Italy

Part One

| Professional recognition in your country

1.1. Which organisation recognises doctors eligible to practice in your country?

In case your country has more then one organisation which can provide professional recognition, please attach to this survey a simple list of names and websites where we can acquire more information.

Name:

For title recognition:
Ministero della salute (government)

For medical licence:
Ordine dei medici chirurghi e odontoiatri (medical chamber)

Address:

Ministero della salute:
Viale Giorgio Ribotta, 5 00144 – Roma

Ordine dei medici:
see local chamber (province of residence)

Phone number:

Ministero della salute:
06 5994 2378 - 2758 from monday to saturday 9.00-12.00 am

Ordine dei medici:
see local chamber (province of residence)

Fax:

----

Contact person:

Ministero della salute:
URP – Ufficio relazioni con il pubblico (information office)

E-mail:

Ministero della salute:
contact form http://www.salute.gov.it/portale/p_sendMail2.jsp

Website(s):

Ministero della salute:
http://www.salute.gov.it

1.2. What requirements/documents are necessary for a foreign doctor to practice medicine?

i.e. language skills, medical degree, insurance, immigration status.

MEDICAL DEGREE (AND DIPLOMA SUPPLEMENT)
PROFESSIONAL QUALIFICATION (IF PROVIDED IN THE COUNTRY OF ORIGIN)
PROFESSIONAL GOOD STANDING CERTIFICATION
ABSENCE OF PENAL PROCEDURES (CRIMINAL RECORD)
Where else can we find more information?
http://www.salute.gov.it/portale/temi/p2_6.jsp?lingua=italiano&id=2602&a...
HTTP://WWW.ORDINE-MEDICI-FIRENZE.IT/INDEX.PHP/FAQ-DOMANDE-FREQUENTI/277-...

1.3. Are there any application deadlines (if so, when)?

Furthermore, how long does the professional recognition procedure usually take?

TIMING OF PROCEDURE NOT DETERMINED.
2 YEARS OF VALIDITY FOR TITLE RECOGNITION AFTER THE RELEASE

1.4. Are there any sort of examinations/interviews to apply for Medical Professional Recognition?

ONLY LANGUAGE EXAM PERFORMED BY MEDICAL CHAMBER

1.5.1. What kind of professional medical degrees are there in your country?

MEDICAL DEGREE
SPECIALIZATION
GENERAL MEDICINE TRAINING

Where else can we find more information?
HTTP://WWW.MIUR.GOV.IT/WEB/GUEST/OFFERTA-E-ORIENTAMENTO
HTTP://WWW.UNIVERSITALY.IT

1.5.2. How do you access each degree?

NATIONAL TEST

Where else can we find more information?
HTTP://WWW.UNIVERSITALY.IT

Part Two

| Training in your country

2.1. Which organisation is responsible for medical training in your country?

In case your country has more than one organisation with this function, please attach to this survey a simple list of names and websites where we can acquire more information.

In case your country has more then one organisation with this function, please attach to this survey a simple list of names and websites where we can acquire more information.

NAME:
MINISTERO DELL’ISTRUZIONE, UNIVERSITA’ E RICERCA (GOVERNMENT)

ADDRESS:
VIA MICHELE CARCANI, 61 - 00153 ROMA

PHONE NUMBER: 06 5849 4500

FAX: ---

CONTACT PERSON: URP – UFFICIO RELAZIONI CON IL PUBBLICO (INFORMATION OFFICE)

E-MAIL: URP@ISTRUZIONE.IT

WEBSITE: HTTP://WWW.MIUR.GOV.IT

2.2. Besides professional recognition, is there any other requirement for a doctor to start his training/begin to work (i.e. examination, clerkship, internship)? Namely, which documents/examinations are necessary when applying for training/job?

