EU-PHARE TWINNING PROJECT Mutual Recognition of Medical Professionals.

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Presentation transcript:

EU-PHARE TWINNING PROJECT Mutual Recognition of Medical Professionals

Artsenfederatie Opleiding en Registratie Domus Medica The recognition of medical professionals from other EU member states Dr Lourens R. Kooij MD PhD G eneral secretary HVRC KNMG Postgraduate Training & Registration

Artsenfederatie Opleiding en Registratie Domus Medica 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

Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition: what do we need to make the system working? EU legislation

Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition: what do we need to make the system working? EU legislation: Directive 93/16/EEC

Artsenfederatie Opleiding en Registratie Domus Medica 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

Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition: what do we need to make the system working? EU legislation: Directive 93/16/EEC competent authorities

Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition: what do we need to make the system working? EU legislation: Directive 93/16/EEC competent authorities trust

Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition: what do we need to make the system working? EU legislation: Directive 93/16/EEC competent authorities trust a systematic approach

Artsenfederatie Opleiding en Registratie Domus Medica Directive 93/16/EEC Mutual recognition of diplomas

Artsenfederatie Opleiding en Registratie Domus Medica Directive 93/16/EEC Mutual recognition of diplomas Co-ordination of training programs

Artsenfederatie Opleiding en Registratie Domus Medica 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

Artsenfederatie Opleiding en Registratie Domus Medica 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

Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition after 1 May 2004 POLAND Other Member States

Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition Member State

Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition: between 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

Artsenfederatie Opleiding en Registratie Domus Medica 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

Artsenfederatie Opleiding en Registratie Domus Medica 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

Artsenfederatie Opleiding en Registratie Domus Medica 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

Artsenfederatie Opleiding en Registratie Domus Medica 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

Artsenfederatie Opleiding en Registratie Domus Medica 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.

Artsenfederatie Opleiding en Registratie Domus Medica 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. W hat would be your decision and why?

Artsenfederatie Opleiding en Registratie Domus Medica 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. W hat would be your decision and why?

Artsenfederatie Opleiding en Registratie Domus Medica 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

Case studies 1234… Nationality Medical study Specialisation Experience Recognition as MD/spec.? Remarks

Case studies 1 NationalityEU Medical studyEU Specialisation0 Experience0 Recognition as MD/spec? Remarks

Case studies 1 NationalityEU Medical studyEU Specialisation0 Experience0 Recognition as MD/sp? +/0 Remarks

Case studies 12 NationalityEU Medical studyEU Specialisation0EU Experience00 Recognition as MD/spec? +/0 Remarks

Case studies 12 NationalityEU Medical studyEU Specialisation0EU Experience00 Recognition as MD/spec? +/0+/+ Remarks

Case studies 123 NationalityEU Medical studyEU Specialisation0EU Experience00EU Recognition as MD/spec? +/0+/+ Remarks

Case studies 123 NationalityEU Medical studyEU Specialisation0EU Experience00EU Recognition as MD/spec? +/0+/+ Remarks

Case studies 1234 NationalityEU Medical studyEU Specialisation0EU Experience00EUThC Recognition as MD/spec? +/0+/+ Remarks

Case studies 1234 NationalityEU Medical studyEU Specialisation0EU Experience00EUThC Recognition as MD/spec? +/0+/+ Remarks

Case studies NationalityEU Medical studyEU Specialisation0EU ThC Experience00EUThC0 Recognition as MD/spec? +/0+/+ Remarks

Case studies NationalityEU Medical studyEU Specialisation0EU ThC Experience00EUThC0 Recognition as MD/spec? +/0+/+ +/? Remarks

Case studies NationalityEU Medical studyEU Specialisation0EU ThC Experience00EUThC0 Recognition as MD/spec? +/0+/+ +/? Remarks/ nat law

Case studies 6 NationalityEU Medical studyEU SpecialisationThC ExperienceThC Recognition as MD/spec? Remarks

Case studies 6 NationalityEU Medical studyEU SpecialisationThC ExperienceThC Recognition as MD/spec? +/? Remarks

Case studies 6 NationalityEU Medical studyEU SpecialisationThC ExperienceThC Recognition as MD/spec? +/? Remarks/ nat law

Case studies 67 NationalityEU Medical studyEU SpecialisationThC ExperienceThCEU Recognition as MD/spec? +/? Remarks/ nat law

Case studies 67 NationalityEU Medical studyEU SpecialisationThC ExperienceThCEU Recognition as MD/spec? +/? +/? Remarks/ nat law

Case studies 67 NationalityEU Medical studyEU SpecialisationThC ExperienceThCEU Recognition as MD/spec? +/? +/? Remarks/ nat law / EU 42c

Case studies 678 NationalityEU Medical studyEU ThC SpecialisationThC 0 ExperienceThCEU0 Recognition as MD/spec? +/? +/? Remarks/ nat law / EU 42c

Case studies 678 NationalityEU Medical studyEU ThC SpecialisationThC 0 ExperienceThCEU0 Recognition as MD/spec? +/? +/??/0 Remarks/ nat law / EU 42c

Case studies 678 NationalityEU Medical studyEU ThC SpecialisationThC 0 ExperienceThCEU0 Recognition as MD/spec? +/? +/??/0 Remarks/ nat law / EU 42c nat law

