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    List of Countries where US trained osteopaths are recognized

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    AOA INTERNATIONAL LICENSURE SUMMARY

    July 2004

    This summary of licensure availability in international countries for graduates of United States osteopathic medical schools is revised and expanded on a continual basis. Some countries have definite policies regarding either the licensure of D.O.s, the licensure of internationally trained physicians and health care practitioners and/or the licensure of non-citizens. A few countries have consistently refused to grant U.S.-trained D.O.s full practice rights, often permitting them to perform only manipulation and sometimes refusing to grant them any type of practice. Other countries, however, are simply not educated on the qualifications of U.S.-trained D.O.s and their equivalence in education, training and practice to M.D.s. To that end, communication with international health care officials can be a time consuming and formidable task.

    There are a few issues to keep in mind when researching licensure possibilities in foreign countries. Many countries that were or continue to be under British influence adhere to Britain's definition of an "osteopath," a non-physician health care practitioner who practices only manipulation. Due to the similarity of the titles, many of these countries refuse to grant U.S.-trained D.O.s practice rights beyond the scope of manipulation.

    Further, the procedure by which international countries consider granting physician licensure to foreigners is not consistent among all countries. The procedure can take the form of a simple interview with a Minister of Health or Medical Board, a handshake with a governmental insider or the submission to a battery of examinations, intensive residencies and the like.

    Also, the intent and type of practice sought by the U.S.-trained D.O. might warrant a substantially different application procedure. For example, those who are interested in working on a volunteer basis or for a mission often find the process less hindered by paperwork and legal regulations. For this reason, an applicant should be as clear as possible about his or her intentions when making a written inquiry.

    The following is a catalog of countries in which the AOA has investigated osteopathic licensure. Included in each country's listing is the year in which the last request for updated licensure status was made, the scope of osteopathic practice in that country, an overview of issues specific to that country and the contact for licensure inquiries. As you will note, information regarding many of these countries is out-of-date and has not been reevaluated. In addition, licensure status can change from year to year - so it is encouraged that the individual contact the appropriate authority well in advance of an expected visit or move.

    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 Affairs, 142 East Ontario, Chicago IL 60611; (800) 621-1773 ext. 8184. Further, it would be of great help to the AOA and other osteopathic physicians if the AOA Division of State Government Affairs were notified of the outcome of any inquiries. In addition, if correspondence from international health agencies is received, please forward copies for the files maintained at the AOA.

    Argentina
    Year of Last Request: 1994
    Scope of Practice: unlimited
    Per correspondence from the Ministry of Culture and Education, it appears that U.S.-trained D.O.s will be permitted to obtain a full physician license in Argentina in accordance with requirements for all foreign physicians. Argentine law does not specifically include osteopathic medicine or the D.O. degree; instead, foreign physicians must submit credentials to various agencies and then appear before any of the National Universities in order to have their diploma considered as an Argentine equivalent.
    Contact: Argentine Consulate closest to professional residence

    Aruba
    Year of Last Request: 1993
    Scope of Practice: denied
    Per its director, the Aruba Public Health Department can only issue a license to graduates from five U.S. medical schools, none of which are osteopathic medical schools.
    Contact: Director,
    Public Health Department
    Oranjestad
    ARUBA

    Australia
    Year of Last Request: 2000
    Scope of Practice: varies
    A U.S. educated and trained osteopathic physician was recruited to head up an emergency room in the suburbs of Sydney. Through the efforts of the hospital, he secured an unlimited medical license through the New South Wales Medical Board upon endorsement of the Australian College of Emergency Medicine. It appears that licensure would be dependent on the state. Previously, the Australia Medical Council denied a request by the AOA to recognize U.S. educated and trained D.O.s for the unlimited practice of medicine.
    Contact: New South Wales Medical Board
    Medical Board Building
    Off Punt Road
    PO Box 104
    Gladesville NSW 1675
    New South Wales
    AUSTRALIA
    http://www.nswmb.org.au

    Australian Medical Council
    PO Box 4810
    Kingston Act 2604
    AUSTRALIA
    http://www.amc.org.au

    Austria
    Year of Last Request: 1994
    Scope of Practice: unlimited, but difficult to obtain
    In order to practice in Austria, a hospital must have a position available, which cannot otherwise be filled by an Austrian physician.
    Contact: Austrian Medical Chamber
    Weihburggasse 10-12
    A1010 Vienna
    AUSTRIA
    http://www.aek.or.at

    Bahamas
    Year of Last Request: 1997
    Scope of Practice: unlimited
    In January 1997, the Bahamian Medical Council, for the first time, issued a license to practice cardiac and vascular surgery to a U.S.-trained D.O.
    Contact: Registrar
    Bahamian Medical Council
    PO Box N-9802
    Nassau
    BAHAMAS

    Barbados
    Year of Last Request: 1974
    Scope of Practice: limited to manipulation
    No provision for registration or licensure of osteopathic physicians exists yet the Ministry of Health and Welfare refused to grant full practice rights to a U.S.-trained D.O. in 1974.
    Contact: Barbados Medical Council
    Minister of Health
    Old Hospital Building
    Jemmott's Lane
    St. Michael
    BARBADOS

    Belize
    Year of Last Request: 2004
    Scope of Practice: unlimited
    There is no legislative authority governing the licensure of osteopathic physicians. Foreign physicians will only be considered for registration if a Belizean physician will not be displaced. The AOA was notified that a US-educated DO was granted a temporary license as a psychiatrist in Belize.
    Contact: Ministry of Health and Sports
    East Block
    Independence Hill
    Belmopan
    BELIZE

    Bermuda
    Year of Last Request: 1997
    Scope of Practice: unlimited
    Applicants must have graduated from an approved college of osteopathic medicine accredited by the AOA, have successfully completed two years of postgraduate training as a minimum, and must be examined by the Council’s Examination Committee or interviewed by the Council. Non-Bermudan physicians must have approval from the Ministry of Labour and Home Affairs to work on the island.
    Contact: Bermuda Medical Council
    PO Box 1195
    Hamilton 5
    BERMUDA

    Bolivia
    Year of Last Request: 1988
    Scope of Practice: unknown
    According to AOA file information, a response was not received from the Embassy.
    Contact: Embassy of Bolivia
    3014 Massachusetts Avenue, NW
    Washington, DC 20008

    Colegio Medico de Bolivia
    Calle Ballivian 1266
    La Paz
    BOLIVIA

    Brazil
    Year of Last Request: 2000
    Scope of Practice: unlimited
    A U.S. educated osteopathic physician was granted an unlimited license to practice medicine in Brazil. It is a difficult process and requires taking and passing a Brazilian examination., establishing residency, and do some training in Brazilian hospitals.
    Contact: AMB
    Avenue Brig
    Liuz Antonio 278 2 Andar
    Sao Paulo 01318
    BRAZIL

    Cambodia
    Year of Last Request: 1992
    Scope of Practice: unknown
    Several attempts to contact the Minister of Health in Cambodia have failed, most likely due to the current political unrest. No Cambodian Embassy exists in the United States, yet the AOA has established a contact through a non profit, Cambodian-advocacy organization the director of which has ties with Cambodian Health officials.
    Contact: Cambodian Medical Association
    #73 Boulevard Preah Monivong
    Phnom Penh
    CAMBODIA

    Canada
    Listed below are the licensure requirements for US-trained D.O.s in the provinces and territories of Canada. All the provinces that have provisions for licensing D.O.s as physicians require that D.O.s be graduates of AOA-accredited osteopathic medical colleges and they be or intend to become Canadian citizens. For the provinces or territories that state, “no provisions exist for licensing US-trained D.O.s,” it is suggested the individual contact that regulatory authority. While there may not be a provision, the regulatory agency may consider amending its current policy to include recognition of US-trained D.O.s.

