  the 
Ministry of  Health, or  'Título de  Especialista1 
(professional 
specialist) 
qualification 
awarded  by  the  professional  association  for 
medical practitioners; 

of 

75/362/EEC 

89/594/EEC 

75/362/EEC 

89/594/EEC 

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: 

Anesthesiologie 
anesthesiologie/anesthesiologie 
anæstesiologi 

ancsthésiologie-réanimation  chirurgicale 

Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United  Kingdom: 
Greece: 

Spain: 
Portugal : 

anaesthetics 
anestesia e  rianimazione 
anesthésie-réanimation 

anesthesiologie 
anaesthetics; 
άναισθησιολογία 

anestesiología y  reanimación 
anestesiología· 

—  general surgery: 

Germany: 
Belgium: 
Denmark: 

France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 

Greece: 

Spain: 

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 

Portugal : 

cirurgia geral ; 

neurological surgery: 

Germany: 
Belgium: 
Denmark: 

Neurochirurgie 
neurochirurgie/neurochirurgie 
neurokirurgi eller kirurgiske 
nervesygdomme 
neurochirurgie 
neurological surgery 
neurochirurgia 
neurochirurgie 
neurochirurgie 

France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom:  neurological surgery 
G recce: 
Spain: 

νευροχπροΐ'ργι κ-ή 
neurocirugia 

Portugal: 

neurocirurgia * 

75/362/EEC 

82/76/EEC 

89/594/EEC 

Acts of  Accession of 
Greece,  Spain and 
Portugal 

Act  of  Accession of 
Greece 

89/594/EEC 

Act of  Accession of 
Spain and Portugal 

Acts of  Accession of 
Greece, Spain  and 
Portugal 

- 17 -

obstetrics and gynaecology: 

Germany: 

Belgium: ! 

Denmark: 

Frauenheilkunde und Geburts­
hilfe 
gynécologie-obstétrique/gynecologie-
verloskunde 
gynækologi og  obstetrik eller 
kvindesygdomme og fødsels­
hjælp 
gynécologie-obstétrique 
obstetrics and gynaecology 
obtetricia e ginecologia 
gynecologie-obstetrique 
verloskunde en gynaecologie 

France: ' 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom:  obstetrics and gynaecology 
μαιευτική—γυναικολογία 
Grcccc: 
obstetricia y ginecología 
Spain : 
ginecologia e obstetricia -
Portugal : 

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 ; 

75/362/EEC 

1 

-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 
otorrinolaringología 
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 
pediatría y sus áreas específicas 
pediatria *, 

—  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 ; 

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 

89/594/EEC 

Ir 

Acts of  Accession of 
Greece, Spain and 
Portugal 

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 

89/594/EEC 

- 19 -

—  urology: 

Germany: 
Belgium: 
Denmark: 

France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
'G recce: 
Spain: 
Portugal: 

orthopaedics: 

Urologie 
urologie/urologie 
urologi  eller  urinvejenes 
kirurgiske sygdomme 
chirurgie urologique 
urology 
urologia 
urologie 
urologie 
urology; 
ουρολογία 
urología 
urologia; 

Germany: 
Belgium: 
Denmark: 
France: 
Ireland; 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Circeo.-: 
Spain: 
Portugal: 

Orthopädie 
orthopédie/orthopedic 
ortopædisk  kirurgi 
chirurgie orthopédique et traumatologie 
orthopaedic surgery 
ortopedia , c traumatologia 
orthopédie 
orthopedie 
orthopaedic surgery 
όρΟοπϊόική 
traumatoligía y cirugía ortopédica 
ortopedia; 

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. 

CHAPTER  lil 

75/362/EEC 

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 
—  and 
24,  25,  27  and  29 
which  are 
in  Article  7,  by  giving  such 
listed 
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 
(2), 
the  specialized 
the  purposes  of 
correspond  for 
training  in  question  to  the  designations  listed  in 
paragraph  2  of 
this  Article  in  respect  of  those 
Member States which  give such  training. 

in  Article  S 

listed 

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; 

biological haematology: 

Denmark: 
France: 
Luxembourg: 
Portugal: 

klinisk  blodtypeserologi 
hématologie 
hématologie biologique 
hematologia clínica; 

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 
microbiología y  parasitología ; 

biological chemistry: 

Denmark: 
Ireland: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Spain: 

klinisk kemi 
chemical  pathology 
chimie  biologique 
klinische chemie 
chemical pathology 
bioquímica clinica; 

