DENMARK : Eligibility criteria for registration of "Third country doctors"

http://www.sst.dk/Nyheder/Seneste_nyheder/Guidelines_for_doctors_trained_outside_Denmark_.aspx?lang=da

Guidelines for doctors trained outside Denmark


1. Introduction
These guidelines are intended for the use of foreign-trained doctors, immigration authorities, health insurance- and hospital-authorities, county social services authorities, and others.
The purpose of these guidelines is to give information about the rules which govern the authorization of persons whose medical training has been outside Denmark, and who wish to practise medicine in Denmark. The guidelines also contain advisory information about the documentation which must be submitted as evidence of studies completed, language and other requirements.

Persons whose medical training has been outside Denmark (including those from the Nordic countries and the EU/EEC countries) must hold Danish authorization to be able to practise medicine in Denmark, Greenland, and the Faroe Islands. Special rules govern the performance of medical services by EU/EEC doctors.
As a result of international agreements, different rules govern the recognition by Denmark of medical qualifications obtained abroad, depending on the applicant's country of citizenship, and where the training took place. For this reason, applicants are divided into three groups.

Nordic doctors are covered by the Agreement of 14 June 1993 between Denmark, Finland, Iceland, Norway and Sweden concerning a common Nordic labour market for certain groups of personnel within the health care and veterinary sectors (see the Danish government's Executive Order no. 81 of 8 September 1994).

EU citizens with an EU primary medical qualification which fulfils the EU minimum requirements are covered by the Directive of the European Council 93/16/EEC of 5 April 1993 (as amended) concerning the promotion of the free movement of doctors and mutual recognition of their certificates, diplomas and other evidence of formal qualifications in medicine. This is referred to as "The Doctors' Directive"; for further information about its application to Denmark, see the Danish government's Executive Order No. 402 of 8 June 1989 (as amended) regarding access by EU citizens to practise medicine in Denmark.

"Third country doctors" are those whose primary medical qualifications have been granted in countries which are not covered by the EU Doctors' Directive or the Nordic Agreement. "Third country doctors" may apply for authorization on the basis of an individual assessment which is described in these Guidelines. The authorization is issued by the Danish National Board of Health (Sundhedstyrelsen), to which applications should be submitted.
Residence and work permits are required by aliens who wish to reside and work in Denmark. However, this rule does not apply to Nordic citizens and EU/EEC citizens are not subject to such strict rules as other aliens with respect to being permitted to reside and work in Denmark.

EU/EEC citizens who wish to practice medicine in Denmark should apply to the Danish State's local administrative offices ("Overpræsidium" in Copenhagen municipality, and "Statsamt" in each county elsewhere in Denmark) for information regarding the rules for residence and work. Aliens who are neither Nordic nor EU/EEC citizens must apply to the Danish Immigration Service ("Udlændingestyrelsen"), or to a Danish Embassy or Consulate, to obtain information concerning requirements for residence and work permits.

"NORDIC DOCTORS": APPLICANTS WHO ARE COVERED BY THE NORDIC AGREEMENT
Either the Nordic Agreement or the EU/EEC provisions (or both) may apply to Nordic doctors. Applications will be dealt with according to the code of practice most favourable to the applicant.

2.1.1 Permanent authorization as a doctor and permission to practise medicine independently
Permanent authorization to practice medicine and permission to practise medicine independently as a doctor in Denmark are issued together (two documents) by the Danish National Board of Health to applicants who provide evidence of the following:
· Citizenship of a Nordic country · Authorization as a doctor in a Nordic country.
2.1.2 Temporary authorization Temporary authorization can be granted to Nordic citizens if they have acquired their primary medical qualification in Finland, Iceland, Norway or Sweden but are lacking practical training in their country of education (internship).

Temporary authorization can be granted for a maximum of 18 months in total. Temporary authorization is always restricted not only in time but also to a specific post. It can only be issued if the person in question has received a firm offer of a specific subordinate post as a junior doctor at a hospital or other treatment institution, or with a doctor who is practising under the National Health Insurance System. If the employment is to be prolonged, or if another position is obtained, a new application for temporary authorization must be made. An appointment with temporary authorization in an internship-like position may possibly be approved as part of the practical experience (internship) by the original country of training.

