recognition of specialist medical qualification

How is recognition obtained in Germany?

Anyone who completes the specialist training period provided for in the specialist training regulations at approved training sites, documents the content in the eLogbook, and meets the required case numbers will be admitted to the examination by the state chamber of physicians. The examination is oral and takes place before a committee of experienced specialists in the field. Upon passing, the title may be used, for example Facharzt für Innere Medizin (specialist in internal medicine). Those who fail may repeat the examination; the chamber usually sets a waiting period and occasionally requires additional training time.

How does recognition from an EU country work?

For specialist qualifications from the EU, the European Economic Area, and Switzerland, the automatic recognition system under Directive 2005/36/EC applies. The prerequisite is that the title of the country of origin is listed in Annex V under number 5.1.3, and for general medicine under number 5.1.4. In that case the chamber no longer reviews the content. Those who obtained their specialist qualification in Serbia or Bosnia and Herzegovina, or who hold a title not listed in the Annex, go through the general recognition procedure: a committee assesses equivalence on the basis of certificates and records of activities and may compensate for missing content by requiring additional training time. The fees at the chambers are in the order of approximately €165; processing times vary considerably.

What is the difference from licensure?

The Approbation (medical licence) permits the practice of medicine as such and is granted by a government authority. Specialist recognition additionally permits the use of a specialist title and is granted by the chamber. There is no specialist recognition without a medical licence, as chamber membership presupposes it. Both procedures therefore run consecutively and at different bodies, each with their own documentation and fees.

Common misconceptions

Automatic recognition does not mean everything happens on its own. Documents must be complete, translated, and where required by the country of origin provided with an apostille, and the chamber requires proof of professional authorisation in the country of origin. Borderline cases are decided by the competent postgraduate training committee.