    Alberta
    Scope of Practice: unlimited
    Requirements: Must have completed at least 2 years of GME accredited by the ACGME or AOA and must have passed the Universities Coordinating Council Exam, a basic sciences exam, and have passed all three parts of the licensing examination of the Medical Council of Canada (LMCC).
    Contact: College of Physicians and Surgeons of Alberta
    900 Manulife Place
    10180-101 Street
    Edmonton Alberta T5J 4P8
    CANADA
    (780) 423-4764
    http://www.cpsa.ab.ca

    British Columbia
    Scope of Practice: one licensure pathway provides D.O.s with unlimited practice rights, and another pathway limits D.O.s to practice OMM
    Requirements: To be eligible for unlimited licenses: must have completed at least one year of GME approved by the AOA or the ACGME, completed at least 1 year of GME in Canada, passed all three parts of the LMCC. For licenses limited to OMM: must have completed at least 2 years of AOA approved GME and passed all three parts of the NBOME or COMLEX.
    Contact: College of Physicians and Surgeons of British Columbia
    1807 W. 10th Avenue
    Vancouver British Columbia V6J 2A9
    CANADA
    (604) 733-7758
    http://cpsbc.bc.ca

    Manitoba
    Scope of Practice: unlimited
    Requirements: In 2002, the College voted to register U.S.-educated and trained DOs.
    Contact: College of Physicians and Surgeons of Manitoba
    1000-1661 Portage Avenue
    Winnipeg Manitoba R3J 3T7
    CANADA
    (204) 774-4344
    http://www.cpsm.mb.ca

    New Brunswick
    Scope of Practice: unlimited
    Requirements: Must have completed at least 2 years of GME approved by the AOA or the ACGME and have passed all three parts of the LMCC. There is also a reciprocity pathway for D.O.s holding a license to practice medicine in Maine.
    Contact: College of Physicians and Surgeons of New Brunswick
    1 Hampton Road, Suite 200
    Rothesay, New Brunswick E2E 5K8
    CANADA
    (506) 849-5050
    http://cpsnb.org

    Newfoundland
    Scope of Practice to be determined
    Requirements: in 2002, the College committed itself to seeing that the government establishes a registration pathway for U.S.-educated D.O.s. It is anticipated that establishing guidelines may take a couple of years.
    Contact: Newfoundland Medical Board
    139 Water Street, Suite 603
    St. John’s Newfoundland A1C 1B2
    CANADA
    (709) 726-8546

    Northwest Territories
    Scope of Practice: unlimited
    Requirements: While no specific provisions are in place, the AOA has been told the government will grant registration to any physician that qualifies for licensure in any other province.
    Contact: Government of the Northwest Territories
    Centre Square Tower 8th Floor
    Yellowknife NWT X1A 2L9
    CANADA
    (867) 920-8058

    Nova Scotia
    Scope of Practice: unlimited
    A new regulation was put into effect in 2002 to recognize U.S.-educated osteopathic physicians.
    Contact: Provincial Medical Board of Nova Scotia
    Sentry Place
    1559 Brunswick Street, Suite 200
    Halifax Nova Scotia B3J 2G1
    CANADA
    (902) 422-5823
    http://www.cpsns.ns.ca

    Ontario
    Scope of Practice: Unlimited
    In 2002, the Premier of Ontario and the College of Physicians and Surgeons of Ontario (CPSO) announced that changes were being implemented to recognize international medical graduates, including D.O.s who are now recognizing by the CPSO. In addition, the CPSO has created a Fast Track Assessment Program for international medical graduates who wish to practice in Ontario. The Fast Track Assessment is an expedited process designed for doctors with experience. It focuses on an evaluation of practice skills and can be tailored to the individual applicant. By evaluating the practice skills of the individual doctor rather than looking at the grades and training programs, the College acquires a more realistic view of the abilities of the individual physicians. For more recent graduates, there is the Standard Assessment process. It concentrates on examination grades and completion of an approved course of education and residency. All candidates are assessed in the same way. For more information on Ontario’s registration, go to http://www.cpso.on.ca/info_physician...nts/regist.htm.
    Contact: College of Physicians and Surgeons of Ontario
    80 College Street
    Toronto Ontario M5G 2E2
    CANADA
    (416) 967-2600
    http://www.cpso.on.ca

    Prince Edward Island
    Scope of Practice: no provisions exist for licensing US-trained D.O.s
    Contact: College of Physicians and Surgeons of Prince Edward Island
    199 Grafton Street
    Charlottetown, PEI C1A 1L2
    CANADA
    (902) 566-3861

    Quebec
    Scope of Practice: unlimited
    Requirements: Must have completed at least 1 year of GME approved by the AOA or the ACGME, must have completed at least 1 year of GME in Quebec, passed the written, oral and clinical board examination of the College of Family Physicians of Canada and must speak French fluently.
    Contact: College des Medecins du Quebec
    2170 Rene-Levesque Blvd West
    Montreal Quebec H3H 2T8
    CANADA
    (514) 933-4441
    http://www.cmq.org

    Saskatchewan
    Scope of Practice: limited to OMM
    Requirements: Must have completed at least 1 year of AOA-approved GME.
    Contact: College of Physicians and Surgeons of Saskatchewan
    211 Fourth Avenue South
    Saskatoon, Saskatchewan S7K 1N1
    CANADA
    (306) 244-7355
    http://www.quadrant.net/cpss

    Yukon Territory
    Scope of Practice: unlimited
    Requirements: While no specific provisions are in place, the AOA has been told the government will grant registration to any physician that qualifies for licensure in any other province.
    Contact: Government of the Yukon
    PO Box 2703
    Whitehorse, Yukon Y1A 2C6
    CANADA
    (867) 667-5257

    Cayman Islands
    Year of Last Request: 1983
    Scope of Practice: unlimited
    A D.O. was granted an unlimited license to practice medicine in 1983. This represented a significant accomplishment, as the Islands are a British protectorate. Written examinations are not required for licensure and licensure is granted based on the applicant's academic degree and qualifications. No distinctions were placed on the D.O. degree and the government accepted his osteopathic credentials.
    Contact: Chief Medical Officer
    Tower Building
    Grand Cayman,
    CAYMAN ISLANDS

    Central African Empire
    Year of Last Request: sometime before 1990
    Scope of Practice: unlimited
    The D.O. degree and proof of licensure in one of the fifty U.S. states, plus annual attendance at the National Congress for Physicians is all that is required for licensure in the Central African Empire. No examination is required and students wishing to study tropical disease are not required to obtain permits and the like. Letters of inquiry must be written in French or Sago, which are the native languages.
    Contact: Minister of Health
    Bangui
    CENTRAL AFRICAN EMPIRE

