CELEX: 51987PC0577
Language: en
Date: 1987-11-26
Title: PROPOSAL FOR A COUNCIL DIRECTIVE AMENDING DIRECTIVES 75/362/EEC, 77/452/EEC, 78/686/EEC, 78/1026/EEC AND 80/154/EEC RELATING TO THE MUTUAL RECOGNITION OF DIPLOMAS, CERTIFICATES AND OTHER EVIDENCE OF FORMAL QUALIFICATIONS AS DOCTOR, NURSE RESPONSIBLE FOR GENERAL CARE, DENTAL PRACTITIONER, VETERINARY SURGEON AND MIDWIFE, TOGETHER WITH DIRECTIVES 75/363/EEC, 78/1027/EEC AND 80/155/EEC CONCERNING THE COORDINATION OF PROVISIONS LAID DOWN BY LAW, REGULATION OR ADMINISTRATIVE ACTION RELATING TO THE ACTIVITIES OF DOCTORS, VETERINARY SURGEONS AND MIDWIVES

30. 12. 87                                  Official Journal of the European Communities                              N o C 353/17
                Proposal for a Council Directive amending Directives 75/362/EEC, 77/452/EEC,
                78/686/EEC, 78/1026/EEC and 80/154/EEC relating to the mutual recognition of diplomas,
                certificates and other evidence of formal qualifications as doctor, nurse responsible for
                general care, dental practitioner, veterinary surgeon and midwife, together with Directives
                75/363/EEC, 78/1027/EEC and 80/155/EEC concerning the coordination of provisions laid
                down by law, regulation or administrative action relating to the activities of doctors,
                                                    veterinary surgeons and midwives
                                                            COM(87) 577 final
                                 (Submitted  by the Commission     to the Council on 2 December 1987)
                                                              (87/C 353/02)
 THE COUNCIL OF THE EUROPEAN COMMUNITIES,                               Whereas it is advisable to provide, for reasons of equity
                                                                        and in the light of the special situation in one Member
 Having regard to the Treaty establishing the European                  State, for certain transitional measures for the holders
 Economic Community, and in particular Articles 49, 57                  of diplomas, certificates and other evidence of formal
 and 66 thereof,                                                        qualifications in veterinary medicine awarded in that
 Having regard to the proposal from the Commission,                     Member State, following training commenced after
                                                                        entry into force of Directives 78/1026/EEC and 78/
 In cooperation with the European Parliament,                            1027/EEC and not complying fully with Article 1 of
                                                                        Directive 78/1027/EEC; whereas, however, it is advis-
 Having regard to the opinion of the Economic and                       able to restrict these measures to persons who com-
 Social Committee,                                                       menced their training before 1 January 1985, the necess-
Whereas certain technical amendments should be made                      ary supplementary training being provided in the case
 to Council Directives 75/362/EEC (l), 77/452/EEC (2),                   of training commenced at a later date, where necessary
78/686/EEC (3), 78/1026/EEC (4) and 80/154/EEC (5), as                  during the course of studies,
 last amended by the Act of Accession of Spain and
Portugal, concerning the mutual recognition of dip-
                                                                         HAS ADOPTED THIS DIRECTIVE:
 lomas, certificates and other evidence of formal qualifi-
 cations of doctors, nurses responsible for general care,
 dental practitioners, veterinary surgeons and midwives,
 and to Council Directive 75/363/EEC (6), as last                                                 CHAPTER 1
 amended by Directive 82/76/EEC( 7 ), and Council
 Directives 78/1027/EEC (8) and 80/155/EEC (9) concern-                  Amendments relating to Directives 75/362/EEC and 75/
 ing the coordination of provisions laid down by law,                   363/EEC (mutual recognition of diplomas, certificates
 regulation or administrative action in respect of the                   and other evidence of formal qualifications in medicine
activities of doctors, veterinary surgeons and midwives                  and coordination of the provisions laid down by law,
 in order to take account in particular of changes in the                regulation or administrative action in respect of activi-
titles of diplomas, certificates and other evidence of                                         ties of doctors)
formal qualifications in these professions or in the
designation of certain medical specialties, as well as of
                                                                                                   Article 1
the establishment of certain new medical specialties of
the discontinuing of certain former specialties which
have taken place in some Member States;                                  Article 3 of Directive 75/362/EEC is hereby amended
                                                                         as follows:
Whereas it is necessary to protect at Community level
                                                                         1. Under the heading '(f) in Italy', the text is replaced
the acquired rights of the holders of former qualifi-
                                                                             by the following:
cations which are no longer awarded as a result of the
above changes which have taken place in the rules of                         '"diploma di laurea in medicina e chirurgia" (dip-
the Member States which awarded the qualification                            loma of graduate in medicine and surgery) awarded
to them and to supplement where necessary in this                            by a university, accompanied by a "diploma di
connection the abovementioned Directives by appropri-                        abilitazione all'esercizio della medicina e chirurgia"
ate provisions;                                                              (diploma conferring the right to practise medicine
                                                                             and surgery) awarded by the State Examining Com-
                                                                             mission.'
