Proposal for a European Parliament and Council Directive amending Directives 89/48/EEC and 92/51/EEC on the general system for the recognition of professional qualifications and supplementing Directives 77/452/EEC, 77/453/EEC, 78/686/EEC, 78/687/EEC, 78/1026/EEC, 78/1027/EEC, 80/154/EEC, 80/155/EEC, 85/384/EEC, 85/432/EEC, 85/433/EEC and 93/16/EEC concerning the professions of nurse responsible for general care, dental practitioner, veterinary surgeon, midwife, architect, pharmacist and doctor
Date: 1997-12-02
Institutions: European Commission
Subjects: health care profession, professional qualifications, recognition of diplomas, right of establishment, town-planning profession

COMMISSION OF THE EUROPEAN COMMUNITIES 

Brussels, 02.12.1997 
COM(97) 638 final 

97/0345 (COD) 

Proposal for a 

EUROPEAN PARLIAMENT AND COUNCIL DIRECTIVE 
amending 

Directives  89/48/EEC and  92/51/EEC on the  general  system 

for  the  recognition  of professional  qualifications 

and  supplementing  Directives  77/452/EEC, 77/453/EEC,  78/686/EEC, 

78/687/EEC, 78/1026/EEC, 78/1027/EEC, 80/154/EEC,  80/155/EEC, 

85/384/EEC, 

85/432/EEC,  85/433/EEC  and  93/16/EEC  concerning  the  professions  of 

nurse  responsible  for  general  care, dental  practitioner,  veterinary 

surgeon, 

midwife,  architect,  pharmacist  and  doctor 

(presented by the Commission) 

EXPLANATORY  MEMORANDUM 

1. 

GENERAL 

1.1 

Purpose 

The  proposal  for  a directive  follows  on from  the  Communication to the  Council and the 
European  Parliament  on  the  SLIM  initiative1  presented  by  the  Commission  on 
6 November  1996. 

In  this  communication,  the  Commission  indicated  in  particular  that,  in  response  to  the 
request  of  the  SLIM  team  on  recognition  of  qualifications,-  it  would  present  in  1997 
proposals aimed  at rationalising  the operation of the advisory committees on training and 
simplifying  the updating of the lists of qualifications  eligible for automatic recognition. 

In  its  Action  plan for  the single  market,2  the  Commission  likewise  proposed  to  extend 
SLIM  and  other  simplification  initiatives  to  other  sectors,  while  stating  that,  before  the 
end of the year, it would act on the recommendations made by the first SLIM teams. 

The  present  proposal  gives  practical  shape  to  this  commitment  regarding  simplified 
updating of the lists of  qualifications. 

The  method  of  simplification  proposed 
in  Council 
Directive 93/16/EEC  of  5 April  1993  to  facilitate  the  free  movement  of  doctors  and  the 
mutual  recognition  of  their  diplomas,  certificates  and  other  evidence  of  formal 
qualifications3  as regards general medical practitioners. 

that  already  set  out 

is 

Experience  has  shown  that this  formula  provides  sufficient  legal certainty  and  should  be 
extended  to other  diplomas, certificates  and  other  evidence  of  formal  qualifications  held 
by  nurses  responsible  for  general  care,  dental  practitioners,  veterinary  surgeons, 
midwives, 
by  Council 
Directives  77/452/EEC,4  78/686/EEC,5  78/1026/EEC,6  80/154/EEC,7  85/433/EEC8  and 
93/16/EEC. 

pharmacists 

respectively 

covered 

doctors 

and 

The  Commission  also  put  forward  a  number  of  recommendations  in  its  Report  to  the 
European Parliament  and to the Council on the state of application of the general system 
for  the recognition  of higher-education diplomas, presented  on  15 February  1996, and in 
its  Report  on  specific  training  in general  medical practice  provided for  by  Title IV  of 
Council Directive 93/16/EEC, presented on 9 September  1996. 

In  the  first  of  these  reports,  the  Commission  undertook  to  examine  the  possibility  of 
amending  Council  Directive 89/48/EEC  of  21 December  1988  on  a  general  system  for 
the  recognition  of  higher-education  diplomas  awarded  on  completion  of  professional 

1  COM(96) 559 final,  6.11.1996. 
2  CSE(97)  t  final, 4.6.1997, p. 24. 
3  OJ No L  165, 7.7.1993, p. 1. 
4  OJ No  L  176,  15.7.1977, p. 1. 
5  OJNo  L 233, 24.8.1978, p. 1. 
6  OJ No L 362, 23.12.1978, p. 1. 
7  O J N o L 3 3,  11.2.1980, p.  I. 
8  OJ No L 253, 24.9.1985, p. 37. 

Z 

education and training of at least three years' duration? to make it compulsory  to take  into 
account,  when  considering  an  application  for  recognition,  experience  gained  after 
obtaining  the  qualification  in  question,  to  introduce  the  concept  of  regulated  education 
and  training  and  to  indicate  how  the  role of  the Coordinators  Group  could  be  developed 
in order to ensure more uniform  application and interpretation of the Directive. 

In  the  second  report,  the  Commission  recommended  bringing  the  requirements  for 
part-time  training  in  general  medicine  into  line  with  the  requirements  for  part-time 
training  in specialist medicine. 

These  recommendations  are  implemented  in  the  present  proposal,  which  thus  combines 
in a single text appropriate responses to the two reports. 

Lastly,  other  proposals  are  also  introduced,  notably  with  a  view  to  regularising  certain 
situations  concerning  acquired  rights  and  ensuring 
the 
recognition of training undergone in third countries by Community  nationals. 

legal  certainty  regarding 

Accordingly,  the  proposal  complies  fully  with  the  principles  of  subsidiarity  and 
proportionality. 

As  regards  the  other  proposals  referred  to  in  this  memorandum,  which  are  intended  to 
streamline  the  operation  of  the  advisory  committees,  the  Commission  envisages  formal 
adoption  in  1998  of  decisions  giving  practical  shape  to  the  guidelines  set  out  under 
point  1.2  below. 

1.2 

Reform  of the advisory  committees 

It should first be noted that the advisory committees were set up by the Council  when the 
sectoral  Directives  were  adopted.  The  same rules10 govern  their composition,  with  each 
committee  comprising  90  members  (45  full  members  and  45  alternates),  i.e.  six  experts 
from  each  Member State:  two  from  the  profession  concerned,  two  from  educational 
establishments  and  two  from  the competent  authorities. Each member  is appointed  to the 
committee  for three years. 

While  this  structure  appeared  appropriate  and desirable  at the time  that  the  first  sectoral 
Directives  were  put  in  place  (twenty-seven  years  ago,  when  one  of  the  aims  was  to 
promote  exchanges  of  information  on  training  methods  and  on  the  content,  level  and 
structure of theoretical  and practical  instruction provided in the Member  States),n  it must 
be  acknowledged  that  some  of  the  provisions  contained  in the  Council  decisions  setting 
up the advisory committees  have become obsolete. 

In  this  context,  it  should  also  be  noted  that,  while  it  is  true  that  Article 57  of  the 
EC Treaty  conferred  certain  powers on the Community  as regards education  and  training 

9 

10 

OJNoL  19, 24.1.1989, p. 16. 
See  Council  Decisions  75/364/EEC  (doctors  -  OJ  No  L  167,  30.6.1975),  77/454/EEC  (nurses  -
OJ  No L  176,  15.7.1977),  78/688/EEC  (dental  practitioners  - OJ No  L 233, 21.8.1978),  78/1028/EEC 
(veterinary  surgeons  - OJ  No  L 362,  23.12.1978),  80/156/EEC  (midwives  - OJ  No  L 33,  11.2.1980) 
and  85/434/EEC  (pharmacists  - OJ No  L 253, 24.9.1985). 
See Article 2(2) of the Council  Decisions referred  to at footnote  10. 

3 

(thereby  enabling  it,  among  other  things,  to  adopt  the  Directives  on  recognition  of 
qualifications  and  coordination  of  education  and  training),  Articles  126  and  127  of  the 
EC Treaty  spell  out  clearly  the  fundamental  responsibility  of  the  Member States  for  the 
structure  and  content  of  education  and  training  systems.  They  specifically  exclude  any 
harmonisation  of  those  systems,  4s 
indicated  by  the  Council,  for  example,  in 
Decision 94/819/EEC  of  6 December  1994  establishing  an  action  programme  for  the 
implementation of a European Community vocational training policy.12 

What is more, the committees  have virtually doubled  in size as a result  of the  accessions 
that have taken place since  1975. 

This situation  has given  rise to practical  difficulties  since the Commission  does not  have 
the  human,  material  and  budgetary  resources  needed  to  operate  the  committees  in  the 
manner originally  intended.  The meetings have become  less effective,  and the  difficulties 
would only be compounded  by further  accessions. 

Lastly, the three-yearly  renewal  exercise likewise gives rise to practical  difficulties  and a 
substantial  workload. 

These  drawbacks  were  also  highlighted  by  the  SLIM  team  on  the  recognition  of 
qualifications. 

In  these  circumstances,  the  Commission  proposes  several  measures  for  the  six  existing 
advisory committees on training  in certain health-care  professions.13 

Composition 

The  Commission  considers  it  essential  to  scale  down  the  advisory  committees  by 
reducing  the  number  of experts  on  each of them.  For this  to  be effective  and  in  order  to 
achieve  the  desired  effect,  i.e.  to  improve  the  way  the  committees  operate,  it  proposes 
limiting each Member State to one full  member and one alternate member per committee, 
one being from  the profession  concerned and one from  an educational  establishment. 

This  would  mean  that  total  membership  would  be  reduced  from  90  to  30  (15  full 
members  and  15  alternates)  for  the  EU  as  it  now  stands  and  an  increase  of  only  two 
members on the occasion of each new accession. 

Consequently,  the  Commission  would  still  be  able  to  benefit  from  the  expertise  of  the 
three  categories  of  experts  currently  represented  on  the  committees.  The  profession 
concerned  and  educational  establishments  would  thus  each  retain  one  expert  per 
Member State.  Each  Member State  would  be  free  to  decide  who  should  be  trie  full 
member  and  who  the  alternate  member,  the  important  point  being  that  one  should  come 
from  the  profession  concerned  and  one  from  an  educational  establishment.  It  would,  of 
course,  be  up  to  the  experts  from  the  same  Member State  to  keep  themselves  regularly 
informed,  to  'consult  one  another  and  to  agree  on  their  attendance  at  the  various 

12  OJ No L 340, 29.12.1994. 
13  See  footnote  10.  There  is  a  seventh  advisory  committee  for  training  in  the  field  of  architecture. 
its  particular  responsibilities  under 

is  not  concerned  because  of 

this  committee 

However, 
Directive  85/384/EEC. 

9 

committee  meetings,  depending  on  the  agenda,  as  is  usual  practice  among  full  and 
alternate  members.  The  category  of  experts  from  the  competent  authorities  is  already 
represented  on  the  Committee  of  Senior  Officials  on  Public  Health  (set  up  by 
Decision  75/365/EEC14), 
by 
Pharmaceutical 
Decision 75/320/EEC15) and the ad hpp Group of Senior Veterinary  Officials. 

Committee 

(set 

the 

up 

Term 

The  current  term  is  three  years,  but  the  Commission  would  prefer  six.  The  justification 
for this is not only the practical difficulties  encountered during each renewal exercise, but 
above all the fact that - as also emphasised by the SLIM team -<experience has shown that 
the current three-year term is too short in that it only rarely allows an advisory  committee 
to complete its work before that period expires. 

Appointment  procedure 

Under  the  existing  procedure,  the  Member States  submit  a  list  of  their  experts  to  the 
Council,  which  appoints  them  formally.  The  Commission  intends  to  simplify  the 
procedure  by  allowing  the  Member States  to  notify  it  direct  of  their  experts'  names. 
Alongside  the  effects  that  reducing  the  number  of  members  and  extending  the  term  of 
office  would  have,  this  procedure  would  considerably  lighten  the  workload  involved  in 
renewing the advisory committees. 

