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Old 03.04.2019, 17:43
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MEDICAL SPECIALISATION/ RESIDENCY in Switzerland

I thought to create a new thread seperately.. as it is mostly ask through many times through "private messages":

Other previous levels are here https://www.englishforum.ch/permits-...citizen-3.html

LEVEL 5: Learning German in Bern
LEVEL 6: Getting job as Resident Doctor in Kanton Bern/ Swiss


I have combined above post as both are interlinked.

Steps to swiss medical Residency/ Specialisation

Step 1: Learning Swiss language upto B2.(below)
to be followed:
Step 2: Organising visa and accomodation.
Step 3: Registering onself into Swiss Med-Register & acquiring GL Number.
Step 4: Getting in contact with MEBEKO regarding Degree recognition.
Step 5: Getting a job as Intern/ Resident doctor.
Step 6: Getting into Doctorarbeit/ Thesis work for DR title.
Step 7: Preparing for Staatsexamen.
Step 8: Working further to complete remaining specialisation years to become a specialist.
Step 9: Preparing for Federal Specialist exam.
Step 10: Continuing futher medical education.

STEP 1: LEARNING THE LANGUAGE (German/ French/ Italian):
In switzerland, getting into medical residency/ Specialition program is quite difficult to impossible without required certain level of language competency.
Swiss official languages are only : German, French and Italian.

ENGLISH IS NOT (one of the 4) SWISS NATIONAL LANGUAGE:
NEITHER ARE SPECIALISATION COURSE HELD IN ENGLISH, Very RARELY patient prefer/ or demands for consultation to be held in english. These patients could be mostly foriegners residing in CH or Tourists. I have met just 3 patients in Internal medicine and Psychiatry during last 2 years.

I had learn german and only well versed with processes or hospital in german area, particularly around Bern.

No matter how good you are in medicine; Swiss hospitals/ HOD/ Chefarzt won’t hire you without your language proficiency..!
  • Min.officially required language level: B2 based on common european framework of reference/ CEFR for EU languages
  • The higher, one has the language competency, the better are chances of getting job as well as starting specialisation programme (logically ).

Where to learn:
For those , who wanna start at their home country especially from Asian/ African/ American countries:
• Join a regular language school to learn at faster pace atleast upto B1. It would save your money and time in switzerland. It would a plus while finding a job as Intern/ Resident doctor.
• If possible, another alternative would be : hire a hourly based private Goethe licensed tutor for A1-A2 levels >> then join language schools for B1 (+/- B2) level. It would be more convinient if you are working at emergency dept. in your native country. I did this option which was very convinient for me while I was working then too and at ultra fast paced way for basics. Pace could vary depending on mainly individual self study etc.
For those, who are already in Bern. There are many languages school/ organisation to help out:
Chargeable courses at: Alemania, Flying teachers, Benedict, inlingua, Migros Klubschule etc. For ex : I joined Alemania for B2 and C1 levels. Details: https://www.alemania.ch/deutschkurs
Non-chargeable Organisation: (extensive list from regional Integration centre: Kompetenzzentrum Integration Bern, Effingerstrasse 33, 3008 Bern)

- Denkmal at Lagerweg 12, 3013 Bern: (advantage: meet people from diverse linguatic backgrounds, good way to practice your own teaching skills too; disadvantage: slow paced, irregular time as well as classes)

- Meet up Bern: Register > meet at an organised Restaurant & time ; every Thursday > just spoken skill to practice. Usually few helping swiss or german volunters are almost always there to rectify the mistakes.
(advantage : person of any level are welcomed and mostly talk informally about daily life.)

Resources to learn from:
 I followed the prescribed books from Goethe & materials from language schools in India. Later on Telc precribed study & workbooks for B2 & C1 level at Alemania.
 After passing B1 level, gradually & progressively started reading newspapers (NZZ, Tagesanzieger, Der Bild, Spiegel, Suddeutsche Zeitung); all on a common android app.
 Listened with written Transcript „Deutsche Welle: Langsam gesprochene Nachrichten“. For eg:
https://www.dw.com/de/deutsch-lernen/nachrichten/s-8030

Android apps:
here is a list of tried Apps, which probably might help you too:

1. Eng - ger Dictionary:
dict.cc dictionary (by Paul hemetsberger) or Duden

2. Vocabulary for beginners:
> Duolingo: learn languages free (by Duolingo)
> Learn German vocabulary free {by language course S.L.}
> Learn German vocabulary - 6000 words (by fun learn easy)

