EUROPEAN PARLIAMENT … · Directives 89/48/EEC and 92/51/EEC on the general system for the recognition of professional qualifications and Council Directives 77/452/EEC, 77/453/EEC,

EN EN

EUROPEAN PARLIAMENT1999

2004

Session document

C5-0162/2000

27/03/2000

***IICOMMON POSITION

Subject : Common position adopted by the Council with a view to the adoption of a Directiveof the European Parliament and of the Council amending CouncilDirectives 89/48/EEC and 92/51/EEC on the general system for the recognition ofprofessional qualifications and Council 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 professionsof nurse responsible for general care, dental practitioner, veterinary surgeon,midwife, architect, pharmacist and doctor(COD 1997/0345)

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COUNCIL OFTHE EUROPEAN UNION

Brussels, 20 March 2000(OR. en)

Interinstitutional File:1997/0345 (COD)

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LIMITE

ETS 1CODEC 6

LEGISLATIVE ACTS AND OTHER INSTRUMENTSSubject : Common position adopted by the Council with a view to the adoption of a

Directive of the European Parliament and of the Council amending CouncilDirectives 89/48/EEC and 92/51/EEC on the general system for the recognition ofprofessional qualifications and Council 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 concerningthe professions of nurse responsible for general care, dental practitioner,veterinary surgeon, midwife, architect, pharmacist and doctor

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DIRECTIVE 2000/…./EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL

of

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

for the recognition of professional qualifications and

Council 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

Articles 40, 47(1), the first and third sentences of Article 47(2), and Article 55 thereof,

Having regard to the proposal from the Commission 1,

Having regard to the Opinion of the Economic and Social Committee 2,

Acting in accordance with the procedure laid down in Article 251 of the Treaty 3,

1 OJ C 28, 26.1.1998, p. 11.2 OJ C 235, 27.7.1998, p. 53.3 Opinion of the European Parliament of 2 July 1998 (OJ C 226, 20.7.1998, p. 26), Council

Common Position of … (not yet published in the Official Journal) and Decision of theEuropean Parliament of … (not yet published in the Official Journal).

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Whereas:

(1) On 16 February 1996 the Commission gave the European Parliament and the Council its

Report on the state of application of the general system for the recognition of

higher-education diplomas made in accordance with Article 13 of 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 education and training of at

least three years' duration 1; in this Report 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"; the Commission also undertook to examine the arrangements whereby the role

of the Coordinating Group set up by Article 9(2) of Directive 89/48/EEC could be developed

in order to ensure more uniform application and interpretation of the Directive.

(2) The concept of regulated education and training, introduced by 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 2 (both Directives being hereinafter referred to as

the "general system Directives"), should be extended to the initial general system and should

be based on the same principles by applying to it the same rules; it should be left to the

individual Member States to choose the means of defining professions covered by regulated

education and training.

1 OJ L 19, 24.1.1989, p. 16.2 OJ L 209, 24.7.1992, p. 25. Directive as last amended by Commission Directive 97/38/EC

(OJ L 184, 12.7.1997, p. 31).

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(3) The general system Directives permit the host Member State to require, subject to certain

conditions, the applicant to take compensation steps, notably where substantial differences

exist between the theoretical and/or practical education and training undergone and that

covered by the qualification required in the host Member State; under Articles 39 and 43 of

the Treaty, as interpreted by the Court of Justice of the European Communities 1, the host

Member State must assess whether professional experience is sufficient in order to prove

possession of the knowledge which is lacking; 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 the general system Directives the requirement that the host Member State has

to examine whether the professional experience gained by the applicant since obtaining his

qualification(s) covers the subjects referred to above.

(4) The coordination procedure provided for by the general system Directives should be

improved and simplified by enabling the Coordinating Group to adopt and publish opinions

on questions referred to it by the Commission that relate to the practical application of the

general system.

1 C-340/89 (Vlassopoulou) [1991] ECR-I-2357.

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(5) In its Communication to the European Parliament and the Council on the SLIM initiative, the

Commission undertook to present proposals aimed at simplifying the updating of the lists of

qualifications eligible for automatic recognition; 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 qualifications 1 provides for a simple

procedure in the case of general practitioners' qualifications; experience has shown that the

procedure affords sufficient legal certainty; 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 2, 77/453/EEC 3

78/686/EEC 4, 78/687/EEC 5, 78/1026/EEC 6, 78/1027/EEC 7, 80/154/EEC 8, 80/155/EEC 9,

85/432/EEC 10, 85/433/EEC 11 and 93/16/EEC (hereinafter referred to as the "sectoral

Directives") respectively.

1 OJ L 165, 7.7.1993, p. 1. Directive as last amended by Directive 1999/46/EC (OJ L 139,

2.6.1999, p. 25).2 OJ L 176, 15.7.1977, p. 1. Directive as last amended by the 1994 Act of Accession.3 OJ L 176, 15.7.1977, p. 8. Directive as amended by Directive 89/595/EEC (OJ L 341,

23.11.1989, p. 30).4 OJ L 233, 24. 8.1978, p. 1. Directive as last amended by the 1994 Act of Accession.5 OJ L 233, 24. 8.1978, p. 10. Directive as last amended by the 1994 Act of Accession.6 OJ L 362, 23.12.1978, p. 1. Directive as last amended by the 1994 Act of Accession.7 OJ L 362, 23.12.1978, p. 7. Directive as amended by Directive 89/594/EEC (OJ L 341,

23.11.1989, p. 19).8 OJ L 33, 11.2.1980, p. 1. Directive as last amended by the 1994 Act of Accession.9 OJ L 33, 11.2.1980, p. 8. Directive as amended by Directive 89/594/EEC.10 OJ L 253, 24.9.1985, p. 34.11 OJ L 253, 24.9.1985, p. 37. Directive as last amended by the 1994 Act of Accession.

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(6) According to the case-law of the Court of Justice of the European Communities,

Member States are not required to recognise diplomas, certificates and other evidence of

formal qualifications which do not testify to training acquired in one of the Member States of

the Community 1; however, Member States should take into account professional experience

gained by the person concerned in another Member State 2; that being so, it should be

stipulated in the sectoral Directives that recognition by a 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 a Member State constitute Community elements which the other

Member States should examine.

(7) The period within which Member States are to 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.

1 C-154/93 (Tawil Albertini) [1994] ECR I – 451.2 C-319/92 (Haim) [1994] ECR I – 425.

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(8) 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; Member States are to state their reasons

for such 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; where a Member State

decides to recognise a diploma, certificate or other evidence of formal qualifications, it should

be free to choose whether or not to state the reasons.

(9) 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.

(10) Article 15 of Directive 85/384/EEC 1 provides for a derogation during a transitional period

that has now expired; that provision should be deleted.

(11) There should be a clear distinction in Article 24 of Directive 85/384/EEC 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 services as an architect.

1 OJ L 223, 21.8.1985, p. 15. Directive as last amended by the 1994 Act of Accession.

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(12) According to the case-law of the Court of Justice of the European Communities 1, for reasons

of fairness, transitional measures should be applied in Italy in respect of certain holders of

diplomas, certificates and other evidence of formal qualifications in pharmacy awarded, on

completion of training that does not fully comply with Directive 85/432/EEC.

(13) 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; therefore, the derogation

provided for in Article 3 of Directive 85/433/EEC should be deleted.

(14) In its Report on specific training in general medical practice provided for by Title IV of

Directive 93/16/EEC, 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.

(15) The general system Directives and the sectoral Directives, should be amended,

HAVE ADOPTED THIS DIRECTIVE:

1 C-307/94 (Commission/Italy) [1996] ECR I – 1011.

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SECTION 1: AMENDMENTS TO THE GENERAL SYSTEM DIRECTIVES

Article 1

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

1) in Article 1 the following point shall be inserted:

"(d)a regulated education and training: any education and training which:

– is directly geared to the practice of a precisely defined profession, and

– comprises a post-secondary course of at least three years' duration, or an

equivalent duration part-time, at a university or establishment of higher

education or another establishment of similar level and, where appropriate,

the professional training, professional traineeship or professional practice

required in addition to the post-secondary course; the structure and level of

the professional training, professional traineeship or professional practice

shall be determined by the laws, regulations or administrative provisions of

the Member State concerned or monitored or approved by the authority

designated for that purpose.";

2) in Article 3(b), the following subparagraph shall be inserted after the first subparagraph:

"However, the two years' of professional experience referred to in the first subparagraph may

not be required where the qualification or qualifications held by the applicant and referred to in

this point were awarded on completion of regulated education and training.";

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3) in Article 4(1)(b), the following subparagraph shall be inserted after the first subparagraph:

"If the host Member State intends to require the applicant to complete an adaptation period or

take an aptitude test, it must first examine whether the knowledge acquired by the applicant in

the course of his professional experience is such that it fully or partly covers the substantial

difference referred to in the first subparagraph.";

4) the following paragraphs shall be added to Article 6:

"5. Where proof of financial standing is required in order to take up or pursue a regulated

profession in the host Member State, that Member State shall regard certificates issued by banks

in the Member State of origin or in the Member State from where the foreign national comes as

equivalent to those issued in its own territory.

6. Where the competent authority of the host Member State requires of its own nationals

wishing to take up or pursue a regulated profession proof that they are insured against the

financial risks arising from their professional liability, that Member State shall accept

certificates issued by insurance undertakings of other Member States as equivalent to those

issued in its own territory. Such certificates shall state that the insurer has complied with the

laws and regulations in force in the host Member State regarding the terms and extent of cover.

They may not be presented more than three months after their date of issue.";

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5) in Article 9(2), the first indent of the second subparagraph shall be 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,".

Article 2


1) in Article 4(1)(b), the following subparagraph shall be inserted after the first subparagraph:


take an aptitude test, it must examine first whether the knowledge acquired by the applicant in

the course of his professional experience is such that it fully or partly covers the substantial


2) in Article 5, the following paragraph shall be inserted after the second paragraph:


take an aptitude test, it must first examine whether knowledge acquired by the applicant in the

course of his professional experience is such that it fully or partly covers the substantial

difference between the diploma and the certificate.";

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3) in Article 7(a) the following subparagraph shall be inserted after the first subparagraph:


take an aptitude test, it must first examine whether knowledge acquired by the applicant in the

course of his professional experience is such that it fully or partly covers the substantial


4) the following paragraphs shall be added to Article 10:

"5. Where proof of financial standing is required in order to take up or pursue a regulated

profession in the host Member State, that Member State shall regard certificates issued by banks

in the Member State of origin or in the Member State from where the foreign national comes as

equivalent to those issued in its own territory.

6. Where the competent authority of the host Member State requires of its own nationals

wishing to take up or pursue a regulated profession proof that they are insured against the

financial risks arising from their professional liability, that Member State shall accept

certificates issued by insurance undertakings of other Member States as equivalent to those

issued in its own territory. Such certificates shall state that the insurer has complied with the

laws and regulations in force in the host Member State regarding the terms and extent of cover.

