Title 1. Specialist in internal medicine 2. Specialist in cardiology 3. Specialist in hematology 4. Specialist in clinical immunology and allergology 5. Specialist in pulmonary medicine Residency 3 ½ years, as followsA. 3 years internal medicine B. 6 months in one of the following or three months in each of two of the following specialties: clinical immunology and allergology, oncology, endocrinology, medical genetics, gastroenterology, geriatrics, hematology, bone marrow transplants, emergency room, intensive care, cardiac intensive care, pulmonary diseases, internal medicine clinic or family medicine clinic or ambulatory care internal medicine clinic, neurology, nephrology, dermatology, psychiatry, cardiology, rheumatology, diagnostic radiology, rehabilitation, infectious diseases. One of the following three tracks: A. Specialist title in internal medicine 3 years cardiology; or B. 1 year internal medicine 1 year cardiology 2 years internal medicine 2 years cardiology; or C. 3 years internal medicine 3 years cardiology Note: In all three tracks, it is mandatory to spend at least 6 months but not more than a year in a unit for cardiac intensive care. One of the following three tracks: A. Specialist title in internal medicine 2 ½ years hematology; or B. 1 year internal medicine 1 year hematology 2 years internal medicine 1 ½ years hematology; or C. 3 years internal medicine 2 ½ years hematology One of the following three tracks: A. Specialist title in internal medicine or pediatrics 1 year clinical immunology 1 year allergology; or B. 1 year internal medicine 1 year clinical immunology 2 years internal medicine 1 year allergology; or C. 3 years internal medicine 1 year clinical immunology 1 year allergology One of the following three tracks: A. Specialist title in internal medicine 2 ¼ years pulmonary medicine, of which 3 months must be in an accredited respiratory intensive care department; or B. 1 year internal medicine 1 ¼ years pulmonary medicine, of which 3 months must be in an accredited respiratory intensive care department; 2 years internal medicine one year pulmonary medicine; or C. 3 years internal medicine 2 ¼ years pulmonary medicine, of which 3 months must be in an accredited respiratory intensive care department. Note: In each of the three tracks, one year of the two years in Title 6. Specialist in gastroenterology 7. Specialist in endocrinology 8. Specialist in nephrology 9. Specialist in pediatrics 10. Specialist in neurology Residency pulmonary medicine may be done in an outpatient clinic or in a center for the prevention of pulmonary diseases. One of the following three tracks: A. Specialist title in internal medicine 2 ½ years gastroenterology; or B. 1 year internal medicine 1 year gastroenterology 2 years internal medicine 1 ½ years gastroenterology; or C. 3 years internal medicine 2 ½ years gastroenterology. One of the following four tracks: A. Specialist title in internal medicine 2 years endocrinology; or B. 1 year internal medicine 1 year endocrinology 2 years internal medicine 1 year endocrinology; or C. 3 years internal medicine 2 years endocrinology; or D.Specialist title in obstetrics and gynecology 9 months internal medicine 2 years endocrinology. One of the following three tracks: A. Specialist title in internal medicine 2 ½ years nephrology; or B. 1 year internal medicine 1 year nephrology 2 years internal medicine 1 ½ years nephrology; or C. 3 years internal medicine 2 ½ years nephrology. Note: It is mandatory in all three tracks to spend at least 6 months but not more than 1 year in a chronic dialysis unit. 4 years, as followsA. 33 months in a pediatric department, of which 6 months may be in a pediatric day unit, or 3 months may be in a pediatric day unit and 3 months in a pediatric intensive care unit. B. ½ year newborns and neonatal intensive care B1. ½ year in a community pediatric clinic or a general pediatric outpatient clinic affiliated with a pediatric department or pediatric day-care unit [i.e., hospital outpatient clinic]. C. 3 months in one of the following: pediatric hemato-oncology, pediatric endocrinology, diseases of the ear, nose and throat, pediatric gastroenterology, pediatric intensive care, dermatology, pediatric pulmonology, obstetrics and gynecology, pediatric neurology, pediatric nephrology, child and adolescent psychiatry, pediatric cardiology, diagnostic radiology, physical and rehabilitative medicine, child development unit, medical genetics, pediatric surgery, infectious diseases, pediatric clinical immunology and allergology, pediatric rheumatology, pediatric emergency medicine, pediatric dermatology, pediatric immunology and allergology, clinical pharmacology. 