Study Transfer from North Macedonia: Switch to Foča, Niš or Malta
13.10.2026
Σύντομη απάντηση
Transfer from medical studies in Skopje or Štip? Study transfer to Foča, Niš or Malta: placement, costs, recognition in Germany and the full process.
Which medical faculties exist in North Macedonia?
Three, all state-run. Private providers with human medicine cannot be verified.
Faculty of Medicine of Ss. Cyril and Methodius University of Skopje (UKIM) — the oldest and largest, in operation since 1947. General Medicine is offered in Macedonian and English; UKIM lists the programme among its fully English-language accredited programmes. Fees: €5,000 per academic year.
Faculty of Medical Sciences of Goce Delčev University Štip (UGD) — General Medicine also in English, six years, 360 ECTS, with an additional language interview in the selection process. Fees: €6,000 per academic year, plus a €100 application fee.
Faculty of Medical Sciences of the University of Tetovo — twelve semesters, 360 ECTS, teaching in Albanian. An English-language programme cannot be verified here.
A note on fees in Štip
The University of Štip states €6,000 on its admissions page but €4,000 on its programme page. The discrepancy originates from the university’s own website — the admissions page is the more current one. Have the amount confirmed in writing by the International Office before any decision.
Why do students transfer from North Macedonia?
The language in clinical practice. Teaching runs in English; the wards run in Macedonian or Albanian. This is not a criticism, but the norm in the region — yet it surprises many.
No WFME framework. There is no accreditation agency for North Macedonia recognized by the World Federation for Medical Education — not even in the application process. For German medical licensure this is irrelevant, but for the US pathway via ECFMG certification it has been a bar since 2024. Those who want to keep this option open must act early.
Fit and support. Some students simply find that a different location suits them better. That is also a legitimate reason.
Recognition itself is regulated. North Macedonia has been an EU candidate since 2005, with accession negotiations underway since 2022 — but remains formally a third country. This is no longer a disadvantage since the reform of March 2026: from 1 November 2026, the oral knowledge examination under Paragraph 3 of the Federal Medical Licensing Act applies as the standard pathway to nationwide medical licensure. You should not wait for accession, however — before a degree is automatically recognized, it must first be included in Annex V of Directive 2005/36/EC.
How the study transfer works in five steps
1. Gather documents. Transcript of records with ECTS and grades, study plan, enrolment certificate, school leaving certificate.
2. Free initial assessment. We tell you which academic year is realistic.
3. Formal review by the target university. The faculty makes the binding decision on credit recognition.
4. Application and acceptance. Certifications, apostille, translations, deadlines.
5. Enrolment and arrival. Accommodation, residence permit, insurance.
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Where you can transfer to
Faculty of Medicine Foča (Bosnia and Herzegovina) — one of our core locations, around €3,500 per academic year. Foča generally grants very high year placements. Compared to Skopje you save around €1,500 per year; compared to Štip around €2,500.
University of Niš (Serbia) — around €6,000 per academic year. The region and study structure are familiar, and the curriculum is closely comparable, which benefits credit recognition.
MediCampus Europeo Malta — around €14,500 per academic year, EU member state. The degree is automatically recognized under the EU Professional Qualifications Directive; a knowledge examination is not required. For those for whom the recognition pathway matters more than the price, this is the clearest solution.
How high the year placement turns out depends on the individual case
All three locations enable the highest possible placement with no or minimal loss of time through us. Each case is assessed individually. General rule of thumb: usually no more than two examinations may be outstanding, and the ECTS credits of those examinations must not exceed a maximum. North Macedonian curricula are consistently documented in ECTS — this is an advantage for credit recognition.
What the transfer costs
Skopje costs €5,000, Štip €6,000 per academic year. Foča costs €3,500, Niš €6,000, Malta €14,500.
A transfer to Foča reduces ongoing costs immediately. Niš is cost-neutral compared to Štip. Malta costs considerably more, but saves the entire recognition procedure in Germany — factor in the time and examination costs before dismissing that figure as too high.
On top of this come one-off costs for certifications, apostille, and translations. We factor these into the initial consultation.
Why early advice pays off
Year placement depends on completed semesters, not started ones. Those who ask after the second year have more flexibility than those who ask after the fourth. And the target universities’ deadlines are fixed — missing them costs half a year for no academic reason.
The initial consultation is free of charge and non-binding. Sometimes the outcome is: stay where you are.
Author's opinion
Skopje and Štip are underestimated in the German-speaking world. They are state universities with genuine English-language accreditations, at prices that are fair by European standards. Those who do well there have no reason to transfer.