They may not be presented more than three months after their date of issue.";

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5) in Article 13(2), the first indent of the second subparagraph shall be replaced by:

"– facilitate the implementation of this Directive, in particular by adopting and publishing

opinions on the questions referred to it by the Commission,";

6) the following paragraph shall be added to Article 15:

"8. Amendments made to the lists of education and training courses set out in Annexes C

and D on the basis of the procedure laid down above shall apply immediately on the date set by

the Commission.".

SECTION 2: AMENDMENTS TO THE SECTORAL DIRECTIVES

Section 2.1: Nurses responsible for general care

Article 3


1) (concerns only the Greek version);

2) in Article 2, the words "listed in Article 3" shall be replaced by "listed in the Annex";

3) Article 3 shall be deleted;

4) references made to Article 3 shall be understood as made to the Annex;

5) (concerns only the Greek version);

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6) the following Articles shall be inserted:

"Article 18a

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 in the field covered by this Directive. The Commission shall publish an

appropriate notice in the Official Journal of the European Communities, listing the names

adopted by the Member States for the training qualification concerned and, where applicable,

for the corresponding professional title.

Article 18b

Each Member State shall recognise as sufficient proof, in respect of nationals of Member States

whose diplomas, certificates and other evidence of formal qualifications in the field covered by

this Directive do not correspond to the names listed for that Member State in this 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 this Directive and are treated by the awarding Member State as equivalent to those

whose names are listed therein.

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Article 18c

Member States shall examine diplomas, certificates and other evidence of formal qualifications

in the field covered by this Directive 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 give its decision within three months of the

date on which the applicant submits his application together with full supporting

documentation.

Article 18d

Where the application is rejected, Member States shall duly give the reasons for decisions on

applications for recognition of diplomas, certificates and other evidence of formal qualifications

in the field covered by this Directive.

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 within the stipulated

period.";

7) the Annex as it appears in Annex I to this Directive shall be added.

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Article 4


In Article 1(1), the words "as specified in Article 3 of Directive 77/452/EEC" shall be replaced by "as

specified in the Annex to Directive 77/452/EEC".

Section 2.2: Dental practitioners

Article 5


1) in Article 2, the words "listed in Article 3" shall be replaced by "listed in Annex A";


3) the title of Chapter III shall be replaced by:

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

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4) Article 4 shall be replaced by:

"Article 4

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 of

dental practitioners specialising in 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.";


6) Article 6 shall be amended as follows:

(a) the following subparagraph shall be added to paragraph 2:

"It shall also take into account any professional experience, additional training and

continuing dental education they possess.";

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(b) paragraph 3 shall be replaced by:

"3. The competent authorities or bodies of the host Member State, having assessed 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, additional training and continuing dental education 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 shall be added:

"4. The Member State shall give its decision within four months of the date on which the

applicant submits his application together with full supporting documentation.";

7) in Article 19 the existing two subparagraphs shall become paragraph 1 and the following

paragraph shall be added:

"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;

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– 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

engaged in, the activities referred to in Article 5 of Directive 78/687/EEC, subject to the

same conditions as holders of the 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.";

8) references made to Articles 3 and 5 shall be understood as being made to Annexes A and B

respectively;


"Article 23a





adopted by the Member States for the training qualifications concerned and, where applicable,


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Article 23b










Article 23c







documentation.

Article 23d




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period.";

10) Annexes A and B as they appear in Annex II to this Directive shall be added.

Article 6

In Article 1(1) of Directive 78/687/EEC, the words "referred to in Article 3 of the same Directive"

shall be replaced by "referred to in Annex A to that Directive".

Section 2.3: Veterinary surgeons

Article 7


1) in Article 2, the words "in Article 3" shall be replaced by "in the Annex";


3) references made to Article 3 shall be understood as being made to the Annex;

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"Article 17a







Article 17b










5103/3/00 REV 3 22DG C II EN

Article 17c







documentation.

Article 17d






period.";

5) the Annex as it appears in Annex III to this Directive shall be added.

Article 8

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

Directive 78/1026/EEC" shall be replaced by "referred to in the Annex to Directive 78/1026/EEC".

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Section 2.4: Midwives

Article 9


1) in Article 2(1), the words "listed in Article 3" shall be replaced by "listed in the Annex";

2) in the second and third indents of Article 2(1), the words "referred to in Article 3 of

Directive 77/452/EEC" shall be replaced by "referred to in the Annex to

Directive 77/452/EEC";




"Article 19a







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Article 19b










Article 19c







documentation.

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Article 19d






period.";

6) the Annex as it appears in Annex IV to this Directive shall be added.

Article 10


1) in Article 1(1), the words "referred to in Article 3" shall be replaced by "referred to in the

Annex";

2) in the second indent of Article 1(2), the words "referred to in Article 3 of

Directive 77/452/EEC" shall be replaced by "referred to in the Annex to

Directive 77/452/EEC".

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Section 2.5: Architects

Article 11



"Article 6







documentation.

Article 6a






period.";

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3) in Article 24(1), the words "pursuant to Articles 17 and 18" shall be 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 2.6: Pharmacists

Article 12

In Article 2 of Directive 85/432/EEC, the following point shall be 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 1993 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 11 November 1993 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) insofar as such

activity is regulated in Italy.".

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Article 13


1) in Article 1, the words "referred to in Article 4" shall be replaced by "referred to in the Annex";





"Article 18a







5103/3/00 REV 3 29DG C II EN

Article 18b










Article 18c







documentation.

5103/3/00 REV 3 30DG C II EN

Article 18d






period.";

6) the Annex as it appears in Annex V to this Directive shall be added.

Section 2.7: Doctors

Article 14


1) in Article 2, the words "listed in Article 3" shall be replaced by "listed in Annex A";


3) the title of Chapter II shall be replaced by the following:

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

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4) Article 4 shall be replaced by the following:

"Article 4

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 shall be replaced by the following:

"Article 5

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 III and Articles 6 and 7 shall be deleted;

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7) in Article 8:

(a) the following subparagraph shall be added to paragraph 2:

"It shall also take into account any professional experience, additional training and

continuing medical education they possess.";

(b) paragraph 3 shall be replaced by the following:

"3. The competent authorities or bodies of the host Member State, having assessed 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, additional training and continuing medical education 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 shall be added:

"4. 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.";

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8) in Article 9, the following paragraph shall be added:

"2a Member States shall recognise evidence of formal qualifications in specialised medicine

awarded in Spain to doctors who completed specialised training before 1 January 1995

which did not comply with the formal training requirements laid down in Articles 24

to 27, if the evidence is accompanied by a certificate awarded by the competent Spanish

authorities attesting to the fact that the person concerned has passed the test of specific

professional competence organised in the context of the special regularisation measures

contained in Royal Decree 1497/99 with the aim of verifying that the person concerned

has a level of knowledge and competence comparable to that of doctors holding the

specialist doctors' qualifications which, in the case of Spain, are referred to in

Articles 5(3) and 7(2).";

9) Articles 26 and 27 shall be 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).";

10) in the second indent of Article 34(1), "60%" shall be replaced by "50%";

11) references made to Articles 3, 6, 7 and 27 shall be understood as being made to Annex A,

Article 4, Article 5 and Article 26 respectively;

5103/3/00 REV 3 34DG C II EN


"Article 42a







Article 42b










5103/3/00 REV 3 35DG C II EN

Article 42c







documentation.

Article 42d






period.";

13) Article 44a shall be amended as follows:

(a) does not affect the English text;

(b) paragraph 2 shall be deleted;

14) Annexes A, B and C as they appear in Annex VI to this Directive shall be added;

5103/3/00 REV 3 36DG C II EN

SECTION 3: FINAL PROVISIONS

Article 15

Not later than …………. *, the Commission shall report to the European Parliament and the Council

on the state of application of Article 1 points (1) and (2) in the Member States.

After undertaking all the necessary hearings, the Commission shall submit its conclusions regarding

any changes to the existing arrangement in Article 1 points (1) and (2). If necessary, the Commission

shall also submit proposals for improving the existing arrangement.

Article 16

1. Member States shall bring into force the laws, regulations and administrative provisions necessary

to comply with this Directive before …….... **. They shall forthwith inform the Commission thereof.

When Member States adopt these measures, they shall contain a reference to this Directive or shall be

accompanied by such reference on the occasion of their official publication. The methods of making

such reference shall be laid down by Member States.

2. 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.

* Seven years after the date of entry into force of this Directive.** 24 months from the date of entry into force of this Directive.

5103/3/00 REV 3 37DG C II EN

Article 17

This Directive shall enter into force on the day of its publication in the Official Journal of the

European Communities.

Article 18

This Directive is addressed to the Member States.

Done at Brussels,

For the European Parliament For the Council

The President The President

5103/3/00 REV 3 1ANNEX I DG C II EN

ANNEX I

Annex

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

Country Title of qualification Awarding body Certificateaccompanyingqualification

Belgique/België/Belgien

*-Diploma gegradueerde verpleger/verpleegster -Diplôme d'infirmier(ère) gradué(e) -Diplom eines (einer) graduierten Krankenpflegers(-pflegerin)*-Diploma in de ziekenhuisverpleegkunde -Brevet d'infirmier(ère) hospitalier(ère) -Brevet eines (einer) Krankenpflegers (-pflegerin)*-Brevet van verpleegassistent(e) -Brevet d'hospitalier(ère) -Brevet einer Pflege Assistentin

1. De erkende opleidingsinstituten/lesétablissements d’enseignementreconnus/Die anerkanntenAusbildungsanstalten2. De bevoegde Examencommissie vande Vlaamse Gemeenschap/le Jurycompétent d'enseignement de laCommunauté française / der zuständigePrüfungsausschüß derDeutschsprachigen Gemeinschaft

Danmark Eksamensbevis efter gennemførtsygeplejerskeuddannelse

Sygeplejeskole godkendt afUndervisningsministeriet

Deutschland Zeugnis über die staatliche Prüfung in derKrankenpflege

Staatlicher Prüfungsausschuss

Ελλάς 1. Πτυχίο Νοσηλευτικής Παν/µίου Αθηνών2. Πτυχίο Νοσηλευτικής ΤεχνολογικώνΕκπαιδευτικών Ιδρυµάτων (Τ.Ε.Ι.)