3. Total grammar explained in short n easy way:
German grammar (by Global Inc.} (Explained in English)

4. For beginners, according to grammar topic:
* German verb conjugator (by Ian Tipton)
* German verbs (conjugation) {by Appicenter LLC}
* German gender quiz (for all nouns) {by Nicola tesser}
* German adjective declension {by Nicola tesser}
* German verb -prepositions quiz (fixed combinations) {by Nicola tesser}

5. small conversational-sentences apps:
* Babbel (subscription based)
* Duolingua german (non chargeable)

6. Newspapers:
> DW – 5 small compiled breaking world news { by Deutsche Welle} (Slow spoken news with its transcripts)
> world Newspapers { by bazimo} (select any from DACh eg: Bild, Spiegel, Süddeutsche Zeitung, NZZ)

7. Self assesment according to each level:
* Learn Deutsch DeutschAkademie (by DeutschAkademie....)

Websites
1. Grammar in details : EN « » DE interchangeable
www.canoo.net

2. Learning material/ worksheets, according to grammatical topics*_ ger
www.nthuleen.com/teach.html

3. Grammar topics: consice & compact explained:*_ eng« »ger
www.deutschseite.de/inhalt.html

4. Newspapers:
> Deutsche Welle – 5 small compiled breaking world news {by Deutsche Welle} (Slow spoken news with its transcripts)
https://www.dw.com/de/23022019-langs...ten/a-47652122



PS: Special thanks to Cugeno from the link below; he helped me understand the initial process in detail.
Link: https://www.englishforum.ch/permits-...ml#post2369136
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Old 04.04.2019, 00:07
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Re: MEDICAL SPECIALISATION/ RESIDENCY in Switzerland

You deserve a medal for this wonderfully detailed and very pragmatic post! Thank you!
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Old 07.04.2019, 09:30
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Re: MEDICAL SPECIALISATION/ RESIDENCY in Switzerland

LEVEL 5: Learning German in Bern
LEVEL 6: Getting job as Resident Doctor in Kanton Bern/ Swiss


I have combined above post as both are interlinked.

Steps to swiss medical Residency/ Specialisation

Step 1: Learning Swiss language upto B2 (below).
Step 2: Registering onself into Swiss Med-Register & acquiring GL Number (below).
to be followed:
Step 3: Getting in contact with MEBEKO regarding Degree recognition.
Step 4: Getting a job as Intern/ Resident doctor.
Step 5: Organising visa and accomodation.
Step 6: Getting into Doktorarbeit/Promotion/ Thesis work for <<Dr. title>> .
Step 7: Preparing for Staatsexamen.
Step 8: Working further to complete remaining specialisation years to become a specialist.
Step 9: Preparing for Federal Specialist exam.
Step 10: Continuing futher medical education.

STEP 2: Registering onself into Swiss Med-Register & acquiring GL Number

As of January 1, 2018, all medical doctors working in Switzerland will have to be registered in the medical professional register due to the revised Medical Profession Act (Med BeGe). Those who have not yet registered but who are already working before 1 January 2018 will receive a two-year transitional period (i.e till end of Dec 2019) to get themself registered.

Whom to contact for registeration:
Bundesamt für Gesundheit BAG
Abteilung Gesundheitsberufe
Gesundheitsberuferegister
Schwarzenburgstrasse 157
3003 Bern
Schweiz
Tel. +41 58 462 15 97
medreg@bag.admin.ch

Purpose: to register the medical education as well as the language competency of all healthcare professionals who are working in Switzerland with unrecognised medical degree. Simultaneously, make it available to prospective employer as well as to patients. Search according to name on: https://www.medregom.admin.ch/

Cost of registration: CHF 800 for medical education & CHF 50 - 100 per language registration. This could vary on individual basis & decided after assesment on 1 :1 basis.

How to get register: Persons with a non-recognizable foreign diploma who have received a positive decision from MEBEKO, must be oblligatory now registered in MedRegister or MedReg.
Healthcare professionals includes doctors, dentists, pharmacists, Vets and chiropractioners.

The 6 necessary/ required documents are mentioned in registration form is attached (below) or download it from :
https://www.bag.admin.ch/bag/de/home...nalberufe.html

Processing time: It could take around min. 2-3 months to get the confirmation letter.

