Well, every country on this world has basically its own school/university system, focusing on different things to learn and to teach. Sometimes even inside a single country not every school qualification from one federal state is accepted in another federal state. And especially in so complicated fields like medicine, with legal and financial implications, requirements are very strict.
There are of course initiatives so that certification in one country can be accepted in another country etc, but this is often only done in specific places (the EU has several of these for internal transfers) and/or for specific fields.
SYL
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