3. Πτυχίο Αξιωµατικών Νοσηλευτικής4. Πτυχίο Νοσοκόµων πρώην Ανωτέρων ΣχολώνΥπουργείου Υγείας και Πρόνοιας5. Πτυχίο Νοσοκόµων και Επισκεπτριών πρώηνΑνωτέρων Σχολών Υπουργείου Υγείας καιΠρόνοιας6. Πτυχίο Τµήµατος Νοσηλευτικής

1. Πανεπιστήµιο Αθηνών2. Τεχνολογικά Εκπαιδευτικά ΙδρύµαταΥπουργείο Εθνικής Παιδείας καιΘρησκευµάτων3. Υπουργείο Εθνικής ΄Αµυνας4. Υπουργείο Υγείας και Πρόνοιας

5. Υπουργείο Υγείας και Πρόνοιας

6. ΚΑΤΕΕ Υπουργείου ΕθνικήςΠαιδείας και Θρησκευµάτων

España Titulo de Diplomado universitario en Enfermería Ministerio de Educación y Cultura/ Elrector de una Universidad

France 1. diplôme d’Etat d’infirmier(ère)2. diplôme d’Etat d’infirmier(ère) délivré en vertu dudécret no 99-1147 du 29 décembre 1999

Le ministère de la santé

Ireland Certificate of Registered General Nurse An Bord Altranais (The Nursing Board)Italia Diploma di infermiere professionale Scuole riconosciute dallo Stato

Luxembourg 1. diplôme d’Etat d’infirmier2. diplôme d’Etat d’infirmier hospitalier gradué

Ministère de l’Education nationale, de laFormation professionnelle et des Sports

Nederland 1. diploma's verpleger A, verpleegster A,verpleegkundige A2. diploma verpleegkundige MBOV (MiddelbareBeroepsopleiding Verpleegkundige3. diploma verpleegkundige HBOV (HogereBeroepsopleiding Verpleegkundige)4. diploma beroepsonderwijs verpleegkundige -Kwalificatieniveau 45. diploma hogere beroepsopleiding verpleegkundige- Kwalificatieniveau 5

1. Door een van overheidswegebenoemde examencommissie2. Door een van overheidswegebenoemde examencommissie3. Door een van overheidswegebenoemde examencommissie4. Door een van overheidswegeaangewezen opleidingsinstelling5. Door een van overheidswegeaangewezen opleidingsinstelling

5103/3/00 REV 3 2ANNEX I DG C II EN


Österreich 1. Diplom als "Diplomierte Gesundheits- undKrankenschwester/Diplomierter Gesundheits- und Krankenpfleger"2. Diplom als "Diplomierte Krankenschwester/Diplomierter Krankenpfleger"

1. Schule für allgemeine Gesundheits-und Krankenpflege

2. Allgemeine Krankenpflegeschule

Portugal 1. Diploma do curso de enfermagem geral2. Diploma/carta de curso de bacharelato emenfermagem3. Carta de curso de licenciatura em enfermagem

1. Escolas de Enfermagem2. Escolas Superiores de Enfermagem

3. Escolas Superiores de Enfermagem;Escolas Superiores de Saúde

Suomi/Finland 1. Sairaanhoitajan tutkinto/sjukskötarexamen2. Sosiaali- ja terveysalan ammattikorkeakoulu-tutkinto, sairaanhoitaja (AMK)/yrkeshögskole-examen inom hälsovård och det sociala området,sjukskötare (YH)

1. Terveydenhuolto-oppilaitokset/hälsovårdsläroanstalter2. Ammattikorkeakoulut/yrkeshögskolor

Sverige Sjuksköterskeexamen Universitet eller högskolaUnited Kingdom Statement of Registration as a Registered General

Nurse in part 1 or part 12 of the register kept by theUnited Kingdom Central Council for Nursing,Midwifery and Health Visiting

Various

_____________________________

5103/3/00 REV 3 1

ANNEX II DG C II EN

ANNEX II

Annex A

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

Country Title of qualification Awarding body Certificate accompanyingqualification


-Diploma van tandarts-Diplôme licencié enscience dentaire

1. De universiteiten/lesuniversités2. De bevoegde Examen-commissie van de VlaamseGemeenschap / le Jurycompétent d'enseignementde la Communauté française

Danmark Bevis for tandlægeeksamen(kandidateksamen)

Tandlægehøjskolerne,Sundhedsvidenskabeligtuniversitetsfakultet

Autorisation som tandlæge,udstedt af Sundhedsstyrelsen

Deutschland Zeugnis über dieZahnärztliche Prüfung

Zuständige Behörden

Ελλάς Πτυχίo Οδovτιατρικής ΠαvεπιστήµιoEspaña Título de Licenciado en

Odontologíael rector de una universidad

France Diplôme d'Etat de docteuren chirurgie dentaire

Universités

Ireland Bachelor in Dental Science(B.Dent.Sc.) / Bachelor ofDental Surgery (BDS) /Licentiate in Dental Surgery(LDS)

Universities / Royal Collegeof Surgeons in Ireland

Italia Diploma di laurea inOdontoiatria e ProtesiDentaria

Università Diploma di abilitazioneall’esercizio dell'odontoiatriae protesi dentaria

Luxembourg Diplôme d’Etat de docteuren médecine dentaire

Jury d’examen d’Etat

Nederland Universitair getuigschriftvan een met goed gevolgafgelegd tandartsexamen

Faculteit Tandheelkunde

Österreich Bescheid über dieVerleihung desakademischen Grades« Doktor derZahnheilkunde »

Medizinische Fakultät derUniversität

5103/3/00 REV 3 2

ANNEX II DG C II EN


Portugal Carta de curso delicenciatura em medicinadentária

FaculdadesInstitutos Superiores

Suomi/Finland Hammaslääketieteenlisensiaatin tutkinto/odontologie licentiatexamen

1.Helsinginyliopisto/Helsingforsuniversitet2.Oulun yliopisto3.Turun yliopisto

Terveydenhuollonoikeusturvakeskuksenpäätös käytännön palvelunhyväksymisestä/Beslut avRättskyddscentralen förhälsovården omgodkännande av praktisktjänstgöring

Sverige Tandläkarexamen Universitetet i UmeåUniversitetet i GöteborgKarolinska InstitutetMalmö Högskola

Endast för examensbevissom erhållits före den 1 juli1995, ett utbildningsbevissom utfärdats avSocialstyrelsen

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

Universities / RoyalColleges

5103/3/00 REV 3 3

ANNEX II DG C II EN

Annex B

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

1. Orthodontics


Belgique /België/Belgien

--

Danmark Bevis for tilladelse til atbetegne sig somspecialtandlæge i ortodonti

Sundhedsstyrelsen

Deutschland FachzahnärztlicheAnerkennung fürKieferorthopädie

Landeszahnärztekammer

Ελλάς Τίτλoς Οδovτιατρικήςειδικότητας τηςΟρθoδovτικής

1) Νoµαρχιακή Αυτoδιoίκηση2) Νoµαρχία

España -

France Titre de spécialiste enorthodontie

Conseil National de l’Ordre deschirurgiens dentistes

Ireland Certificate of specialistdentist in orthodontics

Competent authority recognised forthis purpose by the competent minister

Italia -

Luxembourg -

Nederland Bewijs van inschrijving alsorthodontist in hetSpecialistenregister

Specialisten Registratie Commissie(SRC) van de NederlandseMaatschappij tot bevordering derTandheelkunde

Österreich -

Portugal -

Suomi/Finland Erikoishammaslääkärintutkinto, hampaistonoikomishoito/specialtand-läkarexamen, tandreglering

1.Helsingin yliopisto/Helsingforsuniversitet2. Oulun yliopisto3. Turun yliopisto

Sverige Bevis omspecialistkompetens itandreglering

Socialstyrelsen

United Kingdom Certificate of Completion ofspecialist training inorthodontics

Competent authority recognised forthis purpose

5103/3/00 REV 3 4

ANNEX II DG C II EN

2. Oral surgery



-

Danmark Bevis for tilladelse til atbetegne sig somspecialtandlæge Ihospitalsodontologi

Sundhedsstyrelsen

Deutschland FachzahnärztlicheAnerkennung fürOralchirurgie/Mundchirurgie

Landeszahnärztekammer

Ελλάς Τίτλoς Οδovτιατρικήςειδικότητας τηςΓvαθoχειρoυργικής

1) Νoµαρχιακή Αυτoδιoίκηση2) Νoµαρχία

España -

France -

Ireland Certificate of specialist dentistin oral surgery

Competent authority recognised forthis purpose by the competentminister

Italia -

Luxembourg -

Nederland Bewijs van inschrijving alskaakchirurg in hetSpecialistenregister

Specialisten Registratie Commissie(SRC) van de NederlandseMaatschappij tot bevordering derTandheelkunde

Österreich -

Portugal -

Suomi/Finland Erikoishammaslääkärintutkinto, suu- ja leuka-kirurgia/specialtandläkar-examen, oral ochmaxillofacial kirurgi

1. Helsingin yliopisto/Helsingforsuniversitet2. Oulun yliopisto3. Turun yliopisto

Sverige Bevis om specialist-kompetens i tandsystemetskirurgiska sjukdomar

Socialstyrelsen

United Kingdom Certificate of completion ofspecialist training in oralsurgery

Competent authority recognised forthis purpose

____________________

5103/3/00 REV 3 1

ANNEX III DG C II EN

ANNEX III

Annex

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



-Diploma van dierenarts-Diplôme de docteur en médecinevétérinaire

1. De universiteiten/ lesuniversités2. De bevoegde Examen-commissie van de VlaamseGemeenschap/le Jurycompétent d'enseignementde la Communautéfrançaise

Danmark Bevis for beståetkandidateksamen Iveterinærvidenskab

Kongelige Veterinær- ogLandbohøjskole

Deutschland Zeugnis über das Ergebnis desDritten Abscnitts derTierärztlichen Prüfung und dasGesamtergebnis derTierärztlichen Prüfung

Der Vorsitzende desPrüfungsausschusses für dieTierärztliche Prüfung einerUniversität oderHochschule

Ελλάς Πτυχίo Κτηvιατρικής ΠανεπιστήµιοΘεσσαλονίκης καιΘεσσαλίας

España Titulo de Licenciado enVeterinaria

Ministerio de Educación yCultura/El rector de unaUniversidad

France Diplôme d’Etat de docteurvétérinaire

Ireland 1. Diploma of Bachelor in/ofVeterinary Medicine (MVB)2. Diploma of Membership of theRoyal College of VeterinarySurgeons (MRCVS)

Italia Diploma di laurea in medicinaveterinaria

Università Diploma diabilitazioneall’esercizio dellamedicina veterinaria

Luxembourg Diplôme d’Etat de docteur enmédecine vétérinaire

Jury d’examen d’Etat

Nederland Getuigschrift van met goedgevolg afgelegddiergeneeskundig/veeartse-nijkundig examen

Österreich 1. Diplom-Tierarzt2. Magister medicinaeveterinariae

Universität 1. Doktor derVeterinärmedizin2. Doctor medicinaeveterinariae3. Fachtierarzt

5103/3/00 REV 3 2

ANNEX III DG C II EN


Portugal Carta de curso de licenciatura emmedicina veterinária

Universidade

Suomi/Finland Eläinlääketieteen lisensiaatintutkinto/veterinärmedicinelicentiatexamen