2.2.1. Where are training positions advertised?

http://www.miur.gov.it

2.3. Are there any application deadlines (if so, which)?

YES, COMMUNICATED EACH YEAR BY DECRETE

Where else can we find more information?
HTTP://WWW.MIUR.GOV.IT/WEB/GUEST/UNIVERSITA

2.4. How do applicants choose what and where they would like to train?

AFTER NATIONAL TEST EVERY APPLICANT DECIDE SPECIALIZATION AND LOCATION ACCORDING TO RANKING

2.5. Is there a fee/tuition for attending a training programme?

100 € FOR RESIDENCY NATIONAL TEST

2.6. Do trainees receive a salary during training?

YES

2.6.1. Moreover, what is the current salary and is overtime paid?

RESIDENCY: ABOUT 25000 € PER
GENERAL MEDICINE TRAINING: ABOUT 10000 € PER YEAR

2.6.2. What type of contracts are there? How long are the working and on-calls times?

TRAINING-WORK CONTRACT. FULL TIME (EU WORKING TIME DIRECTIVE)

2.6.3. Are sick leave, vacation days, maternity leave, voluntary work allowed and do they entail a reduction of salary?

SICK LEAVE: No limits. If more than 30 consecutive days, the worker is suspended, payment received partially (~90%), and the overall period of training recovered after return to work.

VACATION: 30 DAYS PER YEAR PERMITTED
MATERNITY LEAVE: GUARANTEED FOR THE WHOLE MATERNITY AND AT LEAST 3 MONTH AFTER BIRTH (SUSPENSION OF TRAINING IS VOLUNTARY UNTIL THE THIRD QUARTER IF ABSENCE OF RADIOLOGICAL/MEDICAL RISKS), THE SUSPENDED PERIOD MUST BE RECOVERED

Where else can we find more information?
HTTP://WWW.PARLAMENTO.IT/PARLAM/LEGGI/DELEGHE/99368DL.HTM

2.7. In general terms, how is the training assessment done?

i.e. exams, evaluations, interviews, appraisal

i.e. exams, evaluations, interviews, appraisal
PRACTICAL TRAINING WITH REGULAR EXAM (EVERY UNIVERSITY DECIDES IN AUTONOMY)

Part Three

| Other details about training/working in your country

3.1. Is mobility possible inside and outside the country during your training?

YES, IT IS POSSIBLE INSIDE AND OUTSIDE OF THE COUNTRY FOR MAXIMUM 18 MONTHS IN THE WHOLE RESIDENCY DURATION

3.2. How many trainees are there in your country?

Divided, if possible, by in each speciality.

IN ITALY, THERE ARE 22 CLINICAL TRAINEES, 13 SURGICAL TRAINEES, 15 PUBLIC TRAINEES.
Where else can we find more information?
HTTP://WWW.MIUR.GOV.IT

3.3. What are the success, training drop-out and post-training employment rates?

NEVER PERFORMED AN ACCURATE SURVEY

3.4. Is there an accreditation procedure for training centres (and do they include visitations)?

YES, EACH TRAINING CENTRE MUST PASS A NATIONAL ACCREDITATION PROCEDURE AND PERFORM A QUALITY CERTIFICATION (INTRODUCED IN 2017, 3 YEARS OF IMPLEMENTING, ACTUALLY NOT COMPLETELY ACTIVE).
SITE VISITS ARE ONGOING.

3.5. Is there any national recertification/revalidation scheme to practice?

UNTIL 2019A NATIONAL RECERTIFICATION SCHEME IS REQUESTED TO PRACTICE AFTER MEDICAL DEGREE. IT IS MADE UP OF TWO PARTS: THE FIRST ONE IS A 3 MONTHS’ PRACTICE: ONE MONTH OF CLINICAL PRACTICE, ONE MONTH OF SURGICAL PRACTICE AND ONE MONTH OF GENERAL MEDICINE; THE SECOND ONE IS A THEORICAL TEST, THAT IS DONE IN EACH UNIVERSITY.
AFTER 2019 THE POSTGRADUATE INTERNSHIP HAS BEEN ABOLISHED, MEDICAL GRADUATES WILL PERFORM THE TEST RIGHT AFTER GRADUATION.
Where else can we find more information?
HTTP://WWW.MIUR.IT/0006MENU_C/0012DOCUME/0098NORMAT/1300REGOLA.HTM