2.2 Permission to assume the title of specialist A permission to assume the title of specialist is issued by the Danish National Board of Health to doctors who have been recognized as specialists in Finland, Iceland, Norway or Sweden. As preconditions, the doctor must have already obtained from the Danish National Board of Health both permanent authorization to practice medicine in Denmark and a permission to practice independently, and the area of medicine in which the doctor wishes to be licenced must be recognised as a speciality in Denmark.
2.3 Language requirements No specific level of language skills is required to obtain authorization etc. However, the Danish Practice of Medicine Act lays down that every doctor must practise medicine carefully and conscientiously, and, to comply with this provision, doctors are required to be capable of responsible communication with patients, relatives, other hospital staff etc. The appointing authority must evaluate the extent to which the doctor can meet these requirements of the Practice of Medicine Act.
2.4 Application procedure and documentary requirements Applications must be made in writing. There are no special application forms. The documentation listed below must be submitted to the Danish National Board of Health together with the application:
Re. 2.1.1. (Permanent authorization and permission to practice medicine independently) · Documentary evidence of citizenship of a Nordic country, showing name and date of birth (e.g. in the form of certified true copies of the relevant passport pages). · Nordic certificate of authorization

Re. 2.1.2 (Temporary authorization) · Documentary evidence of citizenship of a Nordic country, showing name and date of birth (e.g. in the form of certified true copies of the relevant passport pages). · Certificate for completed primary medical qualification from a Nordic country. · Documentation of a firm offer of a specific position.

Re. 2.2 (Permission to assume the title of specialist) · Documentary evidence of citizenship of a Nordic country, showing name and date of birth (e.g. in the form of certified true copies of the relevant passport pages). · Nordic certificate of autorization · Nordic permission to assume the title of specialist
The necessary documentation must be submitted in the form of original documents (which will be returned by registered mail) or of certified true copies (which have been endorsed on each copy to confirm their authenticity). The endorsement can be carried out by Embassies, public authorities, employers, professional organisations and the like. Copies certified by private individuals are not acceptable.

3. CITIZENS OF EU COUNTRIES WHO ARE COVERED BY THE DIRECTIVE OF THE EUROPEAN COUNCIL 93/16/EEC (EU DOCTORS), AND CITIZENS OF COUNTRIES COVERED BY THE AGREEMENT CONCERNING THE EUROPEAN ECONOMIC COOPERATION AREA ( EEC DOCTORS)

3.1.1 Permanent authorization as a doctor and permission to practise medicine independently
Permanent authorization to practice medicine and permission to work independently as a doctor in Denmark are issued together (two documents) by the Danish National Board of Health to applicants who are citizens of an EU/EEC country and who, as the result of completed training in an EU/EEC country, are in possession of the certificates covered by Directive 93/16/EEC and its amendments.

3.1.2 Temporary authorization Temporary authorization can be granted to citizens of an EU/EEC country provided the person in question has acquired the primary medical qualification in an EU/EEC country but due to lack of practical training (internship) in the country of training does not possess the certificates required.
Temporary authorization can be granted for a maximum of 18 months in total. Temporary authorization is always restricted not only in time but also to a specific post. Temporary authorization can only be issued if the person in question has received a firm offer of a specific subordinate post as a junior doctor at a hospital or other treatment institution, or with a doctor who is practising under the National Health Insurance System. If the employment is prolonged, or if another position is obtained, temporary authorization must be applied for anew.

