This summary of licensure availability in countries for graduates of United States osteopathic medical schools is revised and expanded on a continual basis. Some countries have denite policies regarding either the licensure of !.".s# the licensure of internationally trained physicians and health care practitioners and$or the licensure of non%citi&ens. A fe' countries have consistently refused to grant U.S.%trained !.".s full practice rights# often permitting them to perform only manipulation and sometimes refusing to grant them any type of practice. "ther countries# ho'ever# are simply not educated on the (ualications of U.S.%trained !.".s and their e(uivalence in education# training and practice to ).!.s. To that end# communication 'ith international health care o*icials can be a time consuming and formidable tas+. There are a fe' issues to +eep in mind 'hen researching licensure possibilities in foreign countries. )any countries that 'ere or continue to be under ,ritish in-uence adhere to ,ritain.s denition of an /osteopath#/ a non%physician health care practitioner 'ho practices only manipulation. !ue to the similarity of the titles# many of these countries refuse to grant U.S.%trained !.".s practice rights beyond the scope of manipulation. 0urther# the procedure by 'hich international countries consider granting physician licensure to foreigners is not consistent among all countries. The procedure can ta+e the form of a simple intervie' 'ith a )inister of 1ealth or )edical ,oard# a handsha+e 'ith a governmental insider or the submission to a battery of examinations# intensive residencies and the li+e. Also# the intent and type of practice sought by the U.S.%trained !.". might 'arrant a substantially di*erent application procedure. 0or example# those 'ho are interested in 'or+ing on a volunteer basis or for a mission often nd the process less hindered by paper'or+ and legal regulations. 0or this reason# an applicant should be as clear as possible about his or her intentions 'hen ma+ing a 'ritten in(uiry. The follo'ing is a catalog of countries in 'hich the A"A has investigated osteopathic licensure. 2ncluded in each country.s listing is the year in 'hich the last re(uest for updated licensure status 'as made# the scope of osteopathic practice in that country# an overvie' of issues specic to that country and the contact for licensure in(uiries. As you 'ill note# information regarding many of these countries is out%of%date and has not been reevaluated. 2n addition# licensure status can change from year to year % so it is encouraged that the individual contact the appropriate authority 'ell in advance of an expected visit or move. 1 Should you wish to investigate licensure possibilities in a country not listed below or would like to have more information regarding one of the listed countries, please contact the AOA Division of State Government & International Aairs, !"# $ast Ontario, %hicago I& '('!!) *+((, '#!-!../ e0t1 +!2'1 Further, it would be of great help to the AOA and other osteopathic physicians if the AOA Division of State Government Afairs were notifed of the outcome of any inuiries! "n addition, if correspondence from international health agencies is received, please forward copies for the fles maintained at the AOA! #his will help greatly with future inuiries! 2 Argentina 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: unlimited 9er correspondence from the )inistry of :ulture and ;ducation# it appears that U.S.%trained !.".s 'ill be permitted to obtain a full physician license in Argentina in accordance 'ith re(uirements for all foreign physicians. Argentine la' does not specically include osteopathic medicine or the !.". degree< instead# foreign physicians must submit credentials to various agencies and then appear before any of the =ational Universities in order to have their diploma considered as an Argentine e(uivalent. :ontact: Secretary >eneral :onfederacion )edica Argentina Ave ,elgrano 62?@ ,uenos Aires 607? Argentina 9: @8668?8?8868 Aruba 3ear of 4ast 5e(uest: 677? Scope of 9ractice: denied 9er its director# the Aruba 9ublic 1ealth !epartment can only issue a license to graduates from ve U.S. medical schools# none of 'hich are osteopathic medical schools. :ontact: !irector 9ublic 1ealth !epartment "ranAestad A5U,A Australia 3ear of 4ast 5e(uest: 2000 Scope of 9ractice: varies The Australia )edical :ouncil has continually denied re(uests by the A"A to recogni&e U.S. educated and trained !.".s for the unlimited practice of medicine. 1o'ever# a U.S. educated and trained osteopathic physician 'as recruited to head up an emergency room in the suburbs of Sydney. Through the e*orts of the hospital# he secured an unlimited medical license through the =e' South Bales )edical ,oard upon endorsement of the Australian :ollege of ;mergency )edicine. 2t appears that licensure 'ould be dependent on the state. :ontact: =e' South Bales )edical ,oard )edical ,oard ,uilding "* 9unt 5oad 9" ,ox 608 >ladesville =SB 6CD@ =e' South Bales AUST5A42A http:$$'''.ns'mb.org.au Australian )edical :ouncil 9" ,ox 8860 Eingston Act 2C08 AUST5A42A http:$$'''.amc.org.au 3 Austria 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: unlimited# but di*icult to obtain 2n order to practice in Austria# a hospital must have a position available# 'hich cannot other'ise be lled by an Austrian physician. :ontact: Austrian )edical :hamber Beihburggasse 60%62 A6060 Fienna AUST52A http:$$'''.ae+.or.at internationalGae+.or.at 9:8?6@680C7?6 3ahamas 3ear of 4ast 5e(uest: 677D Scope of 9ractice: unlimited 2n Hanuary 677D# the ,ahamian )edical :ouncil# for the rst time# issued a license to practice cardiac and vascular surgery to a U.S.%trained !.". :ontact: 5egistrar# ,ahamian )edical :ouncil 9" ,ox =%7802 =assau ,A1A)AS I282J?2C%0@?8 3arbados 3ear of 4ast 5e(uest: 67D8 Scope of 9ractice: limited to manipulation =o provision for registration or licensure of osteopathic physicians exists yet the )inistry of 1ealth and Belfare refused to grant full practice rights to a U.S.% trained !.". in 67D8. :ontact: ,arbados )edical :ouncil )inister of 1ealth "ld 1ospital ,uilding Hemmott.s 4ane St. )ichael ,A5,A!"S 9:28C2D@6?0 3eli4e 3ear of 4ast 5e(uest: 200@ Scope of 9ractice: unlimited :hapter ?68# Section DI6J of the )edical 9ractitionerKs 5egistration Act of ,eli&e Lallo's for the registration of medical practitioners 'ho satisfy the :ouncil of their eligibility for registration including ,eli&ean residency.M 1o'ever# Section 4 DIDJ , delineates re(uirements for temporary registration Iless than one yearJ as follo's: ;mployment on a full%time basis 'ith a non%prot organi&ation or hospital< or :ontracted 'ith a private institution 'here no ,eli&ean is (ualied for the Aob< or 9racticing a specialty that is not provided in ,eli&e. The A"A 'as notied that a US%educated !" 