Recently, the alarm has been raised about cheating in medical programs at foreign universities within the European Union, which has sparked great controversy because such education also leads to Swedish medical credentials. Cheating is unacceptable, of course. However, there is also something to think about when it comes to Swedish medical education and quality control there. For example, the possibility of re-examinations is very generous, and the question is whether this is reasonable with the maximum number of attempts allowed today.

It is difficult for Sweden to control foreign university education. Therefore we must ensure adequate efficiency at home. With the abolition of the identity-based public service and the AT exam, previous oversight disappeared. Basic Service (BT) is not necessary for identification and prescription rights. Therefore, BT is unfortunately not suitable for quality control, although of course it can be appreciated.

It is unfortunate for all talented colleagues who have recently been or are currently being trained abroad who now run the risk of being painted as cheaters. However, we have a responsibility to our patients and colleagues to ensure adequate competence. This applies not only before obtaining an ID, but also to professional life afterward.

How can we verify sufficient competence after completing specialized service and continuing a career – especially in difficult economic times like these when continuing education seems to be lacking?