(J) OJ No L 167, 30. 6. 1975, p. 1.                                     2. Under the heading '(j) in Greece', the text is replaced
(2) OJ No L 176, 15. 7. 1977, p. 1.                                          by the following:
(3) O J N o L 2 3 3 , 24. 8. 1978, p. 1.
(4) OJ No L 362, 23. 12. 1978, p. 1.                                         "TlTUxto I(upiKf|c;" (degree in medicine) awarded
(5) O J N o L 3 3 , 11.2. 1980, p. 1.                                        by:
(6) OJ No L 167, 30. 6. 1975, p. 14.
                                                                             — the faculty of medicine of a university, or
(7) O J N o L 4 3 , 15.2. 1982, p. 21.
(8) OJ No L 362, 23. 12. 1978, p. 7.                                         — the faculty of health sciences, department of
(9) O J N o L 3 3 , 11.2. 1980, p. 8.                                            medicine, of a university.'
 ---pagebreak--- No C 353/18                           Official Journal of the European Communities                                30. 12. 87
3.  Under the heading '(k) in Spain', the text is replaced                Luxembourg:          anatomie pathologique
    by the following:                                                     Netherlands:         pathologische anatomie
                                                                          United Kingdom: morbid anatomy and histo-
    '"Titulo de licenciado en Medicina y Cirugia" (uni-                                        pathology
    versity degree in medicine and surgery) awarded by                    Greece:              7ta6oXoyiKf| avaxouiKf|
    the Ministry of Education and Science or the rector                   Spain:               anatomia patologica
    of a university.'                                                     Portugal:            anatomia patologica.'
                          Article 2
Article 5 (2) of Directive 75/362/EEC is hereby amended
as follows:                                                                                Article 4
1. Under the heading 'in Belgium', the text is replaced
                                                                Article 7 (2) of Directive 75/362/EEC is hereby amended
    by the following:
                                                                as follows:
    '"le titre d'agregation en qualite de medecin
                                                                 1.  In all tKe language versions other than the French
    specialiste/erkenningstitel van geneesheer specia-
                                                                     and the Portuguese, under 'biological           haetna-
    list" (formal evidence of having qualified as a medi-
                                                                     tology' the subheading relating to Spain is deleted.
    cal specialist) issued by the Minister for Public
    Health.'                                                     2.  The heading 'pathological       anatomy' is deleted.
2.  Under the heading 'in Greece', the text is replaced          3.  Under 'vascular     surgery':
    by the following:
                                                                     — in the Dutch language version the title of the
    '"TixA,o<; IatpiKfiq EISIKOTTITCU; xopr|Yoi)|ievo<;                  heading is replaced by 'chirurgie van bloed-
    ano TIC, Nouxxpxiec/' (title of medical specialty)                   vaten',
    awarded by the prefectures.'
                                                                     — the subheading relating to Italy is replaced by
3.  Under the heading 'in Spain', the text is replaced by                the following:
    the following:
                                                                         'Italy: chirurgia vascolare'.
    '"Titulo de Especialista" (professional qualification
    of specialist) awarded by the Ministry of Education          4.  Under       'gastroenterology':
    and Science or the rector of a university.'                      — the subheading relating to the Netherlands is
                                                                         replaced by the following:
                                                                         'Netherlands: gastro-enterologie',
                          Article 3
                                                                     — the subheading relating to Greece is replaced
Article 5 (3) of Directive 75/362/EEC is hereby amended                  by the following:
as follows:                                                              'Greece: yao-TpevTepoXoyia'.