} 

Act of  Accession of 
' Spain and Portugal 

89/594/EEC 

Act of  Accession of 
" Spain and Portugal 

} 

Acts of  Accession of 
• Greece, Spain and 
Portugal 

> 

J 

Act of  Accession of 
Spain and Portugal 

- 22 -

immunology: 

Ireland: 
United Kingdom: 
Spain: 

clinical immunology 
immunology 
immunologia ; 

75/362/EEC 

Act of  Accession  of 
Spain and  Portugal 

plastic surgery: 

Belgium: 

Denmark: 
France: 

Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United  Kingdom: 
Greece: 
Spain: 
Portugal: 

thoracic surgery: 

Belgium: 
Belgium: 

Denmark: 

France: 

Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal: 

reconstructrice  et 

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 ; 

thoracique  et  cardio-vascu-

chirurgie thoracique/heelkunde op 
de thorax 
thoraxkirurgi  eller  brysthulens 
kirurgiske sygdomme 
chirurgie 
laire 
thoracic surgery 
chirurgia toracica 
chirurgie thoracique 
cardio-pulmonale chirurgie 
thoracic surgery 
χειρουργική θώρακος 
cirugía torácica 
circurgia torácica; 

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; 

-89/594/EEC 

Acts of  Accession of 

• Greece,  Spain and 
Portugal 

l· 

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: 

chirurgie des vaisseaux/ 
bloedvatcnheelkunde 
chirurgie vasculaire 
chirurgia vascolare 
chirurgie cardio-vasculaire 
angiologia y  cirugía vascular 
cirurgia vascular; 

75/362/EEC 

J 
} 

S9/594/EEC 

Act of  Accession of 
Spain and  Portuga! 

cardiology; 

Belgium: 
Denmark: 

France: 
Ireland: 
Italy: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal : 

cardiologie/cardiologie 
cardiologi eller hjerte — 
og kredsløbssygdomme 
pathologie cardio-vasculaire 
cardiology 
cardiologia 
cardiologie et angiologie 
cardiologie 
cardio-vascular disease 
καρδιολογία 
cardiologia 
cardiologia/ 

gastroenterology: 

Belgium: 

Denmark: 

France: 
Ireland: 
Italy: 

gastro-enterologie/ 
gastro-enterologie 
medicinsk gastroenterologi  eller 
medicinske mave-tarmsygdomme 
gastro-entérologie et  hépatologie 
gastroenterology 
malattie dell'apparato digerente 
della nutrizione e del ricambio 
gastro-entérologie 
Luxembourg: 
Netherlands: 
gastro-enterologie 
United Kingdom:  gastroenterology 
γαστρεντεολογία 
Greece: 
aparato digestivo 
Spain: 
gastro-enterologia; 
Portugal : 

rheumatology: 

rhumatologie/reumatologie 
Belgium: 
Denmark: 
reumatologi 
rhumatologie 
France: 
Ireland: 
rheumatology 
reumatologia 
Italy: 
Luxembourg: 
rhumatologie 
reumatologie 
Netherlands: 
United Kingdom:  rheumatology 
Greecc: 
ρευματολογία 
Spain: 
reumatologia 
reumatologia; 
Portugal: 

> 

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 : 

haematology 
ematologia 
hématologie 
haematology 
αιματολογία 
hematología y hemoterapia 
imunohemoterapiaj 

endocrinology: 

France: 

Ireland: 

Italy: 
Luxembourg: 

United Kingdom: 

Spain: 
Portugal: 

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; 

75/362/EEC 

Acts of  Accession of 
Greece,  Spain and 
Portugal 

89/594/EEC 

l·-

Act of  Accession of 
Spain and Portugal 

physiotherapy: 

Belgium: 

Denmark: 
France: 

Italy: 
Luxembourg: 

Netherlands: 
Greece: 
Spain: 
Portugal : 

stomatology: 

France: 
Italy: 
Luxembourg: 
Spain: 
Portugal: 

physique/fysische 

médecine 
geneeskunde 
fysiurgi og rehabilitering' 
rééducation et réadaptation 
fonctionnelles 
fisioterapia 
rééducation  et  réadaptation 
fonctionnelles 
revalidatie 
ψυσική ιατρική  και αποκατάσταση 
rehabilitación 
fisiatria· 

