MINIMUM TRAINING CONDITIONS (HEALTH CARE PROFESSIONS) REGULATIONS

SUBSIDIARY LEGISLATION 451.04

MINIMUM TRAINING CONDITIONS (HEALTH

CARE PROFESSIONS) REGULATIONS

15th February, 2008

LEGAL NOTICE 71 of 2008, as amended by Legal Notices 270 of 2016

and 175 of 2024.

The title of these regulations is the Minimum Training

Conditions (Health Care Professions) Regulations.

Part 1

Training programme for nurses responsible for general care

The training leading to the award of a formal qualification of nurses responsible

for general care shall consist of the following two parts.

A.

Theoretical instruction

a. Nursing

b.

Basic sciences

c.

Social sciences

Nature and ethics of the

-

Anatomy and physiology

-

Sociology

profession

-

Pathology

-

Psychology

- General principles of

-

Bacteriology, virology

-

Principles of

health and nursing

and parasitology

administration

- Nursing principles in

-

Biophysics,

bio-

-

Principles of teaching

relation to

chemistry and radiology

-

Social and health

- general and specialist

-

Dietetics

legislation

medicine

-

Hygiene

-

Legal

aspects

of

- general and specialist

nursing

- preventive medicine

surgery

- health education

- child

care

and

paediatrics

-

Pharmacology

- maternity care

- mental health and

psychiatry

- care of the old and

geriatrics

B. Clinical instruction

-

Nursing in relation to

- general and specialist

medicine

- general and specialist

surgery

- child

care

and

paediatrics

- maternity care

- mental health and

psychiatry

- care of the old and

geriatrics

- home nursing

One or more of these subjects may be taught in the context of the other disciplines

or in conjunction therewith.

The theoretical instruction must be weighted and coordinated with the clinical

instruction in such a way that the knowledge and skills referred to in this Schedule

can be acquired in an adequate fashion.

Part 2

Study programme for dental practitioners

The programme of studies leading to evidence of formal qualifications in dentistry

shall include at least the following subjects.

MINIMUM TRAINING CONDITIONS

(HEALTH CARE PROFESSIONS)

One or more of these subjects may be taught in the context of the other disciplines

or in conjunction therewith.

A. Basic subjects

B. Medico-biological

c. Subjects

directly

subjects and general

related to dentistry

medical subjects

-

Chemistry

- Anatomy

-

Prosthodontics

-

Physics

- Embryology

-

Dental materials and

equipment

-

Biology

- Histology,

including

cytology

-

Conservative dentistry

- Physiology

-

Preventive dentistry

- Biochemistry (or

-

Anaesthetics

and

physiological chemistry)

sedation

- Pathological anatomy

-

Special surgery

- General pathology

-

Special pathology

- Pharmacology

-

Clinical practice

- Microbiology

-

Paedodontics

- Hygiene

-

Orthodontics

- Preventive medicine and

-

Periodontics

epidemiology

-

Dental radiology

- Radiology

-

Dental occlusion and

- Physiotherapy

function of the jaw

- General surgery

-

Professional

organization, ethics

- General

medicine,

and legislation

including paediatrics

-

Social

aspects

of

- Oto-rhino-laryngology

dental practice

- Dermato-venereology

- General psychology

- psychopathology

- neuropathology

- Anaesthetics

Part 3

Training programme for midwives (Training types I and II)

The training programme for obtaining evidence of formal qualifications in

midwifery consists of the following two parts

A. Theoretical and technical instruction

a.

General subjects

b. Subjects specific to the activities

of midwives

-

Basic anatomy and physiology

- Anatomy and physiology

-

Basic pathology

-

Embryology and development of

the foetus

-

Basic bacteriology, virology and

parasitology

-

Pregnancy,

childbirth

and

puerperium

-

Basic biophysics, biochemistry and

radiology

-

Gynaecological and obstetrical

pathology

-

Paediatrics,

with

particular

reference to new-born infant

-

Preparation for childbirth and

parenthood,

including

psychological aspects

Hygiene,

health

education,

-

Preparation

for

delivery

preventive medicine, early

(including knowledge and use of

diagnosis of diseases

technical equipment in obstetrics)

Nutrition and dietetics, with

-

Analgesia,

anaesthesia

and

particular r eference to women,

resuscitation

new-born and young babies

-

Physiology and pathology of the

Basic sociology and socio-medical

new-born infant

questions

-

Care and supervision of the new-

Basic pharmacology

born infant

Psychology

-

Psychological and social factors

Principles and methods of teaching

Health and social legislation and

health organization

Professional

ethics

and

professional legislation

Sex education and family planning

Legal protection of mother and

infant

B. Practical and clinical training

This training is to be dispensed under appropriate supervision

Advising of pregnant women, involving at least 100 pre-natal

examinations.