Remit 

The  Commission  is  pleased  to  note  that  the principal  objectives  for  which  the  advisory 
committees  on  training  were  originally  set  up  have  been  attained  overall.  Thanks  to 
improved  mutual  knowledge  of educational  objectives  and training  levels  and  structures, 
it  has  been  possible  to  establish  the  basic  climate  of  trust  necessary  for  the  mutual 
recognition  of  qualifications.  In  addition,  the  professions  concerned  have  generally 
organised  themselves  at European  level, and  this  too  has contributed  to  the  proliferation 
of  exchanges  of  information  and  views on training  matters. Moreover,  based  as they  are 
on qualitative  and  quantitative criteria  that have proved  satisfactory,  without  prejudice  to 
the  possible  need  to  adapt  them,  the  minimum  training  requirements  stipulated  by  the 
sectoral  Directives  are generally  considered  acceptable  as regards the mutual  recognition 
of qualifications.  Lastly, the SLIM  team on recognition  of qualifications  also called  for  a 
review  of  the  sectoral  Directives'  training  provisions  with  a  view  to  skewing  them 
towards  skill-based  criteria  that  place  more  emphasis  on  the  result  of  training  than  on 
rigid  rules  governing  its content.  The  Commission  responded  by stating  that  it  proposed 
to  examine  the  case  for  an  approach  based  on  training  requirements  geared  more  to 
results  that  would  form  part  of  a  review  of  the  training  requirements  contained  in  the 
"nurses"  Directive.  It  has  commenced  discussions  within  the  Advisory  Committee  on 
Training  in Nursing regarding the profession  of nurse responsible for general care. 

Consequently,  the  nature  of  the  expert  advice  that  the  Commission  can  seek  from  the 
advisory  committees  should  be  redefined.  The  intention  is  that  their  future  discussions 
should  relate  to  any  request  for  an  opinion  submitted  by  Commission  departments 

14  OJ No L  167, 30.6.1975, p. 19. 
15  OJ No L  147, 9.6.1975, p. 23. 

çr 

concerning  freedom  of  movement  in  the  various  professions  covered  by  the  sectoral 
Directives.  These  Directives  are  an  integral  part  of  the  internal  market  exercise, 
especially the free  movement of persons. 

The measures giving practical  shape to these guidelines, which the Commission  plans to 
adopt  formally  in  1998, will constitute  a genuine  legislative  simplification  in so  far  as a 
single  Commission  decision  regarding  the  six  advisory  committees  concerned  will 
replace  six  Council  decisions  (which  the  Commission  proposes  to  repeal),  while  at  the 
same  time  the  numerous  Council  decisions  appointing  committee  members  will  be 
dispensed  with.  The  administrative  aspects  will  thus  likewise  be  simplified.  Lastly,  the 
Member States'  administrative workload will be lightened  in that they will in future  have 
to  submit  the  names  of  only  two  experts  once every  six  years  instead  of  submitting  six 
experts'  names  once  every  three  years,  and  the  committees  will  also  operate  in  a  less 
cumbersome  fashion. 

1.3 

Benefits  of the proposed  Directive 

The proposed  Directive incorporates into the general system the legal requirement to take 
into  account,  when  examining  an  application  for  recognition,  experience  gained  after 
obtaining  the  qualification  in  question.  It  introduces  the  concept  of  regulated  education 
and  training  contained  in  the  first  Directive  and  is  designed  to  achieve  more  uniform 
application and interpretation of the two general system Directives in the Member States. 

As  regards  the  sectoral  Directives,  it  will  (among  other  things)  facilitate  efficient 
updating  of  the  technical  provisions  concerning  the  titles  of  qualifications  eligible  for 
automatic  recognition  in the Member States. It will also help to ensure  legal certainty  as 
regards  the  recognition  of  education  and  training  undergone  in  third  countries  by 
Community  nationals. 

1.4 

Legal  basis 

The Commission  considers that the co-decision procedure provided for in Article  189b of 
the  Treaty  is  the  appropriate  procedure,  in  accordance  with  Articles 49  and  57. 
Consultation of the Economic and Social Committee is required under Article 49. 

2. 

Examination  of the articles 

2.1 

Articles  1 and 2 

These Articles amend the general system Directives (89/48/EEC and 92/51/EEC). 

Article  1 incorporates  into  Directive 89/48/EEC  the  concept  of  regulated  education  and 
training,  already  present  in  Directive 92/51/EEC.  Consequently,  the  terminology  is 
identical  and  the  reasons  set  out  in recital  12) of that  Directive remain  entirely  relevant. 
The purpose  is to require host Member States to take into account education and  training 
geared  specifically  to the  practice  of a given  profession  in cases where  that  training  has 
been  undergone  by  the migrant  in the  Member State of origin  or the Member State  from 
which  he  comes  ("home  Member State"),  where  such  training  is  given  without  the 
profession  being  regulated.  The  point  of  such  a  provision  is  thus  to  dispense  with  the 
requirement  to  furnish  proof  of  two  years'  professional  experience  in  cases  where  the 
profession  is not  regulated. 

Articles  1 and  2  incorporate  into  the  two  general  system  Directives  the  requirement  to 
take  into  account  professional  experience  gained  by  the  migrant  after  obtaining  the 
qualification(s)  on  which  his  application  is based.  If  that  professional  experience  covers 
subjects  for  which  the  education  and  training  undergone  in  the  home  Member  State 
differs  substantially  from  that  in the host Member State, the latter will no  longer  be  able 
systematically  to require the migrant to undertake measures to make up for  any  shortfall; 
instead, the host  Member State will have to make such measures less stringent or  abolish 
them  altogether. 

Lastly, Articles  1 and 2 authorise the Coordinators  Group to deliver opinions. The aim  is 
to achieve greater  uniformity  in the application and interpretation  of the Directives  in the 
Member States. 

2.2 

Article 3 

This  Article  extends  to  all  the  sectoral  Directives  (with  the  exception  of  the 
"architects" Directive  since  it already  differs  from  the other  Directives  on this point)  the 
system  in the "doctors" Directive  for  updating the  lists of general  medical  qualifications 
eligible 
in  1986  by 
recognition.  This  system  was 
Council Directive  86/457/EEC16  and  operates  in  an  entirely  satisfactory  manner.  Under 
it,  the  Commission  regularly  publishes  lists  of  general  medical  qualifications  in  the  C 
series  of the  Official Journal of the European Communities.  The system  also  meets the 
request made by the SLIM team on recognition of qualifications. 

for  automatic 

introduced 

2.3 

Article 4 

The notification  and publication procedure for qualifications  laid down in Article 3 of the 
proposal  necessitates  a  provision  on  acquired  rights  in  order  to  safeguard  the  rights  of 
holders of existing  qualifications  in the event of a change  in designation.  A provision  of 
this  kind  already  exists  in the  sectoral  Directives, but  it refers  to  slightly  different  legal 
circumstances.  For  the purposes  of  legal  certainty,  it  is considered  appropriate  to  ensure 
that  any  changes  that  might  take  place  following  the  entry  into  force  of  the  system  laid 
down in Article 3 are expressly  covered. 

2.4 

Articles 5 and  6 

As a general rule, the sectoral  Directives do not cover migrant Community  nationals who 
have undergone  education  and training  outside the EU. Each Member State  remains  free 
to recognise  such training  and, in the event  of recognition,  its decision  is not binding  on 
the  other  Member  States. That  at  least  is the  position  as regards  the  sectoral  Directives. 
However, the Court of Justice has derived from  Article 52 of the Treaty a requirement  for 
Member States  to  make  a  distinction  between  first  and  subsequent  recognitions.  In  the 
latter case, the professional  experience gained in the first host Member State constitutes a 
Community  element that must be examined. It should be stressed that this does not mean 
that the  second  host  Member State  is obliged  to grant  automatic  recognition,  but  it  must 
examine  the  case  and,  if  it  rejects  the  application  for  recognition,  must  give  the  reasons 
for  its decision,  including  in respect of the professional  experience already  gained  within 

16  OJNoL267,  19.9.1986, p. 36. 

* 

the  EU.  Moreover,  in  accordance  with  the  general  principles  of  law,  such  a  negative 
decision  or  the  absence  of  a  decision  within  a  reasonable  period  must  be  able  to  be 
challenged  before  the courts  under  national  law.  Questioned  by  the  Commission  on  this 
point,  the  Member States  made  known  in  the  Committee  of  Senior  Officials  on  Public 
Health  set  up  by  Council Decision 75/365/EEC17  that  this  is  also  their  usual  practice. 
Accordingly,  it  would  seem  desirable  to spell  this  out  in the  sectoral  Directives.  Such  a 
step  is  also  in  line  with  a  constant  request  by  the  European  Parliament  and  with  a 
recommendation  by the High^Level Panel on the Free Movement  of Persons  (chaired  by 
Mrs Simone Veil). 

Articles 7 to 18 

Article 3 of the proposal necessitates amendment of t{ie various sectoral  Directives. In the 
interests  of  clarity,  readability  and  simplicity,  the  current  lists  of  diplomas,  certificates 
and other evidence  of formal  qualifications  already  present  in those Directives have been 
included  as  annexes.  From  now  on,  they  will  be  updated  in  accordance  with  the 
procedure laid down in Article 3. 

The proposal also provides the opportunity to make essential adjustments  in order to take 
account  of  new  circumstances;  with  regard  to  dental  practitioners,  for  instance,  it 
provides  -  in  the  interests  of  fairness  -  for  transitional  measures  for  holders  of  certain 
doctors' qualifications  awarded in Italy on completion of medical training begun after  the 
deadline stipulated  in Article  19 of Directive 78/686/EEC. 

With  regard  to  doctors  -  and  in  response  to  a  recommendation  by  the  Advisory 
Committee  on  Medical  Training  regarding  the management  of  working  time  and  to  one 
of  the  conclusions  contained  in  the  Report  on  specific  training  in  general  medical 
practice18  presented  by the Commission  - the proposal  stipulates that specific  training  in 
general medical practice may be 50% instead of 60% in the case of part-time training. 

Articles  19 to 21 

These are standard  formal  articles. 

Conclusion 

The European Parliament and the Council are asked to adopt the attached proposal. 

17  OJ No L  167, 30.6.1975, p. 19. 
18  COM (96) 434 final, 9.9.1996. 

& 

Proposai for a European Parliament and Council Directive amending 
Directives 89/48/EEC and 92/51/EEC on the general system 
for the recognition of professional  qualifications 
and supplementing Directives 77/452/EEC, 77/453/EEC, 78/686/EEC, 
78/687/EEC, 78/1026/EEC, 78/1027/EEC, 80/154/EEC, 80/155/EEC, 85/384/EEC, 
85/432/EEC, 85/433/EEC and 93/16/EEC concerning the professions of 
nurse responsible for general care, dental practitioner, veterinary surgeon, 
midwife, architect, pharmacist and doctor 

(Text with EEA relevance) 

THE EUROPEAN PARLIAMENT AND THE COUNCIL OF THE EUROPEAN 
UNION, 

Having  regard  to  the  Treaty  establishing  the  European Community,  and  in  particular 
Article 49, the first and third sentences of Article 57(1) and (2) and Article 66 thereof, 