    Chile
    Year of Last Request: 1993
    Scope of Practice: unlimited
    Application for a practice license must be made to the University of Chile through the submission and transfer of the physician's medical diploma. A written exam, in Spanish, is required.
    Contact: Directora Escuela de Pregrado
    Universidad de Chile
    Avda. Independencia No. 1027
    Santiago
    CHILE

    Colegio Medico de Chile
    Esmeralda 678
    Santiago
    CHILE

    China
    Year of Last Request: 1994
    Scope of Practice: unlimited
    Chinese law does not provide specifically for osteopathic medicine or the U.S. D.O. degree. For this reason, U.S. trained D.O.s are permitted to apply for "Short Term Medical Practice."
    Contact: Dr. Zhao Minggang, Official
    Division of Hospital Management
    Dept of Medical Administration
    Ministry of Public Health
    People's Republic of China
    44 Houhai Beiyan
    Beijing
    CHINA

    State Administration Tradition Chinese Medicine P.1.C.
    7 Donping Road
    Chaoyang District
    Beijing 00027
    CHINA

    Colombia
    Year of Last Request: 1996
    Scope of Practice: unlimited
    Colombian law does not specifically state restrictions of osteopathic practice. Therefore, U.S.-trained D.O.s are permitted to submit their credentials according to the same procedure administered to other foreign physicians. They must contact the Colombian consulate closest to their professional residence for verification of original degree, then contact the Foreign Affairs Ministry in Colombia. All transcripts, programs of study, and copies of identification must be translated into Spanish and be notarized.
    Contact: Ministry of Public Health
    Calle 16 No. 7-39
    Bogota
    COLOMBIA

    Costa Rica
    Year of Last Request: 1993
    Scope of Practice: unlimited
    Several requirements exist for foreign physicians wanting to practice in Costa Rica. Unless the physician was contracted individually by state institutions or marries a Costa Rican, the physician must have resided in the country for at least 5 years and will be required to serve both a one-year internship in a hospital and a one year service in the Medical Sanitary Service. The physician's diploma will be considered equivalent to that issued by the University of Chile in order to receive a practice license.
    Contact: Colegio de Medicos y Cirujanos
    Republica de Costa Rica
    Apartado 548
    San Jose
    COSTA RICA

    Denmark
    Year of Last Request: 1995
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Danish National Board of Health
    PO Box 2020
    Amaliegade 13
    DK-1012 Copenhagen
    DENMARK
    http://www.sum.dk

    Dominican Republic
    Year of Last Request: 2000
    Scope of Practice: unlimited
    On July 4, 2000, legislation was enacted that recognizes U.S. educated osteopathic physicians for the unlimited practice of medicine. The law also recognizes AOA postgraduate training and board certification.
    Contact: Dr. Victorino de Jesus Garcia Santos
    Secretario de Estado
    Ensached La Fe
    Santo Domingo,
    DOMINICAN REPUBLIC

    Ecuador
    Year of Last Request: sometime before 1990
    Scope of Practice: unlimited
    In order to practice in Ecuador, foreign-trained physicians must obtain an Ecuadorian medical license. This license is conferred upon passage of all Ecuadorian medical school examinations, the writing of a thesis in Spanish and completion of an internship. Temporary permits are available and registration must be confirmed annually. Reciprocity exists with most Latin American countries.
    Contact: Ministerio de Salud Publica
    Quito
    ECUADOR

    Egypt
    Date of Last Request: 1999
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Egyptian medical Syndicate
    42 Kasr El-Aini Street
    Cairo
    EGYPT

    Finland
    Year of Last Request: 1996
    Scope of Practice: unlimited
    Foreign trained physicians may only enjoy full practice rights in Finland with the permission of the Finnish National Board of Health. Knowledge of the Finnish language and a work permit are requirements.
    Contact: National Authority for Medicolegal Affairs
    PO Box 265
    FIN-00531 Helsinki
    FINLAND

    France
    Year of Last Request: 1988
    Scope of Practice: limited to manipulation
    A work permit is necessary for a foreign-trained physician to practice in France. Osteopathic medicine is not recognized by the government, so only M.D.s can obtain full practice rights.
    Contact: Conseil National de l’Ordre des Medecins
    180 Boulevard Haussmann
    F-75389 Paris Cedex 07
    FRANCE
    http://www.conseil-national.medecin.fr

    Germany
    Year of Last Request: 1993
    Scope of Practice: unlimited
    It appears that any foreign physician may apply for licensure to one of the several regional medical authorities, which represents the town in which the applicant intends to live. 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. As with other European countries, it is rumored that Germany has too many physicians and is not granting licensure to any foreign physicians.
    Contact: CEO
    Bundesministerium fur Gesundheit
    53108 Bonn 2
    GERMANY

    Ghana
    Year of Last Request: 1994
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Ghana Medical & Dental Council
    PO Box 10586
    Accra – North
    GHANA

    Great Britain
    Year of Last Request: 1998
    Scope of Practice: limited to manipulation
    The General Medical Council of Great Britain has consistently denied U.S.-trained D.O.s full practice rights and has declined the AOA's request to permit D.O.s to sit for the medical examination. This may be due in part to the large presence of British "osteopaths," who are non-physician health care providers who practice much like chiropractors.
    Contact: Administrative Officer
    The Osteopathic Association of Great Britain
    62 Messina Avenue
    London NW6 4LE
    GREAT BRITAIN

    Greece
    Year of Last Request: 2000
    Scope of Practice: unlimited, but difficult to obtain
    According to the Greek Embassy, foreign trained physicians holding either the M.D. or the D.O. degree are able to obtain a full practice license. However, such physicians must be Greek citizens in order to practice unless, and such instances are extremely rare, there exists a crucial need for certain types of specialist physicians. Further, a work permit must be obtained, a difficult task, and speaking Greek is an unwritten requirement. In 1998, an osteopathic physician began the process to obtain licensure. 1999 - D.O.s are not officially recognized by law, therefore a subcommittee was formulated to research U.S. osteopathic medicine. The subcommittee sent a positive report to the Medical Council of Greece. The final recommendation of the Medical Council should be issued shortly.
    Contact: Mr. Nikos Papaconstantinou
    Embassy of Greece
    2221 Massachusetts Avenue, NW
    Washington, DC 20008

    DIKATSA-Medical Division
    112 Sygrou Avenue
    11741, Athens
    GREECE

    Ministry of Health and Education
    223 Mesogeion Avenue
    115 25 Athens Hellas
    GREECE

    Guatemala
    Year of Last Request: 1993
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Cirujanos de Guatemala
    Chief Executive Officer
    17 Calle 1-61 Zona 1
    GUATEMALA

    Guyana
    Year of Last Request: 1996
    Scope of Practice: unlimited
    A U.S.-trained D.O. was granted a physician license by the Ministry because his credentials were considered as M.D.-equivalent. Osteopathic medicine is not specifically recognized so applications will be considered on a case-by-case basis.
    Contact: Chief Medical Officer
    Ministry of Health
    Brickdam Georgetown 11
    GUYANA

    Honduras
    Year of Last Request: 2002
    Scope of Practice: Unlimited
    The National Autonomous University must accredit all foreign titles. After accreditation is completed, then applicant must seek registration with the Medical College of Honduras (MCH). Titles, grades, and lesson plans must be authenticated in the country where studies were completed. Authentication must be done by the Honduran Consul in the same state. Upon completion, MCH will issue a provisional permit good for one year to a Honduran doctor who has done training outside of Honduras, and foreign applicants must complete two years of the Ad-Honorem Social Service. When the two years have expired, applicant may apply for Definitive Registration.
    Contact: Dr. Julio Alberto Bourdeth Tosta
    Secretary of Registration
    Board of Directors of the Medical College of Honduras
    P.O. Box 810
    Tegucigalpa, M.D.C.
    HONDURAS