Supervision and care of at least 40 pregnant women.

Conduct by the student of at least 40 deliveries; where this number

cannot be reached owing to the lack of available women in labour, it

may be reduced to a minimum of 30, provided that the student assists

with 20 further deliveries.

Active participation with breech deliveries. Where this is not possible

because of lack of breech deliveries, practice may be in a simulated

situation.

Performance of episiotomy and initiation into suturing. Initiation shall

include theoretical instruction and clinical practice.

The practice of suturing includes suturing of the wound following an

episiotomy and a simple perineal laceration. This may be in a simulated

situation if absolutely necessary.

Supervision and care of 40 women at risk in pregnancy, or labour or

post-natal period.

Supervision and care (including examination) of at least 100 post-natal

women and healthy new-born infants.

Observation and care of the new-born requiring special care, including

those born pre-term, post-term, underweight or ill.

Care of women with pathological conditions in the fields of

gynaecology and obstetrics.

Initiation into care in the field of medicine and surgery. Initiation shall

MINIMUM TRAINING CONDITIONS

(HEALTH CARE PROFESSIONS)

include theoretical instruction and clinical practice.

The theoretical and technical training (Part A of the training programme) shall be

balanced and coordinated with the clinical training (Part B of the same programme)

in such a way that the knowledge and experience listed in this Schedule may be

acquired in an adequate manner.

Clinical instruction shall take the form of supervised in-service training in

hospital departments or other health services approved by the competent authorities

or bodies. As part of this training, student midwives shall participate in the activities

of the departments concerned insofar as those activities contribute to their training.

They shall be taught the responsibilities involved in the activities of midwives.

Part 4

Course of training for pharmacists

-

Plant and animal biology

-

Physics

-

General and inorganic chemistry

-

Organic chemistry

-

Analytical chemistry

-

Pharmaceutical chemistry, including analysis of medicinal products

-

General and applied biochemistry (medical)

-

Anatomy and physiology; medical terminology

-

Microbiology

-

Pharmacology and pharmacotherapy

-

Pharmaceutical technology

-

Toxicology

-

Pharmacognosy

-

Legislation and, where appropriate, professional ethics.

The balance between theoretical and practical training shall, in respect of each

subject, give sufficient importance to theory to maintain the university character of

the training.

(1) These regulations transpose Articles 24, 25, 28, 31, 34,

35, 40 and 44 regarding basic and specialist medical and dental

training and the training of nurses responsible for general care,

midwives and pharmacists and also Annex V 5.2.1, 5.3.1, 5.5.1 and

(1) Ammissjoni għat-taħriġ għal infirmiera responsabbli

mill-kura ġenerali għandha tkun kontinġenti ma’ jew

(a) it-tlestija tal-edukazzjoni ġenerali ta’ tnax-il sena, kif

għandu jkun muri permezz ta’ diploma, ċertifikat jew

prova oħra maħruġa mill-awtoritajiet jew il-korpi

kompetenti jew ċertifikat li jagħti prova ta’ suċċess

f’eżami, ta’ livell ekwivalenti u li jagħti aċċess għall-

universitajiet jew għal istituzzjonijiet ta’ edukazzjoni

ogħla ta’ livell rikonoxxut bħala ekwivalenti; jew

(b) it-tlestija tal-edukazzjoni ġenerali ta’ mill-inqas

għaxar snin, kif għandu jkun muri permezz ta’

diploma, ċertifikat jew prova oħra maħruġa mill-

awtoritajiet jew il-korpi kompetenti jew ċertifikat li

jagħti prova ta’ suċċess f’eżami, ta’ livell ekwivalenti

u li jagħti aċċess għal skola vokazzjonali jew

programm ta’ taħriġ vokazzjonali għall-infirmiera.

It-taħriġ ta’ infermiera responsabbli mill-kura ġenerali

għandha tingħata fuq bażi full-time u għandha tinkludi mill-inqas il-

programm deskritt fl-Ewwel Taqsima tal-Iskeda.

