Results - ENMCA survey on the lenght of specialist training (EU and EEA members, UK, Switzerland; responses from 24 / 32 MS)
Research by Medical Chamber of Slovenia
June 2025
Table 1.
Minimum training durations
2015 2015
Number of countries
Number of countries
for recognition 2015
for recognition 2025
United Kingdom
Liechtenstein
Netherlands
Luxembourg
Switzerland
Lithuania
Annex V
Germany
Denmark
Romania
Sweden
Portugal
Slovenia
Hungary
Slovakia
Bulgaria
Belgium
Iceland
Czechia
Norway
Croatia
Estonia
Finland
Greece
Cyprus
Ireland
Austria
Poland
France
Latvia
Country Country Country Country
Spain
Malta
Italy
Speciality in Annex V minimum
minimum maximum average median
training
1 Accident and emergency medicine
5 3 7 5,1 5,0 10 15 5 6 5 6 5 5 7 5 5 3 5 4 5 5 5
2 Allergology 3 2 6 4,7 5,0 12 14 6 4 5 5 4 5 2 4 5 5 5 4 5,5 6
3 Anaesthetics 3 3 6,5 5,1 5,0 21 23 6 6 5 4 5 5 5 5 5 5 5 5 6 5 5 5 6 5 5 5,5 6,5 5 3
4 Biological chemistry 4 4 7 5,4 5,5 9 9 6 4 5 5 7 6 5,5 6,5 4
5 Biological haematology 4 4 6 5,3 5,5 2 4 4 5 6 6
6 Cardiac surgery 5 5 6,5 5,7 6,0 10 6 5 5 6 6 5 5 6 6 6,5
7 Cardiology 4 4 7 5,5 6,0 19 23 4 6 6 4 5 6 6 5 5 6 6 5 7 5 6 6 5 6 6 5,5 6,5 6 4
8 Child psychiatry 4 4 7 5,1 5,0 18 21 5 6 5 4 5 4,5 5 5 5 4,5 4,7 7 4 5 5 6 5 5,5 5 6,5 6 4
9 Clinical biology 4 4 6 4,9 5,0 9 8 6 5 4 4 5 4,6 5 4 6
10 Clinical neurophysiology 4 4 6,5 5,3 5,5 5 7 6 4 5 6 5,5 6,5 4
11 Communicable diseases 4 2 6,5 4,9 5,0 16 20 6 6 4 4 5 2 6 4 5 2 4,6 6 5 5 5 6 4 5,5 6,5 6 4
12 Community medicine 4 4 6,5 4,6 4,0 19 19 4 6 4 4 4 5 4 5 4 4 6 4 4 5 4 5,5 6,5 5 4
Dental, oral and maxillo-facial
surgery (basic medical and dental 4 4 7 4,7 4,0 11 11 4 5 4 4 5 4 5,8 7 4 5 6 4
13 training)
14 Dermatology 4 4 7 5,0 4,5 4 4 7 5 4 4
15 Dermato-venereology 3 3 6,5 4,6 5,0 19 21 4 6 5 4 4 4 5 4 4 5 4 5 3 5 5 5 4 4 5,5 6,5 5
16 Diagnostic radiology 4 4 6,5 5,1 5,0 21 18 5 6 5 4 5 5 5 5 5 5 4,9 5 5 5 4,5 6 6,5 5 4
17 Endocrinology 3 2 6,5 5,1 5,5 18 21 6 6 4 5 6 6 4 4 6 6 2 6 5 6 5 5 5 5,5 6,5 6 3
18 Gastroenterological surgery 5 5 6,5 5,8 6,0 6 7 6 5 6 6 6 5 6,5
19 Gastroenterology 4 4 6,5 5,5 6,0 21 23 6 6 6 4 5 6 6 4 5 6 6 5 6 5 6 6 6 5 5 5,5 6,5 6 4
20 General (internal) medicine 5 4 6,5 5,2 5,0 20 23 6 6 5 5 5 5 5 5 5 5 5 5 5 5 6 5 4 5 5,5 5 6,5 5 5
21 General Haematology 3 3 7 5,3 5,3 19 22 6 6 6 4 5 6 6 4 5 6 6 4 7 5 5 5 5 5 5,5 6,5 6 3
22 General surgery 5 5 8 5,8 6,0 21 22 6 6 6 5 5 6 6 5 5 6 6 6 8 5 5 6 6 6 5,5 6,5 6 5