• 82/76/EEC 

h1 

- 89/594/EEC 

Act of  Accession of 
Spain and Portugal 

stomatologie 
odontostomatologia 
stomatologie 
estomatología 
estomatologia; 

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: 

Dermatologie und  Venerologie 
dermato-vénéréologie/ 
dermato-vcnereologic 
dermato-venerologi  eller  hud- og 
kønssygdomme 
dermatologie et  vénéréologie 
dermatologia e vencrologia 
dermato-vénéreologie 
dermatologie en  Venerologie 
δερματολογία — 
άφροδισιολογία 
dermatologia  médico-quirurgica  y 
venereologia 
dermatovenereología ·, 

Germany: 
Belgium: 

Denmark: 

France: 
Italy: 
Luxembourg: 
Netherlands: 
Greece: 

Spain: 

Portugal : 

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 ; 

75/362/EEC 

•  82/76/EEC 

. 89/594/EEC 

89/594/EEC 

Acts of Accession  of 

• Greece, Spain and 
Portugal 

J-

89/594/EEC 

Acts of  Accession of 
Greece,  Spain and 
Portugal 

S 

Η 

-y 

'3—1 

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 

- 26 -

diagnostic radiology: 

Germany: 
Belgium: 
Denmark: 

France: 
Ireland: 
Luxembourg: 
Netherlands: 
United Kingdom: 
Greece: 
Spain: 
Portugal: 

Radiologische  Diagnostik 
radiodiagnostic/röntgcndiagnose 
diagnostisk radiologi eller 
røntgenundersøgelse 
radiodiàgnostic et imagerie  médicale 
diagnostic radiology 
radiodiagnostic 
radiodiagnostiek 
diagnostic radiology 
'Ακτινοδιαγνωστική 
radiodiagnostico 
radiodiagnostico ·, 

radiotherapy: 

Germany: 
Belgium: 

Denmark: 

France: 
Ireland: 
Luxembourg: 
Netherlands: 
United Kingdom: 
(¡recce: 
Spain: 
Portugal: 

Strahlentherapie 
radio-  et  radiumthérapie/radio­
en  radiumtherapie 
terapeutisk radiologi eller 
strålebehandling 
oncologie, option radiothérapie 
radiotherapy 
radiothérapie 
radiotherapie 
radiotherapy 
άκτινοΗεραπευτική 
oncologia radioterapica 
radioterapia ; 

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 ; 

- 27 -

geriatrics: 

Ireland: 
Netherlands:' 
United Kingdom: 
Spain: 

geriatrics 
klinische geriatric 
gcriatrics 
geriatria ; 

renal diseases: 

Denmark: 

France: 
Ireland: 
Italy: 
Luxembourg: 
United Kingdom: 
Crocce: 
Spain: 
Portugal: 

nefrologi eller medicinske 
nyresygdomme 
néphrologie 
nephrology 
nefrologia 
néphrologie 
renal diseases 
νεφρολογία 
nefrologia 
nefrologia ; 

communicable diseases: 

Ireland: 
Italy: 
United Kingdom: 

communicable diseases 
malattie infettive 
communicable diseases; 

community medicine: 

France: 
Ireland: 
United Kingdom: 

santé publique et médecine  sociale 
community medicine 
community medicine; 

pharmacology: 

Germany: 
Ireland: 

United Kingdom: 

Spain : 

Pharmakologie 
clinical pharmacology and 
therapeutics 
clinical pharmacology  and 
therapeutics 
farmacologia clinica ; 

75/362/EEC 

J-

> 

89/594/EEC 

Act of  Accession of 
Spain and Portugal 

89/594/EEC 

3-

3—1 

Acts of  Accession of 
Greece, Spain and 
Portugal 

• 89/594/EEC 

Act of  Accession of 
Spain and Portugal 

75/362/EEC 

—  89/594/EEC 

F 

89/594/EEC 

•  Act of  Accession of 
Spain and Portugal 

89/594/EEC 

> 

Act of  Accession of 
Spain and Portugal 

89/594/EEC 

- 28 -

occupational medicine: 

Germany: 
Denmark: 

France: 
Ireland: 
Italy: 
Netherlands: 
United Kingdom: 
Greece: 
Portugal: 

Arbeitsmedizin 
samfundsmedicin / 
arbejdsmedecin 
médecine du travail 
occupational medicine 
medicina del lavoro 
arbeids- en bedrijfsgeneeskunde 
occupational medicine 
ιατρική της εργασίας 
medicina do trabalho;. 