4-1/2 years, as followsA. 3 ¾ years neurology B. 3 months internal medicine C. 3 months psychiatry or child and adolescent psychiatry D. 3 months in one of the following: internal medicine, neurology Title 11. Specialist in psychiatry 12. Specialist in general surgery 12a. Specialist in pediatric surgery 13. Specialist in neurosurgery 14. Specialist in thoracic surgery Residency in a department other than the one in which the residency is performed as per sub-section (A), pediatric neurology, neurosurgery, ophthalmology, physical and rehabilitative medicine, diagnostic radiology, oncology, neuro-oncology, intensive care, pain medicine, medical genetics. 4 years, as follows: A. 2 years in an active psychiatric department, half a year of which may be in a department of child and adolescent psychiatry B. 1 year in an ambulatory adult psychiatry service in a mental health clinic or in a day clinic in the community or in a day clinic in the hospital C. ½ year neurology, or 3 months neurology and 3 months internal medicine, or 3 months neurology and 3 months family medicine D. ½ year in one of the following: adult psychiatry department or clinic, child and adolescent psychiatric clinic, department for psychiatric day care, psychogeriatric unit, department for psychiatric rehabilitation, forensic psychiatry. 5 ½ years, as follows: A. 4 ½ years in a department of general surgery B. 3 months general intensive care C. 9 months, consisting of 3 months in each of three of the following fields: pediatric surgery, neurosurgery, plastic surgery, vascular surgery, urologic surgery, thoracic surgery, cardiothoracic surgery, orthopedic surgery, organ transplants, anesthesiology, intensive care, trauma unit. A. Specialist’s title in general surgery B. 2 ½ years, as follows: 2 years and three months pediatric surgery 3 months neonatology or pediatric intensive care 5 ½ years, as follows: A. B. 4-1/2 years neurosurgery C. 3 months general intensive care D. 3 months neurology E. 3 months neuro-radiology F. 3 months in one of the following: neuropathology, neuroanesthesia, plastic surgery, orthopedics, orthopedics of the back, pediatric surgery, vascular surgery, pediatric intensive care, trauma, general surgery. A. Cardiac surgery track 5½ years, as follows: 4 years in a department of thoracic and cardiac surgery, or, in a hospital with separate departments for cardiac and thoracic surgery, 3 years in cardiac surgery and one year in thoracic surgery. 1 year general surgery or 9 months general surgery and 3 months vascular surgery 3 months cardiology 3 months anesthesiology or general intensive care. B. General thoracic surgery track 5½ years, as follows: 4 years in a department of thoracic and cardiac surgery, or, in a hospital with separate departments for cardiac and thoracic surgery, 3 years in the department of thoracic surgery and one year in the department of cardiac surgery 1 year general surgery or 9 months general surgery and 3 months vascular surgery 3 months pulmonology Title 15. Specialist in orthopedic surgery 16. Specialist in plastic surgery 17. Specialist in urologic surgery 18. Specialist in dermatology and venereal disease 19. Specialist in diseases of the ear, nose and throat and head and neck surgery Residency 3 months anesthesiology or general intensive care. C. General cardio – thoracic surgery track 6 ¾ years consisting of: 5 years in a department of thoracic and cardiac surgery; 1 year in general surgery or 9 months in general surgery and 3 months in vascular surgery 3 months cardiology 3 months pulmonology 3 months anesthesiology or general intensive care 5½ years, as follows: A. 3¾ years orthopedic surgery B. 6 months in one of the following or 3 months in two of the following: general surgery, plastic surgery, spinal surgery, arthroscopy and sports injuries, shoulder surgery, foot and ankle surgery, orthopedic oncology, joint transplants, hand surgery, pediatric orthopedics; however, no more than 3 months may be performed in each of hand surgery and pediatric orthopedics under the provisions of this sub-section. C. 3 months in general surgery D. 3 months in general intensive care E. 3 months pediatric orthopedics F. 3 months hand surgery G. 3 months in one of the following: rehabilitation, neurology, neurosurgery, vascular surgery, trauma unit. 5½ years, as follows: A. 6 months general surgery B. 4¼ years plastic surgery and 3 months in a burn unit (not necessarily in a department of plastic surgery). C. 3 months in a unit for hand surgery, or, in a hospital that has no unit for hand surgery, 3 months in a department of orthopedic surgery that includes hand surgery and employs at least one specialist in hand surgery. D. 3 months in one of the following: ear, nose and throat; maxillo-facial surgery; dermatology; urological surgery; general surgery; ophthalmology. 