23 Geriatrics 4 4 6,5 5,0 5,0 21 17 6 4 5 5 6 4 5 4,8 6 5 4 5 5 4 5 5,5 6,5 4
24 Immunology 4 2 7 4,9 5,0 12 13 6 4 5 5 5 2 7 4 4 5,5 6,5 6 4
Maxillo-facial surgery (basic
25 medical training)
5 4 7 5,4 5,0 9 11 7 4 4 5 6 5 6 5 5 6,5 6
26 Medical genetics 4 4 6,5 4,8 5,0 19 20 5 6 6 4 5 5 4 4 5 4 6 5 5 4 4 5 4 6,5 5 4
27 Medical oncology 5 4 6 5,4 5,3 13 16 6 6 5 6 5 6 5 6 5 5 6 4 5 5,5 6 5
28 Microbiology-bacteriology 4 4 7 4,9 5,0 16 17 5 6 4 4 5 5 5 5 5 4,6 7 4 5 4 4 5,5 6,5 4
29 Neurological surgery 5 5 8 5,9 6,0 21 22 6 6 6 5 6 6 5 5 6 6 6 6 8 6 6 6 5 6 5,5 6,5 6 5
30 Neurology 4 4 7 5,0 5,0 21 22 5 6 5 4 5 4 5 4 4 5 4 4,5 7 4 5 6 5 6 5 5,5 6,5 6 4
31 Neuropsychiatry 5 5 6 5,3 5,0 3 3 6 5 5
32 Nuclear medicine 4 4 6,5 4,9 5,0 18 17 5 6 5 4 4 5 5 4 5 5 4,7 5 5 4 5,5 6,5 5 4
Results - Duration of PGT 2024 - 250911 koncno ZZS
T1 Speciality in Annex V
11.09.2025, 14:13
1/2
Results - ENMCA survey on the lenght of specialist training (EU and EEA members, UK, Switzerland; responses from 24 / 32 MS)
Research by Medical Chamber of Slovenia
June 2025
Table 1.
Minimum training durations
2015 2015
Number of countries
Number of countries
for recognition 2015
for recognition 2025
United Kingdom
Liechtenstein
Netherlands
Luxembourg
Switzerland
Lithuania
Annex V
Germany
Denmark
Romania
Sweden
Portugal
Slovenia
Hungary
Slovakia
Bulgaria
Belgium
Iceland
Czechia
Norway
Croatia
Estonia
Finland
Greece
Cyprus
Ireland
Austria
Poland
France
Latvia
Country Country Country Country
Spain
Malta
Italy
Speciality in Annex V minimum
minimum maximum average median
training
33 Obstetrics and Gynaecology 4 4 7 5,3 5,0 21 21 5 6 6 4 5 5 5 5 6 5 5 4,4 7 5 5 6 5 5 5,5 6,5 5 4
34 Occupational medicine 4 4 6,5 4,6 4,0 20 21 4 6 4 4 5 4 5 4 5 4 4 6 4 4 4 5 4 5,5 6,5 5 4
35 Ophthalmology 3 3 6,5 4,7 4,8 21 22 4,5 6 4 4 4 4 5 4 6 5 4 4 6 4 5 5 4 5 5,5 6,5 5 3
36 Orthopaedics 5 5 8 5,7 6,0 21 22 6 6 6 5 5 6 5 5 6 6 6 6 8 5 6 6 5 5 5,5 6,5 6 5
37 Otorhinolaryngology 3 3 8 5,0 5,0 21 23 5 6 5 4 5 5 5 4 6 5 5 5 8 4 5 5 5 4 5,5 5 6,5 5 3
38 Paediatric surgery 5 5 8 5,9 6,0 17 19 6 6 5 5 7 5 6 6 7 6 8 5 6 6 5 5,5 6,5 6 5
39 Paediatrics 4 4 7 4,9 5,0 21 21 5 6 5 4 5 4 5 4 5 5 4 4,3 7 4 4 5 5 5 5,5 6,5 5 4
40 Pathological anatomy 4 4 7 5,1 5,0 20 22 5 6 5 4 5 5 5 4 5 6 5 5 7 4 5 5 5 5 5,5 6,5 5 4
41 Pharmacology 4 4 6,5 4,9 5,0 15 15 6 4 5 4 5 5 2,1 6 5 4 4 4 5,5 6,5 6 4
42 Physiotherapy 3 4 6,5 4,7 4,7 18 18 5 6 5 4 4,3 4 4 4 5 4 4,3 4 5 4 5 4 5,5 6,5 5