Having regard to the proposal from the Commission, 

Having regard to the opinion of the Economic and Social Committee, 

Acting in accordance with the procedure laid down in Article 189b of the Treaty, 

Whereas,  in  its Report to the European  Parliament and to the Council  on the state of 
application of  the general system for  the recognition  of  higher-education  diplomas,l 
in  accordance  with  Article 13  of  Council  Directive 89/48/EEC  of 
made 
21 December 1988 on a general system for the recognition of higher-education diplomas 
awarded  on  completion  of  professional  education  and  training  of  at  least  three  years' 
duration,2 the Commission undertook to examine the possibility of incorporating into that 
Directive  the  obligation  to  take  into  consideration,  when  examining  applications  for 
recognition, experience gained  following  the award of the qualification  in question, the 
possibility  of  introducing  the  concept  of  "regulated  education  and  training",  and  the 
arrangements whereby the role of the Coordinators Group could be developed in order to 
ensure more uniform application and interpretation of the Directive; 

the  concept  of 

Whereas 
introduced  by 
regulated  education  and 
Council Directive 92/51/EEC  of  18 June 1992  on  a  second  general  system  for  the 
recognition  of professional  education and training to supplement  Directive 89/48/EEC,3 
should  be  extended  to  the  initial  general  system  and  should  be  based  on  the- same 
principles by applying to it the same rules; 

training, 

1  COM(96) 46  final,  15.2.1996. 

2  OJ No L  19, 24.1.1989, p. 16. 

3  OJNoL209,24.7.1992,.p.25. 

% 

that  covered  by  the  qualification  required 

Whereas  the  two  general  system  Directives  permit  the  host  Member State  to  require, 
subject  to  certain  conditions,  the  migrant  to  undertake  compensation  measures,  notably 
where  substantial  differences  exist between the theoretical  and/or practical  education  and 
training  undergone  and 
in  the  host 
Member State;  whereas,  under  Articles 48  and  52  of  the  Treaty,  as  interpreted  by  the 
Court  " of  Justice  of 
in  Case  C-340/89 
(Vlassopoulou),4  the  host  Member State  must  assess  whether  professional  experience  is 
sufficient  in order to prove possession of the knowledge which is lacking; whereas, in the 
interests of clarity  and  legal  certainty  for  individuals  wishing  to practise  their  profession 
in  another  Member State,  it  is  desirable  to  incorporate  into  those  two  Directives  the 
requirement  that  the  host Member State  has  to  examine  whether  the  professional 
experience  gained  by the migrant  since obtaining  his'qualification(s)  covers the  subjects 
referred  to above; 

the  European  Communities 

inter  alia 

Whereas  the  coordination  procedure  provided  for  by  the  two  general  system  Directives 
should  be  improved  and  simplified  by  enabling  the  Coordinators Group  to  adopt  and 
publish opinions on questions referred  to it by the Commission that relate to the practical 
application of the general  system; 

in 

for 

from 

to  a 

request 

eligible 

response 

qualifications 

the  Commission  undertook, 

Whereas, in its Communication  to the Council and the European Parliament on the SLIM 
initiative,5 
the 
"qualifications" team,  to present  proposals  aimed  at simplifying  the updating  of the  lists 
of 
whereas 
Council  Directive 93/16/EEC  of  5 April  1993 to  facilitate  the  free  movement  of  doctors 
and  the  mutual  recognition  of  their  diplomas,  certificates  and  other  evidence  of  formal 
qualifications6  provides  for  a  simple  procedure  in  the  case  of  general  practitioners' 
qualifications;  whereas  experience  has  shown  that  the  procedure  affords  sufficient  legal 
certainty;  whereas  it is desirable  to extend  it to qualifications  held  by nurses  responsible 
for  general  care,  dental  practitioners,  veterinary  surgeons,  midwives,  pharmacists  and 
doctors  as  referred  to  in  Council Directives 77/452/EEC,7  78/686/EEC,8  78/1026/EEC,9 
80/154/EEC,10 85/433/EEC11 and 93/16/EEC  respectively; 

recognition; 

automatic 

4 

[1991] ECR 1-2357, at  19to21. 

5  COM(96) 559 final, 6.11.1996. 

6  OJ No  L  165, 7.7.1993, p. 1. 

7  O J N oL  176,  15.7.1977, p. 1. 

8  OJ No L 23^, 24.8.1978, p. 1. 

9  OJNoL362,  23.12.1978, p. 1. 

10  O J N o L 3 3,  11.2.1980, p. 1. 

11  OJ No L 253, 24.9.1985, p. 37. 

/£> 

Whereas,  in  its  judgment  in  Case  C-319/92  (Haim),i2  the  Court  of  Justice  of  the 
European  Communities  ruled  that, while not obliged  to recognise  qualifications  awarded 
on  completion  of  education  and  training  undergone  in  a  third  country,  Member  States 
must take into account professional  experience gained by the person concerned  in another 
Member State;  whereas,  that  being  so,  it  should  be  stipulated  in  the  sectoral  Directives 
that  recognition  by  the  initial  host  Member State  of  a  diploma,  certificate  or  other 
evidence  of  formal  qualification  awarded  to a nurse  responsible  for  general  care,  dental 
practitioner,  veterinary  surgeon,  midwife,  architect,  pharmacist  or  doctor  on  completion 
of  education  and  training  in  a  third  country  and  professional. experience  gained  by  the 
person  concerned  in  that  Member State constitute  Community -elements  which  the  other 
Member States must take into account; 

Whereas  the  period  within  which  Member States  must  reach  a decision  on  applications 
for  recognition  of  diplomas,  certificates  and  other  evidence  of  formal  qualifications 
obtained  by nurses  responsible  for  general  care, dental practitioners, veterinary  surgeons, 
midwives, architects, pharmacists or doctors in a third country should be stipulated; 

Whereas  Member States  must  state  their  reasons  for  all  decisions  taken  regarding  the 
recognition  of  diplomas,  certificates  and  other  evidence  of  formal  qualifications  held  by 
nurses  responsible  for  general  care,  dental  practitioners,  veterinary  surgeons,  midwives, 
architects, pharmacists or doctors; whereas the applicant must have right  of appeal  under 
national  law  if  his  application  is  rejected  or  if  a  decision  is  not  reached  within  the 
stipulated  period; 

Whereas,  for  reasons  of  fairness,  transitional  measures  should  be  taken  in  respect  of 
certain  dental  practitioners  in  Italy  who  hold  diplomas,  certificates  or  other  evidence  of 
formal  qualifications  in medicine  awarded  in Italy but on completion  of medical  training 
begun  after  the  deadline  stipulated  in  Article  19  of  Directive  78/686/EEC,considering 
judgment  in Case C-40/93  (Commission/Italy)of the Court of Justice13; 

Whereas  Article  15  of  Directive 85/384/EEC  provides  for  a  derogation  during  a 
transitional  period  that  has  now  expired;  whereas  that  provision  should  be  expressly 
repealed; 

Whereas Article 24 of that Directive should distinguish clearly between the formalities  to 
be  completed  in  the  case  of  establishment  and  those  to  be  completed  in  the  case  of 
provision  of  services,  thereby  rendering  more  effective  the  exercise  of  the  freedom  to 
provide architectural  services; 

Whereas,  for  reasons  of  fairness,  transitional  measures  should  be  applied  in  respect  of 
certain  holders  of  diplomas,  certificates  and  other  evidence  of  formal  qualifications  in 
pharmacy  awarded  in  Italy  on  completion  of  training  that  does  not  fully  comply  with 

12 

13 

[1994]  ECR 1-425. 

[1995]  ECR  1-1319. 

M 

Council  Directive  85/432/EEC14, 
(Commission/Italy)of the Court of Justice15 

considering 

judgment 

in  Case 

C-307/94 

Whereas it is desirable to extend the scope of mutual recognition of diplomas,  certificates 
and  other  evidence  of  formal  qualifications  in  pharmacy  in  order  to  facilitate  effective 
exercise  of  the  right  of  establishment  between  Greece  and  the  other  Member States; 
whereas,  therefore,  the  derogation  provided  for  in  Article 3  of  Directive  85/433/EEC 
should be deleted; 

Whereas,  in  its  Report  ori specific  training  in general  medicai practice  provided for  by 
Title IV  of  Directive  93/16/EEC,16  the  Commission  recommended  that  the  requirements 
applying to part-time training in general medical practice should be brought  into line with 
those applying to other medical  specialisms, 

HAVE ADOPTED THIS  DIRECTIVE: 

Section  I: Amendments to the general system  Directives 

Directive 89/48/EEC  is hereby amended as follows: 

Article  I 

1. 

In Article  1, the following  point (d)(a) is inserted after  point (d): 

"(d)(a) regulated  education and training: any education and training which: 
- is specifically  geared  to the practice  of a given profession, 
and 
-  comprises  a  course  of  study  supplemented,  as  necessary,  by  professional 
training, professional  traineeship  or professional practice  the structure  and level 
of which  are determined  by the  laws, regulations  or administrative provisions  of 
the  Member State  in  question  or  which  are  monitored  or  approved  by  the 
authority  designated for  that purpose; " 

2. 

In Article 3(b), the following  subparagraph is inserted after  the first subparagraph: 

"However,  the  two  years '  of  professional  experience  referred  to  in  the  first 
subparagraph  cannot  be required  where the  qualification  or  qualifications  held 
by  the  applicant  and  referred  to  here  were awarded  on completion  of  regulated 
education and training. " 

14  OJ No L 253, 24.9.1985, p. 34. 

15 

[1996] ECR  MOIL 

16  COM(96) 434 final, 9.9.1996. 

At 

3. 

In  Article 4(1 )(b), 
subparagraph: 

the  following  subparagraph 

is 

inserted  after 

the  first 

"If  the  host  Member State  intends  to  require  the  applicant  to  complete  an 
adaptation period  or take an aptitude test, it must examine whether the knowledge 
acquired  by  the  applicant  in  the  course  of  his professional  experience  covers 
subjects  substantially  different  from  those  covered  by  the  qualification  or 
qualifications  he holds. " 

4. 

In Article 9(2), the first indent of the second subparagraph is replaced by: 

"- to facilitate  the implementation of this Directive, in particular  by adopting and 
publishing  opinions on the questions referred to it by the Commission, ". 

Directive 92/51/EEC is hereby amended as follows: 

Article 2 

1. 

In  Article 4(1 )(b), 
subparagraph: 

the  following  subparagraph 

is  inserted  after 

the  first 

"If  the  host  Member State  intends  to  require  the  applicant  to  complete  an 
adaptation period  or take an aptitude test, it must examine whether the knowledge 
acquired  by  the  applicant  in  the  course  of  his professional  experience  covers 
subjects  substantially  different  from 
those  covered  by  the  qualification  or 
qualifications  he holds. " 

2. 

In Article  13(2), the first indent of the second subparagraph is replaced by: 

"- to facilitate  the implementation of this Directive, in particular  by adopting and 
publishing  opinions on the questions referred to it by the Commission, ". 

Section 2: Horizontal amendments to the sectoral Directives 

Article  3 

"Member States  shall  notify  the  Commission of  the  laws,  regulations  or administrative 
provisions  they adopt  as regards  the award of diplomas,  certificates and other evidence 
of  formal  qualifications  of  nurse  responsible  for  general  care,  dental  practitioner, 
veterinary surgeon,  midwife, pharmacist  or doctor referred to in Directives 77/452/EEC, 
78/686/EEC,  78/1026/EEC,  80/154/EEC, 85/433/EEC  and  93/16/EEC respectively. The 
Commission  shall publish  an appropriate notice in the Official Journal  of the European 
Communities, 
the  training 
listing  the  names  adopted  by  the  Member States  for 
qualifications ' concerned  and,  where  applicable,  for  the  corresponding  professional 
title. " 

M 

Article 4 

"Each Member State  shall  recognise  as  sufficient proof 
in  respect  of  nationals  of 
Member States  whose diplomas, certificates and other evidence of formal  qualifications 
of nurse responsible for  general care, dental practitioner, veterinary surgeon,  midwife, 

pharmacist  or doctor  referred to  in Directives 77/452/EEC, 78/686/EEC,  78/1026/EEC, 
80/154/EEC,  85/433/EEC  and  93/16/EEC respectively  do  not correspond  to  the names 
listed for  that Member State in the relevant Directive, the diplomas, certificates and other 
evidence of formal  qualifications awarded by those Member States and accompanied by 
a certificate issued by the competent authorities or bodies.  The certificate shall state that 
the diplomas,  certificates  and other evidence of formal  qualifications  in question have 
been awarded  on completion of education and training that complies with the provisions 
of the relevant Directive  and are treated by the awarding Member State as equivalent to 
those whose names are listed in the said Directive. " 

Article 5 

"Member States shall take account of diplomas, certificates and other evidence of formal 
qualifications  of  nurse  responsible  for  general  care,  dental  practitioner,  veterinary 
surgeon,  midwife,  architect, pharmacist  or  doctor  obtained  by  the  holder  outside  the 
European Union in cases where those diplomas,  certificates and other evidence of formal 
qualifications have been recognised in a Member State, as well as of training undergone 
and/or  professional  experience  gained  in  a  Member State.  The  Member State  shall 
deliver  its  decision  within four  months of the date  on  which the  applicant  submits his 
application together with full supporting documentation. " 

Article 6 

"Member States shall duly give the reasons for  decisions on applications for  recognition 
of diplomas, certificates and other evidence of formal  qualifications of nurse responsible 
for  general  care,  dental practitioner,  veterinary surgeon, midwife, architect, pharmacist 
or  doctor,  and applicants  shall have a right of appeal  before the courts  under  national 
law. That right of appeal shall likewise apply in the event of failure  to reach a decision. " 

Section 3: Specific  amendments to the sectoral  Directives 

Section 3.1: Nurses responsible for general care 

Directive 77/452/EEC  is hereby amended as follows: 

Article 7 

1. 