'as granted a temporary license as a psychiatrist in ,eli&e. :ontact: :hairman# ,eli&e )edical :ouncil =orthern 5egional 1ospital 1oly Trinity Street "range Bal+ To'n ,eli&e =avaronC7Gyahoo.com I@06J ?22%20D2 3ermuda 3ear of 4ast 5e(uest: 677D Scope of 9ractice: unlimited Applicants must have graduated from an approved college of osteopathic medicine accredited by the A"A# have successfully completed t'o years of postgraduate training as a minimum# and must be examined by the :ouncilKs ;xamination :ommittee or intervie'ed by the :ouncil. =on%,ermudan physicians must have approval from the )inistry of 4abour and 1ome A*airs to 'or+ on the island. :ontact: ,ermuda )edical :ouncil )inistry of 1ealth N 0amily Services 9" ,ox 1)66 7@ 1amilton 1m ;x ,ermuda 9:68862?C0228 3olivia 3ear of 4ast 5e(uest: 6788 Scope of 9ractice: un+no'n According to A"A le information# a response 'as not received from the ;mbassy. :ontact: ;mbassy of ,olivia :olegio )edico de ,olivia ?068 )assachusetts Avenue# =B "5 :alle ,allivian 62CC Bashington# !: 20008 4a 9a& ,"42F2A 3ra4il 3ear of 4ast 5e(uest: 2000 Scope of 9ractice: unlimited A U.S. educated osteopathic physician 'as granted an unlimited license to practice medicine in ,ra&il. 2t is a di*icult process and re(uires ta+ing and passing a ,ra&ilian examination.# establishing residency# and do some training in ,ra&ilian hospitals. :ontact: :onselvio 0ederal de )edicina S>AS 76@ ,rasilla !0 D0?70%6@0 ,ra&il 5 cfmGcfm.org.br 9:C688@@700 %ambodia 3ear of 4ast 5e(uest: 6772 Scope of 9ractice: un+no'n Several attempts to contact the )inister of 1ealth in :ambodia have failed# most li+ely due to the current political unrest. =o :ambodian ;mbassy exists in the United States# yet the A"A has established a contact through a non%prot# :ambodian%advocacy organi&ation the director of 'hich has ties 'ith :ambodian 1ealth o*icials. :ontact: :ambodian )edical Association OD? ,oulevard 9reah )onivong 9hnom 9enh :A),"!2A %anada 4isted belo' are the licensure re(uirements for US%trained !.".s in the provinces and territories of :anada. All the provinces that have provisions for licensing !.".s as physicians re(uire that !.".s be graduates of A"A%accredited osteopathic medical colleges and they be or intend to become :anadian citi&ens. 0or the provinces or territories that state# Lno provisions exist for licensing US%trained !.".s#M it is suggested the individual contact that regulatory authority. Bhile there may not be a provision# the regulatory agency may consider amending its current policy to include recognition of US%trained !.".s. Update: in "ctober 200@# the 5oyal :ollege of 9hysicians and Surgeons of :anada 'ill /recogni&e the degree issued by the "steopathic )edical :ollege and Accredited by the American "steopathic Association in the United States of America as an acceptable medical (ualication to'ards eligibility for :ertication./ Alberta Scope of 9ractice: unlimited 5e(uirements: )ust have completed at least 2 years of >); accredited by the A:>); or A"A and must have passed the Universities :oordinating :ouncil ;xam# a basic sciences exam# and have passed all three parts of the licensing examination of the )edical :ouncil of :anada I4)::J. :ontact: :ollege of 9hysicians and Surgeons of Alberta 2D00 Telus 9la&a South 60020 % 600 Street =B ;dmonton# Alberta T@H 0=? :A=A!A 9h: ID80J 7C7%@00@ 0x: ID80J 820%0C@6 http:$$'''.cpsa.ab.ca 6 ,ritish :olumbia Scope of 9ractice: one licensure path'ay provides !.".s 'ith unlimited practice rights# and another path'ay limits !.".s to practice ")) 5e(uirements: To be eligible for unlimited licenses: must have completed at least one year of >); approved by the A"A or the A:>);# completed at least 6 year of >); in :anada# passed all three parts of the 4)::. 0or licenses limited to ")): must have completed at least 2 years of A"A approved >); and passed all three parts of the =,"); or :")4;P. :ontact: :ollege of 9hysicians and Surgeons of ,ritish :olumbia 800%8@8 ,eatty Street Fancouver ,ritish :olumbia FC,6:6 :A=A!A IC08J D??%DD@8 http:$$'''.cpsbc.ca drvanandelGcpsbc.ca )anitoba Scope of 9ractice: unlimited 5e(uirements: 2n 2002# the :ollege voted to register U.S.%educated and trained !"s. :ontact: :ollege of 9hysicians and Surgeons of )anitoba 6000%6CC6 9ortage Avenue Binnipeg )anitoba 5?H ?TD :A=A!A I208J DD8%8?88 http:$$'''.cpsm.mb.ca bpopeGcpsm.mb.ca =e' ,runs'ic+ Scope of 9ractice: unlimited 5e(uirements: )ust have completed at least 2 years of >); approved by the A"A or the A:>); and have passed all three parts of the 4)::. There is also a reciprocity path'ay for !.".s holding a license to practice medicine in )aine. :ontact: :ollege of 9hysicians and Surgeons of =e' ,runs'ic+ 6 1ampton 5oad# Suite ?00 5othesay# =e' ,runs'ic+ ;2; @E8 :A=A!A I@0CJ 887%@0@0 http:$$'''.cpsnb.org infoGcpsnb.org =e'foundland Scope of 9ractice to be determined 5e(uirements: in 2002# the :ollege committed itself to seeing that the government establishes a registration path'ay for U.S.%educated !.".s. 2t is anticipated that establishing guidelines may ta+e a couple of years. :ontact: =e'foundland )edical ,oard 6?7 Bater Street# Suite C0? 7 St. HohnKs =e'foundland A6: 6,2 :A=A!A ID07J D2C%8@8C =orth'est Territories Scope of 9ractice: unlimited 5e(uirements: Bhile no specic provisions are in place# the A"A has been told the government 'ill grant registration to any physician that (ualies for licensure in any other province. :ontact: >overnment of the =orth'est Territories :entre S(uare To'er 8 th 0loor 9" ,ox 6?20 3ello'+nife =BT P6A 247 :A=A!A I8CDJ 720%80@8 =ova Scotia Scope of 9ractice: unlimited A ne' regulation 'as put into e*ect in 2002 to recogni&e U.S.%educated osteopathic physicians. A :anadian or A:>); residency is re(uired. :ontact: 9rovincial )edical ,oard of =ova Scotia Sentry 9lace 6@@7 ,runs'ic+ Street# Suite 200 1alifax =ova Scotia ,?H 2>6 :A=A!A I702J 822%@82? http:$$'''.cpsns.ns.ca "ntario Scope of 9ractice: Unlimited :urrently# "ntario re(uires :anadian or A:>); residencies. 2n 2002# the 9remier of "ntario and the :ollege of 9hysicians and Surgeons of "ntario I:9S"J announced that changes 'ere being implemented to recogni&e international medical graduates# including !.".s 'ho are no' recogni&ed by the :9S". 2n addition# the :9S" has created a 0ast Trac+ Assessment 9rogram for international medical graduates 'ho 'ish to practice in "ntario. The 0ast Trac+ Assessment is an expedited process designed for doctors 'ith experience. 2t focuses on an evaluation of practice s+ills and can be tailored to the individual applicant. ,y evaluating the practice s+ills of the individual doctor rather than loo+ing at the grades and training programs# the :ollege ac(uires a more realistic vie' of the abilities of the individual physicians. 