Slide 1

EU-PHARE TWINNING PROJECT Mutual Recognition of Medical Professionals Slide 2 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 Slide 3 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 Slide 4 Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition: what do we need to make the system working? EU legislation Slide 5 Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition: what do we need to make the system working? EU legislation: Directive 93/16/EEC Slide 6 Slide 7 Slide 8 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 Slide 9 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 Slide 10 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 Slide 11 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 Slide 12 Artsenfederatie Opleiding en Registratie Domus Medica Directive 93/16/EEC Mutual recognition of diplomas Slide 13 Artsenfederatie Opleiding en Registratie Domus Medica Directive 93/16/EEC Mutual recognition of diplomas Co-ordination of training programs Slide 14 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 Slide 15 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 Slide 16 Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition after 1 May 2004 POLAND Other Member States Slide 17 Artsenfederatie Opleiding en Registratie Domus Medica Mutual recognition Member State Slide 18 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 Slide 19 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 Slide 20 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 Slide 21 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 Slide 22 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 Slide 23 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. Slide 24 Slide 25 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? Slide 26 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? Slide 27 Artsenfederatie Opleiding en Registratie Domus Medica Its 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 Slide 28 Case studies 1234 Nationality Medical study Specialisation Experience Recognition as MD/spec.? Remarks Slide 29 Case studies 1 NationalityEU Medical studyEU Specialisation0 Experience0 Recognition as MD/spec? Remarks Slide 30 Case studies 1 NationalityEU Medical studyEU Specialisation0 Experience0 Recognition as MD/sp? +/0 Remarks Slide 31 Case studies 12 NationalityEU Medical studyEU Specialisation0EU Experience00 Recognition as MD/spec? +/0 Remarks Slide 32 Case studies 12 NationalityEU Medical studyEU Specialisation0EU Experience00 Recognition as MD/spec? +/0+/+ Remarks Slide 33 Case studies 123 NationalityEU Medical studyEU Specialisation0EU Experience00EU Recognition as MD/spec? +/0+/+ Remarks Slide 34 Case studies 123 NationalityEU Medical studyEU Specialisation0EU Experience00EU Recognition as MD/spec? +/0+/+ Remarks Slide 35 Case studies 1234 NationalityEU Medical studyEU Specialisation0EU Experience00EUThC Recognition as MD/spec? +/0+/+ Remarks Slide 36 Case studies 1234 NationalityEU Medical studyEU Specialisation0EU Experience00EUThC Recognition as MD/spec? +/0+/+ Remarks Slide 37 Case studies 12345 NationalityEU Medical studyEU Specialisation0EU ThC Experience00EUThC0 Recognition as MD/spec? +/0+/+ Remarks Slide 38 Case studies 12345 NationalityEU Medical studyEU Specialisation0EU ThC Experience00EUThC0 Recognition as MD/spec? +/0+/+ +/? Remarks Slide 39 Case studies 12345 NationalityEU Medical studyEU Specialisation0EU ThC Experience00EUThC0 Recognition as MD/spec? +/0+/+ +/? Remarks/ nat law Slide 40 Case studies 6 NationalityEU Medical studyEU SpecialisationThC ExperienceThC Recognition as MD/spec? Remarks Slide 41 Case studies 6 NationalityEU Medical studyEU SpecialisationThC ExperienceThC Recognition as MD/spec? +/? Remarks Slide 42 Case studies 6 NationalityEU Medical studyEU SpecialisationThC ExperienceThC Recognition as MD/spec? +/? Remarks/ nat law Slide 43 Case studies 67 NationalityEU Medical studyEU SpecialisationThC ExperienceThCEU Recognition as MD/spec? +/? Remarks/ nat law Slide 44 Case studies 67 NationalityEU Medical studyEU SpecialisationThC ExperienceThCEU Recognition as MD/spec? +/? +/? Remarks/ nat law Slide 45 Case studies 67 NationalityEU Medical studyEU SpecialisationThC ExperienceThCEU Recognition as MD/spec? +/? +/? Remarks/ nat law / EU 42c Slide 46 Case studies 678 NationalityEU Medical studyEU ThC SpecialisationThC 0 ExperienceThCEU0 Recognition as MD/spec? +/? +/? Remarks/ nat law / EU 42c Slide 47 Case studies 678 NationalityEU Medical studyEU ThC SpecialisationThC 0 ExperienceThCEU0 Recognition as MD/spec? +/? +/??