CHAQUE ETAT MEMBRE RECONNAIT COMME PREUVE SUFFISANTE POUR LES RESSORTISSANTS DES ETATS MEMBRES DONT LES DIPLOMES , CERTIFICATS ET AUTRES TITRES NE REPONDENT PAS A L'ENSEMBLE DES EXIGENCES MINIMALES DE FORMATION PREVUES A L'ARTICLE 1ER DE LA DIRECTIVE 75/363/CEE , LES DIPLOMES , CERTIFICATS ET AUTRES TITRES DE MEDECIN DELIVRES PAR CES ETATS MEMBRES AVANT LA MISE EN APPLICATION DE LA DIRECTIVE 75/363/CEE , ACCOMPAGNES D'UNE ATTESTATION CERTIFIANT QUE CES RESSORTISSANTS SE SONT CONSACRES EFFECTIVEMENT ET LICITEMENT AUX ACTIVITES EN CAUSE PENDANT AU MOINS TROIS ANNEES CONSECUTIVES AU COURS DES CINQ ANNEES PRECEDANT LA DELIVRANCE DE L'ATTESTATION .
IN THE CASE OF NATIONALS OF MEMBER STATES WHOSE DIPLOMAS , CERTIFICATES AND OTHER EVIDENCE OF FORMAL QUALIFICATIONS IN MEDICINE DO NOT SATISFY ALL THE MINIMUM TRAINING REQUIREMENTS LAID DOWN IN ARTICLE 1 DIRECTIVE NO 75/363/EEC , EACH MEMBER STATE SHALL RECOGNIZE , AS BEING SUFFICIENT PROOF , THE DIPLOMAS , CERTIFICATES AND OTHER EVIDENCE OF FORMAL QUALIFICATIONS IN MEDICINE AWARDED BY THOSE MEMBER STATES BEFORE THE IMPLEMENTATION OF DIRECTIVE NO 75/363/EEC , ACCOMPANIED BY A CERTIFICATE STATING THAT THOSE NATIONALS HAVE EFFECTIVELY AND LAWFULLY BEEN ENGAGED IN THE ACTIVITIES IN QUESTION FOR AT LEAST THREE CONSECUTIVE YEARS DURING THE FIVE YEARS PRIOR TO THE DATE OF ISSUE OF THE CERTIFICATE .