Case studies 6789 NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat law

Case studies 6789 NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat law EU 42c

Case studies NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat Law EU 42c

Case studies NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat law EU 42c

Case studies NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat law EU 42c

Case studies 11 NationalityEU Medical studyThC SpecialisationEU ExperienceThC Recognition as MD/spec? Remarks

Case studies 11 NationalityEU Medical studyThC Specialisatio n EU ExperienceThC Recognition as MD/spec? ?/? Remarks

Case studies 11 NationalityEU Medical studyThC SpecialisationEU ExperienceThC Recognition as MD/spec? ?/? RemarksEU 42c

Case studies 1112 NationalityEU Medical studyThC SpecialisationEUThC ExperienceThCEU Recognition as MD/spec? ?/? RemarksEU 42c

Case studies 1112 NationalityEU Medical studyThC SpecialisationEUThC ExperienceThCEU Recognition as MD/spec? ?/? RemarksEU 42c

Case studies 1112 NationalityEU Medical studyThC SpecialisationEUThC ExperienceThCEU Recognition as MD/spec? ?/? RemarksEU 42c

Case studies NationalityEU ThC Medical studyThC EU SpecialisationEUThC0 ExperienceThCEU0 Recognition as MD/spec? ?/? RemarksEU 42c

Case studies NationalityEU ThC Medical studyThC EU SpecialisationEUThC0 ExperienceThCEU0 Recognition as MD/spec? ?/? ?/0 RemarksEU 42c

Case studies NationalityEU ThC Medical studyThC EU SpecialisationEUThC0 ExperienceThCEU0 Recognition as MD/spec? ?/? ?/0 RemarksEU 42c nat law

Case studies NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0 RemarksEU 42c nat law

Case studies NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law

Case studies NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law nat law

Case studies NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law nat law

Case studies NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law nat law

Case studies NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law nat law

Artsenfederatie Opleiding en Registratie Domus Medica Is it as simple as that?.

Artsenfederatie Opleiding en Registratie Domus Medica Is it as simple as that? yes, it is

Artsenfederatie Opleiding en Registratie Domus Medica Is it as simple as that? yes, it is but there are other things:

Artsenfederatie Opleiding en Registratie Domus Medica Is it as simple as that? yes, it is but there are other things:  for example: what to do when an immigrating specialist has a specialisation that does not exist in the host MS?

Artsenfederatie Opleiding en Registratie Domus Medica What to do when a specialisation does not exist in the host MS? art 8 of the Directive determines that in this case the host MS has to try to ‘fit him/her in’ in a specialisation that does exist in the host MS

Artsenfederatie Opleiding en Registratie Domus Medica What to do when a specialisation does not exist in the host MS? art 8 of the Directive determines that in this case the host MS has to try to ‘fit him/her in’ in a specialisation that does exist in the host MS by examining the (contents and duration of the) specialist training that has been followed, the professional experience and CME

Artsenfederatie Opleiding en Registratie Domus Medica What to do when a specialisation does not exist in the host MS? art 8 of the Directive determines that in this case the host MS has to try to ‘fit him/her in’ in a specialisation that does exist in the host MS by examining the (contents and duration of the) specialist training that has been followed, the professional experience and CME and deciding on the additional training that is necessary to recognize this specialist in a specialisation that does exist in the host MS

Artsenfederatie Opleiding en Registratie Domus Medica Is it necessary to develop curricula for this kind of situation?.

Artsenfederatie Opleiding en Registratie Domus Medica Is it necessary to develop curricula for this kind of situation? that is a possibility you have to consider when you expect to have to deal with this type of question on a regular basis and you think you need ‘ready-made’ solutions

Artsenfederatie Opleiding en Registratie Domus Medica Is it necessary to develop curricula for this kind of situation? that is a possibility you have to consider when you expect to have to deal with this type of question on a regular basis and you think you need ‘ready-made’ solutions this type of problem however is quite rare and every situation is different: in the NL we decided to design ‘tailor-made’ solutions, often based on assessment during practising under supervision

Artsenfederatie Opleiding en Registratie Domus Medica ‘Exceptive clauses’.

Artsenfederatie Opleiding en Registratie Domus Medica ‘Exceptive clauses’ art. 42c -in other MS recognized third country qualifications

Artsenfederatie Opleiding en Registratie Domus Medica ‘Exceptive clauses’ art. 42c -in other MS recognized third country qualifications art. 8 -differences in specialisations between MS

Artsenfederatie Opleiding en Registratie Domus Medica ‘Exceptive clauses’ art. 42c -in other MS recognized third country qualifications art. 8 -differences in specialisations between MS art. 9 -acquired rights in other (existing) MS

Artsenfederatie Opleiding en Registratie Domus Medica ‘Exceptive clauses’ art. 42c -in other MS recognized third country qualifications art. 8 -differences in specialisations between MS art. 9 -acquired rights in other (existing) MS art. 9a (new!) -acquired rights in other (new) MS

Artsenfederatie Opleiding en Registratie Domus Medica Closing remarks It is not always easy but mostly it is not difficult either some requests are complicated look carefully at diplomas/certificates trust competent authorities in other MS and have faith in your own competence