/0 Remarks/ nat law / EU 42c Slide 48 Case studies 678 NationalityEU Medical studyEU ThC SpecialisationThC 0 ExperienceThCEU0 Recognition as MD/spec? +/? +/??/0 Remarks/ nat law / EU 42c nat law Slide 49 Case studies 6789 NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat law Slide 50 Case studies 6789 NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat law EU 42c Slide 51 Case studies 678910 NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat Law EU 42c Slide 52 Case studies 678910 NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat law EU 42c Slide 53 Case studies 678910 NationalityEU Medical studyEU ThC SpecialisationThC 0EU ExperienceThCEU00 Recognition as MD/spec? +/? +/??/0?/? Remarks/ nat law / EU 42c nat law EU 42c Slide 54 Case studies 11 NationalityEU Medical studyThC SpecialisationEU ExperienceThC Recognition as MD/spec? Remarks Slide 55 Case studies 11 NationalityEU Medical studyThC Specialisatio n EU ExperienceThC Recognition as MD/spec? ?/? Remarks Slide 56 Case studies 11 NationalityEU Medical studyThC SpecialisationEU ExperienceThC Recognition as MD/spec? ?/? RemarksEU 42c Slide 57 Case studies 1112 NationalityEU Medical studyThC SpecialisationEUThC ExperienceThCEU Recognition as MD/spec? ?/? RemarksEU 42c Slide 58 Case studies 1112 NationalityEU Medical studyThC SpecialisationEUThC ExperienceThCEU Recognition as MD/spec? ?/? RemarksEU 42c Slide 59 Case studies 1112 NationalityEU Medical studyThC SpecialisationEUThC ExperienceThCEU Recognition as MD/spec? ?/? RemarksEU 42c Slide 60 Case studies 111213 NationalityEU ThC Medical studyThC EU SpecialisationEUThC0 ExperienceThCEU0 Recognition as MD/spec? ?/? RemarksEU 42c Slide 61 Case studies 111213 NationalityEU ThC Medical studyThC EU SpecialisationEUThC0 ExperienceThCEU0 Recognition as MD/spec? ?/? ?/0 RemarksEU 42c Slide 62 Case studies 111213 NationalityEU ThC Medical studyThC EU SpecialisationEUThC0 ExperienceThCEU0 Recognition as MD/spec? ?/? ?/0 RemarksEU 42c nat law Slide 63 Case studies 11121314 NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0 RemarksEU 42c nat law Slide 64 Case studies 11121314 NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law Slide 65 Case studies 11121314 NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law nat law Slide 66 Case studies 1112131415 NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law nat law Slide 67 Case studies 1112131415 NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law nat law Slide 68 Case studies 1112131415 NationalityEU ThC Medical studyThC EU SpecialisationEUThC0EU ExperienceThCEU00 Recognition as MD/spec? ?/? ?/0?/? RemarksEU 42c nat law nat law Slide 69 Artsenfederatie Opleiding en Registratie Domus Medica Is it as simple as that?. Slide 70 Artsenfederatie Opleiding en Registratie Domus Medica Is it as simple as that? yes, it is Slide 71 Artsenfederatie Opleiding en Registratie Domus Medica Is it as simple as that? yes, it is but there are other things: Slide 72 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? Slide 73 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 Slide 74 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 Slide 75 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 Slide 76 Artsenfederatie Opleiding en Registratie Domus Medica Is it necessary to develop curricula for this kind of situation?. Slide 77 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 Slide 78 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 Slide 79 Artsenfederatie Opleiding en Registratie Domus Medica Exceptive clauses. Slide 80 Artsenfederatie Opleiding en Registratie Domus Medica Exceptive clauses art. 42c -in other MS recognized third country qualifications Slide 81 Artsenfederatie Opleiding en Registratie Domus Medica Exceptive clauses art. 42c -in other MS recognized third country qualifications art. 8 -differences in specialisations between MS Slide 82 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 Slide 83 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 Slide 84 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 Slide 85