2. 

3. 

In  Article 2,  the  words  "listed  in Article 3 "  shall  be  replaced  by  "listed  in  the 
Annex". 

Article 3 is deleted. 

Article 4(2) is deleted. 

AH 

4. 

5. 

References  made to deleted Article 3 are understood as made to the Annex. 

Annex I to this Directive is added. 

Article 8 

Council  Directive 77/453/EEC17 is hereby amended as follows: 

In Article  1(1), the words  "as specified in Article 3 of Directive  77/452/EEC"  are 
replaced by  "as specified  in the Annex to Directive  77/452/EEC". 

Section 3.2: Dental  practitioners 

Article 9 

Directive 78/686/EEC is hereby amended as follows: 

1. 

2. 

3. 

In Article 2, the words  "listed in Article 3 " are replaced by  "listed in Annex A ". 

Article 3 is deleted. 

The title of Chapter III is replaced by: 

"Diplomas, certificates  and other evidence of formal  qualifications  in specialised 
dentistry " 

4. 

Article 4 is replaced by: 

"Each Member State  with provisions  in this field laid down by law, regulation or 
administrative  action  shall  recognise  the  diplomas,  certificates  and  other 
in 
evidence  of  formal  qualifications  of  dental  practitioners  specialising 
orthodontics  and  oral  surgery  awarded  to  nationals  of  Member States  by  other 
Member States  in accordance  with Articles 2 and 3 of Directive  78/687/EEC and 
which are listed  in Annex  B,  by granting such qualifications  the same effect in its 
territory  as the diplomas,  certificates and other evidence of formal  qualifications 
which it itself awards. " 

5. 

6. 

Article 5 is deleted. 

Article 6 is amended as follows: 

(a) 

the following  subparagraph shall be added to paragraph 2: 

"It shall also take into account any professional  experience they possess. " 

17  OJ No L  176,  15.7.1977, p. 8. 

AC 

(b) 

paragraph  3 is replaced by: 

"3.  The competent authorities or bodies of the host Member State,  having 
verified  the content and duration  of the training of the person  concerned 
on  the  basis  of  the  diplomas,  certificates  and  other  evidence  of  formal 
qualifications  submitted,  and  taking  into  account  any  professional 
experience  that he possesses,  shall  inform him of the period  of additional 
training required and of the fields to be covered by it. " 

(c) 

the following  paragraph 4 is added: 

"4.  The Member State shall deliver  its decision  within four  months of the 
date  on  which  the  application  and full  supporting  documentation  are 
submitted". 

7. 

8. 

Article 7(3) is deleted. 

The following  paragraph 2 is added to Article 19: 

"2.  Member States  shall  recognise  the  diplomas,  certificates  and  other 
evidence  of formal  qualifications  in  medicine  awarded  in Italy  to persons  who 
commenced  their  university  medical  training  between  28 January  1980  and 
31 December  1984  and  accompanied  by  a  certificate  issued  by  the  Italian 
competent authorities  stating: 

-  that  the persons  concerned  have passed  the  specialist  aptitude  test  set  by  the 
Italian  competent  authorities  in  order  to  ascertain  that  they possess  a  level  of 
knowledge  and  skills  comparable  to  those  of persons  holding  the  qualification 
listed for  Italy in Annex A to this Directive; 

- that  they  have  effectively,  lawfully and principally  been engaged  in Italy  in the 
activities  specified  in  Article 5  of  Directive  78/687/EEC  for  at  least  three 
consecutive years  during the five years prior  to the issue of the certificate; 

-  and  that  they  are  authorised  to  engage  in,  or  are  effectively,  lawfully  and 
principally 
in  Article 5  of 
Directive  78/687/EEC, subject to the same conditions as holders of the 

the  activities 

engaged 

referred 

in, 

to 

qualification  listed for  Italy in Annex A to this Directive. 

The  requirement  to  take  the  aptitude  test  referred  to  in  the  first  subparagraph 
shall  be  waived  in the  case  of persons  who have successfully  completed  at  least 
three years ' of  study  which  are  certified  by  the  competent  authorities  as  being 
equivalent to the training referred to in Article  1 of Directive 78/687/EEC. 

9. 

References  made  to  deleted  Articles 3  and  5  are  understood  as  made  to 
Annexes A and B respectively. 

10. 

Annex II to this Directive is added. 

M 

Article 10 

In Article  1(1) of  Council  Directive 78/687/EEC,18 the words "referred to  in Article  3 of 
.the same Directive " are replaced by  "referred to in the Annex to that Directive ". 

Section 3.3: Veterinary surgeons 

Article 11 

Directive 78/1026/EEC  is hereby amended as follows: 

1. 

In Article 2, the words  "in Article 3 " are replaced by  "in the Annex ". 

2. 

3. 

4. 

Article 3 is deleted. 

References  made to deleted Article 3 are understood as made to the Annex. 

Annex III to this Directive is added. 

Article 12 

In Article  1(1) of Council Directive 78/1027/EEC,19 the words  "referred to in Article  3 of 
Directive  78/1026/EEC" 
to 
Directive  78/1026/EEC". 

in  Annex A 

"referred 

replaced 

are 

by 

to 

Section 3.4: Midwives 

Article 13 

Directive 80/154/EEC is hereby amended as follows: 

1. 

2. 

3. 

4. 

5. 

In  Article 2(1),  the  words  "listed  in  Article 3"  are  replaced  by  "listed  in  the 
Annex". 

In the second  and third indents of Article 2(1), the words  "referred to in Article  3 
of Directive  77/452/EEC"  are replaced  by  "referred to in the Annex  to Directive 

77/452/EEC". 

Article 3 is deleted. 

References  made to deleted Article 3 are understood as made to the Annex. " 

Annex IV to this Directive is added. 

18  OJ No L 233, 24.8.1978, p. 10. 

19  OJ No L 362, 23.12.1978, p. 7. 

IÀÏ 

Council  Directive 80/155/EEC20 is hereby amended as follows: 

Article 14 

1. 

2. 

In Article  1(1), the  words  "referred to in Article 3"  are replaced  by  "referred  to 
in the  Annex". 

In  the  second  indent  of  Article  1(2),  the  words  "referred  to  in  Article  3  of 
Directive  77/452/EEC"  are  replaced  by  "referred  to  in  the  Annex  to  Directive 
77/452/EEC". 

Section 3.5: Architects 

Article  15 

Directive 85/384/EEC is hereby amended as follows: 

1. 

2. 

Article  15 shall be deleted. 

In  Article 24(1),  the  words  "pursuant  to  Articles  17  and  18"  are  replaced  by 
"pursuant  to  Articles  17  and  18  in  the  case  of  establishment  and  pursuant  to 
Article 22 in the case of provision  of services ". 

Section 3.6: Pharmacists 

Article 16 

In Article 2 of Directive  85/432/EEC, the following  paragraph 6 is added: 

"6. As a transitional  measure and by way of derogation from paragraphs  3 and 5, Italy, 
whose laws, regulations  and administrative provisions prescribed  training  which was not 
brought fully  into  line  with  the  training  requirements  laid  down  in  this  Article  by  the 
deadline stipulated  in Article  5 of this Directive, may continue to apply  those  provisions 
to persons  who commenced their training in pharmacy  on 31 October 1990 at the latest. 

Each  host  Member  State  shall  be  authorised  to  require  that  holders  of  diplomas, 
certificates and other  evidence of formal  qualifications  in pharmacy  awarded  in Italy on 
completion of training  commenced before 1  November  1990 produce,  together  with their 
qualifications,  a  certificate  stating  that, for  at  least  three  consecutive years  during  the 
five  years prior  to the issue of the certificate, they were effectively and lawfully  engaged 
in  one  of  the  activities  referred  to  in  Article  1(2)  of  this  Directive  in  so far  as  such 
activity is regujated in Italy ". 

20  O J N o L 3 3,  11.2.1980, p, 8. 

At 

Directive  85/433/EEC  is hereby amended as follows: 

Article 17 

1. 

2. 

3. 

4. 

5. 

In  Article  1, the  words  "referred to in Article 4 " are replaced  by  "referred to in 
the  Annex". 

Article 3 is deleted. 

Article 4 is deleted. 

; 

References  made to deleted Article 4 are understood as made to the Annex. 

Annex V to this Directive is added. 

Section 3.7: Doctors 

Article 18 

Directive 93/16/EEC is hereby amended as follows: 

1. 

2. 

3. 

In Article 2, the words  "listed in Article 3 " are replaced by  "listed in the Annex ". 

Article 3 is deleted. 

The title of Chapter II is replaced by the  following: 

"Diplomas,  certificates and other evidence of formal  qualifications  in specialised 
medicine " 

4. 

Article 4 is replaced by the  following: 

"Each Member State with provisions  in this field laid down by law, regulation or 
administrative  action  shall  recognise  the  diplomas,  certificates  and  other 
evidence of formal  qualifications  in specialised medicine awarded to nationals of 
Member States  by the other Member States in accordance with Articles  24, 25, 26 
and 29 and which are listed in Annexes B and C,  by giving such qualifications the 
same effect in its territory as those which the Member State itself awards. " 

5. 

Article 5 is replaced by the  following: 

"The  diplomas,  certificates  and other evidence of formal  qualifications  referred 
to  in  Article  4  shall  be  those  which,  having  been  awarded  by  the  competent 
authorities  or  bodies  listed  in  Annex  B,  correspond, for  the  purposes  of  the 
specialised  training  in question, to the qualifications listed in Annex  C in respect 
of those Member States where such training exists. " 

6. 

The title of Chapter II and Articles 6 and 7 are deleted. 

Â1 

7. 

In Article  8: 

(a) 

the following  subparagraph  is added to paragraph 2: 

"// shall also take into account any professional  experience they possess. " 

(b) 

paragraph 3 is replaced by the  following: 

"3.  The competent authorities or bodies of the host Member State,  having 
verified  the  content and duration of the training of the person  concerned 
on  the  basis  of  the  diplomas,  certificates  and  other  evidence  of  formal 
qualifications  submitted,  and  taking  into  account  any  professional 
experience  he  possesses,  shall  inform  him  of  the  period  of  additional 
training  required and of the fields to be covered by it. " 

(c) 

the following  paragraph 4 is added: 

"4.  The Member State shall deliver its decision  within four  months  of the 
date  on  which  the  application  and full  supporting  documentation  are 
submitted. " 

8. 

Articles 26 and 27 are replaced by the  following: 

"Article 26 

Member  States  with  provisions 
in  this  field  laid  down  by  law,  regulation  or 
administrative  action  shall  ensure  that  the  minimum  length  of  the  specialised  training 
courses  may  not  be  not  less  than the  course lengths stipulated  in Annex  C in respect  of 
each training  course. 

Such  minimum  course  lengths  shall be amended pursuant  to the procedure  laid down  in 
Article  44a(3). " 

9. 

In the second  indent of Article 34(1), "60%" is replaced by "50%". 

10. 

References  made  to  deleted  Articles 3,  6,  7  and  27  are  understood  as  made  to 
Annex A, Article 4, Article 5 and Article 26 respectively. 

11. 

Article 44a is amended  as follows: 

(a) 

in paragraph  1, the word' "procedures " is replaced by  "procedure "; 

(b) 

' paragraph  2 is deleted. 

12. 

Annex VI to this Directive is added. 

Zo 

Article 19 

1.  The  Member  States  shall  bring  into force  the  laws,  regulations  and  administrative 
provisions  necessary  to comply with this Directive by ...  at the latest and shall  forthwith 
inform the Commission thereof 

When the  Member  States  adopt  such provisions,  they shall  contain  a  reference  to  this 
Directive or shall  be accompanied by such reference upon them official publication.  The 
arrangements for  such reference shall be decided by the Member States. 

