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EU-PHARE TWINNING PROJECT Mutual Recognition of Medical Professionals. The recognition of medical professionals from other EU member states. Dr Lourens R. Kooij MD PhD G eneral secretary HVRC KNMG Postgraduate Training & Registration.
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EU-PHARE TWINNING PROJECTMutual Recognition of Medical Professionals
The recognition of medical professionals from other EU member states Dr Lourens R. Kooij MD PhD General secretary HVRC KNMG Postgraduate Training & Registration
Recognition of medical professionals from other EU member states: a systematic approach Dr Lourens R. Kooij MD PhD General secretary HVRC KNMG Postgraduate Training & Registration April 2004
Mutual recognition: what do we need to make the system working? • EU legislation
Mutual recognition: what do we need to make the system working? • EU legislation: Directive 93/16/EEC
EEC, EU, EEA 1957: founding EEC by B, NL, L, wD, F and I 1973: + UK, IRL, DK 1981: + GR 1986: + SP, P 1990: reunion of Germany 1992: EEC + N, ICE, LST = EEA 1993: EEC becomes EU 1995: + FIN, A, S 1999: treaty with CH 2004: + 10 new MS, including PL
Mutual recognition: what do we need to make the system working? • EU legislation: Directive 93/16/EEC • competent authorities
Mutual recognition: what do we need to make the system working? • EU legislation: Directive 93/16/EEC • competent authorities • trust
Mutual recognition: what do we need to make the system working? • EU legislation: Directive 93/16/EEC • competent authorities • trust • a systematic approach
Directive 93/16/EEC • Mutual recognition of diplomas
Directive 93/16/EEC • Mutual recognition of diplomas • Co-ordination of training programs
Directive 93/16/EEC • Mutual recognition of diplomas • ‘automatic’ recognition, based on approved diplomas and certificates, issued by the MS competent authorities • Co-ordination of training programs
Directive 93/16/EEC • Mutual recognition of diplomas • ‘automatic’ recognition, based on approved diplomas and certificates, issued by the MS competent authorities • Co-ordination of training programs • minimum requirements on contents and duration
Mutual recognition after 1 May 2004 POLAND Other Member States
Mutual recognition Member State Member State
Mutual recognition: between MS and MS Which EU diplomas have to be recognised by other MS competent authorities? • Three (or four) possibilities: 1. Study/specialisation after accession 2. Acquired rights a. Study before accession b. Specialisation before accession 3. Third country qualifications
EU diplomas to be recognised by other MS 1. Study/specialisation after accession: • diploma / certificate of a medical study and/or a specialisation that started after the accession of the MS of origin
EU diplomas to be recognised by other MS 2. Acquired rights a. medical study started before accession: diploma issued after a medical study that (does not meet the Directive and) started before the accession of the MS of origin, accompanied by a certificate from the competent authority in the MS of origin that the applicant worked as a medical doctor for at least 3 years in the last 5 years
EU diplomas to be recognised by other MS 2. Acquired rights b. specialisation started before accession: diploma issued after a specialisation that (does not meet the Directive and) started before the accession of the MS of origin, accompanied by a certificate from the competent authority in the MS of origin that the applicant worked as a specialist at least twice the difference between the duration of the specialist training in the host MS and the MS of origin
EU diplomas to be recognised by other MS 3. Third country qualifications • under article 42c Directive recognition in another MS, additional diplomas, training and professional experience within the EU have to be taken into account in requests to recognize third country qualifications
Art. 42c of Directive 93/16/EEC • MS shall examine diplomas, certificates and other evidence of formal qualifications in the field covered by this Directive obtained by the holder outside the EU in cases where those diplomas, certificates etc have been recognised in another MS, as well as training undergone and/or professional experience gained in that other MS.
Example of a case study (1) A Dutch citizen (female, 37) who - after graduating as medical doctor in Belgium and postgraduate training for general practice (family medicine) in the UK – worked for more than 5 years in Bhutan, requests for recognition as a doctor and as a family physician in Poland. • What would be your decision and why?
Example of a case study (2) A British citizen (male, 40), who - after graduating as medical doctor in the UK and specialisation as a paediatrician in the South-Africa – worked for 4 years in Germany, requests for recognition as a doctor and as a paediatrician in Poland. • What would be your decision and why?
It’s all about nationality! In general, the range of application of Directive 93/16/EEC is limited to applicants who have: • MS nationality • MS diplomas and/or certificates