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Re-registration in the BIG register

How exactly does re-registration in the BIG register work? What requirements must general practitioners meet?

As a general practitioner, you must re-register in the BIG register every five years. This re-registration is a tool to guarantee the quality of care and patient safety. It also allows you to continue to use your professional title. A prerequisite for the five-yearly re-registration is that you must have sufficient work experience. If you do not have this, re-registration is possible by successfully completing a training and assessment programme.

Training and assessment programme

Knowledge is tested using the national interuniversity progress test in medicine (iVGT), which is also taken by medical students. Achieving level 20 or higher is a requirement for receiving the Periodic Registration Certificate (PRC). This certificate is necessary for re-registration.

This level is equivalent to the knowledge level of a student in the medical programme at the end of the second master’s year (year 5 of the 6-year medical programme). If the programme is successfully completed, the student will receive the PRC. This allows them to re-register in the BIG register.

Development of re-registration process

UMCNL developed this re-registration process and drew up the regulations (training requirements). The assessment has been revised since March 2024. Amsterdam UMC provides the training on behalf of the Ministry of Health, Welfare and Sport and UMCNL. The programme consists of self-study and assessment, and is based on the core competencies required of a junior doctor as derived from the Framework Plan for Medical Training.


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