3.2. Permission to assume the title of specialist A permission to assume the title of specialist is issued by the Danish National Board of Health to doctors who have been granted permission to assume the title of specialist in another EU/EEC country. As preconditions, the doctor must have already obtained from the Danish National Board of Health both permanent authorization to practice medicine in Denmark and a permission to practice independently. Also, the speciality must be recognised as a speciality in Denmark and be one of the specialities which are mutually recognised in the EU/EEC countries. Permission to assume the title of specialist in general medicine is issued by the Danish National Board of Health to doctors who have a certificate of training as a general practitioner of medicine or permission to assume the title of specialist in general medicine which is covered by the current list of official designations on certificates etc. as mentioned in the Directive of the European Council 93/16/EEC, article 41 and as published in the Official Journal of the European Communities. Prior to this, the doctor must have been granted permanent authorization to practice medicine and a permission to work independently as a doctor in Denmark.

3.3 Language requirements No specific level of language skills is required to obtain authorization etc. However, the Danish Practice of Medicine Act lays down that every doctor must practise medicine carefully and conscientiously, and, to comply with this provision, doctors are required to be capable of responsible communication with patients, relatives, other hospital staff etc. The appointing authority must evaluate the extent to which the doctor can meet these requirements of the Practice of Medicine Act.

3.4 Application procedure and documentary requirements Applications must be made in writing. There is no special application form. The following documentation must be forwarded to the Danish National Board of Health together with the application:
Re. 3.1.1 (Permanent authorization and permission to practise medicine independently)
· Documentation of citizenship of an EU/EEC country, showing name and date of birth (e.g. in the form of certified true copies of the relevant passport pages). · EU diploma, certificate or other evidence of formal qualification as mentioned in the Directive of the European Council 93/16/EEC, with subsequent amendments.

Re. 3.1.2 (Temporary authorization) · Documentation of citizenship of an EU/EEC country, showing name and date of birth (e.g. in the form of certified true copies of the relevant passport pages). · Certificate for completed primary medical qualification from an EU/EEC country. · Documentation of a firm offer of a specific post.

Re. 3.2 (Permission to assume the title of specialist) · Documentation of citizenship of an EU/EEC country, showing name and date of birth (e.g. in the form of certified true copies of the relevant passport pages). · EU diploma, certificate or other evidence of formal qualification as mentioned in the Directive of the European Council 93/16/EEC, with subsequent amendments.
· Permission from the country of training to assume the title of specialist as mentioned in the Directive of the European Council 93/16/EEC, with subsequent amendments. To assume the title of specialist in general medicine, an EU diploma, certificate or other evidence of qualification is required which is covered by the current list published in the Official Journal of the European Communities, cf. the Directive of the European Council 93/16/EEC, article 41. In addition, the Danish National Board of Health requires an original certificate of good standing from the competent health authorities in the country of training or most recent country of residence confirming that the applicant is legally entitled to practice medicine and that he has not been suspended or disqualified or prohibited from practising as a doctor . The date of issue must be no earlier than three months prior to the date on which the Danish National Board of Health has received all the required documentation. The necessary documentation must be submitted in the form of original documents (which will be returned by registered mail) or of certified true copies (which have been endorsed on each copy to confirm their authenticity). The endorsement can be carried out by embassies, public authorities, employers, professional organisations etc. Copies certified by private individuals are not acceptable.

4. APPLICANTS WHO ARE NOT COVERED BY THE EU DOCTORS' DIRECTIVE OR THE NORDIC AGREEMENT (third country doctors) A doctor who is not a citizen of an EU/EEC country or a Nordic country (referred to in these Guidelines as a "third country doctor") has no rights guaranteed by treaty to automatic recognition as a doctor in Denmark, but may apply for an authorization depending on an individual assessment. If the doctor's foreign qualification is assessed to be equivalent to a Danish medical qualification, the Danish National Board of Health can grant a temporary authorization in accordance with these Guidelines (see 4.1.2). Third country doctors who wish to obtain permanent authorization are required to be employed for probationary periods in two different Danish clinical hospital departments; each period must last for at least three months, and the doctor must hold a temporary authorization for this purpose, as a precondition for commencing a probationary appointment. During each period of probationary employment, the doctor's Danish language skills and performance as a doctor will be assessed by the employing department, and the assessment will be reported to the Danish National Board of Health, which among other tests (see below) requires two reports with positive assessments. In addition to the assessment during the probationary employment, the applicant is required to pass a verbal test of general medical knowledge (such as any competent doctor should be expected to know) and three examinations (in social medicine, the Danish law about the practice of medicine, and the law about the prescription of medicines) at a Danish university. The verbal test and the three examinations are arranged by a Danish university, and are carried out in the Danish language. Before enrollment for the test and the examinations, there must be at least one positive assessment of the doctor's overall performance during a period of probationary employment . The applicant is required to be sufficiently proficient in the Danish language to be able to work effectively and safely as a doctor. This is assessed in the course of each period of probationary employment, and also during the verbal test of general medical knowledge and the three examinations; a specific language test is not required. When permanent authorization has been granted, application may be made for permission to practise medicine independently. When this has been granted, application can be made to assume the title of specialist.