    Hong Kong
    Year of Last Request: 1998
    Scope of Practice: unlimited
    A letter from the Hong Kong Medical Council explained that there is no legislation governing the registration of osteopathic physicians. A prospective D.O. applicant can apply to the Licentiate Committee in order to sit for the Licentiate Examination. Passage of this exam along with completing “externship training,” would entitle a foreign medical practitioner to full registration by the Medical Council. Applicants must have completed “not less than five years” full-time medical training of a type approved by the Medical Council before application is made. The information sent to the AOA did not specify what type of medical training the Council does approve. However, it did note that the Council may require a personal interview before application is made so that the Council is able to ascertain whether the applicant is indeed eligible for the examination.
    Contact: The Licentiate Committee
    The Medical Council of Hong Kong
    17/F Wu Chung House
    213 Queen's Road East
    Wanchai
    HONG KONG

    India
    Year of Last Request: 1999
    Scope of Practice: undetermined
    The AOA received a response to its 1998 inquiry regarding licensure of US-trained DOs. The Medical Council of India stated that osteopathic medicine degree is not recognized for the purpose of IMC Act, 1956. However, they did state that a DO might apply after getting Indian nationality and after implementation of screening test Regulation/Provision in the Indian Medical Council Act.
    Contact: Delhi Medical Council
    RM NO 356-357 3rd Floor
    Bahadur **** Zafar Marg
    New Delhi 110002
    INDIA


    Indonesia
    Year of Last Request: 1992
    Scope of Practice: unlimited if with mission or university
    Foreign-trained physicians can enjoy unlimited practice rights if they are working in conjunction with a university for a specific project, or if they are providing services on behalf of a mission. Foreign physicians are barred from private practice. No examination is required, yet a degree from an approved medical school is needed.
    Contact: Indonesian Medical Association
    J1 Sam Ratulangi
    Jakarta 29
    INDONESIA

    Iran
    Year of Last Request: 1999
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Ministry of Health and Medical Education
    Keshavarz Blvd.
    Building #2 11th Floor
    Tehran
    IRAN

    Ireland
    Year of Last Request: 1999
    Scope of Practice: denied
    The AOA has written numerous letters to various government agencies in Ireland. At its August 1998 meeting, the Education and Training Committee reviewed pertinent information regarding the osteopathic education and training. The Medical Council on the recommendation of its Education and Training Committee decided to once again deny licensure to U.S. trained D.O.s because osteopathic medical schools are not recognized by the Liaison Committee on Medical Education, the U.S. allopathic medical school accreditation body. In 2000, the AOA once again wrote to The Medical Council on the behalf of a U.S. educated D.O. who will be traveling with an American sports group as the team physician to compete in Ireland. The request was for approval to treat U.S. citizen while in Ireland. The response from The Medical Council has been that they will take the matter under consideration.
    Contact: Registrar
    Medical Council of Ireland
    Portobello Court
    Lower Rathmines Road
    Dublin 6
    IRELAND
    http://www.medicalcouncil.ie

    Israel
    Year of Last Request: 1999
    Scope of Practice: to be determined
    Previously, U.S.-trained osteopathic physicians were granted full practice rights in Israel, providing they have established residence in Israel. It was required that all immigrant physicians pass a licensing examination given in summer or in winter. It is possible to take the test in English, but the knowledge of Hebrew is both necessary and mandatory in order to obtain employment as a physician in Israel (immigrant physicians are eligible for a free 5-mo intensive Hebrew course). 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 AOA was informed that the laws in Israel do not specifically include US-trained DOs. The AOA and osteopathic physicians who hold Israeli licensure are working to resolve this issue.
    Contact: Prof. Shannon, M.D.
    Director
    Department of Medical Professions
    Ministry of Health
    2 Rehov Ben Tabai
    Jerusalem 91010
    ISRAEL

    Italy
    Year of Last Request: 1993
    Scope of Practice: unlimited, but difficult to obtain
    It may be possible for a U.S.-trained D.O. to practice in Italy, yet it is extremely difficult to obtain the license to practice. Non-Italians must obtain a work permit, which is issued only when no Italian citizen can be found to fill the post. Therefore physicians are discouraged from seeking employment in Italy without firm contracts and work permits. According to 1990 AOA file information, if there exists a U.S. state law outlining reciprocity with Italy, a statement to this effect from the Italian Consulate will warrant better chances.
    Contact: National Federation of the Orders of Doctors & Dentists
    Piazza Cola Di Rienzo 80/A
    Rome
    ITALY
    http://www.fnomceo.it

    Jamaica
    Year of Last Request: 1994
    Scope of Practice: limited
    The AOA has researched licensure in Jamaica through a specific mission project presented to the Minister of Health by a group of U.S.-trained D.O.s. While the request for D.O. degree recognition and full practice rights were initially denied by the Minister, the D.O.s were permitted to supply some services while participating in the mission.
    Contact: Chief Medical Officer
    Medical Council of Jamaica
    10 Caldonia Avenue
    Kingston 5
    JAMAICA

    Japan
    Year of Last Request: 1993
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Director
    Office of Examination and Licensing
    Ministry of Health and Welfare
    1-2-2 Kasumigaseki
    Chiyoda Ku
    Tokyo 100-24
    JAPAN

    Kenya
    Year of Last Request: 1991
    Scope of Practice: unknown
    AOA files do not contain a response from Kenya health officials regarding the status of osteopathic licensure.
    Contact: Medical Practitioners and Dentists Board
    PO Box 44839
    Nairobi
    KENYA

    Korea
    Year of Last Request: 1995
    Scope of Practice: unknown
    AOA file information includes a request for information regarding the "Korean Society of Osteopathic College of Radiology," but no response was received.
    Contact: Ministry of Health & Welfare
    1, Chungang-Dong
    Kwachon
    Kyonggi-Do
    REPUBLIC OF KOREA

    Kuwait
    Year of Last Request: 1993
    Scope of Practice: unknown
    Per a letter of inquiry from the AOA, the Kuwati Ministry of Public Health requested further information regarding the profession and educational structure of osteopathic medicine as practiced in the United States. The request for additional information was mailed, but no response was received from the Ministry.
    Contact: Undersecretary
    Ministry of Public Health
    PO Box 5
    13001 Safat
    KUWAIT

    Laos
    Year of Last Request: 1992
    Scope of Practice: unknown
    From information obtained from the U.S. Embassy in Laos, it appears that D.O.s can work through medical relief organizations.
    Contact: AOA State Government Affairs

    Lebanon
    Year of Last Request: 2002
    Scope of Practice: unlimited
    It was reported to the AOA that US-educated osteopathic physicians are considered on an individual basis and need a letter from the AOA citing their education, training, etc. If accepted, the DO can then sit for the medical examination currently used in Lebanon.
    Contact: Minister S. Frangieh
    Minister of Health
    Rue du Musee
    Beirut
    LEBANON