(2) It-taħriġ tal-infirmiera responsabbli mill-kura ġenerali għandu

jinvolvi tal-inqas total ta’ tliet snin ta’ studju, li jistgħu jiġu espressi

wkoll bil-krediti tal-ECTS ekwivalenti, u għandu jikkonsisti f’tal-

inqas 4 600 siegħa ta’ taħriġ teoretiku u kliniku, fejn it-tul ta’ żmien

tat-taħriġ teoretiku jirrappreżenta tal-inqas terz u t-tul ta’ żmien tat-

taħriġ kliniku tal-inqas nofs it-tul minimu tat-taħriġ. Eżenzjonijiet

parzjali jistgħu jingħataw lil professjonisti li diġà rċevew parti mit-

taħriġ tagħhom f’korsijiet li huma tal-inqas ta’ livell ekwivalenti.

(3) Għandu jkun assigurat li l-istituzzjonijiet li jipprovdu taħriġ

għall-infermiera jkunu responsabbli mill-kordinazzjoni tat-taħriġ

teoretiku u fi klinika matul il-programm kollu ta’ studju.

(4) L-edukazzjoni teoretika hija dik il-parti tat-taħriġ għall-

infirmiera li minnha l-infirmiera trainee jakkwistaw l-għarfien, il-

ħiliet u l-kompetenzi professjonali tagħhom kif meħtieġ skont is-

subregolamenti (6) u (7). It-taħriġ għandu jingħata minn għalliema tal-

kura mill-infermiera u minn persuni kompetenti oħra, f’universitajiet,

f ’istituzzjonijiet ta’ edukazzjoni ogħla ta’ livell rikonoxxut bħala

ekwivalenti jew fi skejjel vokazzjonali jew programm ta’ taħriġ

vokazzjonali għall-infirmiera.

(5) It-taħriġ fi klinika huwa dik il-parti tat-taħriġ għal

infermiera li fih infermiera trainees jitgħallmu, bħala parti minn

tim u b’kuntatt dirett ma’ individwu f ’saħħtu jew marid u, jew

komunità, jorganizzaw, jagħtu u jevalwaw il-kura komprensiva ta’

l-infermiera, abbażi tal-għarfien, il-ħiliet u l-kompetenzi li huma

jkunu kisbu. L-infermier trainee għandu jitgħallem mhux biss kif

jaħdem fi grupp, imma wkoll kif imexxi grupp u jorganizza l-kura

ġenerali tal-infermiera, inkluża l-edukazzjoni dwar is-saħħa għal

individwi u gruppi żgħar, fl-istitut għas-saħħa jew fil-komunità.

Dan it-taħriġ għandu jsir fi sptarijiet u istituzzjonijiet oħra tas-

s a ħ ħ a u f i l - k o m u n i t à , t a ħ t i r- r e s p o n s a b b i l t à t a ’ g ħ a l l i e m a

infermiera, b’koperazzjoni ma’ infermiera kwalifikati oħra u

assistiti minnhom. Persunal ieħor kwalifikat jista’ wkoll jieħu parti

fil-proċess tat-tagħlim. Infermiera trainees għandhom

jipparteċipaw fl-attivitajiet tad-dipartiment inkwistjoni safejn dawk

l-attivitajiet ikunu adatti għat-taħriġ tagħhom, li jwassal sabiex

jitgħallmu jassumu r-responsabbilitajiet involuti fil-kura li tingħata

mill-infermiera.

(6) Taħriġ għall-infermiera responsabbli mill-kura ġenerali

għandu jipprovdi assigurazzjoni li l-professjonist ikkonċernat kiseb

l-għarfien u l-ħiliet li ġejjin

(a) għarfien globali tax-xjenzi li fuqhom hi bbażata l-

infirmerija ġenerali, inkluż fehma suffiċjenti tal-

istruttura, il-funzjonijiet fiżjoloġiċi u l-imġieba ta’

persuni b’saħħithom u morda, u tar-relazzjoni bejn l-

istat tas-saħħa u l-ambjent fiżiku u soċjali tal bniedem;

(b) għarfien dwar in-natura u l-etika tal-professjoni u tal-

prinċipji ġenerali tas-saħħa u s-sengħa tal-kura;

(ċ) esperjenza klinika adegwata; din l-esperjenza, li

għandha tintgħażel għall-valur ta’ taħriġ tagħha,

għandha tkun miksuba taħt is-sorveljanza ta’ persunal

ta’ infermier kwalifikat u f’postijiet fejn in-numru ta’

persunal kwalifikat u t-tagħmir huma xierqa għall-kura

tal-pazjenti mill-infermiera;

(d) l-abbiltà li wieħed jipparteċipa fit-taħriġ prattiku ta’

persunal tas-saħħa u l-esperjenza ta’ xogħol ma’ dan

il-persunal;

(e) l-esperjenza li wieħed jaħdem ma’ membri ta’

professjonijiet oħrajn fis-settur tas-saħħa.