1.   Under 'anaesthetics', the subheading relating to the        5. Under 'endocrinology', the following subheading
    Netherlands is replaced by the following:                        is added relating to France:
    'Netherlands: anesthesiologie'.                                  'France: endocrinologie — maladies metaboli-
2.  Under 'ophthalmology',      the subheading relating to           ques'.
    Belgium is replaced by the following:                        6. Under 'physiotherapy', the subheading relating to
    'Belgium: ophtalmologie — oftalmologie'.                         Greece is replaced by the following:
3.  Under 'respiratory medicine', the subheading relat-              'Greece: (puaiKf| laipiKfj Kai arcoKax&CTTaari'.
    ing to the Netherlands is replaced by the following:         7.  Under 'neurology', the following subheading is
    'Netherlands: longziekten en tuberculose'.                       added relating to Belgium:
4.  The following heading is added at the end of Ar-                 'Belgium: neurologie — neurologie'.
    ticle 5:                                                     8. Under 'psychiatry', the following subheading is
    '— pathological      anatomy:                                    added relating to Belgium:
          Germany:           Pathologie                              'Belgium: psychiatrie — psychiatrie'.
          Belgium:           anatomie pathologique —             9. Under 'neuropsychiatry',        the subheading relating
                             pathologische anatomie                  to Greece is replaced by the following:
          Denmark:           patologisk anatomi og histo-
                             logi eller vajvsundersogelse            'Greece: veupoXoyia — v|/uxiaxpiKf|'.
          France:            anatomie et cythologiepa-
                                                                10.  Under 'dermato-venereology',          the subheading
                             thologique
                                                                     relating to the Netherlands is replaced by the fol-
          Ireland:           morbid anatomy and histo-               lowing:
                             pathology
          Italy:             anatomia patologica                     'Netherlands: dermatologie en venerologie'.
 ---pagebreak--- 30. 12. 87                             Official Journal of the European Communities                                N o C 353/19
 11. Under 'radiology', the subheading relating to                            — Belgium:                 medecine nucleaire -
      France is replaced by the following:                                                               nucleaire genees-
      'France: electroradiologie'.                                                                       kunde,
                                                                              — Italy:                   medicina nucleare,
 12. Under 'tropical medicine', the following subhead-                        — Netherlands:             nucleaire genees-
      ing is deleted:                                                                                    kunde,
                                                                              —   United Kingdom:        nuclear medicine,
      'Belgium: medecine tropicale/tropische         genees-                  —   Greece:                7tupr|ViKf| iaxpiKf|,
      kunde'.                                                                 —   Spain:                 medicina nuclear,
                                                                              —   Portugal:              medicina nuclear;
 13. Under 'child psychiatry', the following subheading
      is added relating to Ireland:                                           maxillo-facial    surgery:
      'Ireland: child and adolescent psychiatry'.                             — Italy:                   chirurgia maxillo-fac-
                                                                                                         ciale,
 14. Under 'geriatrics', the following subheading is                          — Spain:                   cirugia oral y maxilo-
      added relating to the Netherlands:                                                                 facial.'
      'Netherlands: klinische geriatrie'.
 15. Under 'renal diseases', the following subheading is                                      Article 5
      added relating to Luxembourg:
      'Luxembourg: nephrologie'.                                  Article 9 (3) of Directive 75/362/EEC is hereby replaced
                                                                  by the following:
 16. Under 'allergology', the subheading relating to
      Greece is replaced by the following:                            '3.    In the case of nationals of the Member States
      'Greece: aDtepYio^oyia'.                                        whose diplomas, certificates and other evidence of
                                                                      formal qualifications in medicine or in specialized
17. The heading 'occupational        medicine'   is amended           medicine do not conform with the qualifications or
      as follows:                                                     designations set out in Articles 3, 5 and 7, each
                                                                      Member State shall recognize as being sufficient
      (a) The title of the heading is replaced, except in             proof the diplomas, certificates and other evidence
          the English language version, by the following:             of formal qualifications awarded by those Member
                                                                      States, accompanied by a certificate issued by the
          ' — Danish language         'arbejdsmedicin'                competent authorities or bodies. The certificate
                 version:                                             shall state these diplomas, certificates and other
            — German language 'Arbeitsmedizin'                        evidence of formal qualifications in medicine or in
                 version:                                             specialized medicine were awarded following train-
            — Greek language         'laxpiKT] xx\q epya-             ing in accordance with the provisions of Directive
                 version:            mac/                             75/363/EEC, referred to, as appropriate, in Article
            — Spanish language 'medicina del trabajo'                 2, 4 or 6 of Directive 75/362/EEC, and are treated
                 version:                                             by the Member State which awarded them as the
            — French language        'medecine du travail'            qualifications or designations set out, as appropri-
                 version:                                             ate, in Article 3, 5 or 7.'