Helsingin yliopisto/Helsingfors universitet

Sverige Veterinärexamen SverigesLantbruksuniversitet

United Kingdom 1. Bachelor of Veterinary Science(BVSc)2. Bachelor of VeterinaryScience (BVSc)3. Bachelor of VeterinaryMedicine (BvetMB)4. Bachelor of VeterinaryMedicine and Surgery (BVM&S)5. Bachelor of VeterinaryMedicine and Surgery (BVM&S)6. Bachelor of VeterinaryMedicine (BvetMed)

1.University of Bristol

2.University of Liverpool

3.University of Cambridge

4. University of Edinburgh

5. University of Glasgow

6. University of London

_____________________________

5103/3/00 REV 3 1

ANNEX IV DG C II EN

ANNEX IV

Annex

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



-Diploma van vroedvrouw/-Diplôme d'accoucheuse

1. De erkendeopleidingsinstituten/lesétablissements d’enseignement2. De bevoegde Examen-commissie van de VlaamseGemeenschap/le Jurycompétent d'enseignement de laCommunauté française

Danmark Bevis for beståetjordemodereksamen

Danmarks Jordemoderskole

Deutschland Zeugnis über die staatlichePrüfung für Hebammen undEntbindungspfleger

Staatlicher Prüfungsausschuss

Ελλάς 1. Πτυχίο Τµήµατος ΜαιευτικήςΤεχνολογικών ΕκπαιδευτικώνΙδυµάτων (Τ.Ε.Ι.)2. Πτυχίο του Τµήµατος Μαιώντης Ανωτέρας Σχολής ΣτελεχώνΥγείας και Κοινων. Πρόνοιας(ΚΑΤΕΕ)3. Πτυχίο Μαίας ΑνωτέραςΣχολής Μαιών

1. Τεχνολογικά ΕκπαιδευτικάΙδρύµατα (Τ.Ε.Ι.)

2. ΚΑΤΕΕ Υπουργείου ΕθνικήςΠαιδείας και Θρησκευµάτων

3. Υπουργείο Υγείας καιΠρόνοιας

España Título de matrona / asistenteobstétrico (matrona) / enfermeríaobstétrica-ginecológica

Ministerio de Educación yCultura

France Diplôme de sage-femme L'EtatIreland Certificate in Midwifery An Board AltranaisItalia Diploma d'ostetrica Scuole riconosciute dallo Stato

Luxembourg Diplôme de sage-femme Ministère de l’Educationnationale, de la Formationprofessionnelle et des Sports

Nederland Diploma van verloskundige Ministerie vanVolksgezondheid, Welzijn enSport erkende opleidings-instellingen

5103/3/00 REV 3 2

ANNEX IV DG C II EN


Österreich Hebammen-Diplom Hebammenakademie /Bundeshebammenlehranstalt

Portugal 1. Diploma de enfermeiroespecialista em enfermagem desaúde materna e obstétrica2. Diploma/carta de curso deestudos superiores especializadosem enfermagem de saúdematerna e obstétrica3. Diploma (do curso de pós-licenciatura) de especializaçãoem enfermagem de saúdematerna e obstétrica

1. Ecolas de Enfermagem2. Escolas Superiores deEnfermagem3. Escolas Superiores deEnfermagem; EscolasSuperiores de Saúde

Suomi/Finland

1. Kätilön tutkinto/barnmorske-examen2. Sosiaali- ja terveysalanammattikorkeakoulututkinto,kätilö (AMK)/yrkeshögskoleexamen inomhälsovård och det socialaområdet, barnmorska (YH)

1. Terveydenhuoltooppi-laitokset/hälsovårdsläroanstalter2. Ammattikorkeakoulut/yrkeshögskolor

Sverige Barnmorskeexamen Universitet eller högskolaUnited

KingdomStatement of registration as aMidwife on part 10 of the registerkept by the United KingdomCentral Council for Nursing,Midwifery and Health visiting

Various

_____________________________

5103/3/00 REV 3 1

ANNEX V DG C II EN

ANNEX V

Annex

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

Country Title of qualification Awarding body


-Diploma van apoteker-Diplôme de pharmacien

1.De universiteiten/ les universités

2. De bevoegde Examencommissie van deVlaamse Gemeenschap/ le Jury compétentd'enseignement de la Communautéfrançaise

Danmark Bevis for bestået farmaceutisk kandidateksamen Danmarks Farmaceutiske Højskole

Deutschland Zeugnis ûber die Staatliche Pharmazeutische Prüfung Zuständige BehördenΕλλάς Πιστoπoιητικό ικαvότητας άσκησης της

φαρµακευτικής χoρηγoύµεvo µετά από κρατικήεξέταση

Κεvτρικό Συµβoύλιo Υγείας (ΚΕΣΥ)

España Título de licenciado en farmacia Ministerio de Educación y Cultura / Elrector de una Universidad

France Diplôme d’Etat de pharmacien/Diplôme d’Etat dedocteur en pharmacie

Universités

Ireland Certificate of Registered Pharmaceutical ChemistItalia Diploma o certificato di abilitazione all’esercizio

della professione di farmacista ottenuto in seguitoad un esame di Stato

Università

Luxembourg Diplôme d’Etat de pharmacien Jury d’examen d’Etat + visa du ministrede l’éducation nationale

Nederland Getuigschrift van met goed gevolg afgelegdapothekersexamen

Faculteit Pharmacie

Österreich Staatliches Apothekerdiplom Bundesministerium für Arbeit,Gesundheit und Soziales

Portugal Carta de curso de licenciatura em CiênciasFarmacêuticas

Universidades

Suomi/Finland Proviisorin tutkinto/provisorexamen 1. Helsingin yliopisto/Helsingforsuniversitet2. Kuopion yliopisto

Sverige Apotekarexamen Uppsala universitet

United Kingdom Certificate of Registered Pharmaceutical Chemist

________________________________

5103/3/00 REV 3 1

ANNEX VI DG C II EN

ANNEX VI

Annex A

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



-Diploma van arts-Diplôme de docteur enmédecine

1.De universiteiten/ lesuniversités2.De bevoegdeExamencommissie van deVlaamse Gemeenschap/ leJury compétentd'enseignement de laCommunauté française

Danmark Bevis for beståetlægevidenskabeligembedseksamen

Medicinskuniversitetsfakultet

Dokumentation forgennemført praktiskuddannelse som udfærdigesaf de kompetente sundheds-myndigheder

Deutschland 1. Zeugnis über dieÄrztliche Prüfung2. Zeugnis über dieÄrztliche Staatsprüfung undZeugnis über dieVorbereitungszeit alsMedizinalassistent, soweitdiese nach den deutschenRechtsvorschriften noch fürden Abschluss derärztlichen Ausbildungvorgesehen war

Zuständige Behörden1. Bescheinigung über dieAbleistung der Tätigkeit alsArzt im Praktikum2.--

Ελλάς Πτυχίo Iατρικής 1) Iατρική ΣχoλήΠαvεπιστηµίoυ, 2) ΣχoλήΕπιστηµώv Υγείας, ΤµήµαIατρικής Παvεπιστηµίoυ

España Título de Licenciado enMedicina y Cirugía

Ministerio de Educación yCultura/El rector de unaUniversidad

France Diplôme d’Etat de docteuren médecine

Universités

Ireland Primary qualification Competent examining body Certificate of experience

Italia Diploma di laurea inmedicina e chirurgia

Università Diploma di abilitazioneall’esercizio della medicinae chirurgia

Luxembourg Diplôme d’Etat de docteuren médecine, chirurgie etaccouchements,

Jury d’examen d’Etat Certificat de stage

Nederland Getuigschrift van met goedgevolg afgelegd artsexamen

Faculteit Geneeskunde

5103/3/00 REV 3 2

ANNEX VI DG C II EN


Österreich Urkunde über dieVerleihung desakademischen GradesDoktor der gesamtenHeilkunde (Doctormedicinae unversae,Dr.med.univ.)

1. Medizinische Fakultäteiner Universität2. ÖsterreichischeÄrztekammer

Bescheinigung über dieAbsolvierung der Tätigkeitals Arzt im Praktikum

Portugal Carta de Curso delicenciatura em medicina

Universidades Diploma comprovativo daconclusão do internato geralemitido pelo Ministério daSaúde

Suomi/Finland Lääketieteen lisensiaatintutkinto/medicinelicentiatexamen

1. Helsinginyliopisto/Helsingforsuniversitet2. Kuopion yliopisto3. Oulun yliopisto4. Tampereen yliopisto5. Turun yliopisto

Todistus lääkärinperusterveydenhuollonlisäkoulutuksesta/examenbevis om tilläggsutbildning förläkare inom primärvården

Sverige Läkarexamen Universitet Bevis om praktiskutbildning som utfärdas avSocialstyrelsen

United Kingdom Primary qualification Competent examining body Certificate of experience

5103/3/00 REV 3 3

ANNEX VI DG C II EN

Annex B

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



Bijzondere beroepstitel vangeneesheer-specialist/Titreprofessionnel particulier demédecin spécialiste

Minister bevoegd voorVolksgezondheid/Ministre de la Santépublique

Danmark Bevis for tilladelse til atbetegne sig som speciallæge

Sundhedsstyrelsen

Deutschland Fachärztliche Anerkennung LandesärztekammerΕλλάς Τίτλoς Iατρικής Ειδικότητας 1) Νoµαρχιακή Αυτoδιoίκηση

2) ΝoµαρχίαEspaña Título de Especialista Ministerio de Educación y CulturaFrance 1.Certificat d’études

spéciales de médecine2. Attestation de médecinspécialiste qualifié3.Certificat d’étudesspéciales de médecine4.Diplôme d’étudesspécialisées ouspécialisationcomplémentaire qualifiantede médecine

1. 3. 4.Universités2. Conseil de l’Ordre des médecins

Ireland Certificate of Specialistdoctor

Competent authority

Italia Diploma di medicospecialista

Università

Luxembourg Certificat de médecinspécialiste

Ministre de la Santé publique

Nederland Bewijs van inschrijving ineen Specialistenregister

1. Medisch Specialisten RegistratieCommissie (MSRC) van deKoninklijke Nederlandse Maatschappijtot Bevordering der Geneeskunst2. Sociaal-Geneeskundigen RegistratieCommissie van de KoninklijkeNederlandse Maatschappij totBevordering der Geneeskunst

Österreich Facharztdiplom Österreichische Ärztekammer

Portugal 1.Grau de assistente ou2.Titulo de especialista

1. Ministério da Saúde2. Ordem dos Médicos

Suomi/Finland Erikoislääkärin tutkinto/specialläkarexamen

1. Helsingin yliopisto/Helsingforsuniversitet2. Kuopion yliopisto3. Oulun yliopisto4. Tampereen yliopisto5. Turun yliopisto