Outcome: One is registered in „ Swiss medical Register“ and receive a confirmation letter with Global locator or GL number, is unique to each healthcare professional.

During my last job interview (at my current hospital), I was asked if I am already registered or not! And I was then only registered among others.

I guess, Jan 2020 onwards, all doctors especially who have acquired their medical degrees from outside Switzerland or EFTA, would have to get registered before start working. Although, no such circular/notification has been issued from MEBEKO (that I have came across).
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Old 27.04.2019, 21:43
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Re: MEDICAL SPECIALISATION/ RESIDENCY in Switzerland

LEVEL 5: Learning German in Bern
Level 6: Getting job as Resident Doctor in Kanton Bern/ Swiss


I have combined above post as both are interlinked.

Steps to swiss medical Residency/ Specialisation

Step 1: Learning Swiss language upto B2 (below).
Step 2: Registering onself into Swiss Med-Register & acquiring GL Number.

Step 3: Getting in contact with MEBEKO regarding Degree recognition.

to be followed:
Step 4: Getting a job as Intern/ Resident doctor.
Step 5: Organising visa and accomodation.
Step 6: Getting into Doktorarbeit/Promotion/ Thesis work for <<Dr. title>> .
Step 7: Preparing for Staatsexamen.
Step 8: Working further to complete remaining specialisation years to become a specialist.
Step 9: Preparing for Federal Specialist exam.
Step 10: Continuing futher medical education.

Step 3: Getting in contact with MEBEKO regarding Degree recognition.

Whom to contact for recognition:

Bundesamt für Gesundheit BAG
MEBEKO
Schwarzenburgstrasse 157
3003 Bern

Tel. +41 58 462 94 83
MEBEKO-Ausbildung@bag.admin.ch

MEBEKO (Medizinberufkommission or medical professional commission) is an authorised non-parliamentary commission (incoordination with ministry of health/ Bundesamt für Gesundheit (BAG) has both an administrative and a consulting function in the field of university medical professions.

Their tasks and competences are governed by the Medical Profession Law (MedBG) and the administrative Regulations.

The MEBEKO:
  • as a consultative body, comment on subject-specific and quality-related aspects of education and training;
  • may submit proposals to the Accreditation Body, the Federal Council, the FDHA and the University Council to increase the quality of education and training;
  • decides on the recognition of foreign diplomas and advanced training titles for which there is a bilateral agreement for mutual recognition;
  • decides on the conditions that holders of an unrecognizable foreign degree must fulfil in order to obtain a federal degree;
  • supervises the federal examinations, which lead to the federal degree in human, dental, veterinary medicine or pharmacy and chiropractic;
  • and regularly reports to the EDI and the University Council on their activities.

In view of the number and breadth of the tasks, MEBEKO consists of a management board as well as the two departments Training and Further Education. Both ministries run a branch office located in the BAG Healthcare Professionals Section.

Registration (as mentioned in step 2) and Recognition of medical degree (mentioned below) are two different issues for each individual &their degree. Both are done & undertaken by MEBEKO on 1:1 basis assessment. For Swiss and EU medical degree holders (falling under step 1-3) , both processes are carried out simultaneously. For non EU medical degree holders, it’s prolonged process (mentioned under type 4 recognition)

Types of recognition in Switzerland:

DEGREES FROM SWITZERLAND or EU/EFTA COUNTRIES
1. Direct (automatic) recognition
(for medical degrees from Switzerland)
2. Direct (facilitated) recognition (for medical degrees from EU/EFTA countries)

DEGREES OUTSIDE SWITZERLAND or EU/EFTA COUNTRIES
3. Indirect recognition
(for non EU/EFTA medical degrees, but recognised in EU countries)
4. Registered but unrecognised degrees (all the degree which are neither from Switzerland nor from EU/EFTA countries).

*(degrees = diplomas, in german)

A distinction is made between the recognition variants of direct and indirect recognition:

Direct recognition takes place when the diploma has been obtained in EU or a Contracting State.
Indirect recognition (= recognition of recognised degree) is done when EU country/ a Contracting State recognizes a third-country diploma and this recognition is accepted by Switzerland.


DEGREE FROM SWITZERLAND or EU/EFTA COUNTRIES

1. Direct (automatic) recognition
(for medical degrees from Switzerland)
All medical students who complete their 6th year of medicine (Bachelor & Master, each of 3yrs) in Switzerland (equivalent to Indian 5.5 yrs of MBBS/ Bachelor of medicine and surgery) are obliged to pass Swiss medical license exam (known as Staatsexamen).