0or more recent graduates# there is the Standard Assessment process. 2t concentrates on examination grades and completion of an approved course of education and residency. All candidates are assessed in the same 'ay. The :9S" no' accepts the :")4;P%USA exam *only with the &evel #-5$, and US)4; 'ith US)4; Step 2 :S I:linical S+illsJ or ;:0)> I;ducational :ommission for 0oreign )edical >raduatesJ :SA I:linical S+ills AssessmentJ as e(uivalent to the )edical :ouncil of :anada Qualifying ;xamination I)::Q;J. 0or more information on "ntarioKs registration# go to '''.cpso.on.ca$infoRphysicians$applicants$regist.htm. The :anadian 5esident )atching Service I:a5)SJ in "ntario 'ill no' accept US%trained !.".s for their 6 st iteration match< previously !.".s 'ere only able to apply for the 2 nd iteration of :a5)S. The :a5)S does# at this time# re(uire the ):: exam# not the :")4;P% 8 USA. 0or information# please visit '''.carms.ca. :ontact: :ollege of 9hysicians and Surgeons of "ntario 80 :ollege Street Toronto "ntario )@> 2;2 :A=A!A I86CJ 7CD%2C00 http:$$'''.cpso.on.ca rgeraceGcpse.on.ca 9rince ;d'ard 2sland Scope of 9ractice: no provisions exist for licensing US%trained !.".s :ontact: :ollege of 9hysicians and Surgeons of 9rince ;d'ard 2sland 677 >rafton Street :harlotteto'n# 9;2 :6A 642 :A=A!A I702J @CC%?8C6 mmacdonaldGcollegeofphysicians.pe.ca Quebec Scope of 9ractice: unlimited 5e(uirements: )ust have completed at least 6 year of >); approved by the A"A or the A:>);# must have completed at least 6 year of >); in Quebec# passed the 'ritten# oral and clinical board examination of the :ollege of 0amily 9hysicians of :anada and must spea+ 0rench -uently. :ontact: :ollege des )edecins du Quebec 26D0 5ene%4eves(ue ,lvd Best )ontreal Quebec 1?1 2T8 :A=A!A I@68J 7??%8886 http:$$'''.cm(.org Sas+atche'an Scope of 9ractice: limited to ")) 5e(uirements: )ust have completed at least 6 year of A"A%approved >);. :ontact: :ollege of 9hysicians and Surgeons of Sas+atche'an 266 0ourth Avenue South Sas+atoon# Sas+atche'an SDE 6=6 :A=A!A I?0CJ 288%D?@@ http:$$'''.(uadrant.net$cpss cpssG(uadrant.net 3u+on Territory Scope of 9ractice: unlimited 5e(uirements: Bhile no specic provisions are in place# the A"A has been told the government 'ill grant registration to any physician that (ualies for licensure in any other province. :ontact: >overnment of the 3u+on 9 9" ,ox 2D0? Bhitehorse# 3u+on 36A 2:C :A=A!A I8CDJ CCD%@2@D !ale.+o&menGgov.y+.ca %ayman Islands 3ear of 4ast 5e(uest: 678? Scope of 9ractice: unlimited A !.". 'as granted an unlimited license to practice medicine in 678?. This represented a signicant accomplishment# as the 2slands are a ,ritish protectorate. Britten examinations are not re(uired for licensure and licensure is granted based on the applicant.s academic degree and (ualications. =o distinctions 'ere placed on the !.". degree and the government accepted his osteopathic credentials. :ontact: :hief )edical "*icer To'er ,uilding >rand :ayman# :A3)A= 2S4A=!S %entral African $mpire 3ear of 4ast 5e(uest: sometime before 6770 Scope of 9ractice: unlimited The !.". degree and proof of licensure in one of the fty U.S. states# plus annual attendance at the =ational :ongress for 9hysicians is all that is re(uired for licensure in the :entral African ;mpire. =o examination is re(uired and students 'ishing to study tropical disease are not re(uired to obtain permits and the li+e. 4etters of in(uiry must be 'ritten in 0rench or Sago# 'hich are the native languages. :ontact: )inister of 1ealth ,angui :;=T5A4 A052:A= ;)925; %hile 3ear of 4ast 5e(uest: 2008 Scope of 9ractice: unlimited The rst !" has gained practice rights in :hile< the process too+ 8 years. The re(uirements are: All transcripts# course descriptions and entire medical school catalog translated o*icially into Spanish. All documents must be notari&ed by secretary of state.s o*ice 1and delivered to the consulate and then hand delivered to the University of :hile ;xamination process: basic science 'ritten exam# follo'ed by a clinical science 'ritten exam and subse(uent clinical competencies of one 'ee+ each in obstetrics$gynecology# surgery# internal medicine and pediatrics :ontact: !irectora ;scuela de 9regrado :olegio )edico de :hile Universidad de :hile ;smeralda CD8 Avda. 2ndependencia =o. 602D Santiago Santiago :124; :124; 9:@C282DD887 10 %hina 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: unlimited :hinese la' does not provide specically for osteopathic medicine or the U.S. !.". degree. 0or this reason# U.S.%trained !.".s are permitted to apply for /Short Term )edical 9ractice./ :ontact: !r. Shao )inggang# "*icial !ivision of 1ospital )anagement !ept of )edical Administration )inistry of 9ublic 1ealth 9eople.s 5epublic of :hina 88 1ouhai ,eiyan ,eiAing :12=A State Administration Tradition :hinese )edicine 9.6.:. D !onping 5oad :haoyang !istrict ,eiAing 0002D :12=A %olombia 3ear of 4ast 5e(uest: 677C Scope of 9ractice: unlimited :olombian la' does not specically state restrictions of osteopathic practice. Therefore# U.S.%trained !.".s are permitted to submit their credentials according to the same procedure administered to other foreign physicians. They must contact the :olombian consulate closest to their professional residence for verication of original degree# then contact the 0oreign A*airs )inistry in :olombia. All transcripts# programs of study# and copies of identication must be translated into Spanish and be notari&ed. :ontact: )inistry of 9ublic 1ealth :arrera 6? =o. ?2%DC ,ogota :olumbia http:$$'''.minsalnd.gov.co %osta 6ica 3ear of 4ast 5e(uest: 677? Scope of 9ractice: unlimited Several re(uirements exist for foreign physicians 'anting to practice in :osta 5ica. Unless the physician 'as contracted individually by state institutions or marries a :osta 5ican# the physician must have resided in the country for at least @ years and 'ill be re(uired to serve both a one%year internship in a hospital and a one year service in the )edical Sanitary Service. The physician.s diploma 'ill be considered e(uivalent to that issued by the University of :hile in order to receive a practice license. :ontact: :olegio de )edicos y :iruAanos 5epublica de :osta 5ica Apartado @88 San Hose 11 :"STA 52:A "5 :osta 5ica "steopathic )edical Association I:5")AJ 9.". ,ox 2@26C%688C )iami# 04 ??602 Ia courier service delivers mail to :osta 5icaJ http:$$cro%ma.org Denmark 3ear of 4ast 5e(uest: 677@ Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest for information on ho' a U.S. educated !.". could obtain licensure. :ontact: !anish =ational ,oard of 1ealth 2slands ,ryggc CD 9ost bo+s 6886 2?00 Eobenhavn s. !;=)A5E http:$$'''.sst.d+ 9:8@D%222%D800