Sverige Bevis om specialkompetenssom läkare, utfärdat avSocialstyrelsen

Socialstyrelsen

United Kingdom Certificate of Completion ofspecialist training

competent authority

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Annex C

Titles of training courses in specialised medicineCountry Title of qualification Awarding body

anaesthetics Minimum length of training course: 3 yearsBelgique/België/Belgien Anesthésie-réanimation/Anesthesie reanimatieDanmark AnæstesiologiDeutschland AnästhesiologieΕλλάς ΑvαισθησιoλoγίαEspaña Anestesiología y ReanimaciónFrance Anesthésiologie-Réanimation chirurgicaleIreland AnaesthesiaItalia Anestesia e rianimazioneLuxembourg Anesthésie-réanimationNederland AnesthesiologieÖsterreich Anästhesiologie und IntensivmedizinPortugal AnestesiologiaSuomi/Finland Anestesiologia ja tehohoito/anestesiologi och

intensivvårdSverige Anestesi och intensivvårdUnited Kingdom Anaesthetics

Country Title of qualification Awarding bodygeneral surgery Minimum length of training course: 5 yearsBelgië Chirurgie/heelkundeDanmark Kirurgi eller kirurgiske sygdommeDeutschland ChirurgieΕλλάς ΧειρoυργικήEspaña Cirugía general y del aparato digestivoFrance Chirurgie généraleIreland General surgeryItalia Chirurgia generaleLuxembourg Chirurgie généraleNederland HeelkundeÖsterreich ChirurgiePortugal Cirurgia geralSuomi/Finland Yleiskirurgia/ allmän kirurgiSverige KirurgiUnited Kingdom General surgery

Country Title of qualification Awarding bodyneurological surgery Minimum length of training course: 5 yearsBelgique/België NeurochirurgieDanmark Neurokirurgi eller kirurgiske nervesygdommeDeutschland NeurochirurgieΕλλάς ΝευρoχειρoυργικήEspaña NeurocirugíaFrance NeurochirurgieIreland Neurological surgeryItalia NeurochirurgiaLuxembourg NeurochirurgieNederland NeurochirurgieÖsterreich NeurochirurgiePortugal NeurocirurgiaSuomi/Finland Neurokirurgia/ NeurokirurgiSverige NeurokirurgiUnited Kingdom Neurosurgery

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Country Title of qualification Awarding bodyobstetrics and gynaecology Minimum length of training course: 4 yearsBelgique/België/Belgien Gynécologie – obstétrique/ gynaecologie –

verloskundeDanmark Gynækologi og obstetrik eller

kvindesygdomme og fødselshjælpDeutschland Frauenheilkunde und GeburtshilfeΕλλάς Μαιευτική-ΓυvαικoλoγίαEspaña Obstetricia y ginecologíaFrance Gynécologie – obstétriqueIreland Obstetrics and gynaecologyItalia Ginecologia e ostetriciaLuxembourg Gynécologie – obstétriqueNederland Verloskunde en gynaecologieÖsterreich Frauenheilkunde und GeburtshilfePortugal Ginecologia e obstetriciaSuomi/Finland Naistentaudit ja synnytykset/kvinnosjukdomar

och förlossningarSverige Obstetrik och gynekologiUnited Kingdom Obstetrics and gynaecology

Country Title of qualification Awarding bodygeneral (internal)medicine

Minimum length of training course: 5 years

Belgique/België/Belgien Médecine interne/inwendige geneeskundeDanmark Intern medicinDeutschland Innere MedizinΕλλάς ΠαθoλoγίαEspaña Medicina internaFrance Médecine interneIreland General medicineItalia Medicina internaLuxembourg Médecine interneNederland Inwendige geneeskundeÖsterreich Innere MedizinPortugal Medicina internaSuomi/Finland Sisätaudit/inre medicineSverige InternmedicinUnited Kingdom General (internal) medicine

Country Title of qualification Awarding bodyophthalmology Minimum length of training course: 3 yearsBelgique/België/Belgien Ophtalmologie/oftalmologieDanmark Oftalmologi eller øjensygdommeDeutschland AugenheilkundeΕλλάς ΟφθαλµoλoγίαEspaña OftalmologíaFrance OphtalmologieIreland OphthalmologyItalia OftalmologiaLuxembourg OphtalmologieNederland OogheelkundeÖsterreich Augenheilkunde und OptometriePortugal OftalmologiaSuomi/Finland Silmätaudit/ögonsjukdomarSverige Ögonsjukdomar (oftalmologi)United Kingdom Ophthalmology

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Country Title of qualification Awarding bodyoto rhino laryngology Minimum length of training course: 3 yearsBelgique/België/Belgien Oto-rhino-laryngologie/ otorhinolaryngologieDanmark Oto-rhino-laryngologi eller øre-næse-

halssygdommeDeutschland Hals-Nasen-OhrenheilkundeΕλλάς ΩτoριvoλαρυγγoλoγίαEspaña OtorrinolaringologíaFrance Oto-rhino-laryngologieIreland OtolaryngologyItalia OtorinolaringoiatriaLuxembourg Oto-rhino-laryngologieNederland keel-, neus- en oorheelkundeÖsterreich Hals-, Nasen-und OhrenkrankheitenPortugal OtorrinolaringologiaSuomi/Finland Korva-, nenä- ja kurkkutaudit/ öron-, näs- och

halssjukdomarSverige Öron-, näs- och halssjukdomar (oto-rhino-

laryngologi)United Kingdom Otolaryngology

Country Title of qualification Awarding bodypaediatrics Minimum length of training course: 4 yearsBelgique/België/Belgien Pédiatrie/pediatrieDanmark Pædiatri eller sygdomme hos børnDeutschland KinderheilkundeΕλλάς ΠαιδιατρικήEspaña Pediatria y sus áreas especificasFrance PédiatrieIreland PaediatricsItalia PédiatriaLuxembourg PédiatrieNederland KindergeneeskundeÖsterreich Kinder – und JugendheilkundePortugal PédiatriaSuomi/Finland Lastentaudit/barnsjukdomarSverige Barn- och ungdomsmedicinUnited Kingdom Paediatrics

Country Title of qualification Awarding bodyrespiratory medicine Minimum length of training course: 4 yearsBelgique/België/Belgien PneumologieDanmark Medicinske lungesygdommeDeutschland PneumologieΕλλάς Φυµατιoλoγία- ΠvευµovoλoγίαEspaña NeumologiaFrance PneumologieIreland Respiratory medicineItalia Malattie dell’apparato respiratorioLuxembourg Pneumo-phtysiologieNederland Longziekten en tuberculoseÖsterreich LungenkrankheitenPortugal PneumologiaSuomi/Finland Keuhkosairaudet ja allergologia/ lungsjukdomar

och allergologiSverige Lungsjukdomar (pneumologi)United Kingdom Respiratory medicine

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Country Title of qualification Awarding bodyurology Minimum length of training course: 5 yearsBelgique/België/Belgien UrologieDanmark Urologi eller urinvejenes kirurgiske sygdommeDeutschland UrologieΕλλάς ΟυρoλoγίαEspaña UrologíaFrance UrologieIreland UrologyItalia UrologiaLuxembourg UrologieNederland UrologieÖsterreich UrologiePortugal UrologiaSuomi/Finland Urologia/urologiSverige UrologiUnited Kingdom Urology

Country Title of qualification Awarding bodyorthopaedics Minimum length of training course: 5 yearsBelgique/België/Belgien Chirurgie orthopédique/Orthopedische heelkundeDanmark Ortopaedisk kirurgiDeutschland OrthopädieΕλλάς ΟρθoπεδικήEspaña Traumatología y cirugía ortopédicaFrance Chirurgie orthopédique et traumatologieIreland Orthopaedic surgeryItalia Ortopedia e traumatologiaLuxembourg OrthopédieNederland OrthopedieÖsterreich Orthopädie und Orthopädische ChirurgiePortugal OrtopediaSuomi/Finland Ortopedia ja traumatologia/ ortopedi och

traumatologiSverige OrtopediUnited Kingdom Trauma and orthopaedic surgery

Country Title of qualification Awarding bodypathological anatomy Minimum length of training course: 4 yearsBelgique/België/Belgien Anatomie pathologique/ pathologische anatomieDanmark Patologisk anatomi og vævs- og celleundersøgelserDeutschland PathologieΕλλάς Παθoλoγική ΑvατoµίκήEspaña Anatomía patológicaFrance Anatomie et cytologie pathologiquesIreland Morbid anatomy and histopathologyItalia Anatomia patologicaLuxembourg Anatomie pathologiqueNederland PathologieÖsterreich PathologiePortugal Anatomia patologicaSuomi/Finland Patologia/patologiSverige Klinisk patologiUnited Kingdom Histopathology

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Country Title of qualification Awarding bodyneurology Minimum length of training course: 4 yearsBelgique/België/Belgien NeurologieDanmark Neurologi eller medicinske nervesygdommeDeutschland NeurologieΕλλάς ΝευρoλoγίαEspaña NeurologíaFrance NeurologieIreland NeurologyItalia NeurologiaLuxembourg NeurologieNederland NeurologieÖsterreich NeurologiePortugal NeurologiaSuomi/Finland Neurologia/neurologiSverige NeurologiUnited Kingdom Neurology

Country Title of qualification Awarding bodypsychiatry Minimum length of training course: 4 yearsBelgique/België/Belgien PsychiatrieDanmark PsykiatriDeutschland Psychiatrie und PsychotherapieΕλλάς ΨυχιατρικήEspaña PsiquiatríaFrance PsychiatrieIreland PsychiatryItalia PsichiatriaLuxembourg PsychiatrieNederland PsychiatrieÖsterreich PsychiatriePortugal PsiquiatriaSuomi/Finland Psykiatria/psykiatriSverige PsykiatriUnited Kingdom General psychiatry

Country Title of qualification Awarding bodydiagnostic radiology Minimum length of training course: 4 yearsBelgique/België/Belgien Radiodiagnostic/ röntgendiagnoseDanmark Diagnostik radiologi eller – røntgenundersøgelseDeutschland Diagnostische RadiologieΕλλάς ΑκτιvoδιαγvωστικήEspaña RadiodiagnósticoFrance Radiodiagnostic et imagerie médicaleIreland Diagnostic radiologyItalia RadiodiagnosticaLuxembourg RadiodiagnosticNederland zie radiologieÖsterreich Medizinische Radiologie-DiagnostikPortugal RadiodiagnósticoSuomi/Finland Radiologia/radiologiSverige Medicinsk radiologiUnited Kingdom Diagnostic radiology

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Country Title of qualification Awarding bodyradiotherapy Minimum length of training course: 4 yearsBelgique/België/Belgien Radiothérapie-oncologie/ radiotherapie-oncologieDanmark OnkologiDeutschland StrahlentherapieΕλλάς ΑκτιvoθεραπευτικήEspaña Oncología radioterápicaFrance Oncologie radiothérapiqueIreland RadiotherapyItalia RadioterapiaLuxembourg RadiothérapieNederland RadiotherapieÖsterreich Strahlentherapie- RadioonkologiePortugal RadioterapiaSuomi/Finland Syöpätaudit/cancersjukdomarSverige Tumörsjukdomar (allmän onkologi)United Kingdom Radiotherapy