5 ½ years, as follows: A. 4 ½ years urologic surgery B. 9 months general surgery, which must be during the first three years of residency. C. 3 months in one of the following: vascular surgery, pediatric surgery, plastic surgery, obstetrics and gynecology, nephrology, general intensive care, diagnostic radiology, organ transplants, oncology, general surgery. 4 ½ years, as follows: A. 6 months internal medicine, and it is mandatory to perform them within the first two years of the residency. B. 3 ½ years dermatology and venereal diseases. C. 3 months in each of two of the following: clinical immunology and allergology, endocrinology, pediatrics, oncology, psychiatry, plastic surgery, infectious diseases, medical genetics, pediatric dermatology, anatomic pathology. 5 ½ years, as follows: A. 4 years and 9 months in an ear, nose and throat department B. 3 months in general surgery or in intensive care or in anesthesiology C. 6 consecutive months or two periods of 3 months each in the following fields: general surgery, intensive care, pediatric intensive care, anesthesiology, neurosurgery, neurology, Title Residency genetics, mouth and gum surgery, plastic surgery, vascular surgery, ophthalmology, imaging. Note: One cannot do more than 6 months total in general surgery, general intensive care or anesthesiology, during the course of residency. 20. Specialist in ophthalmology 4 ½ years, as follows: A. 4 years ophthalmology B. 6 months in one or 3 months in any two of the following: pediatrics, plastic surgery, neurology, neurosurgery, internal medicine, diagnostic radiology, anesthesiology, ear, nose and throat. 4 ½ years, as follows: A. 3 ¼ years anesthesiology, including anesthesia for urological surgery, orthopedic surgery, thoracic surgery (including open heart and closed heart surgery), general surgery, neurosurgery, plastic surgery, obstetrics and gynecology, pediatric surgery, ophthalmologic surgery, surgery of the ear, nose and throat, recovery (3 months are mandatory in one of the following: obstetrics and gynecology, pediatric surgery, recovery); B. 6 consecutive months or 2 periods of 3 months each in general intensive care; C. 3 months pain clinic; D. 3 months in each of two of the following: internal medicine, pediatrics, gastroenterology, nephrology, cardiology, pulmonary disease, neurology, pediatric intensive care, neonatology, emergency medicine; 5 ½ years, as follows: A. 4 ½ years obstetrics, gynecology and fertility, as follows: 1 ½ years obstetrics 1 year gynecology 6 months fertility 1 ½ years obstetrics and gynecology B. One year elective, consisting of either: 6 months in each of two of the following or 4 months in each of three of the following: general surgery, urological surgery, anesthesiology, general intensive care, endocrinology, premature births, oncology, public health (mother and child clinic or women’s health clinic), ultrasound, IVF, medical genetics, pediatric endocrinology. 4 ½ years, as follows: A. 3 years and 9 months diagnostic radiology B. 3 months nuclear medicine C. 6 months in one of the following: pediatrics, general surgery, internal medicine, orthopedic surgery; or 3 months in one of the following: pediatrics, general surgery, internal medicine and 3 months in a clinical department or institute of a general hospital. One of the following two tracks: A. Medical oncology 5 years, as follows: A. 3 years medical oncology B. 1 year radiotherapy C. 9 months internal medicine D. 3 months in one of the fields of medicine listed in column A B. Radiotherapy 5 years, as follows: A. 3 years radiotherapy B. 1 year medical oncology C. 9 months internal medicine 21. Specialist in anesthesiology 22. Specialist in obstetrics and gynecology 23. Specialist in diagnostic radiology 24. Specialist in oncology Title Residency D. 3 months in one of the fields of medicine listed in column A 25. Specialist in family medicine 4 years, as follows: A. 15 months in a family medicine department, under