43 Plastic surgery 5 5 8 5,7 6,0 21 22 6 6 6 5 5 6 6 5 6 6 6 5,8 8 5 5 6 6 5 5 5,5 6,5 6 5
44 Psychiatry 4 4 7 5,1 5,0 21 23 5 6 5 4 5 5 5 4 5 5 5 4,9 7 4 5 4,5 5 5 5 5,5 5 6,5 6 4
45 Radiology 4 4 6,5 5,2 5,0 9 12 5 6 4 5 5 5 4,9 5 5 5 5,5 6,5 5
46 Radiotherapy 4 4 7 4,9 5,0 20 19 5 6 5 4 5 4 6 4 5 5 4 4,8 7 4 5 5 6 5 5 4
47 Renal diseases 4 4 7 5,4 5,8 19 22 6 6 6 4 5 6 6 4 5 6 6 5 7 5 6 5 4 5 5,5 6,5 6 4
48 Respiratory medicine 4 4 6,5 5,4 5,3 21 22 6 6 6 4 5 5 6 4 5 6 5 4,8 6 5 6 6 5 5 5 5,5 6,5 6 4
49 Rheumatology 4 4 6,5 5,4 6,0 21 22 6 6 6 4 5 6 6 4 4 6 6 5 6 5 6 6 5 5 5 6,5 6 4
50 Sports medicine 4 2 5 4,0 4,0 9 5 4 2 4 4 4 4 5 4
51 Stomatology 3 4 5 4,5 4,5 2 2 4 5
52 Thoracic surgery 5 4 8 5,8 6,0 21 22 6 6 5 5 7 6 5 6 6 7 5 8 5 5 5,5 6 4 6 5,5 6,5 6 5
53 Tropical medicine 4 2 6 4,2 4,0 6 6 6 2 4 4 5 4
54 Urology 5 5 8 5,5 5,0 21 23 5 6 6 5 5 5 6 5 6 5 5 5 8 5 5 6 6 5 5 5,5 6,5 6 5
55 Vascular surgery 5 4 8 5,8 6,0 18 18 6 6 5 5 7 6 5 6 6 7 5,7 8 5 6 6 4 5 6,5 5
56 Venerology 4 4 6 5,3 5,5 3 4 6 5 6 4
* If the candidate has completed both courses of study (medicine and dental medicine) before starting the specialization, the specialization lasts 4 years. If the candidate has completed studies only in the field of medicine or only in the field of dental medicine, the specialization lasts 7 years. The candidate must complete a course of study in the opposite direction within 3 years
* 2 as a subspecialty after obtaining the title of Paediatrics or Internal Medicine
* Can not be obtained as first specialist qualification
New specialties not included in the 2015 survey
* No response: Czechia, Finland, Italy, Luxembourg, Malata, Slovakia, Spain, Liechtenstein -> included 2015: Bulgaria, Switzerland
Difference of duration between MS ≥ 4 years MS with the minimum training duration
Difference of duration between MS ≤ 1 year MS with the maximum training duration
Average of durations ≥ 2 years with minimal training duration in Annex V MS with training duration lower than in Directive
No recognition for this speciality in the countryspeciality in the country
Results - Duration of PGT 2024 - 250911 koncno ZZS
T1 Speciality in Annex V
11.09.2025, 14:13
2/2
Saatja: "Contact ENMCA" <
[email protected]>
Saaja: "Contact ENMCA" <
[email protected]>
Teema: Results of ENMCA length of Annex V training survey
Kuupäev: 2025-09-15 15:56
Tähelepanu! Tegemist on väljastpoolt asutust saabunud kirjaga. Tundmatu
saatja korral palume linke ja faile mitte avada.