Country Title of qualification Awarding bodyclinical biology Minimum length of training course: 4 yearsBelgique/België/Belgien Biologie clinique/ klinische biologieDanmark Klinisk biokemiDeutschlandΕλλάςEspaña Análisis clínicosFrance Biologie médicaleIrelandItalia Patologia clinicaLuxembourg Biologie cliniqueNederlandÖsterreich Medizinische BiologiePortugal Patologia clinicaSuomi/FinlandSverigeUnited Kingdom

Country Title of qualification Awarding bodybiological haematology Minimum length of training course: 4 yearsBelgique/België/BelgienDanmark Klinisk immunologiDeutschlandΕλλάςEspañaFrance HématologieIrelandItaliaLuxembourg Hématologie biologiqueNederlandÖsterreichPortugal Hematologia clinicaSuomi/Finland Hematologiset laboratoriotutkimukset/

hematologiska laboratorieundersökningarSverigeUnited Kingdom

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Country Title of qualification Awarding bodymicrobiology-bacteriology Minimum length of training course: 4 yearsBelgique/België/BelgienDanmark Klinisk mikrobiologiDeutschland Mikrobiologie und InfektionsepidemiologieΕλλάς 1. Iατρική Βιoπαθoλoγία

2. ΜικρoβιoλoγίαEspaña Microbiología y parasitologíaFranceIreland MicrobiologyItalia Microbiologia e virologiaLuxembourg MicrobiologieNederland Medische microbiologieÖsterreich Hygiene und MikrobiologiePortugalSuomi/Finland Kliininen mikrobiologia/ klinisk mikrobiologiSverige Klinisk bakteriologiUnited Kingdom Medical microbiology and virology

Country Title of qualification Awarding bodybiological chemistry Minimum length of training course: 4 yearsBelgique/België/BelgienDanmark Findes som specialet klinisk biokemiDeutschlandΕλλάςEspaña Bioquímica clínicaFranceIreland Chemical pathologyItalia Biochimica clinicaLuxembourg Chimie biologiqueNederland Klinische chemieÖsterreich Medizinische und Chemische LabordiagnostikPortugalSuomi/Finland Kliininen kemia/ klinisk kemiSverige Klinisk kemiUnited Kingdom Chemical pathology

Country Title of qualification Awarding bodyimmunology Minimum length of training course: 4 yearsBelgique/België/BelgienDanmark Klinisk immunologiDeutschlandΕλλάςEspaña ImmunologíaFranceIreland Clinical immunologyItaliaLuxembourgNederlandÖsterreich ImmunologiePortugalSuomi/Finland Immunologia/ immunologiSverige Klinisk immunologiUnited Kingdom Immunology

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Country Title of qualification Awarding bodyplastic surgery Minimum length of training course: 5 yearsBelgique/België/Belgien Chirurgie plastique, reconstructrice et esthétique/

plastische, reconstructieve en esthetische heelkundeDanmark PlastikkirurgiDeutschland Plastische ChirurgieΕλλάς Πλαστική ΧειρoυργικήEspaña Cirugía plástica y reparadoraFrance Chirurgie plastique, reconstructrice et esthétiqueIreland Plastic surgeryItalia Chirurgia plastica e ricostruttivaLuxembourg Chirurgie plastiqueNederland Plastische chirurgieÖsterreich Plastische ChirurgiePortugal Cirurgia plástica e reconstrutivaSuomi/Finland Plastiikkakirurgia/ plastikkirurgiSverige PlastikkirurgiUnited Kingdom Plastic surgery

Country Title of qualification Awarding bodythoracic surgery Minimum length of training course: 5 yearsBelgique/België/Belgien Chirurgie thoracique/ heelkunde op de thoraxDanmark Thoraxkirurgi eller brysthulens kirurgiske

sygdommeDeutschland HerzchirurgieΕλλάς Χειρoυργική ΘώρακoςEspaña Cirugía torácicaFrance Chirurgie thoracique et cardiovasculaireIreland Thoracic surgeryItalia Chirurgia toracicaLuxembourg Chirurgie thoraciqueNederland Cardio-thoraciale chirurgieÖsterreichPortugal Cirurgia cardiotorácicaSuomi/Finland Sydän-ja rintaelinkirurgia/ hjärt- och thoraxkirurgiSverige ThoraxkirurgiUnited Kingdom Cardo-thoracic surgery

Country Title of qualification Awarding bodypaediatric surgery Minimum length of training course: 5 yearsBelgique/België/BelgienDanmarkDeutschland KinderchirurgieΕλλάς Χειρoυργική ΠαίδωvEspaña Cirugía pediátricaFrance Chirurgie infantileIreland Paediatric surgeryItalia Chirurgia pediatricaLuxembourg Chirurgie pédiatriqueNederlandÖsterreich KinderchirurgiePortugal Cirurgia pediátricaSuomi/Finland Lastenkirurgia/ barnkirurgiSverige Barn- och ungdomskirurgiUnited Kingdom Paediatric surgery

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Country Title of qualification Awarding bodyvascular surgery Minimum length of training course: 5 yearsBelgique/België/Belgien, Chirurgie des vaisseaux/ bloedvatenheelkundeDanmark Karkirurgi eller kirurgiske blodkarsygdommeDeutschlandΕλλάς ΑγγειoχειρoυργικήEspaña Angiología y cirugía vascularFrance Chirurgie viscérale et digestiveIrelandItalia Chirurgia vascolareLuxembourg Chirurgie cardio-vasculaireNederlandÖsterreichPortugal Cirurgia vascularSuomi/Finland Verisuonikirurgia/kärlkirurgiSverigeUnited Kingdom

Country Title of qualification Awarding bodycardiology Minimum length of training course: 4 yearsBelgique/België/Belgien CardiologieDanmark KardiologiDeutschlandΕλλάς ΚαρδιoλoγίαEspaña CardiologíaFrance Pathologie cardio-vasculaireIreland CardiologyItalia CardiologiaLuxembourg cardiologie et angiologieNederland CardiologieÖsterreichPortugal CardiologiaSuomi/Finland Kardiologia/kardiologiSverige KardiologiUnited Kingdom Cardiology

Country Title of qualification Awarding bodygastro-enterology Minimum length of training course: 4 yearsBelgique/België/Belgien Gastro-entérologieDanmark Medicinsk gastroenterologi eller medicinske mave-

tarmsygdommeDeutschlandΕλλάς ΓαστρεvτερoλoγίαEspaña Aparato digestivoFrance Gastro-entérologie et hépatologieIreland Gastro-enterologyItalia GastroenterologiaLuxembourg Gastro-enterologieNederland Gastro-enterologieÖsterreichPortugal GastrenterologiaSuomi/Finland gastroenterologia/ gastroenterologiSverige medicinsk gastroenterologi och hepatologiUnited Kingdom gastro-enterology

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Country Title of qualification Awarding bodyrheumatology Minimum length of training course: 4 yearsBelgique/België/Belgien Rhumathologie/ reumatologieDanmark ReumatologiDeutschlandΕλλάς ΡευµατoλoγίαEspaña ReumatologíaFrance RhumathologieIreland RheumatologyItalia ReumatologiaLuxembourg RhumathologieNederland ReumatologieÖsterreichPortugal ReumatologiaSuomi/Finland Reumatologia/ reumatologiSverige ReumatologiUnited Kingdom Rheumatology

Country Title of qualification Awarding bodygeneral haematology Minimum length of training course: 3 yearsBelgique/België/BelgienDanmark Hæmatologi eller blodsygdommeDeutschlandΕλλάς ΑιµατoλoγίαEspaña Hematología y HemoterapiaFranceIreland HaematologyItalia EmatologiaLuxembourg HématologieNederlandÖsterreichPortugal Imuno-hemoterapiaSuomi/Finland Kliininen hematologia/Klinisk hematologiSverige HematologiUnited Kingdom

Country Title of qualification Awarding bodyendocrinology Minimum length of training course: 3 yearsBelgique/België/BelgienDanmark Medicinsk endokrinologi eller medicinske

hormonsygdommeDeutschlandΕλλάς ΕvδoκριvoλoγίαEspaña Endocrinología y nutriciónFrance Endocrinologie, maladies métaboliquesIreland Endocrinology and diabetes mellitusItalia Endocrinologia e malattie del ricambioLuxembourg Endocrinologie, maladies du métabolisme et de la

nutritionNederlandÖsterreichPortugal EndocrinologiaSuomi/Finland Endokrinologia/ endokrinologiSverige Endokrina sjukdomarUnited Kingdom Endocrinology and diabetes mellitus

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Country Title of qualification Awarding bodyphysiotherapy Minimum length of training course: 3 yearsBelgique/België/Belgien Médecine physique et réadaptation/ fysische

geneeskunde en revalidatieDanmarkDeutschland Physikalische und Rehabilitative MedizinΕλλάς Φυσική Iατρική και ΑπoκατάστασηEspaña RehabilitaciónFrance Rééducation et réadaptation fonctionnellesIrelandItalia Medicina fisica e riabilitazioneLuxembourg Rééducation et réadaptation fonctionnellesNederland RevalidatiegeneeskundeÖsterreich Physikalische MedizinPortugal Fisiatria ou Medicina física e de reabilitaçãoSuomi/Finland Fysiatria/fysiatriSverige RehabiliteringsmedicinUnited Kingdom

Country Title of qualification Awarding bodystomatology Minimum length of training course: 3 yearsBelgique/België/BelgienDanmarkDeutschlandΕλλάςEspaña EstomatologíaFrance StomatologieIrelandItalia OdontostomatologiaLuxembourg StomatologieNederlandÖsterreichPortugal EstomatologiaSuomi/FinlandSverigeUnited Kingdom

Country Title of qualification Awarding bodyneuro-psychiatry Minimum length of training course: 5 yearsBelgique/België/Belgien NeuropsychiatrieDanmarkDeutschland Nervenheilkunde (Neurologie und Psychiatrie)Ελλάς Νευρoλoγία – ΨυχιατρικήEspañaFrance NeuropsychiatrieIrelandItalia NeuropsichiatriaLuxembourg NeuropsychiatrieNederland Zenuw - en zielsziektenÖsterreich Neurologie und PsychiatriePortugalSuomi/FinlandSverigeUnited Kingdom

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Country Title of qualification Awarding bodydermato-venereology Minimum length of training course: 3 yearsBelgique/België/Belgien Dermato-vénéréologieDanmark Dermato-venerologi eller hud- og kønssygdommeDeutschland Haut – und GeschlechtskrankheitenΕλλάς ∆ερµατoλoγία – ΑφρoδισιoλoγίαEspaña Dermatología médico-quirúrgica y venereologíaFrance Dermatologie et vénéréologieIrelandItalia Dermatologia e venerologiaLuxembourg Dermato-vénéréologieNederland Dermatologie en venerologieÖsterreich Haut- und GeschlechtskrankheitenPortugal DermatovenereologiaSuomi/Finland Ihotaudit ja allergologia / hudsjukdomar och

allergologiSverige Hud- och könssjukdomarUnited Kingdom

Country Title of qualification Awarding bodydermatology Minimum length of training course: 4 yearsBelgique/België/BelgienDanmarkDeutschlandΕλλάςEspañaFranceIreland DermatologyItaliaLuxembourgNederlandÖsterreichPortugalSuomi/FinlandSverigeUnited Kingdom Dermatology