    Liberia
    Year of Last Request: sometime before 1990
    Scope of Practice: unlimited
    All foreign trained physicians must be approved on an individual basis and must submit a photocopy of a license and medical school degree. No distinction between the M.D. and D.O. degrees is made and a rotating internship is required. Special permits are not available, although visits of less than six months can be arranged.
    Contact: Liberian Medical Board
    Monrovia
    LIBERIA

    Luxembourg
    Year of Last Request: 1987
    Scope of Practice: unlimited, but difficult to obtain
    The practice of medicine in Luxembourg by a doctor who is not a national of the European Economic Community is very rare.
    Contact: Ministere de la Sante
    57 Boulevard de la Perusse
    L2320
    LUXEMBOURG

    Malaysia
    Year of Last Request: 1993
    Scope of Practice: denied
    Malaysian law does not allow for osteopathic medical practice, therefore the Ministry denied the AOA's request for practice rights.
    Contact: Malaysian Medical Council
    Ministry of Health
    50590 Kuala Lempur
    MALAYSIA

    Mexico
    Year of Last Request: 1998
    Scope of Practice: previously denied
    Previous AOA file information indicated that D.O. licensure could not be obtained in Mexico unless through the association of a short-term mission project, such as the osteopathic physician group "DOCARE." No physician, D.O. or M.D., may practice in Mexico without working papers, which requires completion of a five-year residency and after which services are given on a limited basis and under the supervision of a Mexican M.D. Political connections are extremely helpful but do not necessarily guarantee licensure.
    Contact: Mexico Secretaria-Educacion Publica
    Insurgentes sur 1397, 2 01000
    Mexico

    Micronesia
    Year of Last Request: 1993
    Scope of Practice: unlimited
    Micronesian law does provide specifically for the inclusion of "doctors of osteopathy."
    Contact: Secretary of Human Resources
    Department of Health Services
    Federated States of Micronesia
    PO Box PS 70
    Palikir, Pohnpei, FM 96941

    Morocco
    Year of Last Request: 1994
    Scope of Practice: denied
    Application for physician licensure is a "long and fastidious" procedure, according to the Minister of Health, unless a bilateral cooperation agreement has been signed by Morocco and the applicant's country of origin. According to a representative from the North African Affairs Bureau of the U.S. State Department, no such agreement exists between the U.S. and any country. Therefore no U.S. physicians, whether D.O. or M.D., are eligible to be licensed in Morocco.
    Contact: Ministere de la Sante Publique
    355, avenue Mohammed V
    Rabat
    MOROCCO

    Nepal
    Year of Last Request: 1993
    Scope of Practice: unlimited
    The Nepalese Minister of Health granted full practice rights to osteopathic physicians upon the AOA's first and only request. Full practice rights will be granted after approval by the Nepal Medical Council and the acquisition of a visa from the Immigration Department.
    Contact: Nepal Medical Council
    Exhibition Road
    Siddi Sadan
    Katmandu
    NEPAL

    Netherlands
    Year of Last Request: 1999
    Scope of Practice: undetermined
    The AOA sent a letter to the Netherlands requesting recognition of the U.S. D.O. degree for licensure of physicians. 1999 - The Ministry of Health, Welfare and Sport sent an application plus the requirements for “admission of foreign doctors.” The requirements for licensure do not specifically recognize U.S.-trained D.O.s. The osteopathic physician interested in licensure will complete the application and submit it for licensure.
    Contact: Ministry of Health, Welfare & Sport
    PO Box 16114
    2500 BC Den Haag
    THE NETHERLANDS

    New Zealand
    Year of Last Request: 2001
    Scope of Practice: unlimited on an “exceptions” basis
    A US educated DO was granted full licensure to practice medicine. The license was awarded on an “exceptions” basis following a hearing before the licensing authorities in New Zealand.
    Contact: Chairman
    The Medical Council of New Zealand
    PO Box 11649
    Wellington
    NEW ZEALAND
    http://www.ncnz.org.nz

    John Cullen, D.O., M.N.Z.R.O.
    New Zealand Register of Osteopaths
    PO Box 11 853
    Wellington
    NEW ZEALAND

    Nicaragua
    Year of Last Request: 1993
    Scope of Practice: unknown
    Per a telephone conversation with the Assistant Secretary for Non-governmental Assistance, budget constriction in Nicaragua prevents the government from paying foreigners who wish to work in Nicaragua. Financial aid is sometimes given through foundations and tax exemptions are given on items brought by foreign workers, such as medical equipment.
    Contact: Minister de Salud
    Miniterio de Salud
    Ste. A Gallo y Villa Sur
    Edif. Complejo Camilo Ortega
    Managua
    NICARAGUA

    Nigeria
    Year of Last Request: 1999
    Scope of Practice: unlimited
    In order to gain licensure in Nigeria, an osteopathic physician must have graduated from an AOA accredited college of osteopathic medicine and must have completed a one-year rotating internship. An appearance in front of the Nigeria Medical Council is also required and an oral quiz may be mandated. Reciprocity exists with several other African countries and with the United States. In 1999, the AOA received a letter from a DO who is licensed in Nigeria. He was licensed in Nigeria by reciprocity of his Texas license and recognition of AOA training programs. He is licensed to practice medicine and surgery with a specialty certificate in orthopedics.
    Contact: Dean, Faculty of Medicine
    University of Ibadan
    Ibadan
    NIGERIA

    Medical & Dental Council of Nigeria
    PO Box 3795
    Surulere Lagos
    NIGERIA

    Norway
    Year of Last Request: 1990
    Scope of Practice: limited to manipulation
    Although D.O.s are able to obtain a license to practice only manipulation in Norway, they are not permitted to use the title "doctor" and all osteopathic services are not covered for payment under Norway's socialized medicine system.
    Contact: Directorate of Health of Norway
    Post Boks 8128
    N-0032 Oslo 1
    NORWAY

    Pakistan
    Year of Last Request: 1996
    Scope of Practice: unknown
    Although the Council does not recognize the D.O. degree, one U.S.-trained D.O. has been recognized on individual merits by the Council after much documentary evidence; however, his practice is confined to one hospital and he may not engage in private practice.
    Contact: Pakistan Medical and Dental Council
    Mauve Area
    Sector G-10/4
    Islamabad Federal Capital
    PAKISTAN
    http://pmdc.org.pk

    Panama
    Year of Last Request: 1994
    Scope of Practice: unlimited
    The University of Panama must first accept the diploma of the applicant as equivalent to that issued by the University. The applicant must also be a citizen of Panama and fulfil any necessary training from the Technical Council of Public Health.
    Contact: Director General
    Ministerio de Salud
    Apartado 2048
    Panama 1,
    REPUBLIC OF PANAMA

    Papua New Guinea
    Year of Last Request: 1996
    Scope of Practice: unlimited
    Two U.S.-trained D.O.s were able to secure medical practitioner licenses. The physicians reported that it was a long, involved process that took approximately one year to accomplish. Physicians can also apply for a short-term or a long-term volunteer service license.
    Contact: Registrar
    Medical Board of
    Papua New Guinea
    PO Box 841
    Port Moresby National Capital District
    PAPUA NEW GUINEA

    Peru
    Year of Last Request: 1994
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Colegio Medico del Peru
    261 Los Procers
    Lima
    PERU