Dominican 6epublic 3ear of 4ast 5e(uest: 2000 Scope of 9ractice: unlimited "n Huly 8# 2000# legislation 'as enacted that recogni&es U.S. educated osteopathic physicians for the unlimited practice of medicine. The la' also recogni&es A"A postgraduate training and board certication. :ontact: !r. Fictorino de Hesus >arcia Santos# Secretario de ;stado ;nsached 4a 0e Santo !omingo !")2=2:A= 5;9U,42: $cuador 3ear of 4ast 5e(uest: sometime before 6770 Scope of 9ractice: unlimited 2n order to practice in ;cuador# foreign%trained physicians must obtain an ;cuadorian medical license. This license is conferred upon passage of all ;cuadorian medical school examinations# the 'riting of a thesis in Spanish and completion of an internship. Temporary permits are available and registration must be conrmed annually. 5eciprocity exists 'ith most 4atin American countries. :ontact: )inisterio :hief ;xecutive "*icer de Salud 9ublica Quito# ;:UA!"5 $gypt !ate of 4ast 5e(uest: 6777 Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest for information on ho' a U.S. educated !.". could obtain licensure. 12 :ontact: ;gyptian medical Syndicate ?2 mohamed Talaat Salem St. =asr :ity :airo ;>39T I202J D78%?6CC AssamaRrasslanGhotmail.com 7inland 3ear of 4ast 5e(uest: 677C Scope of 9ractice: unlimited 0oreign%trained physicians may only enAoy full practice rights in 0inland 'ith the permission of the 0innish =ational ,oard of 1ealth. Eno'ledge of the 0innish language and a 'or+ permit are re(uirements. :ontact: =ational Authority for )edicolegal A*airs 9" ,ox 2C@ 02=%00@?6 1elsin+i 02=4A=! I?@8J 7DD%2720 7rance 3ear of 4ast 5e(uest: 6788 Scope of 9ractice: limited to manipulation A 'or+ permit is necessary for a foreign%trained physician to practice in 0rance. "steopathic medicine is not recogni&ed by the government# so only ).!.s can obtain full practice rights. :ontact: :onseil =ational de lK"rdre des )edecins 680 ,oulevard 1aussmann 0%D@?87 9aris :edex 0D 05A=:; http:$$'''.conseil%national.medecin.fr I??6J @?8%7???8 Germany 3ear of 4ast 5e(uest: 677? Scope of 9ractice: unlimited A foreign physician may apply for licensure to the state 1ealth )inistry 'here they intend to live and 'or+. ;ach )inistry has Aurisdiction 'ithin their o'n state. The regional medical authority has information regarding the types of providers needed in that area and therefore grants licenses depending on the specialty of the foreign physician. !ecisions are made on a case%by%case basis. "ne American%trained !" has achieved Ibased solely upon US :") credentialsJ limited licensure in 6778# unlimited licensure in 6777 and is presently in practice there. :ontact: )inister of 1ealth ,undesministerium fTr >esundheit I,)>J 660@@ ,erlin >;5)A=3 Ghana 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest for information regarding licensure for U.S. educated !.".s. 13 :ontact: >hana )edical N !ental :ouncil 9" ,ox 60@8C Accra U =orth >1A=A Greece 3ear of 4ast 5e(uest: 2008 Scope of 9ractice: unlimited# but di*icult to obtain According to the >ree+ ;mbassy# foreign%trained physicians holding either the ).!. or the !.". degree are able to obtain a full%practice license. 1o'ever# such physicians must be >ree+ citi&ens in order to practice unless# and such instances are extremely rare# there exists a crucial need for certain types of specialist physicians. 0urther# a 'or+ permit must be obtained# a di*icult tas+# and spea+ing >ree+ is an un'ritten re(uirement. 2n 6778# an osteopathic physician began the process to obtain licensure. 6777 % !.".s are not o*icially recogni&ed by la'# therefore a subcommittee 'as formulated to research U.S. osteopathic medicine. The subcommittee sent a positive report to the )edical :ouncil of >reece. The nal recommendation of the )edical :ouncil should be issued shortly. :ontact: )r. =i+os 9apaconstantinou ;mbassy of >reece 2226 )assachusetts Avenue# =B Bashington# !: 20008 !2EATSA%)edical !ivision )inistry of 1ealth and ;ducation 662 Sygrou Avenue 22? )esogeion Avenue 66D86# Athens 66@ 2@ Athens 1ellas >5;;:; >5;;:; Grenada 3ear of 4ast 5e(uest: 200D Scope of 9ractice: unlimited According to the :hief )edical "*icer of the )inister of 1ealth# US !.".s are eligible to apply for registration 'ith the >renada )edical ,oard. To apply# one must submit: 6. A notari&ed copy of medical certication I!.". diplomaJ 2. =otari&ed copies of postgraduate certicates ?. :urrent certication of good standing from state medical board or current state board license Ioriginal or notari&ed copyJ. 8. Sign a declaration document that informs the board of any medical legal action pending or in progress against the applicant. @. A :F and t'o passport%si&ed pictures C. T'o letters of reference or testimonials from colleagues 'ith 'hom the applicant has been in professional contact for at least t'o years. D. )ust present all original medical certicates to Secretary to the :hief )edical "*icer or other designated person prior to issuance of >renada )edical 5egistration :erticate. Send all paper 'or+ by express mail to: The Secretary# The :hief )edical "*icerKs "*ice )inistry of 1ealth# )inisterial :omplex ,otanical >ardens St. >eorgeKs# >renada# Best 2ndies 14 Guatemala 3ear of 4ast 5e(uest: 677? Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest regarding licensure for U.S. educated !.".s. :ontact: :olgio de )edicas y aruAanos de >uatemala :hief ;xecutive "*icer 6D :alle 6%C6 Sona 6 >UAT;)A4A Guyana 3ear of 4ast 5e(uest: 677C Scope of 9ractice: unlimited A U.S.%trained !.". 'as granted a physician license by the )inistry because his credentials 'ere considered as ).!.%e(uivalent. "steopathic medicine is not specically recogni&ed so applications 'ill be considered on a case%by%case basis. :ontact: :hief )edical "*icer# )inistry of 1ealth ,ric+dam >eorgeto'n 66 >U3A=A 8onduras 3ear of 4ast 5e(uest: 2002 Scope of 9ractice: Unlimited The =ational Autonomous University must accredit all foreign titles. After accreditation is completed# the applicant must see+ registration 'ith the )edical :ollege of 1onduras I):1J. Titles# grades# and lesson plans must be authenticated in the country 'here studies 'ere completed. Authentication must be done by the 1onduran :onsul in the same state. Upon completion# ):1 'ill issue a provisional permit good for one year to a 1onduran doctor 'ho has done training outside of 1onduras# and foreign applicants must complete t'o years of Ad%1onorem Social Service. After t'o years the applicant can apply for !enitive 5egistration. :ontact: !r. Hulio Alberto ,ourdeth Tosta# Secretary of 5egistration ,oard of !irectors of the )edical :ollege of 1onduras 9.". ,ox 860 Tegucigalpa# ).!.:. 1"=!U5AS 8ong 9ong 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: unlimited A letter from the 1ong Eong )edical :ouncil explained that there is no legislation governing the registration of osteopathic physicians. A prospective !.". applicant can apply to the 4icentiate :ommittee in order to sit for the 4icentiate ;xamination. 