allergology: 

Italy: 
Netherlands: 
Greece: 
Spain: 
Portugal : 

allergologia ed immunologia clinica 
allergologie. 
αλλεργιολσγία 
alergología 
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; 

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; 

maxillo-facial surgery 
(basic medical  training): 

France: 

Italy: 
Spain: 

chirurgie maxillo-faciale  et 
stomatologie 
chirurgia maxillo-facciale 
cirugía oral y maxilofacial; 

89/594/EEC 

75/362/EEC 

-29-

denial, oral and  maxillo-facial surgery 
(basic medical and  dental training): 

Germany: 

Belgium: 

Ireland: 

United  Kingdom: 

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. 

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 
formal  qualifications 
and 
submitted,  shall 
the  period  of 
inform  him  of 
additional  training  required  and  of  the  fields  to  be 
covered  by  it. 

other  evidence  of 

-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. 

90/658/EEC 

Article  9a 

- 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 
former  German  Democratic 
Republic  which  does  not  satisfy  all  the  minimum 
training  requirements 

in  Article  23, 

territory  of 

laid  down 

the 

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 
in 
minimum 
Member 
Articles  24  to  27. 
States  other  than  Germany  shall  recognize  those 
diplomas,  certificates  and  other  evidence  of  formal 
qualifications as  being sufficient  proof  if: 

requirements 

laid  down 

training 

—  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. 

- 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 
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· 

89/594/EEC 

89/594/EEC 

vascular 

thoracic 

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, 
surgery, 
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 
biological 
surgery, 
haematology,  physiotherapy or  tropical  medicine fulfil  the 
relevant conditions set out either in Artide 9 (2)-

gastroenterological 

surgery, 

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. 

CHAPTER  V 

USE  OF  ACADEMIC  TITLE 

Artide 10 

title 

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 
the 
or,  where 
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. 

appropriate, 

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 
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. 

from  which  the 

- 34 -

from  which  the 

the 
2.  Where  the  Member  State  of  origin  or 
Member  State 
foreign  national 
comes  does  not  require  proof  of  good  character  or 
good  repute  of  persons  wishing  to  take  up  the 
the  first  unie,  the  host 
activiry  in  question  for 
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 
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. 

record"  or,  failing 

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 

force 

1.  Where, in a  host Member  State, provisions  laid 
down by law,  regulation or  administrative action  are 
in 
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 
the Member  State  of  origin 
of  a  cbctor, 

information 
action 

or the  Member State  from which the  foreign national 
comes  shall  forward  to  the  host  Member  State  all 
regarding  measures  or 
necessary 
or 
of 
disciplinary 
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. 

professional 

a 

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 
they  have 
forwarded in accordance with paragraph  1. 
Marter  States  shall ensure  the  confidentiality 
of  the infornati on which  is forwarded. 

information  which 

the 

to 

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 
a  certificate  of  physical  or 
of  a  doctor, 
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. 

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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. 

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 
professional 
organization  or  body  or,  as  an  alternative, 
registration,  provided  that  such  registration  or 
in  any  way 
membership  does  not  delay  or 
complicate  the  provision  of  services  or  impose any 
additional  costs  on 
the 
services. 

the  person  providing 

forma  membership 

of 

a 

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. 

in 
4.  The  document  or  documents  specified 
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. 

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). 

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17 

Article 

18 

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- 38 -

Article  20 

take 

1.  Member  States 
the  necessary 
shall 
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. 

this  .  purpose  Member  States  may  set  up 
For 
information  centres  from  which  such  persons  may 
obtain  the  necessary  information.  In  the  case  of 
establishment,  the  host  Member  States  may  require 
the beneficiaries  to contact these centres. 

2.  Member  States  may  set  up  the  centres  referred 
to  in  paragraph  1  within  the  competent  authorities 
and  bodies  which  they  must  designate. 

3.  Member  States  shall  see  to  it  that,  where 
appropriate,  the  persons  concerned  acquire,  in  their 
interest  and  in  that  of  their  patients,  the  linguistic 
knowledge necessary  to the  exercise of their profession 
in  the  host  country. 

Article 21 

Member  States  which  require  their  own  nationals  to 
complete  a  preparatory  training  period  in  order  to 
become  eligible  for  appointment  as  a  doctor  of  a 
the  same 
social 
requirement on  nationals of  the  other Member  States 
for  a  period  of  five  years  beginning  20  June  1975. 
The training  period may  not, however, 

scheme  may 

security 

impose 

exceed  six  months. 