    Ministry of Health
    Ave Salaverry S-N
    Cudra 7
    Lima
    PERU

    Philippines
    Year of Last Request: 1994
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Philippines Board of Medicine
    P Paredes Street
    Sampaloc Manila
    PHILIPPINES


    Romania
    Year of Last Request: 1994
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Ministry of Health and Family
    Secdor 1
    Ministerului 224
    Bucharest
    ROMANIA

    Russia/Commonwealth of Independent States
    Year of Last Request: 1994
    Scope of Practice: unlimited with sponsor
    Several U.S. trained D.O.s have provided services in parts of the former U.S.S.R. through a program established by Deborah Hospital of New Jersey. According to the U.S. Embassy in Moscow, a licensure process is not up and running; therefore, foreign doctors make arrangements to practice through Russian sponsors, such as hospitals or businesses.
    Contact: Russian newspapers/medical journals

    Ministry of Public Health
    Vadikovsky Per 18-20
    101474 Moscow
    RUSSIA

    Association of Physicians of Russia
    15-2-239 Petrozavodskaja St.
    125502 Moscow
    RUSSIA

    St. Lucia
    Year of Last Request: 2000
    Scope of Practice: unlimited
    A U.S.-educated D.O. was granted an unlimited license to practice medicine based on his credentials.
    Contact: Medical Council of St. Lucia
    Minister of Education & Health
    Castries
    ST. LUCIA

    St. Kitts
    Year of last Request: sometime before 1990
    Scope of Practice: unknown
    AOA file information indicates that the point of contact to inquire about osteopathic licensure is the Permanent Secretary of the Ministry of Health, however no address is given.
    Contact: Medical Board of St. Christopher & Nevis
    PO Box 186
    Basseterre
    St. Kitts
    WEST INDIES

    Saudi Arabia
    Year of Last Request: 1994
    Scope of Practice: unlimited
    In 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.
    Contact: Saudi newspapers/medical journals

    Scotland
    Year of Request: 1998
    Scope of Practice: denied
    An osteopathic physician sponsored by the Royal College of Physicians and Surgeons was denied licensure based on the fact that osteopathic medical schools are not accredited by WHO. The AOA supplied the physician with information on osteopathic accreditation and also supplied information that WHO is not an accrediting agency for any medical schools in the U.S.


    Sierra *****
    Year of Last Request: 1993
    Scope of Practice: unlimited
    Physician licensure can be obtained in Sierra ***** with the submission of notarized osteopathic medical school diploma, curricula vitae and a letter of intent to the Deputy Chief Medical Officer. Desire to work with a mission or for the needy will work in the applicant's favor. In addition, a D.O. who has been living in Sierra ***** for many years has been extremely helpful in assisting other D.O.s with obtaining practice rights.
    Contact: Deputy Chief Medical Officer
    Department of Health
    Youyi Building, ******fields
    Freetown
    SIERRA *****


    Singapore
    Year of Last Request: 1993
    Scope of Practice: denied
    The Singapore Medical Council will not recognize the D.O. degree; in fact, it will only recognize those M.D. degrees conferred by 11 allopathic medical schools.
    Contact: Singapore Medical Council
    Level 4 Institute of Health
    3 2nd Hospital Avenue 168937
    SINGAPORE
    http://www.gov.sg/moh

    Singapore Medical Council/Ministry of Health
    College of Medicine Building
    16 College Road
    SINGAPORE 169854


    South Africa
    Year of Last Request: 1996
    Scope of Practice: limited to manipulation
    Osteopathic medicine is not legislatively defined and many barriers exist in licensing foreign trained physicians despite the crucial need (there is only one doctor per 3,400 black South Africans). In 1996, the AOA wrote a letter to the South African Medical Council on behalf of a D.O. who was part of a medical mission team going to South Africa. The medical council did not wish to grant the U.S.-trained D.O. a temporary license to do medical missions work.
    Contact: Registrar
    Health Professions Council of South Africa
    PO Box 205
    Pretoria, Gauteng 0001
    SOUTH AFRICA
    http://www.hpcsa.co.za

    Spain
    Year of Last Request: 1994
    Scope of Practice: denied
    Osteopathic medicine is not regulated in Spain and therefore, per the Secretary General of the Spanish Ministry of Health, D.O.s may not obtain physician licenses.
    Contact: Collegi Oficial de Metges de Barcelona
    Centre of Studies
    Corsega 257 Parl 08036
    Barcelona Catalonia
    SPAIN

    Spanish Consejo General de Colegios Medicos
    Villaneuva 114
    E-28001 Madrid
    SPAIN
    http://www.cgcom.org/ome0.htm

    Sweden
    Year of Last Request: 1996
    Scope of Practice: unlimited
    An osteopathic physician met with Swedish officials and they did not seem to have any objections to U.S.-trained osteopathic physicians being licensed there (especially since two U.S.-trained D.O.s were granted full practice rights in 1974 and 1976).
    Contact: Ministry of Health and Social Affairs
    Klara Ostra Kyrkogata #10
    Stockholm
    SWEDEN

    Switzerland
    Year of Last Request: 1993
    Scope of Practice: denied
    Only Swiss citizens and "recognized refugees" are eligible to sit for the state-administered physician licensure exams. Passage of the examinations is the first step in receiving a license. After the examination process, one must obtain a work permit in order to participate in a post doctoral training program (residency) of which there are far less positions than applicants. This work permit expires after twelve months and cannot be renewed. Further, osteopathic medicine is not recognized by the Swiss government.
    Contact: Swiss Medical Association
    Elfenstrasse 18
    3000 Bern 16
    SWITZERLAND
    http://www.fmh.ch

    Syria
    Year of Last Request: 1996
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Minister of Health
    Parliament Street
    Damascus
    SYRIA

    Taiwan
    Year of Last Request: 1998
    Scope of Practice: unlimited
    The U.S. D.O. degree is recognized by the R.O.C. government. This allows U.S.-educated D.O.s to sit for Taiwan’s Examination Yuan and, if successful, can continue on in the process for licensure.
    Contact: Director
    General Department of Health
    100 Aikuo East Road
    Taipei
    TAIWAN

    Tanzania
    Year of Last Request: 1985
    Scope of Practice: unlimited
    Licensure will be granted to applicants with medical school degrees who have completed a required, although unspecified, residency. Temporary work permits are available and reregistration is required annually.
    Contact: Medical Council of Tanganyika
    PO Box 9083
    Dar-es-Salaam
    TANZANIA

    Thailand
    Year of Last Request: 1996
    Scope of Practice: undetermined
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Thai Medical Council
    275 Devavesm Palace
    Bangkok 2
    THAILAND

    Turkey
    Year of Last Request: 1988
    Scope of Practice: unknown
    AOA file information is scant and to date no new requests have been made.
    Contact: Turkey Ministry of Health
    T.C. Saglik Bakanligi
    Sihhiye Ankara
    TURKEY

    Uganda
    Year of Last Request: 1990
    Scope of Practice: denied
    Uganda does not recognize the osteopathic profession and has therefore denied any type of practice rights to U.S. trained D.O.s.
    Contact: Registrar
    Uganda Medical and Dental Practitioners
    PO Box 16115
    Wandegeya Kampala
    UGANDA