Dear ENMCA participants,
Please find attached the results of the ENMCA length of Annex V training
survey which was discussed at the recent ENMCA meeting over the summer.
The results have been compiled by colleagues at the Medical Chamber Slovenia
to whom we extend our thanks.
We received responses from 24 EEA member states as well as from the UK and
Switzerland.
Regarding the Excel table, sheets 1 and 2 should be self explanatory. On
sheet 3 (specialties that are not in Annex V), we have rounded the numbers
in the responses (for example if it was stated that the duration is between
2 to 3 years, we calculated 2.5 years). Sheet 3A contains the original
responses.
The results have been shared with the European Commission and will also be
uploaded onto the ENMCA website in the members only section.
Best wishes
European Network of Medical Competent Authorities
www.enmca.eu <http://www.enmca.eu>
<https://www.enmca.eu/themes/custom/cnom_enmca/logo.svg>
Results - ENMCA survey on the lenght of specialist training (EU and EEA members, UK, Switzerland; responses from 24 / 32 MS)
Research by Medical Chamber of Slovenia
June 2025
Table 1.
Minimum training durations
2015 2015
Number of countries
Number of countries
for recognition 2015
for recognition 2025
United Kingdom
Liechtenstein
Netherlands
Luxembourg
Switzerland
Lithuania
Annex V
Denmark
Germany
Romania
Sweden
Slovenia
Slovakia
Portugal
Hungary
Bulgaria
Czechia
Belgium
Iceland
Norway
Estonia
Finland
Croatia
Greece
Cyprus
Austria
Poland
Ireland
France
Latvia
Country Country Country Country
Malta
Spain
Italy
Speciality in Annex V minimum
minimum maximum average median
training
5 3 7 5,1 5,0 10 15 5 6 5 6 5 5 7 5 5 3 5 4 5 5 5
1 Accident and emergency medicine
2 Allergology 3 2 6 4,7 5,0 12 14 6 4 5 5 4 5 2 4 5 5 5 4 5,5 6
3 Anaesthetics 3 3 6,5 5,1 5,0 21 23 6 6 5 4 5 5 5 5 5 5 5 5 6 5 5 5 6 5 5 5,5 6,5 5 3
4 Biological chemistry 4 4 7 5,4 5,5 9 9 6 4 5 5 7 6 5,5 6,5 4
5 Biological haematology 4 4 6 5,3 5,5 2 4 4 5 6 6
6 Cardiac surgery 5 5 6,5 5,7 6,0 10 6 5 5 6 6 5 5 6 6 6,5
7 Cardiology 4 4 7 5,5 6,0 19 23 4 6 6 4 5 6 6 5 5 6 6 5 7 5 6 6 5 6 6 5,5 6,5 6 4
8 Child psychiatry 4 4 7 5,1 5,0 18 21 5 6 5 4 5 4,5 5 5 5 4,5 4,7 7 4 5 5 6 5 5,5 5 6,5 6 4
9 Clinical biology 4 4 6 4,9 5,0 9 8 6 5 4 4 5 4,6 5 4 6
10 Clinical neurophysiology 4 4 6,5 5,3 5,5 5 7 6 4 5 6 5,5 6,5 4
11 Communicable diseases 4 2 6,5 4,9 5,0 16 20 6 6 4 4 5 2 6 4 5 2 4,6 6 5 5 5 6 4 5,5 6,5 6 4