2.  The  Member  States  shall  communicate  to  the  Commission  the  texts  of  the  main 
provisions  of national law which they adopt in the field covered by this Directive. 

Article 20 

This  Directive  shall  enter  into  force  on the twentieth  day  following  its publication  in the 
Official Journal  of the European Communities. 

This Directive is addressed to the Member States. 

Article 21 

%A 

Titles of diplomas,  certificates  and other evidence of formal  qualifications  in nursing  (general care) 

ANNEX I 
*••  ANNEX 

Country 

Title of qualification 

Awarding body 

Belgique/België 

1. hospitalier(ère) /  verplecgassistcnt(e) 
2. infirmier(ère) hospitalier(ère) / 
ziekenhuisverpleeger(verpleegster) 
3. infirmier(ère) gradué(e) hospitalier(ère)/ 
gegradueerd ziekenhuisverpleeger(verpleegstef 

1. / 2.  L'Etat, ou les écoles créées ou reconnues 
par l'Etat/ door de overheid of door van 
staàtswege opgerichte of erkende scholen 
3. L'Etat ou les écoles supérieures paramédicales 
créées ou reconnues par l'Etat/ door de overheid 
of door van staàtswege opgerichte of erkende 
scholen voor hoger paramedisch onderwijs. 

Danmark 

Sygeplejerske 

Sundhedsstyrelsen godkendt sygeplejeskole 

Deutschland 

Zeugnis Uber die staatliche Pr[ufung  in der 
Krankenpflege 

Zustàndigen Behôrden 

Ellas 

ôinpa ASecpcrv NoaoKoptuv 

Espana 

Titulo de Diplomado universitario en Enfermeria 

Ministerio de Educacion e Ciencia 

France 

diplôme d'Etat d'infîrmier(ère) 

Le ministère de la santé 

Ireland 

certificate of Registered General Nurse 

An Bord Altranais (The Nursing Board) 

Italia 

diploma d'abilitazione professionale per infirmière 
professionale 

Scuole riconosciute dallo Stato 

Luxembourg 

Nederland 

1. diplôme d'Etat d'infirmier 
2. diplôme d'Etat d'infirmier hospitalier gradué 
Verpleger A/ verpleegster/ A/ verpleegkundige/ 
verpleegkundige MBOV (Middelbarc 
Beroepsopleiding Verpleegkundige) / 
verpleegkundige HBOV (Hogere Beroepsopleiding 
Verpleegkundige) 

Osterreich 

Krankensci. wester/ Krankenpfleger 

Portugal 

Diploma de curso de enfermagem gérai 

Suomi 

Sairaanhoitaja / sjukskôtare, / terveydenhoitaj / 
hâlsovardare 

Sverige 

sjukskôterska 

United  Kingdom 

certificate of admission to the general part of the 
Register 

Le ministre de la santé publique (au vu d'une 
décision du jury d'examen) 

1. (England and Wales) The General Nursing 
Council 
2. (Scotland) The General Nursing Council for 
Scotland 
3. (Northern Ireland) The Northern Ireland 
Council for Nurses and Midwives 

gX-

Annex II 
Annex A 

Titles of diplomas,  certificates and other evidence of formal qualifications in dentistry 

Country 

Title of qualification 

Awarding body 

Certificate  accompanying 
qualification 

Belgique/België 

diplôme légal de licencié en 
science dentaire, wettelijk 
diploma vanlicentiaat in de 
tandheelkunde 

1, facultés de médecine des 
universités /jury  central /jurys 
d'Etat de l'enseignement 
universitaire /2.medische 
fakulteiten  van de 
universiteiten/centrale 
examencommissie/ 
examencommissies van de Staat 
voor universilair onderwijs 

Danmark 

bevis for tandslaegeeksamen 
(kandidateksamen) 

tandslaegehejskolerne 

dokumentation, udstedtaf 
sundhedsstyrelsen, for 
gennemfort assistenttid 

Deutschland 

Elias 

Espana 

France 

Ireland 

Italia 

Luxembourg 

Nederland 

Ôsterreich 

Portugal 

Suomi/Finland 

Zeugnis ûbcr die 
zahnârztliche StaatsprOfung 
riruxto ooovTiaTpiuriC 
Titulo de Licenciado en 
Odontologfa 
Diplôme d'Etat de docteur 
en chirurgie dentaire 
Bachelor in Dental Science 
(B.DentSc.) / Bachelor of 
Dental Surgery (BDS) / 
Licentiate in Dental Surgery 
(LDS) 
Diploma di laurea in 
Odontoiatria e Protesi 
Dentaria 
Diplôme d'Etat de docteur 
en médecine dentaire 
Universitair getuigschrift 
vaneen met goed gevolg 
afgelegd tandartsexamen 

Carta de curso di 
licenciatura em medicina 
dentaria 
Todistus 
hammaslââketieteen 
lisensiaatin tutkinnosta / 
bevis om odontologi 
licenciât examen 

Sverige 

Tandlâkarexamen 

United Kingdom 

Bachelor of Dental Surgery 
(BDS or B.Ch.D.) / 
Licentiate in Dental Surgery 

zustândigen Behûrden 

navemorriutou 

cl rector de una universidad 

Les universités 

Universities / Royal College of 
Surgeons in Ireland 

Université 

Jury d'examen d'Etat 

uma Escola Superior 

Diploma di abilitazione 
aiPesercizio deH'odontoiatria e 
protesi dentaria 

Yliopiston lââketieteellinen tai 
hammaslââketieteellinen 
tiedekunta 

Toimivaltaisten 
terveysviranomaisten antama 
todistus kaytànnûn harjoittelusta 

Odontologisk  universitetsfakultet  Bevis om praktisk utbildning som 

utfardas av Sociâlstyrelsen 

Universities / Royal Colleges 

Z\ 

Annex  B 

Titles of diplomas,  certificates and other evidence of formal  qualifications  in specialised  dentistry 

I. Orthodontics 

Country 

Title  of  qualification 

Awarding  body 

Certificate 
accompanying 
qualification 

Belgique/België 

--

Danmark 

Bevis for tilladelse til at 
betegne sig som 
specialtandlaege  i ortodonti 

Sundhedsstyrelsen 

Deutschland 

Fachzahnârztliche 
Anerkennung  fur 
Kieferorthopâdie 

Landeszahnarztekammer 

Ellas 

Espana 

France 

Ireland 

Italia 

Luxembourg 

Nederland 

• 

-

Titre de spécialiste en 
orthodontie 

Autorité compétente reconnue à cet 
effet 

Certificate  of specialist 
dentist  in orthodontics 

competent authority  recognized  for  this 
purpose by the competent  minister 

-

-

Getuigschrift  van  erkenning 
en inschrijving  als 
orthodontist  in het 
Specialistenregister 

Specialisten-Registratiecommissie 
(SRC) 

Osterreich 

Portugal 

-

-

Suomi/Finland 

Todistus 
erikoishammaslââkârin 
oikeudesta oikomishoidon 
alalia/bevis om 
specialistandlâkarrattgheten 
inom omrâdet tandreglering 

Toimivaltainen viranomainen 

1 

Sverige 

Bevis om 
specialistkompetens i 
tandreglering 

Socialstyrelsen 

United  Kingdom 

Certificate  of Completion  of 
specialist training in 
orthodontics 

competent  authority  recognized  for this 
purpose 

£M 

2. Oral surgery 

Country 

Title of  qualification 

Awarding  body 

Certificate 
accompanying 
qualification 

Belgique/België 

-

Danmark 

Bevis for tilladelse til at betegne 
sig som specialtandlaege i 
hospitalsodontologi 

Sundhedsstyrelsen 

Deutschland 

Fachzahnârztliche  Anerkennung 
fUr Oralchirurgie /  Mundchirurgie 

Landeszahnarztekammer 

Ellas 

Espana 

France 

Ireland 

Italia 

Luxembourg 

Nederland 

"-

-

Certificate  of specialist dentist in 
oral  surgery 

competent authority recognized  for 
this purpose by the competent 
minister 

-

-

Getuigschrift  van erkenning en 
inschrijving  als kaakchirurg  in het 
Specialistenregister 

Specialisten-Registratiecommissie 
(SRC) 

Ôsterreich 

Portugal 

-

-

Suomi/Finland 

Todistus erikoishammaslââkànn 
oikeudesta  suukirurgian 
(hammas-ja suukirurgian) alalia / 
bevis om 
specialisttandlâkarrâttigheten  inom 
omrâdet oralkirurgi (tand- och 
mundkirurgi) 

Toimivaltainen viranomainen 

Sverige 

Bevis om specialist kompetens i 
tandsystemets kirurgiska 
sjukdomar 

Socialstyrelsen 

United  Kingdom 

Certificate  of completion of 
specialist training in oral surgery 

competent authority recognized  for 
this purpose 

&c 

Annex  III 
Annex 

Titles of diplomas,  certificates and other evidence of formal  qualifications in veterinary surgery 

Country 

Title of  qualification 

Awarding  body 

Certificate  accompanying 
qualification 

Belgique/ 

België 

1 .diplôme légal de docteur en  médecine 
vétérinaire 
2.wettelijk  diploma van doctor in de 
veeartsenijkunde  of doctor  in de 
direrngeneeskunde 

1 .universités de  l'Etat/jury 
central/jurys d'Etat de 
l'enseignement  universitaire 
2.Staatsuniversiteiten/centrale 
examencommissie/examencommi 
ssies van de Staat voor 
universitair  onderwîjs 

Danmark 

bevis for  bestet kandidateksàmen i 
veterinaervidenskab 

Kongejjge Veterinaer - og 
Landbohjskole 

Deutschlan 
d 

Zeugnis Qber die tierârztliche  Staatsprilfung 

zustândigen Behôrden 

Ellas 

rilUXtO  KTTJViaTpiKfjÇ 

nav£7uaTT|uiou 6ecraaviKr|Ç 

Ministerio de Educaciôn y 
Ciencia/EI rector de una 
universidad 

Espana 

Titulo de Licenciado en Veterinaria 

France 

Diplôme de docteur vétérinaire d'Etat 

Ireland 

Bachelor  in/of Veterinary Medicine (MVB) 
/ Diploma of Membership of the Royal 
College of Veterinary  Surgeons (MRCVS) 

Italia 

Diploma di laurea in medicina e chirurgia 

Ministro délia Pubblica  istruzione 

Diploma di  abilitazione 
all'esercizio délia medicina 
veterinaria 

Luxembour 
g 

Diplôme d'Etat de docteur en médecine 
vétérinaire 

Jury d'examen d'Etat 

Nederland 

getuigschrift  van met goed gevolg  afgelegd 
diergeneeskundig/ 
veeartsenijkundig  examen 

Ôsterreich 

Diplom-Tierarzt "Mag. med. vet" 

Universitât 

Portugal 

Carta de curso di licenciatura en medicina 
veterinaria 

Universidade 

Suomi/ 
Finland 

Todistus elâinlââketieteen  lisensiaatin 
tutkinnosta/betyg over avglad 
veterinârmedicine  licenciât examen 

Elâinlââketieteellinen 
korkeakoulu 

Sverige 

Vclerinârexamen 

Sveriges  Lantbruksuniversitet 

United 
Kingdom 

Bachelor of Veterinary  Science 
(BVSc.yVeterinary  Medicine 
(Vet.MB/BVet.Med.)/Veterinary  Medicine 
and  Surgery (BVM  and  S or BVMS) / 
Diploma of Membership of the Royal 
College of Veterinary  Surgeons (MRCVS) 

â$> 

Annex IV 
Annex 

Titles of diplomas, certificates and other evidence of formal  qualifications in midwifery 

Country 

Title of qualification 

Awarding  body 

Belgique/ 
België 

1. diplôme d'accoucheuse 
2.  vroedvrouwdiploma 

1. écoles créées ou agréées par l'Etat jury 
d'examen d'Etat 
2.  van staàtswege opgerichte of erkende scholen 
door de centrale examencommissie  afgegeven 
diploma 