            — Italian language       'medicina del lavoro'
                 version:
            — Dutch language         'arbeidsgeneeskunde'
                 version:                                                                    Article 6
            — Portuguese lan-        'medicina do traba-
                 guage version:      lho.'
                                                                 Article 2 (3) of Directive 75/363/EEC is hereby amended
                                                                 as follows:
     (b) Under this heading the following subheadings
          are added:                                                 '3.     Within the time limit laid down in Article 9,
                                                                     Member States shall designate the authorities or
            Germany:                'Arbeitsmedizin'                 bodies competent to issue the diplomas, certificates
            Denmark:                'samfundsmedicin'                and other evidence of formal qualifications referred
            Italy:                  'medicina del lavoro'            to in paragraph 1.'
            Greece:                 'laipiKfi xr\q epya
                                    aiac;'
            Spain:                  'medicina del trabajo
            Portugal:               'medicina do traba
                                    lho.'                                                    Article 7
18. The following two new subheadings are added at
     the end of paragraph 2:                                     The following entry is hereby added to Article 4 of
                                                                 Directive 75/363/EEC at the end of the heading 'Second
           nuclear    medicine:                                 group':
           — Germany:              Nuklearmedizin,                   '— pathological anatomy'.
 ---pagebreak--- No C 353/20                            Official Journal of the European Communities                              30. 12. 87
                           Article 8                             2.     The dates on which the Member States concerned
                                                                 repealed the provisions laid down by law, regulation
                                                                 or administrative action in respect of the diplomas,
Article 5 of Directive 75/363/EEC is hereby amended              certificates and other evidence of formal qualifications
as follows:                                                      referred to in paragraph 1 are set out in the Annex.
1. Under 'First group':
    — in the Dutch language version the entry 'chirur-           3.     Article 9 (4) of Directive 75/362/EEC and Article
        gie van hart en bloedvaten' is replaced by 'chi-         15 of Directive 82/76/EEC are hereby repealed.
        rurgie van bloedvaten',
    — the following entry is added at the end:
                                                                                         CHAPTER 2
        '— maxillo-facial surgery'.
2. Under 'Second group':                                         Amendments relating to Directive 77/452/EEC (mutual
                                                                 recognition of diplomas, certificates and other evidence
    — the entry 'pathological anatomy' is deleted,               of formal qualifications as nurse responsible for general
    — except in the English language version the entry                                       care)
        'occupational medicine' is replaced as follows:
              Danish language      'arbejdsmedicin'                                       Article 10
              version:
              German language      'Arbeitsmedicin'
                                                                 Article 1 (2) of Directive 77/452/EEC is hereby amended
              version:
                                                            ,    as follows:
              Greek language       'iaxpiKf| xx]q epYaaia<;
              version:
              Spanish language     ' medicina del trabajo'       1. Under 'in the United Kingdom', the text is replaced
              version:                                               by the following:
              French language      'medecine du travail'
                                                                     'State registered nurse or registered general nurse'.
              version:
              Italian language     'medicina del lavoro'
              version:                                           2. Under 'in Greece', the text is replaced by the fol-
              Dutch language       'arbeidsgeneeskunde'              lowing:
              version:
              Portuguese lan-      'medicina do trabalho',           'AinXaniaxoxixoq r\ TCTUXIOUXCX;         voaoKo^oq,
              guage version:                                         voCTTi^euxfn; f| voariXeuxpia'.