(7) Kwalifiki formali bħala infermier responsabbli għall-kura

ġenerali għandhom jipprovdu prova li l-professjonist inkwistjoni

huwa kapaċi japplika tal-inqas l-kompetenzi li ġejjin,

irrispetti vamen t m inn jekk it-taħri ġ seħħx f ’uni versitaj iet,

f ’istituzzjonijiet ta’ edukazzjoni ogħla f ’livell rikonoxxut bħala

ekwivalenti jew fi skola vokazzjonali jew permezz ta’ programm

ta’ taħriġ vokazzjonali tal-infermiera

(a) il-kompetenza li jagħmel dijanjosi indipendenti tal-

kura tal-infermiera bl-użu ta’ għarfien teoretiku u

kliniku attwali u li jippjana, jorganizza u jimplementa

l-kura tal-infermiera meta l-pazjenti jiġu ttrattati

abbażi tal-għarfien u l-ħiliet akkwistati skont is-

subregolament (6)(a), (b) u (ċ) sabiex titjieb il-prattika

professjonali;

(b) il-kompetenza li jaħdem flimkien ma’ atturi oħra fis-

settur tas-saħħa b’mod effikaċi, inkluża l-

parteċipazzjoni fit-taħriġ prattiku tal-persunal tas-

saħħa fuq il-bażi tal-għarfien u l-ħiliet akkwistati

skont is-subregolament (6)(d) u (e);

(ċ) il-kompetenza li jaġevola lil individwi, familji u

gruppi biex igawdu minn stil ta’ ħajja b’saħħitha u

jieħdu kura tagħhom stess fuq il-bażi tal-għarfien u l-

ħiliet miksuba skont is-subregolament (6)(a) u (b);

(d) il-kompetenza li jibda’ miżuri immedjati li

jippreservaw il-ħajja u li jieħu miżuri fi kriżijiet u

sitwazzjonijiet ta’ diżastri;

(e) il-kompetenza li jagħti parir indipendenti, jistruwixxi

u jappoġġa persuni li jeħtieġu l-kura u l-persuni

marbuta magħhom;

(f)

il-kompetenza li jiżgura b’mod indipendenti l-kwalità

u l-valutazzjoni tal-kura tal-infermiera;

(g) il-kompetenza li jikkomunika b’mod komprensiv u

professjonali u jikkoopera ma’ membri ta’

professjonijiet oħra fis-settur tas-saħħa;

(h) il-kompetenza li janalizza l-kwalità tal-kura sabiex

itejjeb il-prattika professjonali tiegħu stess bħal

infermier responsabbli għall-kura ġenerali.

(1) Id-dħul għat-taħriġ bażiku fid-dentistrija jippresupponi

l-pussess ta’ diploma jew ta’ ċertifikat li jagħtu aċċess, għall-istudji

inkwistjoni, għal universitajiet jew istituti superjuri ta’ livell

rikonoxxut bħala ekwivalenti, fi Stat Membru.

(2) It-taħriġ dentali bażiku għandu jinkludi total ta’ mill-inqas

ħames snin, li jista’ jingħata wkoll f ’termini ta’ krediti tal-ECTS

ekwivalenti, u għandu jikkonsisti f ’tal-anqas 5,000 siegħa ta’

studju teoretiku u taħriġ prattiku li jinkludi tal-inqas il-programm

deskritt fit-tieni parti tal-Iskeda u pprovdut f ’università, f ’istitut

ogħla li jipprovdi taħriġ rikonoxxut bħala ta’ livell ekwivalenti jew

taħt is-superviżjoni ta’ università.

(3) Taħriġ

bażiku

fid-dentistrija

għandu

jipprovdi

assikurazzjoni li l-persuna konċernata kisbet l-għarfien u l-ħiliet li

ġejjin

(a) għarfien adegwat tax-xjenzi li fuqhom hi bbażata d-

dentistrija u fehma tajba tal-metodi xjentifiċi, inklużi

l-prinċipji tal-kejl tal-funzjonijiet bijoloġiċi, l-

evalwazzjoni ta’ fatti stabbiliti xjentifikament u l-

analiżi ta’ data;

