To be precise, note that MOST of the native-language European schools are California-approved -- it's just the English-language programs which often do not have that approval.

One other important consideration is that there are schools which allow English-speaking students to matriculate in their native-language programs, teaching them the local language during the classroom years of medical school to use during clinicals.

For example, this is the case in Bratislava, Slovakia, and Sofia, Bulgaria (among some others). Because the English-speaking students learn the language and graduate specifically from the native-language program, their medical education is recognized by the State of California.

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MS (Health Sciences) - Brigham Young University
BA (German Language & Literature) - University of Oregon
Hospital Corpsman (Fleet Marine Force) - 2nd Marine Division

"Pains nor toils nor trials heeding, and in heaven's own time succeeding..."
Wm. E. Hickson (1803-1870)