Article 22 

confirmation  of 

In  the  event  of  justified  doubts,  the  host  Member 
State  may  require  of  the  competent  authorities  of 
another  Member  State 
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 

require  persons 
1.  The  Member  Stares  shall 
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: 

— 

(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; 

75/363/EEC 
Art icle 

1 

(b)  sufficient 

of 

understanding 

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; 

the 

(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 
include  six  months'  full-time 
paragraph  2  may 
practical 
the 
supervision of  the competent authorities. 

training  at  university 

level  under 

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 
the 

years'  study  within 
training course referred to  in Artide  23 · 

framework  of 

the 

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); 

(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. 
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. 

Issue  of  the  diploma, 

(')  OJ No  1.  2Î.Î, 24.  8.  1978, p.  Ì0. 

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Article  2 

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- 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. 

than 
later 
3.  The  Council  shall  decide,  not 
the  provisions  of 
25  January  1989,  whether 
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 
specialty  by 
to  be  examined 
circumstances 
specialty. 

Part-time  specialist  training  begun  before  1  January 
1983 
may  be 
: 
completed  in accordance  with the  provisions in effect  before this date. 

; 

: 

Article 26 

Member States  shall ensure  that  the  minimum  length 
of  the  specialized  training  courses  mentioned  below 
may not  be less  than the following: 

First group 

( five years) ; 

—  general surgery 
—  neuro-surgery 
—  internal medicine 
—  urology 
—  orthopaedics; 

Second group 

ζ four years): 

—  gynaecology and obstetrics 
—  paediatrics 
—  pneumo-phthisiology 

—  pathological anatomy 

—  neurology 
—  psychiatry ; 

Third group 

(three years) : 

—  anesthesiology and  reanimation 
—  ophthalmology 
—  otorhinolaryngology. 

Article 3 

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Article 14 
(adapted) 

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Article 4 

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- 42 -

.  Article  27 

Member  States  which  have  laid  down  provisions  by 
law, regulation  and  administrative action  in  this field 
the 
shall  ensure 
specialized  training  courses  mentioned  below  may 
not be less  than the following: 

the  minimum 

length  of 

that 

First group. (.  five years^  : 

—  plastic surgery 
—  thoracic surgery 
—  vascular surgery 
—  neuro-psychiatry 
—  paediatric surgery 
—  gastroenterological surgery 
—maxi Ilo-facial surgery  (basic medical  training); 

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); 

Third group  ^three years) 
—  general haematology 
—  endocrinology 
—  physiotherapy 
—  stomatology 
—  dermato-venereology 
—  allergology t 

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5 

] 89/594/EEC 

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- 43 -

Article  28 

As  a  transitional  mesasure  and  notwithstanding 
Articles  24  (1)  (c)  and  25,  Member  States  whose 
law,  regulation,  or 
provisions, 
for  part-time 
administrative  action,  provided 
specialist  training  0n  20  June  1975, 

laid  down  by 

—  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 
three 
that 
consecutive years out of  the five years preceding  the 
issue  of  the  attestation  they  have  in  fact  been 
lawfully  practising  as  specialists 
field 
concerned. 

for  at 

in  the 

least 

Article 29 

transitional  measure  and  notwithstanding 

As  a 
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  above-
mentioned  diplomas. 

the  possession  of 

The  diplomas  referred  to  under  (a)  and  (b)  may  be 
awarded  to  candidates  who  began  their  training 
before  20  December  1976. 

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Article 

7 

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Article 

8 

_  44 -

TITLE IV 

SPECIFIC TRAINING IN 
GENERAL MEDICAL PRACTICE 

Artidi 30 

the  complete 
Each  Member  Sute  which  dispenses 
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 
the  following 
minimum  requirements : 

in  Article  30  must  meet 

to 

(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. 

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Article  1 

Art i c I e  2 

86/457/EEC 

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Ar t i c I e 

3 

- 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. 

Article 32 

by  22  September  1986, 

a Member State 
If, 
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. 

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 

86/457/EEC 

Article  5 

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Article 6 

- 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 
for  the  training 
full-time  training  periods,  both 
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. 

Part-time  training  must  be  of  a  level  of  quality 
2. 
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 · 

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· 

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 
into 
an'd  his  professional  experience  may  be  taken 
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). 