(b) għarfien xieraq tal-kostituzzjoni, il-fiżjoloġija u l-

imġieba ta’ persuni b’saħħithom u morda kif ukoll l-

influwenza tal-ambjent naturali u soċjali fuq l-istat tas-

saħħa tal-bniedem, sa fejn dawn il-fatturi jolqtu d-

dentistrija;

(`)

għarfien adegwat tal-istruttura u l-funzjoni tas-snien,

il-ħalq, ix-xedaq u t-tessuti assoċjati, kemm

b’saħħithom kif ukoll morda, u r-relazzjoni tagħhom

mal-istat ġenerali tas-saħħa u l-benesseri fiżiku u

soċjali tal-pazjent;

(d) għarfien adegwat tad-dixxiplini u l-metodi kliniċi, li

jipprovdu d-dentist bi stampa koerenti ta’ anomaliji,

leżjonijiet u mard tas-snien, tal-ħalq, tax-xedaq u tat-

tessuti assoċjati u tad-dentistrija preventiva,

dijanjostika u terapewtika;

(e) esperjenza klinika xierqa taħt superviżjoni xierqa.

(4) Dan it-taħriġ għandu jipprovdi lil min jitħarreġ bil-ħiliet

neċessarji għall-eżerċizzju tal-attivitajiet kollha li jinvolvu l-

prevenzjoni, id-dijanjosi u t-trattament tal-anomaliji u l-mard tas-

snien, tal-ħalq, tax-xedaq u tat-tessuti assoċjati.

6.1 of Directive 2005/36/EC of the 7th September 2005 on the

Recognition of Professional Qualifications.

(2)

In these regulations, unless the context otherwise requires

"ECTS credits" means the credit system for higher education

used in the European Higher Education Area.

3. (1) Admission to training for nurses responsible for

general care shall be contingent upon either

(a) completion of general education of twelve years, as

attested by a diploma, certificate or other evidence

issued by the competent authorities or bodies or a

certificate attesting success in an examination of an

equivalent level and giving access to universities or to

higher education institutions of a level recognised as

equivalent; or

(b) completion of general education of at least ten years,

as attested by a diploma, certificate or other evidence

issued by the competent authorities or bodies or a

certificate attesting success in an examination of an

equivalent level and giving access to a vocational

school or vocational training programme for nursing.

Training of nurses responsible for general care shall be given

on a full-time basis and shall include at least the programme described

in the Schedule, Part 1.

(2) The training of nurses responsible for general care shall

comprise a total of at least three years of study, which may in

addition be expressed with the equivalent ECTS credits, and shall

consist of at least 4 600 hours of theoretical and clinical training,

the duration of the theoretical training representing at least one

third and the duration of the clinical training at least one half of the

minimum duration of the training. Partial exemptions may be

granted to professionals who have received part of their training on

courses which are of at least an equivalent level.

(3)

It shall be ensured that institutions providing nursing

training are responsible for the coordination of theoretical and

clinical training throughout the entire study programme.

(4) Theoretical education is that part of nurse training from

which trainee nurses acquire the professional knowledge, skills and

competences required under sub-regulations (6) and (7). The

training shall be given by teachers of nursing care and by other

competent persons, at universities, higher education institutions of

a level recognised as equivalent or at vocational schools or through

vocational training programmes for nursing.

(5) Clinical training is that part of nurse training in which

trainee nurses learn, as part of a team and in direct contact with a

healthy or sick individual and, or community, to organize, dispense

and evaluate the required comprehensive nursing care, on the basis

of the knowledge, skills and com pet ences w hich they have

acquired. The trainee nurse shall learn not only how to work in a

team, but also how to lead a team and organize overall nursing

care, including health education for individuals and small groups,

within the health institute or in the community. This training shall

take place in hospitals and other health institutions and in the

community, under the responsibility of nursing teachers, in

cooperation with and assisted by other qualified nurses. Other

qualified personnel may also take part in the teaching process.

Trainee nurses shall participate in the activities of the department

in question insofar as those activities are appropriate to their

training, enabling them to learn to assume the responsibilities

involved in nursing care.

(6) Training for nurses responsible for general care shall

provide an assurance that the professional in question has acquired

the following knowledge and skills

(a) comprehensive knowledge of the sciences on which

general nursing is based, including sufficient

understanding of the structure, physiological functions

and behaviour of healthy and sick persons, and of the

relationship between the state of health and the

physical and social environment of the human being;

(b) knowledge of the nature and ethics of the profession

and of the general principles of health and nursing;

(c) adequate clinical experience; such experience, which

should be selected for its training value, should be

gained under the supervision of qualified nursing staff

and in places where the number of qualified staff and

equipment are appropriate for the nursing care of the

patient;

(d) the ability to participate in the practical training of

health personnel and experience of working with such

personnel; and

(e) experience of working together with members of other

professions in the health sector.