4.1.1 Permanent authorization as a doctor To become permanently authorized to practice medicine in Denmark, an applicant must be in possession of: · Medical qualification that is judged to be equivalent to a Danish primary medical qualification; · Sufficient proficiency in the Danish language. With a view to testing the applicant's professional capability and language skills, the Danish National Board of Health requires: · positive assessments of two periods of probationary employment, each of at least 3 months' duration, in different clinical departments; it is a precondition that temporary authorization for this purpose has been a granted. · pass in a verbal test of the doctor's general medical knowledge and communication skills; · passes in three examinations (social medicine, the Danish law about the practice of medicine, and the law about the prescription of medicines) at a Danish university. Qualifications equivalent to Danish medical qualifications Third country doctors are required to have qualifications which in all essentials correspond to Danish medical qualifications. The assessment which is made decides whether the qualification possessed by the applicant at the time that the application is made can be equated with a Danish medical qualification. No decision is made as to whether, in the event of supplementary training, the qualification could subsequently be equated with a Danish medical qualification. The assessment is made by the Danish National Board of Health on the basis of a recommendation by the Faculty of Health Sciences of a Danish university.

No more than five years may elapse between the time the Danish National Board of Health has communicated its assessment of the applicant's qualifications and issue of permanent authorization. Adequate Danish language skills The assessment of whether the applicant can communicate in a responsible manner with patients, relatives, hospital staff, and others, is carried out on the basis of the verbal test and the examinations (referred to in 4.1.1 above), and on the basis of the assessments during the probationary appointments; there is no separate language test (see the section on probationary appointments below). To enable the applicant to become sufficiently proficient in the Danish language, the employer is expected to provide adequate support for the language training of the doctor in question during the periods of probationary employment.

Before registering for the verbal test and the three examinations, a minimum of one positive assessment of a period of probationary employment must be achieved. The Danish National Board of Health will regard the language requirement as having been satisfied when the doctor has passed all of the required examinations, the verbal test, and has completed the probationary appointments with positive assessments. Probationary appointment with temporary authorization In order to assess the doctor's professional skills and to provide the doctor with an introduction to the Danish hospital system, the doctor is required to be employed for probationary periods in two different Danish clinical hospital departments, each period to last for at least three months. Appointments of less than three months will not be approved. During these periods of probationary employment, the doctor is required to have a temporary authorization for a specific probationary appointment; the content of the appointment must be in accordance with the guidelines of the Danish National Board of Health concerning probationary appointments.

Third country doctors must themselves obtain their probationary appointments and it is the responsibility of the doctor, prior to the issue of temporary authorization, to have the department in question certify that the contents of the position are in accordance with these guidelines (special form). After three months' appointment - or when the appointment has terminated, should the appointment be for a longer period - the consultant in the department who is responsible for medical training must, together with the applicant, complete an assessment form according to the principles in the Danish National Board of Health's "Guidelines and evaluation in medical further training". The form is printed as an appendix to "Advisory notes concerning probationary clinical appointments for foreign-trained doctors who are not covered by the EU Doctor's Directive or the Nordic Agreement". The Danish National Board of Health must receive two positive assessments from two different clinical departments as a condition for determining that the applicant's probationary periods have been successfully completed. This is a precondition for the granting of permanent authorization. Third country doctors who, in connection with the evaluation of their primary medical qualifications, can also provide satisfactory evidence that they have completed specialist training abroad, can, after an individual assessment, have special conditions laid down, as described under section 4.3 below.