9assage of this exam along 'ith completing Lexternship training#M 'ould entitle a foreign medical practitioner to full registration by the )edical :ouncil. Applicants must have completed Lnot less than ve yearsM full%time medical training of a type approved by the )edical :ouncil before application is made. The information sent to the A"A did not specify 'hat type of medical training the :ouncil does approve. 1o'ever# it did note that the :ouncil may re(uire a personal intervie' before application is made so that the :ouncil is able to ascertain 'hether the applicant is indeed eligible for the examination. 15 :ontact: The 4icentiate :ommittee The )edical :ouncil of 1ong Eong 6D$0 Bu :hung 1ouse 26? Queen.s 5oad ;ast Banchai 1"=> E"=> http:$$'''.mcn+.org.h+ 9:8@227C68C88 India 3ear of 4ast 5e(uest: 6777 Scope of 9ractice: undetermined The A"A received a response to its 6778 in(uiry regarding licensure of US%trained !"s. The )edical :ouncil of 2ndia stated that osteopathic medicine degree is not recogni&ed for the purpose of 2): Act# 67@C. 1o'ever# they did state that a !" might apply after getting 2ndian nationality and after implementation of screening test 5egulation$9rovision in the 2ndian )edical :ouncil Act. :ontact: !elhi )edical :ouncil 5) =" ?@C%?@D ? rd 0loor ,ahadur Shah Safar )arg =e' !elhi 660002 2=!2A Indonesia 3ear of 4ast 5e(uest: 6772 Scope of 9ractice: unlimited if 'ith mission or university 0oreign%trained physicians can enAoy unlimited practice rights if they are 'or+ing in conAunction 'ith a university for a specic proAect# or if they are providing services on behalf of a mission. 0oreign physicians are barred from private practice. =o examination is re(uired# yet a degree from an approved medical school is needed. :ontact: 2ndonesian )edical Association B215! H6 Sam 5atulangi "5 Hi9erceta+on =egara 2> Ha+arta 27 Ha+arta 27 2=!"=;S2A 2=!"=;S2A Iran 3ear of 4ast 5e(uest: 6777 Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest for information on ho' a U.S. educated !.". could obtain licensure. :ontact: )inistry of 1ealth and )edical ;ducation Eeshavar& ,lvd. ,uilding O2 66 th 0loor Tehran 25A= Ireland 3ear of 4ast 5e(uest: 6777 Scope of 9ractice: denied The A"A has 'ritten numerous letters to various government agencies in 2reland. At its August 6778 meeting# the ;ducation and Training :ommittee revie'ed pertinent information regarding the osteopathic education and training. The 16 )edical :ouncil on the recommendation of its ;ducation and Training :ommittee decided to once again deny licensure to U.S.%trained !.".s because osteopathic medical schools are not recogni&ed by the 4iaison :ommittee on )edical ;ducation# the U.S. allopathic medical school accreditation body. 2n 2000# the A"A once again 'rote to The )edical :ouncil on the behalf of a U.S. educated !.". 'ho 'ill be traveling 'ith an American sports group as the team physician to compete in 2reland. The re(uest 'as for approval to treat U.S. citi&en 'hile in 2reland. The response from The )edical :ouncil has been that they 'ill ta+e the matter under consideration. :ontact: 5egistrar# )edical :ouncil of 2reland 4ynn 1ouse# 9ortobello :ourt 4o'er 5athmines 5oad !ublin C 25;4A=! http:$$'''.medicalcouncil.ie ?@?.687.8?6.00 Israel 3ear of 4ast 5e(uest: 200D Scope of 9ractice: unlimited 9reviously# U.S.%trained osteopathic physicians 'ere granted full practice rights in 2srael# providing they have established residence in 2srael. 2t is possible to ta+e the test in ;nglish# but the +no'ledge of 1ebre' is both necessary and mandatory in order to obtain employment as a physician in 2srael Iimmigrant physicians are eligible for a free @%mo intensive 1ebre' courseJ. The exam is a pass$fail and the format is multiple choice. Areas covered by the exam are internal medicine# surgery# gynecology and obstetrics# and psychiatry. The A"A 'as informed that the la's in 2srael do not specically include US%trained !"s. 1o'ever# !"s 'ho have completed C years of study and have passed the 2sraeli medical examination are eligible for a 6%year internship. Those 'ho have completed their internship must ta+e the 2sraeli licensing exam be licensed. Those grads 'ho have completed their training are exempt from the licensing exam. 5e(uirements for 4icensure Ifollo'ing completion of trainingJ: 6. 9ossess an 2sraeli 2dentity :ard 2. )edical !iploma ?. "*icial :") document conrming start and completion dates 8. "*icial conrmation of internship start and completion @. Falid US medical license C. Specialty certication Iif applicableJ D. 4etter of good standing from Vthe appropriate 2nstitutions in the USK 8. "*icial conrmation documents from institutions 'here applicant has practiced 7. :ompleted application 60. ? personal photographs :ontact: )inistry of 1ealth 2# ,en Tabi Street 9", 66DC Herusalem 7?@76 2srael 7D22CD0@820 pniotGmatat.health.gov.il 17 Italy 3ear of 4ast 5e(uest: 2008 Scope of 9ractice: unlimited# but di*icult to obtain 2t may be possible for a U.S.%trained !.". to practice in 2taly# yet it is extremely di*icult to obtain the license to practice. =on%2talians must obtain a 'or+ permit# 'hich is issued only 'hen no 2talian citi&en can be found to ll the post. Therefore physicians are discouraged from see+ing employment in 2taly 'ithout rm contracts and 'or+ permits. According to 6770 A"A le information# if there exists a U.S. state la' outlining reciprocity 'ith 2taly# a statement to this e*ect from the 2talian :onsulate 'ill 'arrant better chances. :ontact: =ational 0ederation of the "rders of !octors N !entists 9ia&&a :ola !i 5ien&o 80$A 5ome 2TA43 http:$$'''.fnomceo.it esteroGfnomceo.it ?7C?C20?2?2 :amaica 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: limited The A"A has researched licensure in Hamaica through a specic mission proAect presented to the )inister of 1ealth by a group of U.S.%trained !.".s. Bhile the re(uest for !.". degree recognition and full practice rights 'ere initially denied by the )inister# the !.".s 'ere permitted to supply some services 'hile participating in the mission. :ontact: :hief )edical "*icer )edical :ouncil of Hamaica "ld "ceana :omplex 7 th 0loor 2%8 Eing Street Eingston @ HA)A2:A I8DCJ 722%?66C :apan 3ear of 4ast 5e(uest: 677? Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest for information on ho' a U.S. educated !.". could obtain licensure. :ontact: !irector# "*ice of ;xamination and 4icensing )inistry of 1ealth and Belfare 6%2%2 Easumigase+i :hiyoda % Eu To+yo 600%2@ HA9A= 1ayashi%shuichiroGmhl'.go.Ap 18 9enya 3ear of 4ast 5e(uest: 200D Scope of 9ractice: unlimited A !" has his license and is completing his internal medicine residency training through 2ndiana University School of )edicine and A)9AT1 IAcademic model for the prevention and treatment of 12FJ. :ontact: )edical 9ractitioners and !entists ,oard 9" ,ox 888?7 =airobi E;=3A I2@8J 2D6%68D8 9orea *South, 3ear of 4ast 5e(uest: 677@ Scope of 9ractice: un+no'n A"A le information includes a re(uest for information regarding the /Eorean Society of "steopathic :ollege of 5adiology#/ but no response 'as received. :ontact: =ational 1ealth 9ersonnel 4icensing ;xamination ,oard ?876 9oongnap&%!ong Songpa%EU S;"U4 S"UT1 E"5;A http:$$'''.