the direct and close supervision of the supervisor B. 10 months internal medicine C. 5 months pediatrics D. 2 months emergency medicine E. 4 months in two periods of 2 months each in two of the following fields: oncology, orthopedics, clinical immunology and allergology, endocrinology, gastroenterology and diseases of the liver, geriatrics, general surgery, ear, nose and throat and head and neck surgery, infectious diseases, dermatology and veneral diseases, ophthalmology, pulmonary medicine, neurology, nephrology, psychiatry, cardiology, rheumatology, physical medicine and rehabilitation, occupational medicine, obstetrics and gynecology, child and adolescent psychiatry, pediatric neurology, pediatric cardiology, pediatric pulmonary medicine, pediatric gastroenterology, pediatric endocrinology. 26. Specialist in public health 27. Specialist in physical medicine and rehabilitation 28. Specialist in clinical laboratory fields (microbiology or clinical biochemistry) F. Last 12 months in a family medicine clinic under supervision. A university course in family medicine of at least 6 semesters recognized by the Director, and a fulfillment of all University requirements. 4 years, as follows: A. One of the following two tracks: 30 months community services and 6 months epidemiology or 30 months epidemiology and 6 months community services. Note: During this period, the resident shall complete a recognized academic course ending in a Ph.D, Dr.P.H or M.P.H in epidemiology, M.Med.Sc in epidemiology, or M.Sc.in epidemiology. B. 6 months internal medicine or pediatrics C. 6 months in one of the following or 3 months in each of two of the following: a clinical department or institute in a general hospital, medical administration or family medicine in a recognized institution. 4½ years, as follows: A. 3 1/3 years physical medicine and rehabilitation B. 6 months internal medicine C. 8 months, consisting of 4 months in each of two of the following: neurosurgery, orthopedic surgery, psychiatry, neurology, cardiac rehabilitation, child development, geriatrics, clinical electro-physiology, rheumatology, neuro-radiology. 4 ½ years, as follows: A. 1 year clinical biochemistry (including endocrinology, immunology and toxicology tests) B. 1 year internal medicine or pediatrics C. 1 year clinical microbiology (including viral, micrology and parasitology tests) D. 6 months hematology in a laboratory or blood bank. E. 1 year clinical research in one of the following fields: clinical biochemistry or clinical microbiology. Title 29. Specialist in clinical microbiology 29a. Specialist in clinical biochemistry 30. Specialist in anatomic pathology 31. Specialist in nuclear medicine 32. Specialist in geriatrics Residency 4 years, as follows: A. 3 years clinical microbiology (including viral, micrology and parasitology tests), one year of which is in a research institute; B. 1 year internal medicine or pediatrics 4 years, as follows: A. 3 years clinical biochemistry (including endocrinology, immunology and toxicology tests) B. 1 year internal medicine or pediatrics 4 ½ years, as follows: A. 4 years anatomic pathology B. 6 months in one of the following fields: gyno-pathology, derma-pathology, hemato-pathology, general surgery, neuropathology, nephro-pathology, perinatal pathology, pathology of the bones and soft tissue, pathology of the digestive system, pathology of transplants, cytology, pediatrics, internal medicine, pathology of the respiratory tract, forensic pathology, head and neck pathology, oral pathology. 4 years, as follows: A. 2-1/2 years nuclear medicine B. 3 months internal medicine or pediatrics C. 1 year diagnostic radiology D. 3 months in one of the following: general surgery, urology, endocrinology, orthopedic surgery, neurology, medical oncology, radiotherapy. One of the following tracks: A. Specialist title in internal medicine or family medicine Two years geriatrics B. 4 years, as follows: 2 years internal medicine 2 years geriatrics C. 4 years, as follows: 1½ years internal medicine 6 months acute geriatrics 2 years geriatrics Title 33. Specialist in forensic medicine 34. Specialist in child and adolescent psychiatry 35. Specialist in medical administration 36. Specialist in neonatology Residency 5 years, as follows: 3 years of forensic medicine in a recognized institution 1-1/2 years anatomic pathology. 6 months in one of the following: emergency department, orthopedic surgery, psychiatry, cardiology, diagnostic radiology. 