12 Community medicine 4 4 6,5 4,6 4,0 19 19 4 6 4 4 4 5 4 5 4 4 6 4 4 5 4 5,5 6,5 5 4
Dental, oral and maxillo-facial
surgery (basic medical and dental 4 4 7 4,7 4,0 11 11 4 5 4 4 5 4 5,8 7 4 5 6 4
13 training)
14 Dermatology 4 4 7 5,0 4,5 4 4 7 5 4 4
15 Dermato-venereology 3 3 6,5 4,6 5,0 19 21 4 6 5 4 4 4 5 4 4 5 4 5 3 5 5 5 4 4 5,5 6,5 5
16 Diagnostic radiology 4 4 6,5 5,1 5,0 21 18 5 6 5 4 5 5 5 5 5 5 4,9 5 5 5 4,5 6 6,5 5 4
17 Endocrinology 3 2 6,5 5,1 5,5 18 21 6 6 4 5 6 6 4 4 6 6 2 6 5 6 5 5 5 5,5 6,5 6 3
18 Gastroenterological surgery 5 5 6,5 5,8 6,0 6 7 6 5 6 6 6 5 6,5
19 Gastroenterology 4 4 6,5 5,5 6,0 21 23 6 6 6 4 5 6 6 4 5 6 6 5 6 5 6 6 6 5 5 5,5 6,5 6 4
20 General (internal) medicine 5 4 6,5 5,2 5,0 20 23 6 6 5 5 5 5 5 5 5 5 5 5 5 5 6 5 4 5 5,5 5 6,5 5 5
21 General Haematology 3 3 7 5,3 5,3 19 22 6 6 6 4 5 6 6 4 5 6 6 4 7 5 5 5 5 5 5,5 6,5 6 3
22 General surgery 5 5 8 5,8 6,0 21 22 6 6 6 5 5 6 6 5 5 6 6 6 8 5 5 6 6 6 5,5 6,5 6 5
23 Geriatrics 4 4 6,5 5,0 5,0 21 17 6 4 5 5 6 4 5 4,8 6 5 4 5 5 4 5 5,5 6,5 4
24 Immunology 4 2 7 4,9 5,0 12 13 6 4 5 5 5 2 7 4 4 5,5 6,5 6 4
Maxillo-facial surgery (basic
5 4 7 5,4 5,0 9 11 7 4 4 5 6 5 6 5 5 6,5 6
25 medical training)
26 Medical genetics 4 4 6,5 4,8 5,0 19 20 5 6 6 4 5 5 4 4 5 4 6 5 5 4 4 5 4 6,5 5 4
27 Medical oncology 5 4 6 5,4 5,3 13 16 6 6 5 6 5 6 5 6 5 5 6 4 5 5,5 6 5
28 Microbiology-bacteriology 4 4 7 4,9 5,0 16 17 5 6 4 4 5 5 5 5 5 4,6 7 4 5 4 4 5,5 6,5 4
29 Neurological surgery 5 5 8 5,9 6,0 21 22 6 6 6 5 6 6 5 5 6 6 6 6 8 6 6 6 5 6 5,5 6,5 6 5
30 Neurology 4 4 7 5,0 5,0 21 22 5 6 5 4 5 4 5 4 4 5 4 4,5 7 4 5 6 5 6 5 5,5 6,5 6 4
31 Neuropsychiatry 5 5 6 5,3 5,0 3 3 6 5 5
32 Nuclear medicine 4 4 6,5 4,9 5,0 18 17 5 6 5 4 4 5 5 4 5 5 4,7 5 5 4 5,5 6,5 5 4
33 Obstetrics and Gynaecology 4 4 7 5,3 5,0 21 21 5 6 6 4 5 5 5 5 6 5 5 4,4 7 5 5 6 5 5 5,5 6,5 5 4
34 Occupational medicine 4 4 6,5 4,6 4,0 20 21 4 6 4 4 5 4 5 4 5 4 4 6 4 4 4 5 4 5,5 6,5 5 4
35 Ophthalmology 3 3 6,5 4,7 4,8 21 22 4,5 6 4 4 4 4 5 4 6 5 4 4 6 4 5 5 4 5 5,5 6,5 5 3
36 Orthopaedics 5 5 8 5,7 6,0 21 22 6 6 6 5 5 6 5 5 6 6 6 6 8 5 6 6 5 5 5,5 6,5 6 5
37 Otorhinolaryngology 3 3 8 5,0 5,0 21 23 5 6 5 4 5 5 5 4 6 5 5 5 8 4 5 5 5 4 5,5 5 6,5 5 3
38 Paediatric surgery 5 5 8 5,9 6,0 17 19 6 6 5 5 7 5 6 6 7 6 8 5 6 6 5 5,5 6,5 6 5
39 Paediatrics 4 4 7 4,9 5,0 21 21 5 6 5 4 5 4 5 4 5 5 4 4,3 7 4 4 5 5 5 5,5 6,5 5 4