(7) Formal qualifications as a nurse responsible for general

care shall provide evidence that the professional in question is able

to apply at least the following competences regardless of whether

the training took place at universities, higher education institutions

of a level recognised as equivalent or at vocational schools or

through vocational training programmes for nursing

(a) competence to independently diagnose the nursing

care required using current theoretical and clinical

knowledge and to plan, organise and implement

nursing care when treating patients on the basis of the

knowledge and skills acquired in accordance with sub-

regulation (6)(a), (b) and (c) in order to improve

professional practice;

(b) competence to work together effectively with other

actors in the health sector, including participation in

the practical training of health personnel on the basis

of the knowledge and skills acquired in accordance

with sub-regulation (6)(d) and (e);

(c) competence to empower individuals, families and

groups towards healthy lifestyles and self-care on the

basis of the knowledge and skills acquired in

accordance with sub-regulation (6)(a) and (b);

(d) competence to independently initiate life preserving

immediate measures and to carry out measures in

crises and disaster situations;

(e) competence to independently give advice to, instruct

and support persons needing care and their attachment

figures;

(f)

competence to independently assure the quality of, and

to evaluate, nursing care;

(g) competence

to

comprehensively

communicate

professionally and to cooperate with members of other

professions in the health sector;

(h) competence to analyse the care quality to improve his

own professional practice as a nurse responsible for

general care.

4. (1) Admission to basic dental training presupposes

possession of a diploma or certificate giving access, for the studies

in question, to universities or higher institutes of a level recognized

as equivalent, in a Member State.

(2) Basic dental training shall comprise a total of at least five

years of study, which may in addition be expressed with the

equivalent ECTS credits, and shall consist of at least 5,000 hours of

full-time theoretical and practical training that comprises at least

the programme described in Part 2 of the Schedule and that is

provided in a university, in a higher institute providing training

recognised as being of an equivalent level or under the supervision

of a university.

(3) Basic dental training shall provide an assurance that the

person in question has acquired the following knowledge and

skills

(a) adequate knowledge of the sciences on which dentistry

is based and a good understanding of scientific

methods, including the principles of measuring

biological functions, the evaluation of scientifically

established facts and the analysis of data;

(b) adequate knowledge of the constitution, physiology

and behaviour of healthy and sick persons as well as

the influence of the natural and social environment on

the state of health of the human being, insofar as these

factors affect dentistry;

(c) adequate knowledge of the structure and function of

the teeth, mouth, jaws and associated tissues, both

healthy and diseased, and their relationship to the

general state of health and to the physical and social

well-being of the patient;

(d) adequate knowledge of clinical disciplines and

methods, providing the dentist with a coherent picture

of anomalies, lesions and diseases of the teeth, mouth,

jaws and associated tissues and of preventive,

diagnostic and therapeutic dentistry;

(e) suitable clinical

experience

under

appropriate

supervision.

(4) This training shall provide the person in question with the

skills necessary for carrying out all activities involving the

prevention, diagnosis and treatment of anomalies and diseases of

the teeth, mouth, jaws and associated tissues.

5. (1) Admission to specialist dental training shall be

contingent upon completion and validation of basic dental training

referred to in regulation 4, or possession of the documents referred

to in regulation 23 of the Recognition of Professional

Qualifications Regulations and in the Health Care Professions Act.

(2) Specialist dental training shall comprise theoretical and

practical instruction in a university centre, in a treatment teaching

and research centre or, where appropriate, in a health establishment

approved for that purpose by the competent authorities or bodies.

Full-time specialist dental courses shall be of a minimum of three

years’ duration supervised by the competent authorities or bodies.

They shall invo lve th e personal p articip at ion o f th e dental

practitioner training to be a specialist in the activity and in the

responsibilities of the establishment concerned.

(3) The competent authorities shall make the issuance of

evidence of specialist dental training contingent upon possession of

evidence of basic d ental training referred to in the Second

Schedule, PART II a, of the Health Care Professions Act.

(1)

The training of midwives shall comprise a total of at

least

(a) specific full-time training as a midwife comprising at

least three years of theoretical and practical study

(Route I) comprising at least the programme described

in the Schedule Part 3, or

(b) specific full-time training as a midwife of eighteen

months’ duration (Route II), comprising at least the

study programme described in the Schedule Part 3,

which was not the subject of equivalent training of

nurses responsible for general care.