Country Title of qualification Awarding bodyvenereology Minimum length of training course: 4 yearsBelgique/België/BelgienDanmarkDeutschlandΕλλάςEspañaFranceIreland VenereologyItaliaLuxembourgNederlandÖsterreichPortugalSuomi/FinlandSverigeUnited Kingdom Genito-urinary medicine

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Country Title of qualification Awarding bodyradiology Minimum length of training course: 4 yearsBelgique/België/BelgienDanmarkDeutschland RadiologieΕλλάς Ακτιvoλoγία – Ραδιoλoγία (*)España ElectroradiologiaFrance Electro-radiologieIrelandItalia RadiologiaLuxembourg ÉlectroradiologieNederland RadiologieÖsterreich RadiologiePortugal RadiologiaSuomi/FinlandSverigeUnited Kingdom

Country Title of qualification Awarding bodyTropical medicine Minimum length of training course: 4 yearsBelgique/België/BelgienDanmarkDeutschlandΕλλάςEspañaFranceIreland Tropical medicineItalia Medicina tropicaleLuxembourgNederlandÖsterreich Spezifische Prophylaxe und TropenhygienePortugal Medicina tropicalSuomi/FinlandSverigeUnited Kingdom Tropical medicine

Country Title of qualification Awarding bodychild psychiatry Minimum length of training course: 4 yearsBelgique/België/BelgienDanmark Børne- og ungdomspyskiatriDeutschland Kinder – und Jugendpsychiatrie und –

psychotherapieΕλλάς ΠαιδoψυχιατρικήEspañaFrance Pédo-psychiatrieIreland Child and adolescent psychiatryItalia Neuropsichiatria infantileLuxembourg Psychiatrie infantileNederlandÖsterreichPortugal PedopsiquiatriaSuomi/Finland Lastenpsykiatria/ barnpsykiatriSverige Barn- och ungdomspsykiatriUnited Kingdom Child and adolescent psychiatry

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Country Title of qualification Awarding bodyGeriatrics Minimum length of training course: 4 yearsBelgique/België/BelgienDanmark Geriatri eller alderdommens sygdommeDeutschlandΕλλάςEspaña GeriatríaFranceIreland GeriatricsItalia GeriatriaLuxembourgNederland Klinische geriatrieÖsterreichPortugalSuomi/Finland Geriatria/ geriatriSverige GeriatrikUnited Kingdom Geriatrics

Country Title of qualification Awarding bodyrenal diseases Minimum length of training course: 4 yearsBelgique/België/BelgienDanmark Nefrologi eller medicinske nyresygdommeDeutschlandΕλλάς ΝεφρoλoγίαEspaña NefrologíaFrance NéphrologieIreland NephrologyItalia NefrologiaLuxembourg NéphrologieNederlandÖsterreichPortugal NefrologiaSuomi/Finland Nefrologia/ nefrologiSverige Medicinska njursjukdomar (nefrologi)United Kingdom Renal medicine

Country Title of qualification Awarding bodyCommunicable diseases Minimum length of training course: 4 yearsBelgique/België/BelgienDanmark InfektionsmedicinDeutschlandΕλλάςEspañaFranceIreland Communicable diseasesItalia Malattie infettiveLuxembourgNederlandÖsterreichPortugalSuomi/Finland Infektiosairaudet/ infektionssjukdomarSverige InfektionssjukdomarUnited Kingdom Infectious diseases

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Country Title of qualification Awarding bodyCommunity medicine Minimum length of training course: 4 yearsBelgique/België/BelgienDanmarkDeutschland Öffentliches GesundheitswesenΕλλάς Κοινωνική ІατρικήEspaña Medicina Preventiva y Salud PúblicaFrance Santé publique et médecine socialeIreland Community medicineItalia Igiene e medicina socialeLuxembourgNederland Maatschappij en gezondheidÖsterreich SozialmedizinPortugalSuomi/Finland Terveydenhuolto/hälsovårdSverige SocialmedicinUnited Kingdom Public health medicine

Country Title of qualification Awarding bodyPharmacology Minimum length of training course: 4 yearsBelgique/België/BelgienDanmark Klinisk farmakologiDeutschland Pharmakologie und ToxikologieΕλλάςEspaña Farmacología clínicaFranceIreland Clinical pharmacology and therapeuticsItaliaLuxembourgNederlandÖsterreich Pharmakologie und ToxikologiePortugalSuomi/Finland Kliininen farmakologia ja lääkehoito / klinisk

farmakologi och läkemedelsbehandlingSverige Klinisk farmakologiUnited Kingdom Clinical pharmacology and therapeutics

Country Title of qualification Awarding bodyOccupational medicine Minimum length of training course: 4 yearsBelgique/België/Belgien Médecine du travail / arbeidsgeneeskundeDanmark ArbejdsmedicinDeutschland ArbeitsmedizinΕλλάς Iατρική της ΕργασίαςEspañaFrance Médecine du travailIreland Occupational medicineItalia Medicina del lavoroLuxembourg Médecine du travailNederland Arbeid en gezondheidÖsterreich Arbeits- und BetriebsmedizinPortugal Medicina do trabalhoSuomi/Finland Työterveyshuolto/ företagshälsovårdSverige Yrkes- och miljömedicinUnited Kingdom Occupational medicine

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Country Title of qualification Awarding bodyAllergology Minimum length of training course: 3 yearsBelgique/België/BelgienDanmark Medicinsk allergologi eller medicinske

overfølsomhedssygdommeDeutschlandΕλλάς ΑλλεργιoλoγίαEspaña AlergologíaFranceIrelandItalia Allergologia ed immunologia clinicaLuxembourgNederland Allergologie; Internist-allergoloogÖsterreichPortugal Imuno-alergologiaSuomi/Finland Allergologia/ allergologiSverige AllergisjukdomarUnited Kingdom

Country Title of qualification Awarding bodygastro-enterologicalsurgery


Belgique/België/Belgien Chirurgie abdominale/ heelkunde op het abdomenDanmark Kirurgisk gastroenterologi eller kirurgiske mave-

tarmsygdommeDeutschlandΕλλάςEspaña Cirurgia del aparato digestivoFrance Chirurgie viscéraleIrelandItalia Chirurgia dell’aparato digestivoLuxembourgNederlandÖsterreichPortugalSuomi/Finland Gastroenterologinen kirurgia / gastroenterologisk

kirurgiSverigeUnited Kingdom

Country Title of qualification Awarding bodynuclear medicine Minimum length of training course: 4 yearsBelgique/België/Belgien Médecine nucléaire/ nucleaire geneeskundeDanmark Klinisk fysiologi og nuklearmedicinDeutschland NuklearmedizinΕλλάς Πυρηvική IατρικήEspaña Medicina nuclearFrance Médecine nucléaireIrelandItalia Medicina nucleareLuxembourg Médecine nucléaireNederland Nucleaire geneeskundeÖsterreich NuklearmedizinPortugal Medicina nuclearSuomi/Finland Isotooppitutkimukset/ isotopundersökningarSverigeUnited Kingdom Nuclear medicine

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ANNEX VI DG C II EN

Country Title of qualification Awarding bodyAccident and emergencymedicine

Minimum length of formation: 5 years

Belgique/België/BelgienDanmarkDeutschlandΕλλάςEspañaFranceIreland Accident and emergency medicineItaliaLuxembourgNederlandÖsterreichPortugalSuomi/FinlandSverigeUnited Kingdom Accident and emergency medicine

Country Title of qualification Awarding bodyClinical neurophysiology Minimum length of formation: 4 yearsBelgique/België/BelgienDanmark Klinisk neurofysiologiDeutschlandΕλλάςEspaña Neurofisiologia clinicaFranceIreland NeurophysiologyItaliaLuxembourgNederlandÖsterreichPortugalSuomi/Finland Kliininen neurofysiologia / klinisk neurofysiologiSverige Klinisk neurofysiologiUnited Kingdom Clinical neurophysiology

Country Title of qualification Awarding bodymaxillo-facial surgery(basic medical training)

Minimum length of formation: 5 years

Belgique/België/BelgienDanmarkDeutschlandΕλλάςEspaña Cirugía oral y maxilofacialFrance Chirurgie maxillo-faciale et stomatologieIrelandItalia Chirurgia maxillo-faccialeLuxembourg Chirurgie maxillo-facialeNederlandÖsterreich Mund – Kiefer – und GesichtschirurgiePortugalSuomi/FinlandSverigeUnited Kingdom

5103/3/00 REV 3 21

ANNEX VI DG C II EN

Country Title of qualification Awarding bodydental, oral andmaxillo-facial surgery(basic medical anddental training)


Belgique/België/Belgien Stomatologie et chirurgie orale et maxillo-faciale/stomatologie en mond-, kaak- enaangezichtschirurgie

DanmarkDeutschland Mund-, Kiefer- und GesichtschirurgieΕλλάςEspañaFranceIreland Oral and maxillo-facial surgeryItaliaLuxembourgNederlandÖsterreichPortugalSuomi/Finland Suu- ja leukakirurgia/ oral och maxillofacial kirurgiSverigeUnited Kingdom Oral and maxillo-facial surgery

5103/3/00 REV 3 ADD 1 ENDG C II 1

COUNCIL OFTHE EUROPEAN UNION

Brussels, 20 March 2000

Interinstitutional File:97/0345 (COD)

5103/3/00 REV 3 ADD 1

LIMITE

ETS 1CODEC 6

Subject : Common position (EC) No /2000 adopted by the Council on 20 March 2000with a view to the adoption of Directive (EC) No /2000 of theEuropean Parliament and of the Council amending Directives 89/48/EEC and92/51/EEC on the general system for the recognition of professional qualificationsand 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 theprofessions of nurse responsible for general care, dental practitioner, veterinarysurgeon, midwife, architect, pharmacist and doctor

STATEMENT OF THE COUNCIL'S REASONS

5103/3/00 REV 3 ADD 1 ENDG C II 2

I. INTRODUCTION

1. The Commission submitted to the Council, on 3 December 1997, a proposal for a

Directive amending Directives 89/48/EEC1 and 92/51/EEC2 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.

This proposal is based on Articles 40 and 47(1), the first and third sentences of

Article 47(2) and Article 55.

2. The European Parliament adopted its first-reading Opinion at its sitting on 1 and

2 July 1998.

The Economic and Social Committee delivered its Opinion on 27 May 1998.