Where plans often fall apart, though, is a false expectation about EU accession. I often hear “by the time I finish, they’ll be in”. Nobody should build a medical degree around that. Accession negotiations take time, and even after accession the degree must be included in Annex V of the Directive before it is automatically recognized. Those who want the short recognition pathway must choose it today, not wait for it.
Summary
- Three state faculties: Skopje and Štip with English-language programmes, Tetovo in Albanian.
- Fees: €5,000 per year in Skopje, €6,000 in Štip — the UGD programme page states a differing €4,000; have this confirmed in writing.
- Six years, 360 ECTS, degree Doctor of Medicine.
- EU candidate but third country: recognition runs via the oral knowledge examination — since November 2026 the accelerated standard pathway to nationwide medical licensure.
- No WFME-recognized agency — the US pathway via ECFMG is therefore closed.
- Target locations: Foča from €3,500, Niš €6,000, MediCampus Europeo Malta €14,500 per academic year.
North Macedonia is a solid destination with a clear price advantage. The catch is not in the teaching but in the language of clinical practice. Those who consciously choose this path can study well there. Those who want to shorten it should transfer early.
Further reading
Frequently asked questions about study transfers from North Macedonia
Can you study medicine in English in North Macedonia?
Yes, at UKIM in Skopje and at UGD in Štip. The University of Tetovo teaches in Albanian; an English-language programme cannot be verified there.
What does studying there cost?
€5,000 per academic year in Skopje, €6,000 in Štip. Note: the UGD programme page states a differing €4,000. Have the amount confirmed in writing.
Is the degree recognized in Germany?
Yes, through the standard recognition procedure for third countries. North Macedonia is an EU candidate but still counts as a third country — since the reform of November 2026, the procedure runs via the oral knowledge examination under Paragraph 3 of the Federal Medical Licensing Act as the standard pathway, after which nationwide medical licensure follows.
Does that change with EU accession?
Not immediately. After accession, the degree must first be included in Annex V of Directive 2005/36/EC before it is automatically recognized. A medical degree should not be planned around that prospect.
Is a US career via ECFMG possible?
Not at present. North Macedonia has no WFME-recognised accreditation agency, which Intealth's Recognized Accreditation Policy has reported on since November 2024. Intealth states that the policy does not affect an individual's eligibility for ECFMG certification.
Will I lose semesters when transferring?
The aim is the highest possible year placement with no or minimal loss of time. Curricula are documented in ECTS, which benefits credit recognition. The decision is made on a case-by-case basis.
What does the consultation cost?
Nothing. The initial assessment of your documents is free of charge and non-binding.
Further reading
Country and university
- Study Medicine in North Macedonia: Universities, Costs and Admission
- Study Medicine in Stip – Goce Delcev University of Stip
- Study Medicine in Skopje, North Macedonia
More guides on this topic
- Study Transfer from Albania: Switch to Foča, Niš or Malta
- Study Transfer from Tajikistan: Switch to Foča, Niš or Malta
- Study Transfer from Kosovo: Switch to Foča, Niš or Malta
Key terms explained
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Σχετικά με τον συγγραφέα

Marcel Kloos
Swiss-licensed dentist, founder and owner of Medschool Experts
Marcel Kloos is the founder and owner of Medschool Experts, a placement agency for medicine, dentistry, veterinary medicine and pharmacy degrees abroad. Since 2021 the team has secured more than 500 study places at over 25 partner universities in Europe and worldwide.
Study medicine abroad: Marcel's own path
Born in Stuttgart, Marcel started his degree late: at 24 he enrolled at the Medical University of Sofia, Faculty of Dental Medicine, and graduated in 2021 from the English-language programme. He went through the same steps his clients face today — nostrification of school certificates, entrance interviews, finding a flat in Sofia and later the recognition of a foreign degree. In Switzerland he completed the federal recognition procedure and holds a Swiss dental licence.
What Marcel does at Medschool Experts
Today Marcel lives in Bern and runs Medschool Experts full-time. He visits every partner university in person, negotiates placement agreements directly with faculties and deans, and leads the free consultations in which applicants learn at which university they can start next semester. His YouTube channel on studying medicine abroad has helped thousands of applicants compare universities, costs and recognition.
Topics Marcel writes about
- Study medicine abroad without an entrance exam: universities, costs and admission
- Study dentistry, veterinary medicine or pharmacy in Europe in English
- Tuition fees and living costs at medical schools in Europe and worldwide
- Recognition of foreign medical degrees in the EU, Switzerland, the UK and the US
- Transferring between medical schools and returning home into a higher semester
All articles by Marcel Kloos are based on first-hand visits to the universities, placement data from Medschool Experts and conversations with current students. Book a free consultation to discuss your own path.
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