+u+si'on.or.+r I822J 8D8%0??2 9uwait 3ear of 4ast 5e(uest: 677? Scope of 9ractice: un+no'n 9er a letter of in(uiry from the A"A# the Eu'ati )inistry of 9ublic 1ealth re(uested further information regarding the profession and educational structure of osteopathic medicine as practiced in the United States. The re(uest for additional information 'as mailed# but no response 'as received from the )inistry. :ontact: Undersecretary )inistry of 9ublic 1ealth 9" ,ox @ 6?006 Safat EUBA2T &aos 3ear of 4ast 5e(uest: 6772 Scope of 9ractice: un+no'n 0rom information obtained from the U.S. ;mbassy in 4aos# it appears that !.".s can 'or+ through medical relief organi&ations. :ontact: A"A State >overnment A*airs &ebanon 3ear of 4ast 5e(uest: 2008 Scope of 9ractice: unlimited 2t 'as reported to the A"A that US%educated osteopathic physicians are considered on an individual basis and need a letter from the A"A citing their education# training# etc. 2f accepted# the !" can then sit for the medical examination currently used in 4ebanon. 19 :ontact: )inister S. 0rangieh )inister of 1ealth 5ue du )usee ,eirut 4;,A="= &iberia 3ear of 4ast 5e(uest: sometime before 6770 Scope of 9ractice: unlimited All foreign%trained physicians must be approved on an individual basis and must submit a photocopy of a license and medical school degree. =o distinction bet'een the ).!. and !.". degrees is made and a rotating internship is re(uired. Special permits are not available# although visits of less than six months can be arranged. :ontact: 4iberian )edical ,oard )onrovia 42,;52A &u0embourg 3ear of 4ast 5e(uest: 678D Scope of 9ractice: unlimited# but di*icult to obtain The practice of medicine in 4uxembourg by a doctor 'ho is not a national of the ;uropean ;conomic :ommunity is very rare. :ontact: )inistere de la Sante @D ,oulevard de la 9erusse 42?20 4UP;),"U5> ;alaysia 3ear of 4ast 5e(uest: 677? Scope of 9ractice: denied )alaysian la' does not allo' for osteopathic medical practice# therefore the )inistry denied the A"A.s re(uest for practice rights. :ontact: )alaysian )edical :ouncil )inistry of 1ealth @0@70 Euala 4empur )A4A3S2A ?27?@0DD ;e0ico 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: previously denied 9revious A"A le information indicated that !.". licensure could not be obtained in )exico unless through the association of a short%term mission proAect# such as the osteopathic physician group /!":A5;./ =o physician# !.". or ).!.# may practice in )exico 'ithout 'or+ing papers# 'hich re(uires completion of a ve% year residency and after 'hich services are given on a limited basis and under the supervision of a )exican ).!. 9olitical connections are extremely helpful but do not necessarily guarantee licensure. :ontact: )exico Secretaria%;ducacion 9ublica 2nsurgentes sur 2?8D# 2 06000 )exico 20 ;icronesia 3ear of 4ast 5e(uest: 677? Scope of 9ractice: unlimited )icronesian la' does provide specically for the inclusion of /doctors of osteopathy./ :ontact: Secretary of 1uman 5esources !epartment of 1ealth Services 0ederated States of )icronesia 9" ,ox 9S D0 9ali+ir# 9ohnpei# 0) 7C786 ;orocco 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: denied Application for physician licensure is a /long and fastidious/ procedure# according to the )inister of 1ealth# unless a bilateral cooperation agreement has been signed by )orocco and the applicant.s country of origin. According to a representative from the =orth African A*airs ,ureau of the U.S. State !epartment# no such agreement exists bet'een the U.S. and any country. Therefore no U.S. physicians# 'hether !.". or ).!.# are eligible to be licensed in )orocco. :ontact: )inistere de la Sante 9ubli(ue ?@@# avenue )ohammed F 5abat )"5"::" <epal 3ear of 4ast 5e(uest: 677? Scope of 9ractice: unlimited The =epalese )inister of 1ealth granted full practice rights to osteopathic physicians upon the A"A.s rst and only re(uest. 0ull practice rights 'ill be granted after approval by the =epal )edical :ouncil and the ac(uisition of a visa from the 2mmigration !epartment. :ontact: =epal )edical :ouncil ;xhibition 5oad Siddi Sadan Eathmandu =;9A4 7DD6822C78 nmcGhealthnet.org.np <etherlands 3ear of 4ast 5e(uest: 6777 Scope of 9ractice: undetermined The A"A sent a letter to the =etherlands re(uesting recognition of the U.S. !.". degree for licensure of physicians. 6777 % The )inistry of 1ealth# Belfare and Sport sent an application plus the re(uirements for Ladmission of foreign doctors.M The re(uirements for licensure do not specically recogni&e U.S.%trained !.".s. The osteopathic physician interested in licensure 'ill complete the application and submit it for licensure. :ontact: )inistry of 1ealth# Belfare N Sport 5oyal !utch )edical Assn. 9o ,ox 20?@0 4omanlaan 60? 21 !en 1ang 2@00 ;T 9o ,ox 200C@ T1; =;T1;54A=!S "5 Utrecht ?@024, http:$$'''.minv's.nl T1; =;T1;54A=!S ?6D0?80D800 http:$$'''.artsennet.nl ?6?0282?288 <ew =ealand 3ear of 4ast 5e(uest: 200@ Scope of 9ractice: unlimited on a case%by%case basis A US educated !" 'as granted full licensure to practice medicine as a >9 'ith a specialty of )usculos+eletal )edicine. The license 'as a'arded follo'ing a hearing before the licensing authorities in =e' Sealand. :ontact: :hairman )edical :ouncil of =e' Sealand 9" ,ox 66C87 4evel 6?# )id :ity To'er Bellington =;B S;A4A=! http:$$'''.mcn&.org.n&$ <icaragua 3ear of 4ast 5e(uest: 677? Scope of 9ractice: un+no'n 9er a telephone conversation 'ith the Assistant Secretary for =on%governmental Assistance# budget constriction in =icaragua prevents the government from paying foreigners 'ho 'ish to 'or+ in =icaragua. 0inancial aid is sometimes given through foundations and tax exemptions are given on items brought by foreign 'or+ers# such as medical e(uipment. :ontact: )inister de Salud )initerio de Salud Ste. A >allo y Filla Sur ;dif. :ompleAo :amilo "rtega )anagua =2:A5A>UA <igeria 3ear of 4ast 5e(uest: 6777 Scope of 9ractice: unlimited 2n order to gain licensure in =igeria# an osteopathic physician must have graduated from an A"A accredited college of osteopathic medicine and must have completed a one%year rotating internship. An appearance in front of the =igeria )edical :ouncil is also re(uired and an oral (ui& may be mandated. 5eciprocity exists 'ith several other African countries and 'ith the United States. 2n 6777# the A"A received a letter from a !" 'ho is licensed in =igeria. 