               following entry is added at the end of the
        list:
        '— nuclear medicine'.                                                             Article 11
                                                                 Article 3 of Directive 77/452/EEC is hereby amended
                                                                 as follows:
                           Article 9
                                                                 1. Unter '(f) in Italy', the text is replaced by the fol-
1.    Those Member States which have repealed the                    lowing:
provisions laid down by law, regulation or administrat-
ive action relating to the award of diplomas, certificates           'the "diploma di infermiere professionale" awarded
and other evidence of formal qualifications in neuro-                by State-recognized schools.'
psychiatry, radiology, thoracic surgery, vascular sur-
gery, gastro-enterological surgery, biological haema-            2. Under '(i) in the United Kingdom',         the text is
tology or physiotherapy, and have taken measures relat-              replaced by the following:
ing to acquired rights on behalf of their own nationals,
shall recognize the right of nationals of the Member                 '— a statement of registration as a registered gen-
States to benefit from those same measures, provided                      eral nurse in part I of the register maintained
their diplomas, certificates and other evidence of formal                 by the United Kingdom Central Council for
qualifications in neuropsychiatry, radiology, thoracic                    Nursing, Midwifery and Health Visiting.'
surgery, vascular surgery, gastro-enterological surgery,
biological haematology or physiotherapy fulfil the rel-
                                                                 3. Under '(j) in Greece', the text is replaced by the
evant conditions set out either in Article 9 (2) of Direc-
                                                                     following:
tive 75/362/EEC or in Articles 2, 3 and 5 of Directive
75/363/EEC and in so far as the said diplomas, certifi-              '— • " T o SircAxoua A5etapf|c, NoaoKouac, xr\q
cates and other evidence of formal qualifications were                       Avcoxepa<; £xoA,f|<; ASeXqxbv NoaoKO-
awarded before the date on which the host Member                             UXDV" (diploma of general nurse from the
State stopped awarding such diplomas, certificates and                       advanced school of general nursing), certified
other evidence of formal qualifications in the specialty                     by the Ministry of Social Services or by the
concerned.                                                                   Ministry of Health and Social Welfare, or
 ---pagebreak--- 30. 12. 87                            Official Journal of the European Communities                             N o C 353/21
         • "To mvxio NoaoKouoo xou Tufmaxo<;                                           CHAPTER 3
           A8eA,(p(bv NOCJOKOUXQV xcov napataxpiKcbv
           Sxo^wv TODV Kevxpcov Avcoxepac, TexviKT|<;           Amendments relating to Directive 78/686/EEC (mutual
           Kai ErcaYYE^I-iaxiKf|<; EK7tai8eo<xn<;" (degree      recognition of diplomas, certificates and other formal
           in nursing from the nursing sections of the              evidence of qualifications as dental practitioner)
           paramedical schools at the advanced centres
           of technical and vocational training) awarded
           by the Ministry of Education and Religious                                    Article 13
           Affairs, or
                                                                In Article 1 of Directive 78/686/EEC the text under the
                                                                heading 'in Italy' is replaced by the following:
         • " T o rcxuxio voar|A,ei>xf| f| voor|A,£6xpia<;
           xcov      TexvoXoyiKCov          EiataiSeuxiKcbv         'odontoiatra'.
           ISpuuxxxcov ( T E I ) " (degree in nursing from
           the technological training establishments) run
           by the Ministry of Education and Religious                                    Article 14
           Affairs, or
                                                                The following paragraph 3 is hereby inserted in Article
         • " T o rcxuxio xr|<; Avcoxaxr|c; Nocrr|>.ei)xiKf|<;   7 of Directive 78/686/EEC:
           XT|<; "LxoX^q ETtayyeA-uaxcDV Yyeia*;, T^ifma            '3. In the case of nationals of Member States
           Noo-r|X,£uxiKf|<; xou nav67tiCTxr||xiou A 9 T | -        whose diplomas, certificates and other evidence of
           vcbv" (degree in nursing from the faculty of             formal qualifications in dentistry or in specialist
           health sciences, nursing section, University of          dentistry (orthodontics and oral surgery) do not
           Athens).'                                                conform with the qualifications or designations set
                                                                    out in Articles 3 and 5, each Member States shall
4. Under '(k) in Spain', the text is replaced by the                recognize as being sufficient proof the diplomas,
    following:                                                      certificates and other evidence of formal qualifi-
                                                                    cations awarded by these Member States,
                                                                    accompanied by a certificate issued by the com-
    '"Titulo de Diplomado universitario en Enfer-                   petent authorities or bodies. The certificate shall
    meria" (university diploma in nursing) awarded by               state that the diplomas, certificates and other evi-
    the Ministry for Education and Science or the rector            dence of formal qualifications as dental practitioner
    of a university.'                                               or as specialist dental practitioner (orthodontics and
                                                                    oral surgery) were awarded following training in
                                                                    accordance with the provisions of Directive 78/687/
                                                                    EEC, referred to, as appropriate, in Articles 2 or 4
                         Article 12                                 of Directive 78/686/EEC, and are treated by the
                                                                    Member State which awarded them as the qualifi-
                                                                    cations or designations set out, as appropriate, in
Article 4 of Directive 77/452/EEC is hereby amended                 Article 3 or 5.'