40 Pathological anatomy 4 4 7 5,1 5,0 20 22 5 6 5 4 5 5 5 4 5 6 5 5 7 4 5 5 5 5 5,5 6,5 5 4
41 Pharmacology 4 4 6,5 4,9 5,0 15 15 6 4 5 4 5 5 2,1 6 5 4 4 4 5,5 6,5 6 4
42 Physiotherapy 3 4 6,5 4,7 4,7 18 18 5 6 5 4 4,3 4 4 4 5 4 4,3 4 5 4 5 4 5,5 6,5 5
43 Plastic surgery 5 5 8 5,7 6,0 21 22 6 6 6 5 5 6 6 5 6 6 6 5,8 8 5 5 6 6 5 5 5,5 6,5 6 5
44 Psychiatry 4 4 7 5,1 5,0 21 23 5 6 5 4 5 5 5 4 5 5 5 4,9 7 4 5 4,5 5 5 5 5,5 5 6,5 6 4
45 Radiology 4 4 6,5 5,2 5,0 9 12 5 6 4 5 5 5 4,9 5 5 5 5,5 6,5 5
46 Radiotherapy 4 4 7 4,9 5,0 20 19 5 6 5 4 5 4 6 4 5 5 4 4,8 7 4 5 5 6 5 5 4
47 Renal diseases 4 4 7 5,4 5,8 19 22 6 6 6 4 5 6 6 4 5 6 6 5 7 5 6 5 4 5 5,5 6,5 6 4
48 Respiratory medicine 4 4 6,5 5,4 5,3 21 22 6 6 6 4 5 5 6 4 5 6 5 4,8 6 5 6 6 5 5 5 5,5 6,5 6 4
49 Rheumatology 4 4 6,5 5,4 6,0 21 22 6 6 6 4 5 6 6 4 4 6 6 5 6 5 6 6 5 5 5 6,5 6 4
50 Sports medicine 4 2 5 4,0 4,0 9 5 4 2 4 4 4 4 5 4
51 Stomatology 3 4 5 4,5 4,5 2 2 4 5
52 Thoracic surgery 5 4 8 5,8 6,0 21 22 6 6 5 5 7 6 5 6 6 7 5 8 5 5 5,5 6 4 6 5,5 6,5 6 5
53 Tropical medicine 4 2 6 4,2 4,0 6 6 6 2 4 4 5 4
54 Urology 5 5 8 5,5 5,0 21 23 5 6 6 5 5 5 6 5 6 5 5 5 8 5 5 6 6 5 5 5,5 6,5 6 5
55 Vascular surgery 5 4 8 5,8 6,0 18 18 6 6 5 5 7 6 5 6 6 7 5,7 8 5 6 6 4 5 6,5 5
56 Venerology 4 4 6 5,3 5,5 3 4 6 5 6 4
* If the candidate has completed both courses of study (medicine and dental medicine) before starting the specialization, the specialization lasts 4 years. If the candidate has completed studies only in the field of medicine or only in the field of dental medicine, the specialization lasts 7 years. The candidate must complete a course of study in the opposite direction within 3 years
* 2 as a subspecialty after obtaining the title of Paediatrics or Internal Medicine
* Can not be obtained as first specialist qualification
New specialties not included in the 2015 survey
* No response: Czechia, Finland, Italy, Luxembourg, Malata, Slovakia, Spain, Liechtenstein -> included 2015: Bulgaria, Switzerland
Difference of duration between MS ≥ 4 years MS with the minimum training duration
Difference of duration between MS ≤ 1 year MS with the maximum training duration
Average of durations ≥ 2 years with minimal training duration in Annex V MS with training duration lower than in Directive
No recognition for this speciality in the countryspeciality in the country
Results - Duration of PGT 2024 - 250911 koncno ZZS (A2) copy
T1 Speciality in Annex V
11.09.2025, 14:19
1/1