council recommend septemb nation grand duchi luxembourg hold diploma medicin confer state eec council european commun note council direct eec septemb specif train gener medic practic refer diploma certif evid formal qualif confer member state anxiou account special posit nation grand duchi luxembourg specif train gener medic practic grand duchi studi state recommend govern member state nation grand duchi luxembourg hold diploma award state complet specif train gener medic practic recogn luxembourg ministri health pursu activ gener medic practition commun brussel septemb council presid how page offici journal