1e 'as licensed in =igeria by reciprocity of his Texas license and recognition of A"A training programs. 1e is licensed to practice medicine and surgery 'ith a specialty certicate in orthopedics. :ontact: !ean# 0aculty of )edicine University of 2badan 2badan =2>;52A 22 )edical N !ental :ouncil of =igeria 0ederal Secretariat 9hase 22# 8 th 0lr 9),62C66 =2>;52A 2?8802?66?02@ <orway 3ear of 4ast 5e(uest: 6770 Scope of 9ractice: limited to manipulation Although !.".s are able to obtain a license to practice only manipulation in =or'ay# they are not permitted to use the title /doctor/ and all osteopathic services are not covered for payment under =or'ay.s sociali&ed medicine system. :ontact: =or'egian 5egistration Authority for 1ealth 9ersonnel 9ostbox 80@? !;9 00?6 0@60 ="5BA3 http:$$'''.safari.no 8D26@27D00 5akistan 3ear of 4ast 5e(uest: 677C Scope of 9ractice: un+no'n Although the :ouncil does not recogni&e the !.". degree# one U.S.%trained !.". has been recogni&ed on individual merits by the :ouncil after much documentary evidence< ho'ever# his practice is conned to one hospital and he may not engage in private practice. :ontact: 9a+istan )edical and !ental :ouncil )auve Area Sector >%60$8 2slamabad 0ederal :apital 9AE2STA= http:$$pmdc.org.p+ 72@672CC827 5anama 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: unlimited The University of 9anama must rst accept the diploma of the applicant as e(uivalent to that issued by the University. The applicant must also be a citi&en of 9anama and fulll any necessary training from the Technical :ouncil of 9ublic 1ealth. :ontact: !irector >eneral )inisterio de Salud Apartado 2088 9anama 6# 5;9U,42: "0 9A=A)A 23 5apua <ew Guinea 3ear of 4ast 5e(uest: 677C Scope of 9ractice: unlimited T'o U.S.%trained !.".s 'ere able to secure medical practitioner licenses. The physicians reported that it 'as a long# involved process that too+ approximately one year to accomplish. 9hysicians can also apply for a short%term or a long%term volunteer service license. :ontact: 5egistrar )edical ,oard of 9apua =e' >uinea 9" ,ox 886 9ort )oresby =ational :apital !istrict 9A9UA =;B >U2=;A 5eru 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest for information on ho' a U.S. educated !.". could obtain licensure. :ontact: :olegio )edico del 9eru 2C6 4os 9rocers 4ima# 9;5U )inistry of 1ealth Ave Salaverry S%= :udra D 4ima 9;5U 5hilippines 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest for information on ho' a U.S. educated !.". could obtain licensure. :ontact: 9hilippines ,oard of )edicine 9 9aredes Street Sampaloc )anila 91242992=;S C?2D86C0C6 6omania 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest for information on ho' a U.S. educated !.". could obtain licensure. :ontact: )inistry of 1ealth and 0amily Secdor 6 )inisterului 228 24 ,ucharest 5")A=2A 6ussia>%ommonwealth of Independent States 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: unlimited 'ith sponsor Several U.S.%trained !.".s have provided services in parts of the former U.S.S.5. through a program established by !eborah 1ospital of =e' Hersey. According to the U.S. ;mbassy in )osco'# a licensure process is not up and running< therefore# foreign doctors ma+e arrangements to practice through 5ussian sponsors# such as hospitals or businesses. :ontact: 5ussian ne'spapers$medical Aournals )inistry of 9ublic 1ealth Fadi+ovs+y 9er 68%20 6068D8 )osco' 5USS2A Association of 9hysicians of 5ussia 6@%2%2?7 9etro&avods+aAa St. 62@@02 )osco' 5USS2A St1 &ucia 3ear of 4ast 5e(uest: 2000 Scope of 9ractice: unlimited A U.S.%educated !.". 'as granted an unlimited license to practice medicine based on his credentials. :ontact: )edical :ouncil of St. 4ucia )inister of ;ducation N 1ealth :astries ST. 4U:2A St1 9itts 3ear of last 5e(uest: sometime before 6770 Scope of 9ractice: un+no'n A"A le information indicates that the point of contact to in(uire about osteopathic licensure is the 9ermanent Secretary of the )inistry of 1ealth# ho'ever no address is given. :ontact: )edical ,oard of St. :hristopher N =evis 9" ,ox 68C ,asseterre St. Eitts B;ST 2=!2;S 8C78C@2@26 Saudi Arabia 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: unlimited 25 2n order to practice medicine in Saudi Arabia# a foreign physician must be recruited by a government agency# a corporation or a private health care entity# such as a hospital. :ontact: Saudi ne'spapers$medical Aournals Scotland 3ear of 5e(uest: 6778 Scope of 9ractice: varies A US%trained !.". has been 'or+ing in Scotland for several years as a non% physician osteopath. An osteopathic physician sponsored by the 5oyal :ollege of 9hysicians and Surgeons 'as denied licensure based on the fact that osteopathic medical schools are not accredited by B1". The A"A supplied the physician 'ith information on osteopathic accreditation and also supplied information that B1" is not an accrediting agency for any medical schools in the U.S. See also ?nited 9ingdom1 :ontact: The Secretary Scottish "steopathic Society 5osemount "steopathy 2C =ortheld 9lace Aberdeen A,2@ 6S! S:"T4A=! Tel: 06228 C?@777 http:$$'''.scottish%osteopathic%society.co.u+$index.htm Sierra &eone 3ear of 4ast 5e(uest: 677? Scope of 9ractice: unlimited 9hysician licensure can be obtained in Sierra 4eone 'ith the submission of notari&ed osteopathic medical school diploma# curricula vitae and a letter of intent to the !eputy :hief )edical "*icer. !esire to 'or+ 'ith a mission or for the needy 'ill 'or+ in the applicant.s favor. 2n addition# a !.". 'ho has been living in Sierra 4eone for many years has been extremely helpful in assisting other !.".s 'ith obtaining practice rights. :ontact: Sierra 4eone )edical and !ental :ouncil =e' ;ngland# 9" ,ox 7?2 0recto'n S2;55A 4;"=; 9:2?222220D@? Singapore 3ear of 4ast 5e(uest: 677? Scope of 9ractice: denied The Singapore )edical :ouncil 'ill not recogni&e the !.". degree< in fact# it 'ill only recogni&e those ).!. degrees conferred by 66 allopathic medical schools. :ontact: Singapore )edical :ouncil Singapore )edical :ouncil$)inistry of 1ealth 4evel 8 2nstitute of 1ealth :ollege of )edicine ,uilding ?2 nd 1ospital Avenue 6C87?D 6C :ollege 5oad S2=>A9"5; S2=>A9"5; 6C78@8 http:$$'''.gov.sg$moh http:$$'''.smc.gov.sg 26 South Africa 3ear of 4ast 5e(uest: 677C Scope of 9ractice: limited to manipulation "steopathic medicine is not legislatively dened and many barriers exist in licensing foreign%trained physicians despite the crucial need Ithere is only one doctor per ?#800 blac+ South AfricansJ. 2n 677C# the A"A 'rote a letter to the South African )edical :ouncil on behalf of a !.". 'ho 'as part of a medical mission team going to South Africa. The medical council did not 'ish to grant the U.S.%trained !.". a temporary license to do medical missions 'or+. :ontact: 5egistrar 1ealth 9rofessions :ouncil of South Africa 9" ,ox 20@ 9retoria# >auteng 0006 S"UT1 A052:A http:$$'''.hpcsa.co.