4 ½ years, as follows: 1 year in a department of child psychiatry or in a department of adolescent psychiatry or in a department of child and adolescent psychiatry1 year in a department of child & adolescent psychiatry of which 3 months may be in a day-care unit. 1 year in a department of adult psychiatry of which 6 months may be in a psychiatric out-patient clinic or a psychiatric daycare unit. 6 months in one or 3 months in two of the following: department of child & adolescent psychiatry, out-patient clinic in child & adolescent psychiatry or a day-care unit for child & adolescent psychiatry. 6 months in pediatrics of which 3 months may be in a day-care unit. 6 months in one or 3 months in two of the following; Psychiatry out-patient clinic, pediatric neurology, pediatrics. A. A specialist title approved by the Director in accordance with these regulations. B. M.A. or higher, recognized by the Council for Higher Education in accordance with section 22 of the Council for Higher Education Act, 1958, in one of the following: medical administration, health systems administration, public health with a medical administration track, business administration. C. 2 years, as follows: 18 months in the administration of a general hospital or a specialized hospital (such as a psychiatric, geriatric or rehabilitation hospital) 6 months in the national or regional administration of the Ministry of Health or the national or regional administration of Kuppat Holim or in the headquarters of the Chief Medical Officer of the Israeli Defense Forces or 18 months in the national or regional administration of the Ministry of Health or the national or regional administration of Kuppat Holim, of which 6 months can be performed in the headquarters of the Chief Medical Officer of the Israeli Defense Forces 6 months in the administration of a general hospital A. Specialist title in pediatrics B. 2½ years, as follows: 24 months neonatal special care of which 3 months shall be in a newborn follow-up clinic 6 months newborn unit Title 37. Specialist in medical genetics Residency Specialist title in one of the fields listed in column A of this appendix 2 ½ years clinical genetics 38. Specialist in rheumatology One of the following 4 tracks: A. Adult trackSpecialist title in internal medicine 2 ½ years, as follows: 2 ¼ years rheumatology. 3 months in one of the following: Physical medicine & rehabilitation, orthopedics, diagnostic radiology, clinical immunology and allergology, pediatric rheumatology or B. Pediatric trackSpecialist title in pediatrics 2 ½ years, as follows: 2 years pediatric rheumatology 3 months adult rheumatology 3 months in one of the following: Physical medicine & rehabilitation, pediatric orthopedics, diagnostic radiology, clinical immunology and allergology, or C. 5 ½ years, as follows: 1 year internal medicine 1 year rheumatology 2 years internal medicine 3 months clinical immunology and allergology 3 months in one of the following: Physical medicine & rehabilitation, orthopedics, diagnostic radiology, clinical immunology and allergology 1 year rheumatology or D. 5 ½ years, as follows: 3 years internal medicine 1 year rheumatology 3 months clinical immunology and allergology 3 months in one of the following: physical medicine & rehabilitation, orthopedics, diagnostic radiology, clinical immunology and allergology 1 year rheumatology A. Specialist title in orthopedic surgery or plastic surgery. B. 2 ½ years hand surgery 5- 1/2 years, as follows: A. 27 months general surgery B. 33 months vascular surgery C. 3 months thoracic and heart surgery D. 3 months intensive care 39. Specialist in hand surgery 40. Specialist in vascular surgery 41. Specialist in infectious diseases 42. Specialist in occupational medicine A. Specialist title in internal medicine, pediatrics or family medicine B. 2 years infectious diseases. 4½ years, as follows: 3 years occupational medicine, including a one year academic course and official degree in occupational medicine, according to a certificate recognized by the Council for Higher Education 9 months internal medicine 3 months orthopedic surgery 6 months, consisting of two periods of 3 months each in 2 of the Title Residency following fields: ear, nose and throat and head and neck surgery, dermatology, neurology, psychiatry, cardiology, pulmonary medicine, rehabilitation, epidemiology, family medicine, environment. 