    Ukraine
    Year of Last Request: 1999
    Scope of Practice: unknown
    There has been discussion about the possibility of establishing rotations, specifically ophthalmology, in the Ukraine. Documentation has been sent regarding the equivalence of DOs and MDs in the United States.
    Contact: Contact the AOA for further information
    (800) 621-1773 ext. 8280

    United Arab Emirates
    Year of Last Request: 1993
    Scope of Practice: unlimited
    Although a response to the AOA's request of the Minister of Health has not yet been received, a U.S.-trained D.O. who has practiced in the U.A.E. for many years has informed the AOA about the status of osteopathic licensure. Physician licensure is difficult. In 2004, 3 osteopathic physicians petitioned for recognition. The Ministry contacted the UAE Embassy in the United States for more information. The AOA provided the Embassy with information about the profession and are awaiting the final decision from the Ministry of Health.
    Contact: Ministry of Health
    PO Box 848
    Abu Dhabi,
    UNITED ARAB EMIRATES
    http://www.moh.gov.ae

    Venezuela
    Year of Last Request: 1993
    Scope of Practice: unknown
    To date, the AOA has not received a response from the Health Minister regarding osteopathic licensure.
    Contact: Ministerio de Sanidad & Asistencia Social
    Recursos Humanos
    Chief Executive Officer
    Caracas
    VENEZUELA

    Vietnam
    Year of Last Request: 1993
    Scope of Practice: unlimited
    U.S.-trained D.O.s will be accepted as full physicians in Vietnam. Foreign physicians can fill vacancies in hospitals that are in need of certain specialists. However, these hospitals are government-owned and pay very low wages if any at all. Most foreign physicians are providing volunteer care to the people of Vietnam.
    Contact: Ministry of Health
    138A Gian Vo Street
    Hanoi
    VIETNAM

    Professor Nguyen Kim Son
    Viet-Doc Hospital
    40 Trang Thi
    Hanoi
    VIETNAM

    Professor Le Huy Lieu
    Bach Mai Hospital
    Giai Phonv Road
    Hanoi
    VIETNAM

    Professor Trihn Kim Anh
    Cho Ray Hospital
    201A Nguyen Chi Thanh Street
    District 5, HCMC
    VIETNAM

    Zambia
    Year of Last Request: 1971
    Scope of Practice: unlimited
    A degree from an accredited college of osteopathic medicine is required for licensure in Zambia.
    Contact: Medical Council of Zambia
    PO Box 32554
    Lukasa 10101
    ZAMBIA

    Zimbabwe
    Year of Last Request: 1993
    Scope of Practice: limited to manipulation
    After review of the osteopathic medical curriculum, the Health Professions Council of Zimbabwe denied the AOA's request for full practice rights and instead referred D.O. Iicensure requests to the Natural Therapists Council.
    Contact: Medical and Dental Practitioners Council of Zimbabwe
    PO Box CY2817
    Causeway Harare
    ZIMBABWE
    Moderator - State Licensing Forum

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  2. #2
    bts4202's Avatar
    bts4202 is offline Elite Member 510 points
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    yup

    OK, so yeah, it is not recognized in england, and most of europe as a real doctor.

    France
    Year of Last Request: 1988
    Scope of Practice: limited to manipulation
    A work permit is necessary for a foreign-trained physician to practice in France. Osteopathic medicine is not recognized by the government, so only M.D.s can obtain full practice rights.
    Contact: Conseil National de l’Ordre des Medecins
    180 Boulevard Haussmann
    F-75389 Paris Cedex 07
    FRANCE
    http://www.conseil-national.medecin.fr
    Germany
    Year of Last Request: 1993
    Scope of Practice: unlimited
    It appears that any foreign physician may apply for licensure to one of the several regional medical authorities, which represents the town in which the applicant intends to live. 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. As with other European countries, it is rumored that Germany has too many physicians and is not granting licensure to any foreign physicians.
    Contact: CEO
    Bundesministerium fur Gesundheit
    53108 Bonn 2
    GERMANY
    Great Britain
    Year of Last Request: 1998
    Scope of Practice: limited to manipulation
    The General Medical Council of Great Britain has consistently denied U.S.-trained D.O.s full practice rights and has declined the AOA's request to permit D.O.s to sit for the medical examination. This may be due in part to the large presence of British "osteopaths," who are non-physician health care providers who practice much like chiropractors.
    Contact: Administrative Officer
    The Osteopathic Association of Great Britain
    62 Messina Avenue
    London NW6 4LE
    GREAT BRITAIN
    Ireland
    Year of Last Request: 1999
    Scope of Practice: denied
    The AOA has written numerous letters to various government agencies in Ireland. At its August 1998 meeting, the Education and Training Committee reviewed pertinent information regarding the osteopathic education and training. The Medical Council on the recommendation of its Education and Training Committee decided to once again deny licensure to U.S. trained D.O.s because osteopathic medical schools are not recognized by the Liaison Committee on Medical Education, the U.S. allopathic medical school accreditation body. In 2000, the AOA once again wrote to The Medical Council on the behalf of a U.S. educated D.O. who will be traveling with an American sports group as the team physician to compete in Ireland. The request was for approval to treat U.S. citizen while in Ireland. The response from The Medical Council has been that they will take the matter under consideration.
    Contact: Registrar
    Medical Council of Ireland
    Portobello Court
    Italy
    Year of Last Request: 1993
    Scope of Practice: unlimited, but difficult to obtain
    It may be possible for a U.S.-trained D.O. to practice in Italy, yet it is extremely difficult to obtain the license to practice. Non-Italians must obtain a work permit, which is issued only when no Italian citizen can be found to fill the post. Therefore physicians are discouraged from seeking employment in Italy without firm contracts and work permits. According to 1990 AOA file information, if there exists a U.S. state law outlining reciprocity with Italy, a statement to this effect from the Italian Consulate will warrant better chances.
    Contact: National Federation of the Orders of Doctors & Dentists
    Piazza Cola Di Rienzo 80/A
    Rome

    Scotland
    Year of Request: 1998
    Scope of Practice: denied
    An osteopathic physician sponsored by the Royal College of Physicians and Surgeons was denied licensure based on the fact that osteopathic medical schools are not accredited by WHO. The AOA supplied the physician with information on osteopathic accreditation and also supplied information that WHO is not an accrediting agency for any medical schools in the U.S.
    Spain
    Year of Last Request: 1994
    Scope of Practice: denied
    Osteopathic medicine is not regulated in Spain and therefore, per the Secretary General of the Spanish Ministry of Health, D.O.s may not obtain physician licenses.
    Contact: Collegi Oficial de Metges de Barcelona
    Centre of Studies
    Corsega 257 Parl 08036
    Barcelona Catalonia
    SPAIN
    Switzerland
    Year of Last Request: 1993
    Scope of Practice: denied
    Only Swiss citizens and "recognized refugees" are eligible to sit for the state-administered physician licensure exams. Passage of the examinations is the first step in receiving a license. After the examination process, one must obtain a work permit in order to participate in a post doctoral training program (residency) of which there are far less positions than applicants. This work permit expires after twelve months and cannot be renewed. Further, osteopathic medicine is not recognized by the Swiss government.
    Contact: Swiss Medical Association
    Elfenstrasse 18
    3000 Bern 16
    SWITZERLAND
    http://www.fmh.ch
    Other common places:

    Japan
    Year of Last Request: 1993
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Director
    Office of Examination and Licensing
    Ministry of Health and Welfare
    1-2-2 Kasumigaseki
    Chiyoda Ku
    Tokyo 100-24
    JAPAN
    Mexico
    Year of Last Request: 1998
    Scope of Practice: previously denied
    Previous AOA file information indicated that D.O. licensure could not be obtained in Mexico unless through the association of a short-term mission project, such as the osteopathic physician group "DOCARE." No physician, D.O. or M.D., may practice in Mexico without working papers, which requires completion of a five-year residency and after which services are given on a limited basis and under the supervision of a Mexican M.D. Political connections are extremely helpful but do not necessarily guarantee licensure.
    Contact: Mexico Secretaria-Educacion Publica
    Insurgentes sur 1397, 2 01000
    Mexico
    BTS4202
    St. Christopher's COM
    4th Year
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  3. #3
    azskeptic's Avatar
    azskeptic is offline Moderator 663 points
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    Re: yup

    Quote Originally Posted by bts4202
    OK, so yeah, it is not recognized in england, and most of europe as a real doctor.