The Commission decided not to submit an amended proposal.

3. The Council adopted its Common Position on 20 March 2000, in accordance with

Article 251 of the Treaty.

II. OBJECTIVES

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 second general system Directive and is designed to achieve more uniform

application and interpretation of the two general system Directives in the Member States.

1 Hereinafter the "first general system Directive".2 Hereinafter the "second general system Directive".

5103/3/00 REV 3 ADD 1 ENDG C II 3

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

examination of education and training undergone in third countries by Community nationals.

III. THE COMMON POSITION

1. General remarks

The Council's Common Position follows the objectives set out in the Commission's

proposals, as indicated in section II supra. The Council has nevertheless introduced a

number of technical modifications in the proposal, in particular with the aim of

reinforcing the free movement of persons.

The Council has adopted the Common Position by unanimity.

The Council has not been in a position to accept the amendments proposed by the

European Parliament in the first reading. It should be taken into account that the

Commission did not accept the amendments either.

2. Specific remarks

The modifications introduced in the Commission's proposal are summarised below:

i) More specific description of "course of study" in the framework of the definition

of "regulated education and training" (Article 1(1), second tiret)

For the sake of consistency within the first general system Directive, the concept

"course of study" used in the Commission's proposal has been replaced with a

definition taken from Article 1(a), second tiret of the first general system

Directive. In particular, it has been made clear that the duration of the study must

be at least three years.

5103/3/00 REV 3 ADD 1 ENDG C II 4

ii) Mutual recognition of proof of financial standing and of insurance cover

(Articles 1(4) and 2(4))

These provisions extend to the two general system Directives the provisions

contained in certain "transitional measures" Directives regarding mutual

recognition of proof of financial standing and of insurance cover against the

financial consequences of professional liability.

iii) Substantial difference to be covered by experience also at certificate level

(Article 2(2)and (3))

The provision contained in Article 2(1) for the diploma level has been extended to

cover recognition of certificate level. Therefore, the knowledge acquired by the

applicant in the course of his professional experience can cover the substantial

difference between his certificate and the diploma required by the host Member

State.

iv) Direct effect of amendments to Annexes C and D (Article 2(6))

In order to avoid lengthy implementation procedures in Member States,

Article 2(6) sets out an immediate application of any amendments made by the

Commission to Annexes C and D of the second general system Directive.

v) Insertion of Articles 3 to 6 of the Commission's proposal in the sectoral Directives

(Articles 3(4), 5(9), 7(4), 9(5), 11(1), 13(5) and 14(12))

For reasons of legal certainty, the contents of Articles 3 to 6 of the Commission's

proposal have been incorporated into each one of the sectoral Directives. This

change is purely technical.

5103/3/00 REV 3 ADD 1 ENDG C II 5

vi) Examination of third-country diplomas (ancient Article 5 of the Commission's

proposal, now integrated in Articles 3(4), 5(9), 7(4), 9(5), 11(1), 13(5) and 14(12))

For a better protection of the holder of a third-country diploma, the Council has

decided to replace the words "Member States shall take account of diplomas" with

"Member States shall examine the diplomas…". This implies a more active

implication of the host Member State. Moreover, the examination deadline has

been reduced from four to three months.

vii) No need to state the reasons of a positive decision on the recognition of a diploma

(last sentence of Recital 8, to be read in conjunction with Articles 3(4), 5(9), 7(4),

9(5), 11(1), 13(5) and 14(12) (ancient Article 6 of the Commission's proposal))

In order to provide for a faster recognition procedure, Member States will not be

obliged to justify positive decisions recognising diplomas.

viii) Inclusion of certain Spanish specialised doctors ("MESTOS") in the scope of

Directive 93/16/EEC (Article 14(8))

This provision aims at taking into account the specific situation of certain Spanish

specialist doctors without official qualifications who received an unofficial form

of training which was nevertheless similar in quantity and quality to that obtained

by those who followed the official residence-based system.

ix) Revision clause (Article 15)

The Council has included a revision clause concerning Article 1(2) and (2), which

incorporate the concept of "regulated education and training" into the first general

system Directive.

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IV. EUROPEAN PARLIAMENT'S AMENDMENTS

The Council felt that amendments 1, 4, 6, 7, 8, 9 and 11, which were designed to oblige

Member States to inform the Commission if they intended to impose compensation measures

in each of the sectors, were not consistent with the SLIM initiative, as they would lengthen

the recognition procedures and, therefore, be detrimental to migrants. These amendments

would not be consistent with the general system either, as the latter foresees a case-by-case

treatment of applications for recognition.

Amendments 5 and 10, which were designed to ensure that the Coordinators Group's

deliberations were widely publicised, are not in line with SLIM. Indeed, the publicity

proposed in these amendments would lengthen the Commission's works and would endanger

the quality of the debates, which are mainly technical. In any case, the final result of the

works of the Group is published in the Code of Conduct.

Amendment 12, which would lengthen the procedure proposed by the Commission for

updating lists of qualifications and delay its application, does not follow the principles in

SLIM and could create some legal uncertainty.

Amendments 3 and 13 are designed to introduce automatic recognition of qualifications

obtained in a third country if the qualifications are already recognised by the first host

Member State. The Council considered it wiser to defer examination of this issue until the

Commission's report, due in 2000, on the general system for the recognition of qualifications

had been published. The same was true of amendments 15 to 21, which concerned general

practitioners.

Amendments 2 and 14 related to the Directive on architects. The rapporteur specified that

amendment 14 would bring all Irish architects within the scope of the Directive, which was

not currently the case. As this matter is currently under study in the Commission, the Council

preferred to await the completion of the Commission's works.

5103/3/00 REV 3 ADD 1 ENDG C II 7

V. CONCLUSION

The Council considers that all the modifications made to the Commission proposal meet the

objectives of the proposed Directive, in particular the simplification objective of the SLIM

initiative and the facilitation of free movement.

_________________

COMMISSION OF THE EUROPEAN COMMUNITIES

Brussels, 27.03.2000SEC(2000) 491 final

1997/345 (COD)

COMMUNICATION FROM THE COMMISSION TO THE EUROPEANPARLIAMENT

pursuant to the second subparagraph of Article 251 (2) of the EC-Treaty

concerning the

Common position of the Council on the proposal for a European Parliament andCouncil Directive amending Directives 89/48/EEC and 92/51/EEC on the general system

for the recognition of professional qualifications and 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 theprofessions of nurse responsible for general care, dental practitioner, veterinary

surgeon, midwife, architect, pharmacist and doctor

2

COMMUNICATION FROM THE COMMISSION TO THE EUROPEANPARLIAMENT

pursuant to the second subparagraph of Article 251 (2) of the EC-Treaty

concerning the

Common position of the Council on the proposal for a European Parliament andCouncil Directive amending Directives 89/48/EEC and 92/51/EEC on the general system

for the recognition of professional qualifications and 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 theprofessions of nurse responsible for general care, dental practitioner, veterinary

surgeon, midwife, architect, pharmacist and doctor

1. HISTORY

By letter of 3 December 1997, the Commission transmitted to the Council a proposalfor a European Parliament and Council Directive amending Directives 89/48/EECand 92/51/EEC on the general system for the recognition of professionalqualifications and 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 forgeneral care, dental practitioner, veterinary surgeon, midwife, architect, pharmacistand doctor (COM(1997) 638 – 1997/0345/COD)1.

The European Parliament gave its opinion on first reading on 2 July 19982.

The Economic and Social Committee gave its opinion on 27 May 19983.

The Council adopted a Common Position on 20 March 2000.

2. SUBJECT OF THE COMMISSION PROPOSAL

The proposal for a Directive is intended to:

- implement the recommendations of the SLIM team on the "recognition ofdiplomas" by facilitating the updating of the lists of diplomas, certificates and otherevidence of formal qualifications eligible for automatic recognition.

- introduce other - often technical - amendments intended to improve the legalcertainty or to make it easier to interpret the Directives in question and improve theirfunctioning.

1 JO C 28, 26.1.1998, p. 1.2 JO C 226, 20.7.1998, p.26.3 JO C 235, 27.7.1998, p. 53.

3

3. COMMENTS ON THE COMMON POSITION

3.1. General remarks

The Council unanimously adopted the Commission proposal after incorporatingseveral amendments intended to reinforce the freedom of movement of persons.After resuming its examination of the situation of specialised nurses, which it hadembarked upon when examining the transitional Directives on the mutual recognitionof professional qualifications, it decided not to include any special provision in thecurrent proposal for a Directive presented by the Commission.

3.2. The European Parliament's amendments adopted on first reading

The Council did not accept any of the amendments adopted by the EuropeanParliament on first reading. The Commission had not amended its initial proposal.

3.3. Amendments introduced in discussions with the Council

3.3.1. General system for the recognition of professional qualifications

The Council made a number of clarifications intended to make Directives 89/48/EECand 92/51/EEC clearer, improve their legal certainty and strengthen theireffectiveness.

It clarified several elements of the definition of regulated training. Amongst these, itspecified that the course of studies referred to in that definition must last at leastthree years, and it extended to Directives 89/48/EEC and 92/51/EEC provisionscontained in other Directives on the mutual recognition of professionalqualifications, with a view to making it easier to prove financial capacity where thisis required for access to a regulated profession.

It also reinforced the obligation on the competent authorities to take account ofknowledge acquired by the migrant in the course of his professional experience. Themigrant may, for instance, show that the knowledge acquired in the course of hisprofessional experience is such as to compensate, either partly or wholly, forsubstantial differences between the diploma and the qualification obtained.

Finally, the Council proposed speeding up the implementation of the amendments toAnnexes C and D of Directive 92/51/EEC.

3.3.2. Sectoral Directives on the mutual recognition of diplomas

The Council improved the protection of the holder of a diploma acquired outside theEuropean Union by stipulating that that diploma must be examined within threemonths.

It also speeded up the procedure for recognising all diplomas by dispensing with theobligation to justify decisions in favour of the applicant.

In addition, in the case of medical or dental specialisations which are subject not toautomatic recognition but to individual recognition, the Council has obliged thecompetent authorities to take account not only of the specialised training acquired, as

4

already laid down in the Directives, but also of the ongoing training which may havebeen acquired by the applicant.

Finally, as proposed by the Commission with a view to regularising the situation ofcertain dentists and pharmacists, it introduced a provision allowing the situation ofcertain specialised doctors and of psychiatric nurses to be regularised, provided thattheir level of training corresponds to the requirements of the relevant sectoralDirective.

3.4. Position of the Commission on the amendments introduced in the Council

The Commission accepts the amendments made as a result of the Council's work.

4. CONCLUSIONS

The Commission considers that the common position is an appropriate addition tothe proposal for a Directive presented by the Commission.

Documents

EUROPEAN PARLIAMENT … · Directives 89/48/EEC and 92/51/EEC on the general system for the recognition of professional qualifications and Council Directives 77/452/EEC, 77/453/EEC,