It is 2 tier exam: 2x150 MCQ (written) & 12 short cases of history & exams (OSCE).

Detail about Staatsexamen: https://www.bag.admin.ch/bag/de/home...ntent_par_tabs

Upon successful completion of the license exam, Swiss medical students are automatically registered get an GL or global location number + degree as well as a official medical title {med.pract. }.

(Unlike in India, one gets <Dr.> title after successful completion of 5.5yrs of MBBS & registration with MCI. In Switzerland, in order to get {Dr.} title, medical students undertake a thesis work during their 3rd-4th year of medicine).

Upon completion of both thesis and Staatsexamen (license exam). The title changes to {Dr.med. }

2. Direct (facilitated) recognition (for medical degrees from EU/EFTA countries)

https://www.bag.admin.ch/bag/de/home...r-eu-efta.html

Diplomas from the EU / EFTA can be recognized in accordance with the bilateral Agreement on the Free Movement of Persons with the EU and EFTA States. The 90-day or lesser service providers are required to initiate a special "notification procedure".

Agreement on the Free Movement of Persons (FZA)
According to the Federal Act of 23 June 2006 on the Medical Professions (MedBG), foreign diplomas are only recognized if there is an agreement on the mutual recognition of diplomas with the respective state. Such agreements have been in force since June 2002 with the EU (Free Movement of Persons Agreement, FTA) and EFTA. With regard to diploma recognition, the FZA refers to the EU directive. The recognition applies to the professional diplomas with regard to admission to the profession, but does not refer to the academic titles.

Recognition or notification procedure?
The recognition procedure is initiated by EU medical degree holders who wish to engage for professional purposes in Switzerland (for more than 90days), regardless of whether they are living in Switzerland (also considered or called as border workers). The period of validity of a recognition is not limited to timeframe or location (canton).

The notification procedure must be compulsorily initiated by EU / EFTA diploma holders who maintain their main occupation and residence in one of the EU / EFTA member states but wants to work also in Switzerland for a maximum of 90 days per calendar year. In the fields of human medicine, in addition to a qualifying diploma, an eligible specialist title is required. The notification procedure must be renewed for each calendar year.

Cost amounts between CHF 800 - 1,000 for the review of medical degree by MEBEKO and an additional CHF 800 - 1,000 for specialist titles

Requirements for this recognition:
• The applicant has the nationality of Switzerland or of a Contracting State of Switzerland (EU or EFTA) or the spouse has the nationality of one of these states;
• The diploma submitted (including any additional certificates that may be required) must correspond to EU Directive 2005/36 / EC or in the EFTA Convention;
• The diploma (including any additional passes) was issued by the authority mentioned in the EU Directive or the EFTA Convention.

Anyone wishing to pursue a medical profession in Switzerland must have the requisite language skills in the official language (german/French or Italian)of the canton in which the profession takes place. The proven language skills can be entered in the medical profession register (Swiss Medical register, mentioned in step 2). For information about the submission of applications, prerequisites for entry, fees / procedure and other important information, see: www.spracheintrag.admin.ch

DEGREE FROM OUTSIDE SWITZERLAND or EU/EFTA COUNTRIES

3. Indirect recognition
(for non EU/EFTA medical degrees, but recognised in EU countries)

As per email reply from MEBEKO under this recognition:

Requirements:
1) The applicant is Swiss or an EU/EFTA national OR is married to a Swiss OR an EU/EFTA citizen
2) The degree has been obtained or recognized in an EU/EFTA country according to Article 2 alinea 2 and to Article 3 alinea 3 of the European Directive 2005/36/ EC. (no idea: what that is..!);
3) The applicant has at least 3 years of clinical experience in the EU/EFTA country which has recognized the medical diploma OR in Switzerland.
4) The applicant has to be fluent in one of Switzerland national languages: German, French or Italian.
5) Swiss Medical Registration (MedReg) for GL number (as mentioned in step 2).