    France
    Year of Last Request: 1988
    Scope of Practice: limited to manipulation
    A work permit is necessary for a foreign-trained physician to practice in France. Osteopathic medicine is not recognized by the government, so only M.D.s can obtain full practice rights.
    Contact: Conseil National de l’Ordre des Medecins
    180 Boulevard Haussmann
    F-75389 Paris Cedex 07
    FRANCE
    http://www.conseil-national.medecin.fr
    Germany
    Year of Last Request: 1993
    Scope of Practice: unlimited
    It appears that any foreign physician may apply for licensure to one of the several regional medical authorities, which represents the town in which the applicant intends to live. 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. As with other European countries, it is rumored that Germany has too many physicians and is not granting licensure to any foreign physicians.
    Contact: CEO
    Bundesministerium fur Gesundheit
    53108 Bonn 2
    GERMANY
    Great Britain
    Year of Last Request: 1998
    Scope of Practice: limited to manipulation
    The General Medical Council of Great Britain has consistently denied U.S.-trained D.O.s full practice rights and has declined the AOA's request to permit D.O.s to sit for the medical examination. This may be due in part to the large presence of British "osteopaths," who are non-physician health care providers who practice much like chiropractors.
    Contact: Administrative Officer
    The Osteopathic Association of Great Britain
    62 Messina Avenue
    London NW6 4LE
    GREAT BRITAIN
    Ireland
    Year of Last Request: 1999
    Scope of Practice: denied
    The AOA has written numerous letters to various government agencies in Ireland. At its August 1998 meeting, the Education and Training Committee reviewed pertinent information regarding the osteopathic education and training. The Medical Council on the recommendation of its Education and Training Committee decided to once again deny licensure to U.S. trained D.O.s because osteopathic medical schools are not recognized by the Liaison Committee on Medical Education, the U.S. allopathic medical school accreditation body. In 2000, the AOA once again wrote to The Medical Council on the behalf of a U.S. educated D.O. who will be traveling with an American sports group as the team physician to compete in Ireland. The request was for approval to treat U.S. citizen while in Ireland. The response from The Medical Council has been that they will take the matter under consideration.
    Contact: Registrar
    Medical Council of Ireland
    Portobello Court
    Italy
    Year of Last Request: 1993
    Scope of Practice: unlimited, but difficult to obtain
    It may be possible for a U.S.-trained D.O. to practice in Italy, yet it is extremely difficult to obtain the license to practice. Non-Italians must obtain a work permit, which is issued only when no Italian citizen can be found to fill the post. Therefore physicians are discouraged from seeking employment in Italy without firm contracts and work permits. According to 1990 AOA file information, if there exists a U.S. state law outlining reciprocity with Italy, a statement to this effect from the Italian Consulate will warrant better chances.
    Contact: National Federation of the Orders of Doctors & Dentists
    Piazza Cola Di Rienzo 80/A
    Rome

    Scotland
    Year of Request: 1998
    Scope of Practice: denied
    An osteopathic physician sponsored by the Royal College of Physicians and Surgeons was denied licensure based on the fact that osteopathic medical schools are not accredited by WHO. The AOA supplied the physician with information on osteopathic accreditation and also supplied information that WHO is not an accrediting agency for any medical schools in the U.S.
    Spain
    Year of Last Request: 1994
    Scope of Practice: denied
    Osteopathic medicine is not regulated in Spain and therefore, per the Secretary General of the Spanish Ministry of Health, D.O.s may not obtain physician licenses.
    Contact: Collegi Oficial de Metges de Barcelona
    Centre of Studies
    Corsega 257 Parl 08036
    Barcelona Catalonia
    SPAIN
    Switzerland
    Year of Last Request: 1993
    Scope of Practice: denied
    Only Swiss citizens and "recognized refugees" are eligible to sit for the state-administered physician licensure exams. Passage of the examinations is the first step in receiving a license. After the examination process, one must obtain a work permit in order to participate in a post doctoral training program (residency) of which there are far less positions than applicants. This work permit expires after twelve months and cannot be renewed. Further, osteopathic medicine is not recognized by the Swiss government.
    Contact: Swiss Medical Association
    Elfenstrasse 18
    3000 Bern 16
    SWITZERLAND
    http://www.fmh.ch
    Other common places:

    Japan
    Year of Last Request: 1993
    Scope of Practice: unknown
    The AOA did not receive a response to its request for information on how a U.S. educated D.O. could obtain licensure.
    Contact: Director
    Office of Examination and Licensing
    Ministry of Health and Welfare
    1-2-2 Kasumigaseki
    Chiyoda Ku
    Tokyo 100-24
    JAPAN
    Mexico
    Year of Last Request: 1998
    Scope of Practice: previously denied
    Previous AOA file information indicated that D.O. licensure could not be obtained in Mexico unless through the association of a short-term mission project, such as the osteopathic physician group "DOCARE." No physician, D.O. or M.D., may practice in Mexico without working papers, which requires completion of a five-year residency and after which services are given on a limited basis and under the supervision of a Mexican M.D. Political connections are extremely helpful but do not necessarily guarantee licensure.
    Contact: Mexico Secretaria-Educacion Publica
    Insurgentes sur 1397, 2 01000
    Mexico
    At this point if you want to practice, except in Scandinavia, Do is not a viable degree for Europe.
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    wcb22 is offline Elite Member
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    do

    nevertheless, this is an impressive list. D.O.'s are becoming positively recognized all over the world.

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    azskeptic is offline Moderator 663 points
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    Re: do

    Quote Originally Posted by wcb22
    nevertheless, this is an impressive list. D.O.'s are becoming positively recognized all over the world.
    When I was at a meeting with some of the AOA staff they told me that limitations were that they needed people wanting to go back to some of the countries to where the govt. would then rule. Canada has pretty much now decided to treat them as equivalent. If one wanted to go back to Canada to practice, it would appear a way to do it where you would avoid the exams that foreign grads encounter.
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    Wow you have alot of free time. Can I borrow some?
    Where in the world is Carmen Sandiego? Email with answer please.

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    i think most of the problem is with the name. WHY OH WHY did andrew still use the word osteo-anything? osteopaths were around back then in europe....... did he purposely want to confuse governments.

    i would have called it holistic medical doctor (HMD)..... i bet you they would be recognized in more places if it was called that.
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