as follows:
— The two existing paragraphs become paragraph 1
    and are preceded by the figure T .
                                                                                       CHAPTER 4
— The following new paragraph 2 is added:                       Amendments relating to Directives 78/1026/EEC and
                                                                78/1027/EEC (mutual recognition of diplomas, certifi-
    '2. In the case of nationals of Member States               cates and other evidence of formal qualifications as
    whose diplomas, certificates and other evidence of          veterinary surgeon and coordination of provisions laid
    formal qualifications as nurse responsible for gen-         down by law, regulation or administrative action in
    eral care do not conform with the qualifications or               respect of the activities of veterinary surgeon)
    designations set out in Article 3, each Member State
    shall recognize as being sufficient proof the dip-                                   Article 15
    lomas, certificates and other evidence of formal
    qualifications awarded by those Member States,
    accompanied by a certificate issued by the com-             The second paragraph of Article 2 of Directive 78/1026/
    petent authorities or bodies. The certificate shall         EEC is hereby replaced by the following:
    state that the diplomas, certificates and other evi-            'Where a diploma, certificate or other evidence of
    dence of formal qualifications as nurse responsible             formal qualifications as listed in Article 3 was
    for general care were awarded following training in             awarded before the implementation of this Direc-
    accordance with the provisions of Directive 77/453/             tive, or was awarded after that date but following
    EEC, referred to in Article 2 of Directive 77/452/              training commenced before that date, it shall be
    EEC, and are treated by the Member State which                  accompanied by a certificate from the competent
    awarded them as the qualifications or designations              authorities of the issuing country stating that it
    set out in Article 3.'                                          complies with Article 1 of Directive 7 8 / 1 0 2 7 / E E C
 ---pagebreak--- No C 353/22                           Official Journal of the European Communities                                30. 12. 87
                          Article 16                                                       Article 18
Article 3 of Directive 78/1026/EEC is hereby amended            The following new paragraph 5 is hereby added to
as follows:                                                     Article 1 of Directive 78/1027/EEC:
1. Under '(j) in Greece', the text is replaced by the                '5.      As a transitional measure and notwithstand-
    following:                                                      ing paragraph 2, Italy, whose provisions laid down
                                                                    by law, regulation or administrative action provided
    '"ITcoxio KTT|ViaTpiKf|c;" (diploma of veterinary               for a training programme which did not comply
    surgeon from the faculty of geotechnical sciences of            fully with that set out in the Annex when Directive
    the Aristotle University of Saloniki or the School of           78/1026/EEC and this Directive took effect, may
    veterinary medicine of the Aristotle University of              continue to apply those provisions to persons who
    Saloniki).'                                                     commenced their veterinary training not later than
                                                                    31 December 1984.
2. Under '(k) in Spain', the text is replaced by the
    following:                                                      Each host Member State shall be authorized to
    '"Titulo de Licenciado en Veterinaria" (university              require of holders of diplomas, certificates or other
    degree in veterinary medicine) awarded by the Min-              evidence of formal qualifications as veterinary sur-
    istry for Education and Science or by the rector of             geon awarded by Italy following training com-
    a university.'                                                  menced before 1 January 1985 that their diplomas,
                                                                    certificates and other evidence of formal qualifi-
                                                                    cations be accompanied by a certificate stating that
                                                                    they have effectively and lawfully been engaged in
                                                                    the activities of veterinary surgeon for at least three
                          Article 17                                consecutive years during the five years prior to the
                                                                    date of the issue of the certificate, unless the said
                                                                    diploma, certificate or other evidence of formal
Article 4 of Directive 78/1026/EEC is hereby replaced
                                                                    qualifications is accompanied by a certificate issued
by the following:                                                   by the competent Italian authorities stating that it
                                                                    attests to training in full compliance with this Article
    'Article 4                                                      and with the Annex.'