Danmark 

bevis for bestâet jordemodereksamen 

Danmarks jordemoderskole 

Deutschland 

Zeugnis Qber die staatliche Prilfung  fiir 
Hebammen und Entbindungspfleger 

staatlicher  Priifungsaussschuss 

Ellas 

X rixuxto  Mcuaç f| Mateuxfi  CTUcupcouévo 
and  TO Ytcoupyeio Yysiaç Kai ripôvoiaç 
2 rixuxio Avcoxépaç £xo^lC ITEXEX^U KCU 
KoiwcDvuaîç Ilpovotaç -  xun.ua MaicriKriç 

-  EXOATI ETEXEX&V Yyeiaç KCU Koiwœvuaîç 
npovoiaç -  Tuf|ua MaiETiKf|ç 
- Kévxpcov Avcûiépaç Texvuaîç Kai 
ExayyepaTtKiiç EiOTaiôeoriç 
- TexvoXoyiKd EKmôeunKd I5pûpaxa xou 
Ynoupaou E0VUOÎÇ, riaiôefaç Kai 0pr|oxEupaxd)v 

Espana 

Titulo de matrona / asistente obstétrico 
(matrona) / enfermeria obstétrica-
ginecolôgica 

Ministerio de Educacion y Ciencia 

France 

diplôme de sage-femme 

L'Etat 

Ireland 

Certificate  in Midwifery 

An Board Altranais 

Italia 

Diploma d'ostetrica 

le scuole riconosciute dallo stato 

Luxembourg 

Diplôme de sage-femme 

Ministre de la santé publique au vu de la décision 
du jury 

Nederland 

Diploma van  verloskundige 

staàtswege benoemde examen commissie 

Osterreiich 

Hebammen-Diplom 

Hebammenakademie / Bundeshebammenlehr-
anstalt 

Portugal 

Diploma de enfermeiro especialista em 
enfermagem  de saûde materna e obstétrica 

Suomi/Fimland 

1. kâtilô/barnmorska 
2.  erikoissairaanhoitaja,  naistenaudit ja 
âitiyshuolto/specialsjukskôtare, 
kvinnosjukdomar  och môdravârd 

Terveydenhoito-oppilaitos 

Sverige 

•/ 

barnmorskeexamen 

Vârdhôgskola 

United 
Kingdom 

Statement of Registration as a Midwife in 
Part  10 of the Register maintained by the 
United  Kingdom  Council  for Nursing, 
Midwifery  and Health  Visiting 

8^ 

ANNEX V 

ANNEX 

Titles of diplomas,  certificates and other evidence of formal  qualifications  in  pharmacy 

Country 

Title of qualification 

Awarding body 

1 .facultés de médecine et de  pharmacie 
des universités/jury  central/jurys  d'Etat 
de l'enseignement  universitaire 

_  .  . 

, „ . . .. 
<  Belgique/Belgie 

. •  ^ 

& 

1.diplôme légal de pharmacien 
_ 
2.wettehjk  diploma  van apoteker 

,?. 

.... 

r
tt 

tt 

r

;„  „  , 
-, 
2: Faku  teiten  van Geneeskunde en van 

, 

. 

, 

. 

• 
HVWNUHUC en van 
Farmaceutische wetenschappen  van de 
Universiteiten/Centrale 
Examencommissie/examencommissies 
van de Staat voor universitair  onderwijs 

Danmark 

Bevis for bestâet farmaceutisk  kandidateksamen 

, 

,, 

^ 
j 
Deutschland 

Elias 

„ 
Espana 
r 

France 

_ 

Zeugnis ùber die Staatliche Pharmazeutische 
p  ? 

rii0xo7ioixiKO iKavoxr|xaÇ aaKr\ar\Ç, xr|Ç 
cpapucoceuxiicriÇ xoptlYOupevo  UEXCC arco 
Kpaxucn, E^Exaan, 

„  ,. 

„ 
Zustândingen  Behôrden 

_  . 

. 

_,t  , 
. 
Titulo de licenciado en farmacia 

.  .. 

.  , 

r 

Ministerio de Educaciôn  y Ciencia/ 
. .. 
Universidades 

. .. 

J 

; 

___ 

Diplôme d'Etat  de pharmacien/Diplôme  d'Etat  de 
,  \ 
docteur en  pharmacie 

, 

. .. 
Universités 

Ireland 

Certificate  of Registered  Pharmaceutical  Chemist 

Italia 

Diploma o certificato  di abilitazione  all'esercizio 
della professione  di farmacista  ottenuto  in seguito 
ad un esame di stato 

. 

, 
Luxembourg 
° 

rv  .» 
,,c„  „ . 
Diplôme d  Etat de pharmacien 

. 

Jury d'examen d'Etat + visa du  ministre 
.  , , ,, 
de 1  éducation  nationale 

, 

i iCucr 13 no 

Getuigschrift  van met goed gevolg  afgelegd 
apothekersexamen 

. •  • 

Ôsterreich 

Staatliches Apothekerdiplom 

Zustândingen  Behôrden 

Portugal 

* 

Carta de curso de licenciatura  em Ciências 
. 
„ 
Farmaceuticas 

. 

. .. 
Universidades 

. .. 

, 
Suomi/Finland 

.,„.  , 

Todistus  proviisorin  tutkinnosta/Bevis  om 
provisorexamen 

. 

,. 
, 
Korkeakoulu 

. 

Sverige 

Apotekarexamen 

Uppsala  Universitet 

United  Kingdom 

Certificate  of  Registered  Pharmaceutical  Chemist 

ks 

 
Annex VI 
Annex A 
Titles of diplomas, certificates and other evidence of formal  qualifications in medicine 

Country 

Title of qualification 

..• 

Awarding  body 

Certificate  accompanying 
qualification 

Belgique/België 

1 .diplôme légal de docteur 
en médecine, chirurgie et 
accouchements  2.wettelijk 
diploma van doctor in de 
genees-, heel- en 
verloskunde 

1.facultés de médecine des 
universités/jury  central/jurys 
d'Etat de l'enseignement 
universitaire 
2.medische  fakulteiten  van 
. 
de universiteiten/centrale 
examencommissie/examenc, 
ommissies van de Staat voor 
universitair  ondçrwijs 

• 

Danmark 

bevis for  best©et 
Igevindenskabelig 
émbedseksamen 

medicinsk 
universiteitsfakultet 

dokumentation  for 
gennemfrt  praktisk 
uddannelse" som utfârdas 
av den behôriga 
hâlsovrdsmyndighete 

Deutschland 

1 .Zeugnis iiber die ârztliche 
Staatspriifung 
et Zeugnis iiber die 
Vorbereitungszeit  als 
Medizinassistent 
2.  Zeugnis iiber die ârztliche 
Staatsprufung 

Ellas 

riTuxio  larpiKfîç 

Espana 

Titulo de Licenciado en 
medicina y Cirugia 

France 

Diplôme d'Etat de docteur 
en médecine 

zustândigen Behôrden 

Bescheinigung  Qber die 
Ableistung der Tâtigkeit als 
Arzt im Praktikum 

IcnpiKn  axoÀrj 
Trav£TTiOTr|piou/axoAn 
ETTioTr||Jwv uyeiaç,  Tjjrjpa 
idTpiKrjç, TTavETTiaTnpiou 
Ministerio de Educaciôn y 
Ciencia/El rector de una 
universidad 

Facultés de 
médecine/Facultés  mixtes 
de médecine et de 
pharmacie des 
universités/Universités 

/ 

Ireland 

Primary  qualification 

Competent examining body 

Certificate  of experience 

Italia 

Diploma di laurea in 
medicina e chirurgia 

Université 

Diploma di abiiitazione 
all'esercizio della medicina 
e chirurgia 

Luxembourg 

Nederland 

Diplôme d'Etat de docteur 
en médecine, chirurgie et 
accouchements, 
Universitair  getuigschrift 
van arts 

Ôsterreich 

Doktor der gesamten 
Heilkunde 

Portugal 

Suomi/Finland 

Sverige 

Carta de curso di 
licenciaturaen  medicina 

Todistus  lââketieteen 
lisensiaatin 
tutkinnosta/bevis om 
medicine licenciât examen 
Lâkarexamen 

Jury d'examen d'Etat 

Certificat  de stage 

Universidade 

• 

Diplom iiber die  spezifische 
Ausbildung  in der 
Allgemeinmedizin/Facharzt 
diplom 

Diploma comprovativo de 
conclusào do internato geral 

. 

|  United  Kingdom 

Primary  qualification 

Competent examining body 

Certificate  of experience 

^ 

Annex B 
Titles oJ diplomas,  certificates and other evidence of formal  qualifications in specialised  medicine 

I 

Country 

Title  of  qualification 

Awarding  body 

Certificate 
accompanying 
qualification 

j  Belgique/België 

Titre d'agréation en qualité 
de médecin  spécialiste ou 
erkenningstitel  van 
geneesheer  specialist 

le ministre qui a la santé publique dans 
ses attributions 

j 

| 

Danmark 

Bevis for tilladelse til at 
betegne sig som  speciallge 

behôriga  hâlsovrdsmyndighete 

Deutschland 

Fachârztliche  Anerkennung 

Landesârztekammer 

Ellas 

TiîÀoç IcnpiKrïç 
EiôiKÔTqTaç 

NopapxÎEÇ 

Espana 

Titulo de Especialista 

Ministerio de Educaciôn y Ciencia/ El 
rector de una universidad 

1.Certificat  d'études 
spéciales de médecine 
2. Attesttestation  de 
médecin  spécialiste  qualifié 
3.Certificat  d'études 
spéciales de médecine 
4.Diplôme d'études 
spécialisées de médecine 

1.Facultés de  médecine/Facultés 
mixtes de médecine et de pharmacie 
des  universités/Universités 
2.Conseil de l'Ordre des médecins 
3. Facultés de  médecine/Facultés 
mixtes de médecine et de pharmacie 
des  universités/attestation 
d'équivalence établie par arrêté 
ministériel 
4.Universités 

Certificate  of Specialist 
doctor 

competent  authority 

Diploma di medico 
specialista 

Università 

France 

Ireland 

Italia 

Luxembourg 

Certificat  de médecin 
spécialiste 

Ministre de la Santé publique 

Nederland 

Getuigschrift  van  erkenning 
en  inschrijving  in het 
Specialistenregister 

Specialisten-Registratiecommissie 
(SRC) 

Ôsterreich 

Facharztdiploma 

Portugal 

Grau  de Assistente/Titulo  de 
Especialista 

Ordem dos Médicos 

• 

Suomi/Finland 

Todistus  erikoislaakarin 
tutkinnosta/betyg  over 
speciallakarexamen 

Sverige 

Bevis om specialkompetcns 
som  lakare  utlardat av 
Soeialstyrelsen 

United  Kingdom 

Certificate  of Completion  of 
specialist  training 

competent authority 

5 co 

Country 

anaesthetics 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 
general  surgery 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espana 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 

neurological  surgery 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Annex  C 

Titles of training  courses in specialised medicine 

• 

minimum  length  of 

Titk  of qualification 

Awarding  body 
training  course:  3 years 

Anesthésie-réanimation/Anesthesie reanimatie 
Anasstesiologi 
Anâsthesiologie 
AvaiaGriaioXoYia 
Anestesiologia y Reanimacion 
Anesthésiologie-Réanimation  chirurgicale 
Anaesthesia 
Anestesia e rianimazione 
' Anesthésie-réanimation 
Anesthesiologie 
Anâsthesiologie  und  Intensivmedizin 
Anestesiologia 
Anestesiologia/Anestesiologi 
Anestesi och  intensivvârd 
Anaesthetics 

' 

' 

' 

Title of qualification 

Awarding  body 

minimum  length  of 

training  course:  5 years 

chirurgie/heelkunde 
kirurgi eller kirurgiske sygdomme 
Chirurgie 
x£VPouPYlKrl 
cirugia general y del apartato digestivo 
chirurgie générale 
general surgery 
chirurgia générale 
chirurgie générale 
heelkunde 
Chirurgie 
cirurgia geral 
kirurgia/kirurgi 
kirurgi 
general surgery 