The verbal test of general medical knowledge
The testing of general medical knowledge is agreed between the National Board of Health and the University of Copenhagen, the University of Southern Denmark (Odense University), and the University of Aarhus, respectively. The purpose of the test, which is carried out in Danish, is to assess whether the applicant has the general medical knowledge and skills, including communication ability, required of a medical graduate.
The test of general medical knowledge and the three examinations can be taken at one of the Faculties of Health Sciences in Denmark. No more than three attempts in each subject are permitted. All examinations must have been successfully completed at the latest three years after entering for the first examination. Specific rules concerning the tests are available upon consultation with the Faculties of Health Sciences at the Danish universities.

4.1.2. Temporary authorization Temporary authorization may be issued by the Danish National Board of Health to a doctor who has foreign medical qualification assessed to be equivalent to a Danish medical qualification. Temporary authorization is always limited in time and to a certain position and can be obtained for a maximum of 18 months. It is then required that the applicant fulfils the conditions for permanent authorization
Temporary authorization will only be issued if the person in question has received a firm offer of a specific subordinate post as a junior doctor at a hospital or other treatment institution or with a doctor who is practising under the National Health Insurance System. If the employment is prolonged, or if another position is obtained, temporary authorization must be applied for anew.
No specific tests or level of language skills are required to obtain temporary authorization. However, the Danish Practice of Medicine Act lays down that every doctor must practise medicine carefully and conscientiously, and, to comply with this provision, doctors are required to be capable of responsible communication with patients, relatives, other hospital staff etc. The appointing authority must evaluate the extent to which the doctor can meet these requirements of the Practice of Medicine Act.


4.1.3. Special temporary authorization of an expert for a specific clinical function In exceptional cases and upon the recommendation of the appointing authority, temporary authorization may be issued by the Danish National Board of Health to, e.g., internationally recognised medical experts with a view to the performance of certain functions in a specific position.

4.2. Permission to practise medicine independently When permanent Danish authorization as a doctor has been issued, the third country doctor is required to complete a period corresponding to a Danish internship training.
The appointments must take place at departments approved by the National Board of Health for internship training. A list of approved departments is available on www.sst.dk/ESK. Appointments of less than three months will not be taken into account.
If on the assessment of the Danish National Board of Health the doctor has already completed such training, the Board can grant exemption from the requirement pertaining to a Danish internship training. The assessment will be made by the Danish National Board of Health only after permanent authorization has been issued. Former appointments abroad and appointments in Denmark with temporary authorization can be taken into account.

4.3. Permission to assume the title of specialist
Permission to assume the title of specialist is issued by the Danish National Board of Health. A special form is used for this purpose and is available upon request from the Danish National Board of Health or can be downloaded from the website of the Danish National Board of Health at www.sst.dk/blanketter. As preconditions, the doctor must have already obtained from the Danish National Board of Health both permanent authorization to practice medicine in Denmark and permission to practise medicine independently. To be granted a Danish specialist title, the third country doctor must have completed a training equivalent to the training required of Danish doctors who acquire permission to assume the title of specialist, see the current Executive Order on Training of Specialists. Application can be made for appointments abroad to be approved as part or all of the training period. This will be assessed by the Danish National Board of Health.

A third country doctor who, at the time when the primary medical qualification is being assessed, can also provide evidence of completion of a specialist training abroad, may take up probationary appointments in that speciality for the purpose of assessing the doctor's competence as a specialist.
Like other third country doctors, the doctor must pass the test of general medical knowledge and the three examinations (referred to in 4.1.1 above), and must have been assessed as having adequate Danish language skills.

The Danish National Board of Health can also utilise the positive assessments of the individually-planned probationary appointments, and the above-mentioned test of general medical knowledge, as part of its basis for making a decision about whether to grant permission to the applicant to assume the title of specialist when permanent authorization and permission for independent work have been obtained.