86/457/EEC 

Article  7 

- 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. 
formal  qualification 
certificate  or  other  evidence  of 
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. 

in  paragraph 1  shall  prejudice  the  possibility, 

is  open 

to  Member  States,  of  granting, 

5- tothing 
which 
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. 

- 48 -

Article  37 

I. 
its 
Each  Member  State  shall  recognize  under 
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. 

Each  Member  State  shall  recognize  the  certificates 
2. 
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. 

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. 

If  the  academic  title  of  the  Member  Slate of  origin, 
2. 
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  8 

86/457/EEC 

Article  9 

. 

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 

and 

Member  States  shall  designate  the  authorities  and 
bodies  competent  to  issue  or  receive  the  diplomas, 
certificates 
formal 
of 
the  documents  and 
qualifications  as  well  as 
information  referred  to 
and  shall 
forthwith  inform  the  other  Member  States  and  the 
Commission thereof. 

in Title I 

evidence 

other 

75/362/EEC 

Article  23 

Article 43 

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 
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). 

these  difficulties 

When  necessary, 
appropriate proposals to the Council. 

the  Commission  shall  submit 

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 

Characteristics of  full-time and  part-time training of  specialists 
tøs  referred to  by  Article 24 (1)  (c) 

and Article 25) 

82/76/EEC 

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 

89/594/EEC 

Artide 9 (6) 

BELGIUM 

Thoracic surgery 
Vascular surgery 
Neuro-psychiatry 

1 January  1983 
1 January  1983 
1 August  1987, 

Gastroenterological surgery 

1 January  1983 

DENMARK 

save  for  persons  having  commenced  training  before  that 
date 

Biological haematology 
Physiotherapy 

1 January 1983, 

save for persons having commenced training before that date 
and who  have completed it  by the  end of  1988 

Tropical medicine 

1  August 1987, 

save  for  persons  having  commenced  training  before  that 
date 

FRANCE 

Radiology 
Neuropsychiatry 

LUXEMBOURG 

Radiology 
Neuropsychiatry 

NETHERLANDS 

Radiology 
Neuropsychiatry 

3 December  1971 
31 December  1971 

8 July 1984 
9 July  1984 

The  diplomas,  cenificates  and  other  evidence  of  formal 
qualifications are  no longer  awarded  in  respect of  training 
commenced after  5 March  1982 

- 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 

Deadline for  implementation 

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.) 

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 
direct ive 

DI reet i ve 
75/362/EEC 

Directive 
75/363/EEC 

Directive 
86/475/EEC 

Article 1 
ArtIcle 2 
Art icle 3 
Article 4 
Art icle 5 
ArtIcle 6 
Art icle 7 
Art le le 8 
Article 9 (1) 
Article 9 (2) 
Article 9 (3) 
Article 9 (4) 
Art icle 9 (5) 
Article 9 (6) 
Article 10 
Article 11 
Article 12 
Article 13 
Article 14 
Article 15 
Art icle 16 
Article 17 
Article 18 
Article 19 
Article 20 
Article 21 
Article 22 
Article 23 
Art icle 24 

Article 1 
Article 2 
Article 3 
Article 4 
Article 5 
Art icle 6 
Art icle 7 
ArtIcle 8 
Art icle 9 (1  and 2) 
Article 9 a (1) 
Article 9 a (2) 
Article 9 (3) 
— 
— 
Art icle 10 
Art icle 11 
Article 12 
Article 13 
Article 14 
Article 15 
Art icle 15 a 
Article 16 
Article 17 
Article 18 
Article 20 
Art icle 21 
Article 22 

Article 1 
ArtIcle 2 

This 
directive 

Di reetive 
75/362/EEC 

Directive 
75/363/EEC 

Direct ive 
86/475/EEC 

Article 25 (1) 
Article 25 (2) 
Art. 25 (3) 1st  subpar. 
Art. 25 (3) 2nd subpar. 
Art icle 26 
Article 27 
ArtIcle 28 
Article 29 
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 43 
Art icle 44 
Art icle 45 
Article 46 
Annex  I 
Annex  11 

Article 23 
Article 24 
Article 26 
— 
Article 27 
Annex 
—— 

Article 3 (1) 
Article 3 (2) 
Art. 3 (3) 1st  subparagraph 
—— 
Article 4 
Art icle 5 
Art icle 7 
ArtIcle 8 

\ 

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)