(2) It shall be ensured that institutions providing midwife

training are responsible for coordinating theory and practice

throughout the programme of study.

(3) Admission to training as a midwife shall be contingent

upon one of the following conditions

(a) completion of at least twelve years of general school

education or possession of a certificate attesting

success in an examination, of an equivalent level, for

admission to a midwifery school for Route I; or

(b) possession of evidence of formal qualifications as a nurse

responsible for general care referred to in Part V of the

Second Schedule to the Health Care Professions Act for

Route II.

(4) Training as a midwife shall provide an assurance that the

professional in question has acquired the following knowledge and

skills

(a) detailed knowledge of the sciences on which the

activities of midwives are based, particularly

midwifery, obstetrics and gynaecology;

(b) adequate knowledge of the ethics of the profession and

the legislation relevant for the practice of the

profession;

(c) adequate knowledge of general medical knowledge

(biological functions, anatomy and physiology) and of

pharmacology in the field of obstetrics and of the

newly born, and also knowledge of the relationship

between the state of health and the physical and social

environment of the human being, and of his behaviour;

(d) adequate clinical experience gained in approved

institutions allowing the midwife to be able,

independently and under his own responsibility, to the

extent necessary and excluding pathological situations,

to manage the antenatal care, to conduct the delivery

and its consequences in approved institutions, and to

supervise labour and birth, postnatal care and neonatal

resuscitation while awaiting a medical practitioner;

(e) adequate understanding of the training of health

personnel and experience of working with such

personnel.

(1) Admission to a course of training as a pharmacist shall

be contingent upon possession of a diploma or certificate giving

access, in a Member State, to the studies in question, at universities

or higher institutes of a level recognised as equivalent.

(2) Evidence of formal qualifications as a pharmacist shall

attest to training of at least five years’ duration, which may in

addition be expressed with the equivalent ECTS credits,

comprising at least

(a) four years of full-time theoretical and practical

training at a university or at a higher institute of a level

recognised as equivalent, or under the supervision of a

university;

(b) during or at the end of the theoretical and practical

training, six-month traineeship in a pharmacy which is

open to the public or in a hospital under the supervision

of that hospital’s pharmaceutical department.

(3) That training cycle shall include at least the programme

described in the Schedule, Part 4.

(4) Training for pharmacists shall provide an assurance that the

person concerned has acquired the following knowledge and skills

(a) adequate knowledge of medicines and the substances

used in the manufacture of medicines;

(b) adequate knowledge of pharmaceutical technology and

the physical, chemical, biological and microbiological

testing of medicinal products;

(c) adequate knowledge of the metabolism and the effects

of medicinal products and of the action of toxic

substances, and of the use of medicinal products;

(d) adequate knowledge to evaluate scientific data

concerning medicines in order to be able to supply

appropriate information on the basis of this

knowledge;

(e) adequate knowledge of the legal and other

requirements associated with the pursuit of pharmacy.

(1) Admission to basic medical training shall be contingent

upon possession of a diploma or certificate providing access, for

the studies in question, to universities.

(2) Basic medical training shall comprise a total of at least five

years of study, which may in addition be expressed with the

equivalent ECTS credits, and shall consist of at least 5 500 hours of

theoretical and practical training provided by, or under the

supervision of, a university. For professionals who began their

studies before 1 January 1972, the course of training referred to in

sub-regulation (1) may comprise six months of full-time practical

training at university level under the supervision of the competent

authorities.

(3) Basic medical training shall provide an assurance that the

person in question has acquired the following knowledge and

skills

(a) adequate knowledge of the sciences on which

medicine is based and a good understanding of the

scientific methods including the principles of

measuring biological functions, the evaluation of

scientifically established facts and the analysis of data;

(b) sufficient understanding of the structure, functions and

behaviour of healthy and sick persons, as well as

relations between the state of health and physical and

social surroundings of the human being;

(c) adequate knowledge of clinical disciplines and

practices, providing him with a coherent picture of

mental and physical diseases, of medicine from the

points of view of prophylaxis, diagnosis and therapy

and of human reproduction;

(d) suitable clinical experience

in

hospitals

under

appropriate supervision.

(1) Admission to specialist medical training shall be

contingent upon completion and validation of a basic medical

training programme as referred to in regulation 8(2) in the course

of which the trainee has acquired the relevant knowledge of basic

medicine.