4.4. Application procedure and documentary requirements Applications must be made in writing. No special application form is used. The necessary documentation must be submitted in the form of original documents (which will be returned by registered mail) or of certified true copies (which have been endorsed on each copy to confirm their authenticity). The endorsement must be written in Danish or translated into Danish or English and can be carried out by embassies, public authorities, employers, professional organisations etc. Copies certified by private individuals are not acceptable. The original of the "Certificate of Good Standing" (see below) must always be produced.
A translation into Danish or English must be produced to accompany the documentation required. The translation must be made by the educational institution or authority which has issued the documents, or by a state-authorized translator.

The following documentation is requested:
· Documentation of name, date of birth, citizenship (e.g. in the form of certified true copies of the relevant passport pages). · Certificate of completed primary medical qualification and, if relevant, permission to assume the title of specialist. · Transcript of the study programme and examinations from the university describing the scope and contents of the programme of study, and examinations. · Documentation of positions held abroad which are to be assessed with a view to obtaining permission to practise medicine independently or permission to assume the title of specialist (special form). · Curriculum Vitae · Residence permit and work permit, and Citizens' Personal Registration (CPR) number (if available). · An original certificate of good standing from the health authorities in the country of training or most recent country of residence to the effect that the applicant is legally entitled to practise medicine in the country of training or most recent country of residence. The certificate may not have issued more than three months prior to the date on which the Danish National Board of Health has received all the necessary documentation.
Based on a recommendation from a Faculty of Health Sciences at a Danish university, the Danish National Board of Health will decide whether the applicant's qualification can be equated to a Danish primary medical qualification.

When all conditions have been fulfilled (a qualification that can be equated with a Danish medical qualification, completion of two probationary appointments with positive assessments, and passing of the verbal test of general medical knowledge and the three examinations, which are referred to in 4.1.1 above), the Danish National Board of Health can issue permanent authorization. At least one of the two positive evaluations must be produced before enrolment for the required test and examinations.
Only when permanent authorization has been obtained can applications be made for permission to practise medicine independently and, subsequently, for permission to assume the title of specialist.

4.5. Training not commensurate with Danish medical training
Applicants whose foreign training are assessed as not being equal to a Danish medical training may approach a Danish university to receive guidance about the possibilities of seeking admission to medical studies.

5. CONCLUDING REMARKS

5.1 Additional general conditions for authorization
in all cases, authorization of an applicant is conditional on there being none of the conditions mentioned in the Danish Physicians Act, section 2 (3) (of physical or mental disability, or other unsuitability to practice medicine).

Views: 4883

Tags: country, denmark, doctors, non-eea, third

Add a Comment

You need to be a member of UsmleRockers to add comments!

Join UsmleRockers

Latest Activity

Priyadarshini Bhattacharjee is now a member of UsmleRockers
18 hours ago
Profile IconAlex Young, Zaid Waqar and HARIKRISHNAN H.K joined UsmleRockers
yesterday
sina salehzade is now a member of UsmleRockers
Friday
Siri Neelati is now a member of UsmleRockers
Tuesday
Pedro Paulo Perroni Filho updated their profile
Jul 21
Kunal Parikh is now a member of UsmleRockers
Jul 20
Profile IconMuhammed Doğukan Kalenderoğlu, Satya Santhi Edara and Joanne Raji joined UsmleRockers
Jul 16
Profile Iconval and Annie joined UsmleRockers
Jul 13
Profile IconRebecca Speltz, Nikhil Jose K, Jasmine Jones and 1 more joined UsmleRockers
Jul 11
Alaa Eddeen Al-Qaisi added a discussion to the group USMLE STEP 1 Study Group
Jul 9
Profile IconRitz, Kristia Marie and Ksenia joined UsmleRockers
Jul 7
Alaa Eddeen Al-Qaisi left a comment for kavita
Jul 6
United States Medical Licensing Examination (USMLE) is a joint program of the FSMB and the NBME. The FSMB and NBME are not affiliated with this site.
Read our complete Disclaimer here

© 2014   Created by Dreaming Minds.

Badges  |  Report an Issue  |  Terms of Service