43. Specialist in general intensive care A. Specialist title in one of the following: anesthesiology, internal medicine or general surgery B. 2 years, as follows: 18 months general intensive care 3 months in each of two of the following: anesthesiology, cardiology, nephrology, pulmonary diseases, infectious diseases, pediatric intensive care. Specialist title in pediatrics 3 years, as follows: 1 year in pediatric neurology 6 months neurology 3 months child psychiatry 3 months in a child development institute 1 year in pediatric neurology Specialist title in pediatrics 3 years, as follows: 2 ½ years pediatric cardiology 3 months adult cardiology 3 months thoracic surgery Specialist title in pediatrics 2 ¼ years, as follows: 21 months pediatric pulmonary diseases 3 months adult pulmonary diseases 3 months pediatric intensive care, for those who did not complete this rotation during the course of their residency in pediatrics 44. Specialist in pediatric neurology 45. Specialist in pediatric cardiology 46. Specialist in pediatric pulmonary diseases 47. Deleted 48. Specialist in pediatric hematooncology 49. Specialist in pediatric gastroenterology 50. Specialist in pediatric nephrology 51. Specialist in pediatric endocrinology 52. Specialist in pediatric intensive care Specialist title in pediatrics 2 ½ years, as follows: 2 ¼ years pediatric hemato-oncology 3 months in one of the following: hematology, radiotherapy, imaging, anatomic pathology, infectious disease Specialist title in pediatrics 2-1/2 years as follows: 2 years pediatric gastroenterology 6 months adult gastroenterology Specialist title in pediatrics 2-1/2 years, as follows: 2 years pediatric nephrology 6 months pediatric chronic dialysis or 3 months pediatric dialysis and 3 months adult chronic dialysis Specialist title in pediatrics 2 ¾ years, as follows: 2-1/4 years pediatric endocrinology 6 months adult endocrinology A. Specialist title in one of the following: pediatrics, anesthesiology, general intensive care or pediatric surgery. B. 2½ years, as follows: 24 months pediatric intensive care 3 months general intensive care Title Residency 3 months anesthesiology 53. Specialist in clinical pharmacology Specialist title in one of the following: internal medicine, pediatrics, psychiatry 2½ years (uninterrupted) in a clinical pharmacology unit. 54. Specialist in emergency medicine N.B. If basic science in the existing specialization was performed in a unit for clinical pharmacology, up to six months may count as part of this sub-specialty. One of the following 6 tracks 1. A. Specialist title in general surgery B. 27 months, as follows: 21 months emergency medicine 3 months internal medicine 3 months emergency department designated for treatment of children 2. A. Specialist title in internal medicine B. 30 months, as follows: 21 months emergency medicine 3 months general surgery 3 months anesthesiology or general intensive care 3 months emergency department designated for treatment of children 3. A. Specialist title in anesthesiology B. 30 months, as follows: 21 months emergency medicine 3 months internal medicine 3 months general surgery 3 months emergency department designated for treatment of children 4.A. Specialist title in pediatrics B. 30 months, as follows: 21 months emergency department designated for treatment of children 3 months emergency department 3 pediatric surgery 3 months anesthesiology or pediatric intensive care 5. A. Specialist title in family medicine B. 30 months, as follows: 21 months emergency medicine 3 months general surgery 3 months emergency department designated for treatment of children 3 months anesthesiology or general intensive care 55. Specialist in pain medicine 6. Four years, as follows: 30 months emergency medicine 12 months internal medicine 3 months general surgery 3 months pediatric emergency medicine A. Specialist title in one of the following: oncology, clinical immunology and allergology, endocrinology, gastroenterology, geriatrics, hematology, anesthesiology, obstetrics and gynecology, urologic surgery, orthopedic surgery, thoracic surgery, general surgery, plastic surgery, diseases of the ear, Title Residency nose and throat and head and neck surgery, dermatology, ophthalmology, pulmonary medicine, neurosurgery, neurology, nephrology, psychiatry, child and adolescent psychiatry, cardiology, diagnostic radiology, rheumatology, nuclear medicine, family medicine, pediatrics, physical medicine and rehabilitation, internal medicine. B. 27 months, as follows: (1) 21 months in a pain clinic or unit (2) 3 months neurology (3) 3 months anesthesiology