    1.     In the case of nationals of Member States
    whose diplomas, certificates and other evidence of                                     Article 19
    formal qualifications do not satisfy all the minimum
    training requirements laid down in Article 1 of             In the Annex to Directive 78/1027/EEC in the Greek
    Directive 78/1027/EEC, each Member State shall              language version, under 'B. Specific subjects', the first
    recognize as being sufficient proof the diplomas,           indent of 'Group 2: Clinical sciences' 'XeipoupyiKT)' is
    certificates and other evidence of formal qualifi-          hereby replaced by 'Maiei)TiKT|'.
    cations in veterinary medicine awarded by those
    Member States before the implementation of Direc-
    tive 78/1027/EEC or awarded after that date but
    following training commenced before that date,
                                                                                         CHAPTER 5
    accompanied by a certificate stating that those
    nationals have effectively and lawfully been engaged
    in the activities in question for at least three consecu-   Amendments relating to Directives 80/154/EEC and 80/
    tive years during the five years prior to the date of       155/EEC (mutual recognition of diplomas, certificates
    issue of the certificate.                                   and other evidence of formal qualifications as midwife
                                                                and coordination of the provisions laid down by law,
                                                                regulation or administrative action in respect of the
    2.     In the case of nationals of Member States              activities and exercise of the profession of midwife)
    whose diplomas, certificates and other evidence of
    formal qualifications as veterinary surgeon do not
    conform with the qualifications or designations set
    out in Article 3, each Member State shall recognize                                    Article 20
    as being sufficient proof the diplomas, certificates
    and other evidence of formal qualifications awarded         Article 1 of Directive 80/154/EEC is hereby amended
    by those Member States, accompanied by a certifi-           as follows:
    cate issued by the competent authorities or bodies.
    The certificate shall certify that the diplomas, cer-       1. Under 'in the Federal Republic of Germany',           the
    tificates and other evidence of formal qualifications           text is replaced by the following:
    as veterinary surgeon were awarded following train-
                                                                    'Hebamme' or 'Entbindungspfleger'.
    ing in accordance with the provisions of Directive
    78/1027/EEC, referred to in Article 2 of Directive
                                                                2. Under 'in Greece', the text is replaced by the fol-
    78/1026/EEC, and are treated by the Member State
                                                                    lowing:
    which awarded them as the qualifications or desig-
    nations set out in Article 3.'                                  ' M a i a ' or 'MateuTf|c/.
 ---pagebreak--- 30. 12. 87                           Official Journal of the European Communities                           N o C 353/23
                         Article 21                                competent authorities or bodies. The certificate
                                                                   shall state that the diplomas, certificates and other
                                                                   evidence of formal qualifications as midwife were
Article 3 of Directive 80/154/EEC is hereby amended                awarded following training in accordance with the
as follows:                                                        provisions of Directive 80/155/EEC, referred to in
                                                                   Article 2 of Directive 80/154/EEC and are treated
1. Under '(a) in the Federal Republic of Germany', the             by the Member State which awarded them as the
    first indent is replaced by the following:                     qualifications or designations set out in Article 3.'
    '— the "Zeugnis iiber die staatliche Priifung fur
          Hebammen und Entbindungspfleger", awarded                                     Article 23
          by the State Examining Board.'
                                                               The following new paragraph 5 is hereby added to
2. Under '(h) in the Netherlands', in all the language         Article 1 of Directive 80/155/EEC:
    versions other than the Dutch language version, the            '5.     Nothing in this Directive shall prejudice any
    term 'vroedvrouwdiploma' is replaced by 'diploma               facility which may be granted in accordance with
    van verloskundige'.                                            their own rules by Member States in respect of their
                                                                   own territory to authorize holders of diplomas,
3. Under '(i) in the United Kingdom',          the text is         certificates or other evidence of formal qualifi-
    replaced by the following:                                     cations which have not been obtained in a Member
                                                                   State to take up and pursue the activities of mid-
    '— a statement of registration as a midwife in part            wife.'
