Responsible for carrying out the accreditation procedure are regional accrediting agencies. In Germany as a whole there are more than 600 of these. Most of these agencies consist of court divisions, ministries and other official agencies (AG 2011: 8). In general, the principle applies that the procedure for the recognition of qualifications acquired abroad lies in the field of jurisdiction of those official authorities which are generally responsible for the training and exercise of specific professions (BMWi 2012b). Which authority is responsible in each case is also determined by the place of residence, the particular profession, and the Bundesland where the applicant poses his demand for accreditation.
A physician resident in the Bundesland Hamburg, for example, who is in possession of a certificate acquired abroad must for the accreditation of his qualification turn to the examination authority for the healing professions (Landesprüfungsamt für Heilberufe) in Hamburg rather than to the State Chamber of Physicians for Hamburg (Landesärztekammer). While the examination authority is the only accrediting agency in Hamburg which carries out verification of the equivalence of a foreign medical degree and grants the license for practicing a profession,
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