to require professional experience in addition to academic qualification. For Architecture, the standard route has a year of experience between the bachelor's and master's stages and a further year after the master's before the final examination; becoming a Chartered Engineer requires post-degree Initial Professional Development that typically takes four to six years; becoming a General Practitioner requires five years of study beyond the M.B.B.S., while qualifying as a Consultant takes seven to nine more years. Although initial registration as a medical doctor occurs after the initial four-to-six-year primary medical qualification (e.g., M.B.B.S.). In addition to initial professional degrees, some professional master's degrees and most professional doctorates, e.g., the Master of Business Administration (M.B.A.), Doctor of Education (Ed.D.), Doctor of Engineering (Eng.D.) and Doctor of Agriculture (D.Ag.), are offered for those already established in professions. UK professional doctorates are research degrees at the same level as Ph.D.'s, normally including teaching at doctoral level but still assessed by a doctoral research thesis or equivalent. Some professional degrees are designed specifically for trainees or members within a particular organisation, rather than being available via general enrollment. Examples of these include the Church of England's Common Awards with Durham University and the Association of Chartered Certified Accountants' B.Sc. in Applied Accounting with Oxford Brookes University. International equivalence In medicine In medicine, individual countries specify rules for recognising foreign qualifications; in the US, for example, this is carried out by the Educational Commission for Foreign Medical Graduates (ECFMG) and in the UK by the General Medical Council (GMC). The Australian Medical Council, US ECFMG, UK GMC, Medical Council of Canada, Danish Health and Medicines Authority, and Korean Institute of Medical Education and Evaluation jointly sponsor the World Directory of Medical Schools. At least one state in the US, Wisconsin, permits foreign graduates to use the title "MD" if licensed to practice in the US. In engineering In engineering, the Washington Accord (1989) recognised that the academic training (i.e., professional degrees) for full professional status (Professional Engineer, Chartered Engineer, European Engineer, etc.) is equivalent in the signatory countries. Similarly the Sydney Accord (2001) recognises similar academic training between signatories for Engineering Technologists, Incorporated Engineers, etc. and the Dublin Accord (2002) for Engineering Technicians. For computing and information technology, the Seoul Accord (2008) recognises similar academic training on accredited courses for computing and information technology professionals in the signatory countries. See also Terminal degree Postgraduate education Licensure