Title of qualification 

Awarding body 

minimum  length  of 

training  course:  5 years 

neurochirurgie/neurochirurgie 
neurokirurgi  eller kirurgiske nervesygdomme 
Neurochirurgie 
v£upoxeipouYll°î 
neurocirugia 
neurochirurgie 
neurological  surgery 
neurochirurgia 
neurochirurgie 
neurochirurgie 
Neurochirurgie 
neurocirurgia 
neurokirurgia/neurokirurgi 
neurokirurgi 
neurological  surgery 

3^ 

Country 
obstetrics and  gynaecology 
Belgique/België 

Danmark 

Deutschland 
Elias 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 

Sverige 
United  Kingdom 

• 

Country 

general  (internal) 
medicine 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 

ophthalmology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

, 

Title of qualification 

Awarding body 

minimum  length  of 

training  course:  4 years 

• 

gynécologie - obstétrique/ gynécologie -
verloskunde 
gynkologi  og oîbstetrik eller kvindesygdomme 
og fodselshjelp 
Frauenheilkunde und Geburtshilfe 
uaisuxucri-YuvouKoXovia 
obstetricia y ginecologia 
gynécologie - obstétrique 
obstetrics and gynaecology 
ostetricia e ginecologia 
gynécologie - obstétrique 

' 

Frauenheilkunde  und Geburtshilfe 
ginecologia e obstetricia 
naistentaudit ja  synnytykset/kvinnosjukdomar 
och fôrlossningar 
obstetrik  och gynekologi 
obstetrics and gynaecology 

Title of qualification 

Awarding  body 

minimum  length  of 

training  course:  5 years 

^ 

médecine interne/inwendige geneeskunde 
intern medicin 
Innere Medizin 
7tctxo>.OYia 
medicina interna 
médecine interne 
general medicine 
medicina interna 
médecine interne 
inwendige geneeskunde 
Innere Medizin 
medicina  interna 
sisâtaudit/inremedicin 
internmedicin 
general medicine 

* 

Title of qualification 

Awarding body 

minimum  length  of 

training  course:  3 years 

ophtalmologie/oftalmologie 
oftalmologi  eller oojensygdomme 
Augenheilkunde 
o(pxou.axoAoyia 
oftalmologia 
ophtalmologie 
ophthalmology 
oculistica 
ophtalmologie 
oogheelkunde 
Augenheilkunde  und Optometrie 
ophtalmologie 
silmâtaudit/ôgonsjukdomar 
ogonsjukdomar (oftalmologi) 

"ophthalmology 

| 

-

, 

. 

3n 

Country 

oto  rhino  laryngology 
Belgique/België 
Danmark 

Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 

Sverige 

United  Kingdom 

Country 

paediatrics 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 

respiratory  medicine 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 

|  United  Kingdom 

Title of qualification 

Awarding body 

minimum  length  of 

training  course:  3 years 

. 

oto-rhino-laryngologie/otorhinolaryngologic 
oto-rhino-laryngologi eller ore-naese-
halssygdomme 
Hals-Nasen-Ohrenheilkunde 
(oxopivoAttpuYYoXoyia 
ottorinolaringologia 
oto-rhino-laryngologie 
otolaryngology 
otorinolaringoiatria 
oto-rhino-laryngologie 
keel-, neus- en oorheelkunde 
Hals-, Nasen-und  Ohrenkrankheiten 
" 
ottorinolaringologia 
korva-, nenâ-ja  kurkkutaudit/ ôron-, nâs- och 
strupsjukdomar 
ôron-, nâs- och halssjukdomar (oto-rhino-
laryngologi) 
otolaryngology 

'• 

*  > 
' 

Title of qualification 

' 

minimum  length  of 

Awarding body 
training  course:  4 years 

pédiatrie/kindergeneeskunde 
paediatri  eller bornesygdomme 
Kinderheilkunde 
FlaiSiaxpiKr) 
pediatria sus areas especificas 
pédiatrie 
paediatrics 
pediatria 
pédiatrie 
kindergeneeskunde 
Kinder - und Jugendheilkunde 
pediatria 
lastentaudit/barnsjukdomarO 
barn- och ungdomsmedicin 
paediatrics 

. 

Title of qualification 

minimum  length  of 

Awarding body 
training  course:  4 years 

pneumologie/ pneumologie 
Medicinske  lungesygdomme1 
Lungen- und Bronchialheilkunde 
nvEDUovoAOYia-<I>uuaxioA.OYia 
neumologia 
pneumologie 
respiratory  medicine 
tisiologia e malattie dell'apparato  respiratorio 
pneumo-phtysiologie 
longziekten  en tuberculose 
Lungenkrankheiten 
pneumologia 
keuhkosairaudet/  lungsjukdomar 
lungsjukdomar  (pneumologi) 
respiratory  medicine 

. 

, 

33 

Country 

urology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Title of qualification 

minimum  length  of 

Awarding body 
training  course:  5 years 

urologie/ urologie 
urologi eller urinvejenes  kirurgiske sygdomme 
Urologie 
QupoAOYJa. 
urologia 
urologie 
urology 
urologia 
urologie 
urologie 
Urologie 
urologia 
urologia/urologi 
urologi 
urology 

-»• 

_____ 

Country 

Title of qualification 

Awarding  body 

orthopaedics 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 

Sverige 
United  Kingdom 

Country 

pathological  anatomy 
Belgique/België 
Danmark 

Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

' 

minimum  length  of 

training  course:  5 years 

orthopédie/orthopédie 
ortopaedisk  kirurgi 
Orthopâdie 
Op8oK£5ncr) 
traumatologic y cirugia ortopédica 
chirurgie orthopédique et traumatologie 
orthopaedic surgery 
ortopedia e traumatologia 
orthopédie 
orthopédie 
Orthopâdie und Orthopâdische Chirurgie 
ortopedia 
ortopedia ja traumatologia/ ortopedi och 
traumatologi 
ortopedi 
orthopaedic surgery 

Title of qualification 

Awarding body 

minimum  length  of 

training  course:  4 years 

anatomie pathologique/ pathologische anatomie 
patologisk anatomi og histologi eller 
vaevsunderdogelse 
Pathologie 
riaBoAOYiKn Avaxouiicr) 
anatomia patolôgica 
anatomie et cytologie pathologique 
morbid anatomy  and histopathology 
anatomia patolôgica 
anatomie pathologique 
pathologische anatomie 
Pathologie 
anatomia patolôgica 
patologia/patologi 
klinisk  patologi 
morbid anatomy  and histopathology 

^k 

' 

• 

' 

Country 

neurology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
. Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United Kingdom 

' 

Country 

psychiatry 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 
clinical  biology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

' 

Title of qualification 

Awarding body 

minimum  length  of 

training  course:  4 years 

neurologie/ neurologie 
neuromedicin eller medicinske nervesygdomme 
Neurologie 
NeupoXoYJa 
neurologia 
neurologie 
neurology 
neurologia 
neurologie 
neurologie 
Neurologie 
neurologia 
neurologia/neurologi 
neurologi 
neurology 

• 

~ 

Title of qualification 

Awarding  body 

minimum  length  of 

training  course:  4 years 

psychiatrie/ psychiatrie 
psykiatri 
Psychiatrie 
4/uxi a TPt K rl 
psiquiatria 
psychiatrie 
psychiatry 
psichiatria 
psychiatrie 
psychiatrie 
Psychiatrie 
psyquiatria 
psykiatria/psykiatri 
psykiatri 
psychiatry 

Title of qualification 

minimum  length  of 

Awarding body 
training  course:  4 years 

biologie clinique/ klinische biologie 

anâlisis clinicos 
biologie médicale 

patologia  diagnostica di laboratorio 

• 

. 

__ 

Medizinische  Biologie 
patologia clinica 

' 

_________-____-__-_-_-_-_-_____-______-. 

2<r 

Country 
biological  haematology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 

|  Portugal 

Suomi/Finland 

Sverige 
United  Kingdom 

Country 
microbiology-bacteriology 
Belgique/België 
D an mark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Title of qualification 

^ 

minimum  length  of. 

Awarding body 
training course:  4 years 

' 

.• 

klinisk  blodtypeserologi 

. 

hématologie 

hématologie biologique 

. 

,,  ' 

hematologia clinica 
hematologiset  laboratoriotutkimukset/ 
hematologiska laboratorieundersôkningar 

_ 

_^ 

Title of qualification 

minimum  length  of 

Awarding body 
training  course:  4 years 

klinisk mikrobiologi 
Mikrobiologie  und Infektionsepidemiologie 

microbiologia y parasitologia 

microbiology 
microbiologia 
microbiologie 
medische microbiologie 
Hygiene und Mikrobiologie 

kliinen mikrobiologia/ klinisk mikrobiologi 
klinisk  bakteriologi 
medical  microbiology 

" 
~ 

' 

~ 

Country 

biological  chemistry 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Ôsterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

' 

Title of qualification 

minimum  length  of 

Awarding body 
training  course:  4 years 

•_ 

klinisk kemi 

bioquimica clinica 

chemical pathology 

chimie biologique 
klinische chemie 
Medizinische und Chemische Labordiagnostik 

kliininen kemia/ klinisk kemi 
klinisk kemi 
chemical  pathology 

• 

, 

3é 

Country 

immunology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

I

Country 

plastic surgery 

Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Title of qualification 

minimum  length  of 

• 

Awarding body 
training  course:  4 years 

' 

___ 

immunologia 

clinical  immunology 

Immunologie 

immunologia/  immunologi 
klinisk  immunology 
immunology 

> 

' 

• 

Title of qualification 

Awarding  body 

minimum  length  of 

training  course:  S years 

• 

chirurgie plastique/ plastische heelkunde 
plastikkirurgi 

. 

flXaaxiKn  xeipouPYt>crl 
cirurgia plâstica y reparadora 
chirurgie plastique, reconstructrice et esthétique 
plastic surgery 
chirurgia plâstica 
chirurgie plastique 
plastische chirurgie 
Plastische Chirurgie 
cirurgia plâstica 
plastiikkakirurgia/  plastikkirurgi 
plastikkirurgi 
plastic surgery 

o w i ^ — _ — _ — _ _ — _ — — _ _ — _ — _ — — — _ — — — _ _ _ _ — _ — _ M _ _ — — _ a _ a _ _ M _ — — — — — —i 
Title of qualification 

Awarding body 

Country 
thoracic  surgery 
Belgique/België 
Danmark 

Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

, 

minimum  length  of 

training  course:  5 years 

chirurgie thoracique/ heelkunde op de thorax 
thoraxkirurgi  eller brysthulens  kirurgiske 
sygdomme 

XEipoupyncn Qojpcticoç, 
cirurgia torâcica 
chirurgie thoracique 
thoracic surgery 
chirurgia toracica 
chirurgie thoracique 
cardio-pulmonale chirurgie 

' 

cirurgia cârdio-torâcica 
thorax-ja  verisuonikirurgia/  thorax- och kârlkirurgi 
thoraxkirurgi 
thoracic surgery 

*f 

Country 

paediatric  surgery 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
.Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 

I Sverige 

United  Kingdom 

_ 

Country 
vascular  surgery 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 

cardiology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

' 

Title of qualification 

minimum  length  of 

Awarding body 
training  course:  5 years 

_ 

* 

XsipoupYiict'j flaiSuo 
cirurgia pediàtrica 
chirurgie  infantile 
paediatric surgery 
chirurgia pediàtrica 
chirurgie pédiatrique 

Kinderchirurgie 
cirurgia pediàtrica 
lastenkirurgia/  barnkirurgi 
barn- och ungdomskirurgi 
paediatric surgery 

_. 

-. 

Title of qualification 

Awarding body 

minimum  length  of 

training  course:  5 years 

chirurgie des vaisseaux/  bloedvatenheelkunde 

angiologia y cirurgia  vascular 
chirurgie vasculaire 

chirurgia  vascolare 
chirurgie cardio-vasculaire 

cirurgia  vascular 

__. 

• 

Title of qualification 

minimum  length  of 

Awarding  body 
training  course:  4 years 

• 

cardiologie/ cardiologie 
cardiologie 

KapSioAoyia 
cardiologia 
pathologie cardio-vasculaire 
cardiology 
cardiologia 
cardiologie et angiologie 
cardiologie 

cardiologia 
kardiologia/kardiologi 
kardiologi 
cardio-vascular  disease 

. 