          10 of the register maintained by the United
          Kingdom Central Council for Nursing, Mid-
          wifery and Health Visiting.'                                                  Article 24
4. Under '(j) in Greece', the text is replaced by the          In Article 4 (6) of Directive 80/155/EEC, in the Spanish
    following:                                                 language version, the text is hereby replaced by the
                                                               following:
    '— the "IlTUxio Mcdac; f| Maieuxf|" authenticated              '6.     Llevar a cabo el parto normal cuando se trate
          by the Ministry of Health and Welfare,                   de una presentacion de vertice, incluyendo, si es
                                                                   necesario, la episiotomia, y, en caso de urgencia,
     — the "rixuxio Avcoxepac; Lx 0 ^ 1 !? IxeA,ex(bv              realizar el parto en presentacion de nalgas.'
          Yyeiac, KCU Koiv(oviKf|<; Jlpovoiac;, Tuf|uaxo<;
          MaieuxiKfjc;" issued by the faculty of health
          and social welfare workers, obstetrics section,                               Article 25
          of the advanced technical and vocational edu-
          cation centres or by the technological training      In Article 8 of Directive 80/155/EEC, in the German
          establishments run by the Ministry of Edu-           language version, the text is hereby replaced by the
          cation and Religious Affairs.'                       following:
                                                                   'Artikel 8
5. Under '(k) in Spain', the text is replaced by the
    following:                                                     Spatestens sechs Jahre nach Bekanntgabe dieser
                                                                   Richtlinie beschlieSt der Rat auf Vorschlag der
    '— the diploma of "asistente obstetrico (matrona)              Kommission und nach Stellungnahme des Bera-
          o matrona", awarded by the Ministry for Edu-             tenden Ausschusses, ob die Ausnahme nach Teil B
          cation and Science or by the rector of a univer-         Nummer 3 des Anhangs geandert oder aufgehoben
          sity.'                                                   werden soil.'
                                                                                      CHAPTER 6
                         Article 22
                                                                                     Final provisions
The following new paragraph 3 is hereby added to
Article 5 of Directive 80/154/EEC:                                                      Article 26
    '3.     Without prejudice to Article 4, in the case        Member States shall take the necessary measures to
    of nationals of Member States whose diplomas,              comply with this Directive by 1 April 1989. They shall
    certificates and other evidence of formal qualifi-         forthwith inform the Commission thereof.
    cations as midwife do not conform with the qualifi-
    cations or designations set out in Article 3, each                                  Article 27
    Member State shall recognize as being sufficient
    proof diplomas, certificates and other evidence of         This Directive is addressed to the Member States.
    formal qualifications awarded by those Member
    States, accompanied by a certificate issued by the
 ---pagebreak--- No C 353/24                         Official Journal of the European Communities                                        30. 12. 87
                                                             ANNEX
          DATES FROM WHICH SOME MEMBER STATES ABOLISHED THE PROVISIONS LAID DOWN BY
          LAW, REGULATION OR ADMINISTRATIVE ACTION CONCERNING THE ISSUE OF THE DIP-
          LOMAS, CERTIFICATES AND OTHER EVIDENCE OF FORMAL QUALIFICATIONS REFERRED T O
                                                         IN ARTICLE 9
          BELGIUM
          —   Thoracic surgery: 1 January 1983.
          —   Vascular surgery: 1 January 1983.
          —   Neuropsychiatry: 1 August 1987, save for persons having commenced training before that date.
          —   Gastro-enterological surgery: 1 January 1983.
          DENMARK
          — Biological haematology;
              Physiotherapy: 1 January 1983, save for persons having commenced training before that date and who
                             will complete it by the end of 1988.
          FRANCE
          — Radiology: 5 September 1972.
          — Neuropsychiatry: 31 December 1971.
          LUXEMBOURG
          — Radiology (')
          — Neuropsychiatry (')
          NETHERLANDS
          — Radiology: 9 July 1984.
          — Neuropsychiatry: 9 July 1984.
          (') The diplomas, certificates and other evidence of formal qualifications are no longer issued in respect of
              training commenced after 5 March 1982.