&a 2D62??87?67 Spain 3ear of 4ast 5e(uest: 6778 Scope of 9ractice: denied "steopathic medicine is not regulated in Spain and therefore# per the Secretary >eneral of the Spanish )inistry of 1ealth# !.".s may not obtain physician licenses. :ontact: Spanish :ouncil of the :olleges of 9hysicians Fillanueva# 44 )adrid 28006 S9A2= http:$$'''.cgcom.org Spanish :onseAo >eneral de :olegios )edicos Fillaneuva 668 ;%28006 )adrid S9A2= http:$$'''.cgcom.org$ome0.htm 9:?8768?6DD80 Sweden 3ear of 4ast 5e(uest: 677C Scope of 9ractice: unlimited An osteopathic physician met 'ith S'edish o*icials and they did not seem to have any obAections to U.S.%trained osteopathic physicians being licensed there Iespecially since t'o U.S.%trained !.".s 'ere granted full practice rights in 67D8 and 67DCJ. :ontact: =ational ,oard of 1ealth N Belfare 5alambsvagen ? Se 60C ?0 Stoc+holm SB;!;= 8C8@@@@?00 27 )edical 5esponsibilty ,oard ,ox ?@?7 Stoc+holm 60? C7 SB;!;= 08D8?6700 Swit4erland 3ear of 4ast 5e(uest: 677? Scope of 9ractice: denied "nly S'iss citi&ens and /recogni&ed refugees/ are eligible to sit for the state% administered physician licensure exams. 9assage of the examinations is the rst step in receiving a license. After the examination process# one must obtain a 'or+ permit in order to participate in a post doctoral training program IresidencyJ of 'hich there are far less positions than applicants. This 'or+ permit expires after t'elve months and cannot be rene'ed. 0urther# osteopathic medicine is not recogni&ed by the S'iss government. :ontact: S'iss )edical Association ;lfenstrasse 68 9ostfah 27? ?000 ,ern 6C SB2TS;54A=! http:$$'''.fmh.ch 9:86?6?@76666 Syria 3ear of 4ast 5e(uest: 677C Scope of 9ractice: un+no'n The A"A did not receive a response to its re(uest for information on ho' a U.S. educated !.". could obtain licensure. :ontact: )inister of 1ealth 9arliament Street !amascus S352A @aiwan 3ear of 4ast 5e(uest: 200@ Scope of 9ractice: unlimited The 5.".:. government recogni&es the U.S. !.". degree. This allo's U.S.%educated !.".s to sit for Tai'anKs ;xamination 3uan and# if successful# can continue on in the process for licensure. :ontact: !irector >eneral !epartment of 1ealth 600 Ai+uo ;ast 5oad Taipei TA2BA= @an4ania 3ear of 4ast 5e(uest: 678@ 28 Scope of 9ractice: unlimited 4icensure 'ill be granted to applicants 'ith medical school degrees 'ho have completed a re(uired# although unspecied# residency. Temporary 'or+ permits are available and reregistration is re(uired annually. :ontact: )edical :ouncil of Tanganyi+a 9" ,ox 708? !ar%es%Salaam TA=SA=2A @hailand 3ear of 4ast 5e(uest: 677C Scope of 9ractice: undetermined The A"A did not receive a response to its re(uest regarding licensure for U.S. educated !.".s. :ontact: Thai )edical :ouncil 2D@ !evavesm 9alace ,ang+o+ 2 T1A24A=! @urkey 3ear of 4ast 5e(uest: 6788 Scope of 9ractice: un+no'n A"A le information is scant and to date no ne' re(uests have been made. :ontact: Tur+ey )inistry of 1ealth T.:. Sagli+ ,a+anligi Sihhiye An+ara TU5E;3 ?ganda 3ear of 4ast 5e(uest: 6770 Scope of 9ractice: denied Uganda does not recogni&e the osteopathic profession and has therefore denied any type of practice rights to U.S.%trained !.".s. :ontact: 5egistrar Uganda )edical and !ental 9ractitioners 9" ,ox 6C66@ Bandegeya Eampala U>A=!A ?kraine 3ear of 4ast 5e(uest: 6777 Scope of 9ractice: un+no'n There has been discussion about the possibility of establishing rotations# specically ophthalmology# in the U+raine. !ocumentation has been sent regarding the e(uivalence of !"s and )!s in the United States. :ontact: :ontact the A"A for further information I800J C26%6DD? ext. 867C ?nited Arab $mirates 3ear of 4ast 5e(uest: 200D Scope of 9ractice: unlimited A U.S.%trained !.". has informed the A"A that he and another U.S. !.". have gained practice rights through the UA; 1ealth )inister and the !ubai 1ealth 29 )inister. ,oth instances re(uired the passage of a medical exam. :ontact: )inistry of 1ealth 9" ,ox 888 Abu !habi# U=2T;! A5A, ;)25AT;S http:$$'''.moh.gov.ae ?nited 9ingdom 3ear of 4ast 5e(uest: 200@ Scope of 9ractice: full scope of practice The >eneral )edical :ouncil of >reat ,ritain has announced that# after more than a year of deliberation# US%trained !"s 'ill be accepted for full medical practice rights in the United Eingdom. ;ach applicant 'ill have to pass the 9rofessional 4inguistic Assessment ,oard I94A,J examination and 'or+ for one supervised year in the =ational 1ealth Service I=1SJ. 0ollo'ing that year# the applicants 'ill be able to apply for full registration Iunsupervised practice or private practiceJ. 0or registration as a specialist# postgraduate training 'ill need to be separately recogni&ed by the 9ostgraduate )edical ;ducation and Training ,oard I9);T,J. :ontact: 5egistration Services >eneral )edical :ouncil @th 0loor# St Hames ,uildings D7 "xford 5oad )anchester U=2T;! E2=>!") Aene4uela 3ear of 4ast 5e(uest: 200D Scope of 9ractice: unlimited 2n August# 200D# an osteopathic medical student# 'ith the assistances of the A"A# 'as able to secure practice rights in Fene&uela. There 'as a change in policy that no' recogni&es U.S. !.".s 'ho have graduated from accredited :")s# under t'o separate regulations# the /la' of the practice of medicine/ and a policy related to the )inistry of 1igher ;ducation. :ontact: )inisterio de Sanidad N Asistencia Social 5ecursos 1umanos :hief ;xecutive "*icer :aracas F;=;SU;4A Aietnam 3ear of 4ast 5e(uest: 677? Scope of 9ractice: unlimited U.S.%trained !.".s 'ill be accepted as full physicians in Fietnam. 0oreign physicians can ll vacancies in hospitals that are in need of certain specialists. 1o'ever# these hospitals are government%o'ned and pay very lo' 'ages if any at all. )ost foreign physicians are providing volunteer care to the people of Fietnam. :ontact: )inistry of 1ealth 9rofessor =guyen Eim Son 6?8A >ian Fo Street Fiet%!oc 1ospital 1anoi 80 Trang Thi F2;T=A) 1anoi F2;T=A) "5 30 9rofessor 4e 1uy 4ieu 9rofessor Trihn Eim Anh ,ach )ai 1ospital :ho 5ay 1ospital >iai 9honv 5oad 206A =guyen :hi Thanh Street 1anoi !istrict @# 1:): F2;T=A) F2;T=A) =ambia 3ear of 4ast 5e(uest: 67D6 Scope of 9ractice: unlimited A degree from an accredited college of osteopathic medicine is re(uired for licensure in Sambia. :ontact: )edical :ouncil of Sambia 9" ,ox ?2@@8 4u+asa 60606 SA),2A =imbabwe 3ear of 4ast 5e(uest: 677? Scope of 9ractice: limited to manipulation After revie' of the osteopathic medical curriculum# the 1ealth 9rofessions :ouncil of Simbab'e denied the A"A.s re(uest for full practice rights and instead referred !.". 2icensure re(uests to the =atural Therapists :ouncil. :ontact: )edical and !ental 9ractitioners :ouncil of Simbab'e 9" ,ox :3286D :ause'ay 1arare S2),A,B; 31