J? 

Country 
gastroenterology 
Belgique/België 
Danmark 

Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 

Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Title of  qualification 

minimum  length  of 

Awarding body 
training  course:  4 years 

gastro-entérologie/  gastro-enterologie 
medicinsk gastroenterologi  eller medicinske mave-
tarmsygdomme 

" 

raoxpevxEpoXoyia 
aparato digestivo 
gastro-entérologie  et hépatologie 
gastroenterology 
malattie dell'apparato digerente, della nutrizione e 
del  ricambio 
gastro-enterologie 
gastro-enterologie 

gastroenterologia 
gastroenterologia/gastroenterologi 
medicinsk gastroenterologi och  hepatologi 
gastro-enterology 

Country 

Title of  qualification 

Awarding body 
training  course:  4 years 

rheumatology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 

|  United  Kingdom 

Country 

general  haematology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

__ 

rhumathologie/ reumatologie 
reumatologi 

minimum  length  of 

PEupctxoXoyia 
reumatologia 
rhumathologie 
rheumatology 
reumatologia 
rhumathologie 
reumatologie 

reumatologia 
reumatologia/ reumatologi 
reumatologi 
rheumatology 

Title of qualification 

" 

minimum  length  of 

Awarding body 
training  course:  3 years 

AipaxoXoYJa 
Hematologia y Hemoterapia 

Haematology 
ematologia 
hématologie 

• 

• 

. 

immuno-hemoterapia 
Kliininen  hematologia/Klinisk hematologi 
Hematologi 
_______________________________________ 

. 

33 

_. 

endocrinology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 

Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 

physiotherapy 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia  fisioterapia 
Luxembourg 
Nederland 
Osterreich 
Portugal  fisiatria 
Suomi/Finland 
Sverige 
United  Kingdom 

Awarding body 
training  course:  3 years 

~~ 

Country 

Title of qualification 

minimum  length  of 

^ 

' 

EvSoKpivoXoYJa 
endocrinologia  y  nutriciôn 
endocrinologie,  maladies  métaboliques 
endocrinology  and diabetes  mellitus 
endocrinologia 
endocrinologie, maladies du métabolisme et de la 
nutrition 

,-

endocrinologia - nutricâo 
endokrinologia/ endokrinologi 
endokrinologi 
endocrinology  and diabetes mellitus 

" 

Title of qualification 

Awarding body 

minimum  length  of 

training  course:  3 years 

médecine physique/ fysische  geneeskunde 
fysiurgi  og rehabilitering 

Quancrj  Ictipicr) Kai A7toKaxdaxaar| 
rehabilitaciôn 
rééducation  et réadaptation  fonctionnelles 

<  • 

rééducation et réadaptation  fonctionnelles 
revalidate 
Physikalische  Medizin 

fysiatria/fysiatri 
rehabiliteringsmedicin 

„——--.^-—-—~-—„—-—-..—--—-.———------————,-—-—-—--—-—---„. 

Country 

Title of qualification 

Awarding body 

stomatology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

__ 

minimum  length  of 

training  course:  3 years 

' 

estomatologia 
stomatologie 

odontostomatologia 
stomatologie 

estomatologia 

__^ 

_____________________-_____---___-____—-_—_——_———-_—_—_—-

Cio 

Country 

neuro-psychiatry 
Belgique/België 
Danmark 
Deutschland 
" 
Ellas 

Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Ôsterreich 
Portugal 
Suomi/Finland 
Sverige 

United Kingdom 

Title of qualification 

minimum  length  of 

Awarding body 
training course:  S years 

neuropsychiatrie/ neuropsychiatrie 

Nervenheilkunde (Neurologie und Psychiatrie) 
NEupoA-oyia -  vyuxiaTpiKrj 

neuropsychiatrie 

neuropsychiatria 
neuropsychiatrie  - 
zenuw - en zielsziekten 

• 

' 

_' 

, 

_ _ _^ 

_ _^ 

___ 

Country 

dermato-venereology 
Belgique/België 
Danmark 

Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 

dermatology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Title of qualification 

minimum  length  of 

Awarding body 
training  course:  3 years 

dermato-vénéréologie/dermato-venereologie 
dermato-venereologie eller hud- og 
koenssygdomme 
Dermatologie und Venereologic 
AEppaxoXoYict-AifrpoSiqiOAOYia 
dermatolôgia médico-quirûrgica y venereologia 
dermatologie etvénéréologie 

dermatolôgia e venerologia 
dermato-vénéréologie 
dermatologie en venerologie 
Haut- und Geschlechtskrankheiten 
dermatovenereologia 
iho-ja  sukupuolitaudit/ hud- och kônssjukdomar 
hud- och kônssjukdomar 

Title of qualification 

_ 

minimum  length  of 

Awarding body 
training  course:  4 years 

dermatology 

. 

• 

_ 

. 

dermatology 

. 

L{4 

venereology 
Belgique/België 
Dapmark 
Deutschland 
Ellas, 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland  ^ 
Ôsterreich 
Portugal 
Suomi/Finland 
Sverige 
United Kingdom 

radiology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United Kingdom 

Country 

diagnostic  radiology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

>' 

Country 

Title of qualification 

Awarding body 
training course:  4 years 

minimum  length  of 

"' 

_; 

. 

venereology 

___________ 

,. / 

^ 

• 

venereology 

minimum  length  of 

Radiologie 
AicxivoA.oYia -  paSioXoYJa 
electrorradiologia 
électro-radiologie 

radiologia 
électroradiologie 
radiologie 

radiologia 

Country 

Title of qualification 

Awarding body 
training course:  4 years 

Title of qualification 

. 
minimum  length  of 

Awarding body 

training course:  4 years 

| 

radiodiagnostic/ rôntgendiagnose 
diagnostik radiologi eller - rontgenundersogelse 
Radiologische Diagnostik 
AKXivo8iaYvcogxiKn 
radiodiagnôstico 
radiodiagnostic et imagerie médicale 
diagnostic radiology 

, 

radiodiagnostic 
radiodiagnostiek 
Medizinische Radiologie-Diagnostik 
radiodiagnôstico 
radiologia/ radiologi 
medicinsk  radiologi 
diagnostic radiology 

• 

' 

La 

Title of qualification 

Awarding body 

minimum  length  of 

training  course:  4 years 

radio- et radiumthérapie/ radio- en radiumtherapie 
terapeutisk  radiologi eller stralebehandeling 
Strahlentherapie  "'" 
AKxivo8epq-svxnc0i*| 
oncologia radioteràpica 
oncologic  option radiothérapie 
radiotherapy 

_ 

radiothérapie 

radiothérapie 
Strahlentherapie-  und Tadio-onkologie 
radioterapia 
syôpâtaudit ja sâdehoito/ cancersjukdomar och 
radioterapi 
onkologi 
radiotherapy 

Z Z Z Z Z Z Z Z Z Z Z Z Z Z " " "" 

< ——_-_____-——____________ 
j 

. 

Title of qualification 

Awarding  body 

minimum  length  of 

training  course:  4 years 

tropmedicin 

. 

'_ 

-

_. 

__ 

tropical  medicine 
medicina tropicale 

medicina tropical 

tropical  medicine 

Title of qualification 

minimum  length  of 

Awarding body 
training  course:  4 years 

bornepsykiatri 
Kinder- und Jugendpsychiatrie 
riai8ovj/ux^aTPlKn 

pédo-psychiatrie 
child  and  adolescent psychiatry 
neuropsichiatria  infantile 
psychiatrie  infantile 

Country 

radiotherapy 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 

Italia 
Luxembourg 

________________________ 
Nederland 
Ôsterreich 
Portugal 
Suomi/Finland 

Sverige 
United  Kingdom 

Country 
tropical  medicine 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 
child  psychiatry 
Belgique/België 
Danmark 
Deutschland 

Ellas 
Espana 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 

tSverige 

United  Kingdom 

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pedopsiquiatria 
lasten psykiatria/  barnpsykiatri 
barn- och  ungdomspsykiatri 

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Awarding body 

geriatrics 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
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Italia 
Luxembourg 
Nederland 
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Portugal 
Suomi/Finland 
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United  Kingdom 

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geriatria 

geriatrics 

klinische gériatrie 

geriatria/ geriatri 
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minimum  length  of 

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Country 

Title of qualification 

Awarding body 

renal  diseases 
Belgique/België 
Danmark 
Deutschland 
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France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Country 
communicable  diseases 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Ôsterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

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minimum  length  of 

training course:  4 years 

nefrologi  eller medicinske nyresygdomme 

N£<t>poÀ.OYia 
nefrologia 
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nephrology 
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Title of qualification 

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minimum  length  of 

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communicable diseases 
malattie infettive 

infektiosairaudet/infektionssjukdomar 
infektionssjukdomar 
communicable diseases 

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Country 

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community  medicine 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Ôsterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

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Title  of qualification 

minimum  length  of 

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santé  publique et médecine  sociale 
community  medicine 

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community  medicine 

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Country 

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minimum  length  of 

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pharmacology 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Pharmakologie 

farmacologia  clinica 

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clinical  pharmacology  and  therapeutics 

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Pharmakologie  und  Toxikologie 

kliininen  farmakologia/  klinisk  farmakologi 
klinisk farmakologi 
clinical  pharmacology  and  therapeutics 

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Awarding  body 

occupational  medicine 
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Danmark 
Deutschland 
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France 
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Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United Kingdom 

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minimum  length  of 

training  course:  3  years 

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samfundsmedicin/  arbejdsmedicin 
Arbeitsmedizin 
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médecine du travail 
occupational  medicine 
medicina  del  lavoro 

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arbeids- en bedrijfsgeneeskunde 
Arbeits-  und Betriebsmedizin 
medicina do trabalho 
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occupational medicine 

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allergology 
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Portugal 
Suomi/Finland 
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United Kingdom 

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allergologia ed immunoligia clinica 

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allergologia/ allergologi 
allergisjukdomar 

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gastroenterological 
surgery 
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Danmark 

Deutschland 
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France 
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Portugal 
Suomi/Finland 
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United  Kingdom 

Country 
nuclear  medicine 
Belgique/België 

Danmark 
Deutsch land 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Ôsterreich 
Portugal 
Suomi/Finland 
Sverige 
United  Kingdom 

Title of qualification 

Awarding body 

minimum  length  of 

training course:  5 years 

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chirurgie abdominale/ heelkunde op het abdomen 
kirurgisk gastroenterologi  eller kirurgiske mave-
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cirugia del aparato digestivo 
chirurgie viscérale 

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chirurgia dell'aparato digestivo 

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gastroenterologia/gastroenterologi 

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minimum  length  of 

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médecine nucléaire/ nucléaire geneeskunde 

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Nuklerarmedizin 
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medicina nuclear 
médecine nucléaire 

medicina nucleare 

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medicina nuclear 
isotooppitutkimukset/ isotopundersôkningar 

nuclear medicine 

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Country 

Title of qualification 

Awarding body 

surgery 

minimum  length  of 

formation:  5 years 

maxillo-facial 
(basic medical training) 
Belgique/België 
Danmark 
Deutschland 
Ellas 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United Kingdom 

Country 
dental, oral and 
maxillo-facial  surgery 
(basic medical and dental 
training) 
Belgique/België 

Danmark 
Deutschland 
Elias 
Espafia 
France 
Ireland 
Italia 
Luxembourg 
Nederland 
Osterreich 
Portugal 
Suomi/Finland 
Sverige 
United Kingdom 

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cirugia oral y maxilofacial 
chirurgie maxillo-faciale et stomatologie 

chirurgia maxillo-facciale 

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stomatologie/ chirurgie orale et maxillo-faciale; 
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oral and maxillo-facial  surgery 

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leukakirurgia/ kâkirurgi 

oral and maxillo-facial  surgery 

kl-

ISSN 0254-1475 

COM(97) 638 final 

DOCUMENTS 

EN 

04  05  15 

Catalogue  number  :  CB-CO-97-690-EN-C 

ISBN  92-78-28753-9 

Office  for  Official  Publications of the European  Communities 

L-2985  Luxembourg 

k£