General information

“The EC4 (European Communities Confederation of Clinical Chemistry and Laboratory Medicine) Register Commission and Register came under the direction of EFCC (European Federation of Clinical Chemistry and Laboratory Medicine) in 2007 when the two organisations, EC4 and FESCC, merged to become EFCC. The title EC4 now solely relates to the EC4 European Register and the Register Commission. It applies only to those countries within the European Union. The Register Commission’s purpose is the operation of the Register and the promotion of Clinical Chemistry and Laboratory Medicine within the European Union.”

What is the EC4 European Register of Specialists in Clinical Chemistry and Laboratory Medicine?

“The EC4 Register is a database of senior professionals who have met the agreed education and training requirements to be independent (consultant grade) practitioners. Version 3 (2010) of these requirements and details of the operation of the Register have been published in Clinical Chemistry and Laboratory Medicine 2010:48(7):999-1008.. Registration is via a national society which has demonstrated equivalence of standards between the national register (or similar) and the EC4 European Register.

The EC4 European Register of Specialists in Clinical Chemistry and Laboratory Medicine opened in January 1999 and by September 2008 it comprised more than 2000 practitioners from 20 different countries and the numbers are rising. Registrants include both scientific and medical practitioners.”

Why is there a need for a Register?
  • To collate information about the different systems of education and training in Clinical Chemistry in the member states of the European Union
  • To establish minimum requirements for the education and training of Clinical Chemists in the European Union
  • To establish a framework of mutual recognition of qualifications in Clinical Chemistry across the European Union
  • To encourage, through mutual recognition, the continuous updating of the quality of Clinical Chemistry and its practitioners in the European Union
  • To facilitate communication between bodies and individuals that practice Clinical Chemistry in the European Union
  • To introduce a title (European Specialist in Clinical Chemistry and Laboratory Medicine) that will assist the free movement of Clinical Chemists within the European Union
  • To communicate information about Clinical Chemistry and Laboratory Medicine to officials and organisations within the European Union

Why is the Register important for the profession?

The existence of a strong European Register of Specialists in Clinical Chemistry and Laboratory Medicine:

  • Provides an important benchmark of quality across the profession within Europe
  • Develops the corporate identity of Clinical Chemistry and Laboratory Medicine in Europe
  • Assists with the promotion of Clinical Chemistry and Laboratory Medicine within Europe
  • Assists greater understanding of the practice of Clinical Chemistry and Laboratory Medicine within Europe
  • Strengthens the influence of EFCC and the EC4 Register Commission in dealings with other professional societies and the diagnostics industry
  • Makes it easier for EFCC and the EC4 Register Commission to deal with the European Commission
  • Increases the likelihood that the profession of Clinical Chemistry and Laboratory Medicine will be afforded Common Platform or Co-regulation status within the European Union
  • Provides a pool of experts who may be willing to work for the good of the profession
  • Provides a basis for pursuing agreed projects of common interest to the profession


What standards must I achieve to be accepted on to the Register?

  • Acceptance on to your National Clinical Chemistry Register (where applicable)
  • At least nine years of relevant university and postgraduate study as defined by the Syllabus for postgraduate training in Clinical Chemistry and Laboratory Medicine
  • Compliance with the national standards for education and training applicable in your country
  • Acceptance of and compliance with the EC4 Code of Conduct

How will I benefit from being on the Register?

Registrants are able to:

  • Use the title “European Specialist in Clinical Chemistry and Laboratory Medicine” and the abbreviation “EurClinChem” after their name
  • Receive a certificate from the EC4 Register Commission as evidence that they are a registered European Specialist in Clinical Chemistry and Laboratory Medicine
  • Quote the registration on their CV to indicate that they have achieved and maintained a high level of competence in Clinical Chemistry and Laboratory Medicine recognised throughout the European Union
  • Receive information about the practice of Clinical Chemistry and Laboratory Medicine within the European Union
  • Expect a warm welcome when visiting a laboratory in any European Union country


How can I apply to join the Register?

  • You are eligible to apply if you were trained in and/or are registered in a European Union country whose national society has demonstrated that its education and training standards are equivalent to those defined by the EC4 Register Commission
  • An online application form is available via the link below
  • You should print out the completed form and send it to your National Clinical Chemistry Register Committee together with a current Curriculum Vitae, evidence of your acceptance onto your National Register and proof of payment
  • Your application will be scrutinized by your National Clinical Chemistry Registration Committee and then sent to the EC4 Registration Commission
  • If you do not have a relevant National Clinical Chemistry Registration Committee you may submit an application direct to the EC4 Register Commission (address below)
  • Applications may be submitted at any time of year
  • You will require to re-register every five years demonstrating continuing competence to practice in Clinical Chemistry

How much will it cost me to join the Register?

  • A payment of 50 Euro will cover your registration for a five year period
  • A re-registration payment of 40 Euro for each five year period thereafter

Do I have to join the EC4 European Register of Specialists in Clinical Chemistry and Laboratory Medicine?

The Register is entirely voluntary. Only you can decide if you wish to join the Register. However, the EC4 Register Commission and EFCC hope that the information provided above will convince you that being registered provides some benefits to you and very significant benefits for the profession in the European Union.

How can I obtain further information about the Register?

For detailed information on the European Register of Specialists for Clinical Chemistry and Laboratory Medicine and the EC4 Code of Conduct you are referred to:

Guide to the European Register of Specialists in Clinical Chemistry and Laboratory Medicine:
European Clinical Chemist: Version 3-2010

3rd revision: approved at the EC4 Register Commission meeting in Paris, on 5 November 2009
Janet McMurray, Simone Zérah, Michael Hallworth et al
Clinical Chemistry and Laboratory Medicine 2010; 48(7):999–1008

If you do not have a National Clinical Chemistry Registration Committee you should contact:

Comité Français du registre EC4
Simone Zérah
4, Avenue Ruysdaël
75379 Paris Cedex 08
Tel: 0033/1 56 21 34 95
Fax: 0033/1 56 21 35 29

If you do have a National Clinical Chemistry Registration Committee, contact your national representative.

For further information about the EC4 European Register of Specialists in Clinical Chemistry and Laboratory Medicine please explore this website or contact Simone Zerah (Chairman of the EC4 Register Commission) at
simone.zerah@wanadoo.fr, Janet McMurray (Secretary of the EC4 register Commission) at
mcmurrayjanet@hotmail.com or your Register Commission National Representative.