Documents required for this recognition:

• Curriculum Vitae,
• a certified copy of your passport, and – if not Swiss or EU/EFTA national- then a certified copy of your wife/ husband's passport (Swiss or EU/EFTA national), as well as a certified copy of your marriage certificate (with a certified copy of a translation, if not in English, German, French or Italian);
• a certified copy of your medical diploma (& a certified copy of an official translation, if not in EN, DE, FR, IT).
• a certified copy of the diploma’s recognition made in an EU/EFTA country, with a certified copy of an official translation of the recognition (if needed),
• the proof of work experience from Switzerland or in a EU/EFTA Member State, stating the dates when you started and ended working, your job title and working rate. You should have an equivalent of 3 years of full time clinical experience within last 5 years.
• a proof of language proficiency (level B2) in French, German or Italian (as mentioned in step 2).
• if available, document stating GL number (Swiss Medical Registration as mentioned in step 2).

4. Registered but unrecognised degrees (all the degree from non EU/EFTA countries).

This process of recognition is called: ACQUISITION Of SWISS FEDERAL MEDICAL LISCENSE

License to practice a medical profession in Switzerland is granted by cantonal authorities. Foreign medical doctors without diploma’s recognition can sometimes be authorized by cantonal authorities of public health to work in a dependent position (e.g. as a collaborator in a hospital). For that they need:
a)the permission to enter the country
b) the working-permit

Both are established by cantonal authorities on request of the future employer. To work as independent or do an Specialisation course as Assistenzarzt, a doctor needs the Federal medical diploma/license (or a recognised foreign diploma) +/- a postgraduate title (Swiss or recognised foreign title).

All those who can’t get their medical degree recognised through ANY one of processes mentioned above, fall under this type of recognition.

Foremost important & compulsory step is get oneself registered in Swiss medical register (MedReg). It’s mentioned in detail under step 2. End registration date is 31.12.2019.

3 Options/Possibilities under this recognition:

OPTION 1° - Study three years of <master in Medicine> in one of the swiss medical colleges (associated with Swiss universities at Basel, Bern, Zürich, Freiburg, Lausanne, Geneva, Neuenburg, Svizzera Italiana and ETHZ (Fall 2019 onwards). Admissionn is solely based on the discretionary power of each individual university. A decision from the MEBEKO about the conditions under which one can obtain the Federal medical liscense, doesn’t give right to a study place: one have to check with the university if you can obtain a study place. Each one of them have their own criteria of acceptance. For example: Uni Bern accepts directly to masters, if one has lived in Switzerland for 5yrs (it was in 2016’s criteria’s list)
- Pass all the examinations of these 3 years of Masters.
- Pass the Staatsexamen/ Federal Licensing Examination (FLE).

In my opinion, it’s almost impossible way to get a medical seat at university..!

OR

OPTION 2° -Work three years full time (100% Pensum) in Switzerland as an Assistenzarzt/ JR(India)/ Resident doctor (US)/ House officer (UK) and then pass both the steps of FLE.

[I] Most of the doctors choose the pathway..![I/]

OR

OPTION 3° -Work five years full time (100% Pensum) in Switzerland as an Assistenzarzt/ JR(India) and then pass written part of the FLE.

Documents required for this recognition:
- a Curriculum Vitae,
- a copy of your passport
- a copy of your high school diploma, with translation in English, German, French or Italian
- a copy of the medical diploma from the university, with translation in EN, DE, FR, IT.
- a copy of your university medical transcript stating all the exams you took during your university studies, with translation in EN, DE, FR, IT.
- Proof of work experience in Switzerland stating the dates when you started and ended working, your job title and working rate.
- language proficiency certificate of german/French or Italian B2 level, depending in canton of your workplace.
- Swiss Medical register with GL Number

Upon receipt of all required documents, the Commission on Medical Professions will grant you permission, if needed- take any prerequisite courses or examinations for the FLE, as well as the permission to take the FLE.

Fees:
> Documents evaluation & concluding decision: CHF 680.
> Registration for the exam and the diploma (at MedReg): CHF 1700.
If you have to study or do prerequisite course, you must also add some study costs.
(Plz check for latest charges, mentioned above charges were in 2016)

Alternatives:
  • All those doctors, who have valid scores or have qualified USMLE (step 1&2 – CK,CS) or UK's PLAB as well as MRCP or AMC or any other national licensing exam, please contact MEBEKO directly. (I haven’t met someone in such scenarios, but heard, that these are also alternative ways to get your medical degree recognised, bypassing above mentioned recognition types).
  • For English speakers (still in process to get B2 level): find a professor or consultant (Oberarzt/Oberärztin) for thesis work >> register yourself to a university, which (s)he recommends. Details in future step 6: Getting into Doktorarbeit/Promotion/ Thesis work for <<Dr. title>> .
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