(2) Specialist medical training shall comprise theoretical and

practical training at a university or medical teaching hospital or,

where appropriate, a medical care establishment approved for that

purpose by the competent authorities or bodies. The minimum

duration of specialist medical training courses referred to in Part Ic

of Schedule 2 to the Health Care Professions Act shall be as stated

in that Part. Training shall be given under the supervision of the

competent authorities or bodies. It shall include personal

participation of the trainee specialised doctor in the activity and

responsibilities entailed by the services in question.

(3) Training shall be given on a full-time basis at specific

recognised establishments. It shall entail participation in the full

range of medical activities of the department where the training is

given, including duty on call, in such a way that the trainee

specialist devotes all his professional activity to his practical and

theoretical training throughout the entire working week and

throughout the year, in accordance with the procedures laid down

by the competent authorities. These posts shall be the subject of

appropriate remuneration.

(4) In the event that national legislation provides for partial

exemptions from parts of the specialist medical training courses

listed in Part 1c of the Second Schedule to the Health Care

Professions Act, then such exemptions shall

(a) be applied on a case-by-case basis provided that that

part of the training has been followed already during

another specialist training course listed in Part 1c of

the Second Schedule, for which the professional has

already obtained the professional qualification in a

Member State; and

(b) shall equate to not more than half of the minimum

duration of the specialist medical training course in

question.

Any national legislation related to such partial exemptions

shall be notified to the European Commission and other Member

States by the relevant designated authority.

(5) The issuance of evidence of specialist medical training

shall be contingent upon possession of evidence of basic medical

training referred to in Part 1a of Schedule 2 to the Health Care

Professions Act.

(1) Admission to specific training in general medical

practice shall be contingent on the completion and validation of six

(6) years of study as part of a training programme referred to in

regulation 8

Provided that where the training programme referred to

in regulation 8 comprises of practical training given by an approved

hospital possessing appropriate general medical equipment and

services or as part of an approved general medical practice or an

approved centre in which doctors provide primary medical care, the

duration of that practical training may, up to a maximum of one (1)

year, be included in the duration provided in this sub-regulation, for

certificates of training issued on or after 1st January 2006.

(2)

The specific training in general medical practice leading

to the award of evidence of formal qualifications issued before 1st

January 2006 shall be of a duration of at least two (2) years on a full-

time basis. In the case of evidence of formal qualifications issued after

that date, the training shall be of a duration of at least three (3) years

on a full-time basis

Provided that the option provided in this sub-regulation

shall be available only for Member States in which the specific

training in general medical practice lasted two (2) years as of 1st

January 2001.

(3)

The specific training in general medical practice shall be

carried out on a full-time basis under the supervision of the competent

authorities or bodies. The said training shall be more practical than

theoretical

Provided that the practical training shall

(a)

be given, on the one hand, for at least six (6)

months in an approved hospital having appropriate equipment

and services and, on the other hand, for at least six (6) months

as part of an approved general medical practice or an approved

centre at which doctors provide primary medical care;

(b)

take place in conjunction with other health

establishments or structures concerned with general medicine.

Without prejudice to the minimum periods laid down in sub-

regulation (2), however, the practical training may be given

during a period of not more than six (6) months in other

approved establishments or health structures concerned with

general medicine; and

(c)

require the personal participation of the trainee in

the professional activity and responsibilities of the persons with

whom he is working.

(4)

The issuance of evidence of formal qualifications in

general medical practice shall be subject to possession of evidence of

formal qualifications in basic medical training referred to in point

5.1.1 of the Second Schedule to the Health Care Professions Act, point

5.1.1.

(5)

Evidence of formal qualifications referred to in point

5.1.4 of the Second Schedule to the Health Care Professions Act may

be issued to a doctor who has not completed the training provided in

this regulation but who has completed a different supplementary

training, as attested by evidence of formal qualifications issued by the

competent authorities in a Member State. They may not however,

award evidence of formal qualifications unless it attests knowledge of

a level qualitatively equivalent to the knowledge acquired from the

training provided in this regulation

Provided that Member States shall determine, inter alia,

the extent to which the complementary training and professional

experience already acquired by the applicant may replace the training

provided in this regulation

Provided further that the Member States may only issue the

evidence of formal qualifications referred to in point 5.1.4 of the

Second Schedule to the Health Care Professions Act if the applicant

has acquired at least six (6) months' experience of general medicine in

a general medical practice or a centre in which doctors provide

primary medical care of the types referred to in sub-regulation (3).

MINIMUM TRAINING CONDITIONS

(HEALTH CARE PROFESSIONS)