3.6. Are there any differences in the application procedure according to the country of origin of a trainee?

THE APPLICATION PROCEDURE TO ACCESS TO THE TRAINEE IS THE SAME, BECAUSE OF IS A NATIONAL PROCEDURE. THE ONLY DIFFERENCE IS THAT IN CASE OF QUALIFICATION TO MEDICAL PRACTICE, OBTAINED ABORAD, IT IS REQUIRED THE POSSESSION OF THE DECREE OF RECOGNITION OF THE TITLE FOR THE PURPOSES OF THE EXERCISE OF THE MEDICAL PROFESSION ISSUED BY THE MINISTRY OF HEALTH.
DIFFERENCES ARE INTENDED FOR EXTRA EU/EEA DOCTORS.
Where else can we find more information? HTTP://WWW.SALUTE.GOV.IT/PROFESSIONISANITARIEPUBBLICO/

3.7.1. Are there any restrictions for a foreign doctor who is undergoing training in your country to work there afterwards?

THERE IS NOT RESTRICTION.

3.7.2. Moreover, is it possible for a trainee undergoing training in another EU/EEA country to do part of his training in your country? If so, what are the necessary requirements/documents?

IT IS POSSIBLE, FOR A TRAINEE UNDERGOING TRAINING IN ANOTHER EU/EEA COUNTRY, DO A PART OF HIS TRAINING IN ITALY. IT IS NECESSARY TO TAKE CONTACT DIRECTLY WITH PH., COMMUNICATE THE ITALIAN TRAINING PERIOD TO THE UNIVERSITY SECRETARY AND DO A MALPRACTICE AND ACCIDENTS INSURANCE.

3.8. Please summarise the general timeline between the time where a doctor has just graduated until he has attained a final senior post as an independent medical doctor.

In other words, please describe, in general terms, the training of a junior doctor in your country.

In other words, please describe, in general terms, the training of a junior doctor in your country.
TO ACHIEVE THE MEDICAL DEGREE, THERE ARE 3 SESSIONS A YEAR, GENERALLY MARCH, JULY AND OCTOBER. THEN, IT IS NECESSARY TO TAKE THE MEDICAL PRACTICE CERTIFICATION AFTER 3 MONTHS OF MEDICAL PRACTICE AND THE SUBSEQUENT THORICAL TEST, OF WHICH ARE PROGRAMMED TWO SESSIONS A YEAR (GENERALLY FEBRUARY AND NOVEMBER). AFTERWARDS, IT IS POSSIBLE TO TRY THE NATIONAL TEST TO ACCESS TO THE MEDICAL TRAINING, EXPECTED FOR JULY OR SEPTEMBER. EACH TRAINING HAS A VARIABLE DURATION BETWEEN 3 AND 5 YEARS.

Where else can we find more information?
HTTP://WWW.MIUR.GOV.IT

3.9. Is it compulsory to have malpractice (or any other) insurance?

Malpractice insurance for slight to moderate damages to patients is offered by the hospital or structure where the residency is being completed. However, the Italian law requires personal professional insurance for gross negligence or malpractice (Legge Gelli 24/2017), which costs ranges based on sums covered, but ranges around 100e at the current moment for non surgical fields.

3.11. What is the general perspective/position on emigration of medical trainees to foreign countries?

IT IS VERY COMMON THE EMIGRATION OF ITALIAN MEDICAL TRAINEES TO FOREIGN COUNTRIES BECAUSE OF THE TRAINING FUNNEL, FOR WHICH MORE OVER 7000 DOCTORS CAN’T ACCESS TO THE MEDICAL TRAINEES. FOR EXAMPLE, THIS YEAR 15.000 DOCTORS WILL TRY TO ACCESS TO THE MEDICAL TRAINEES, BUT THERE ARE ONLY 6200 SCHOLARSHIP.