Peru, with over 31 million inhabitants, has officially 142 universities (41 public and 91 private) and 25 medical faculties (13 public and 12 private) and additionally 33 faculties temporally unauthorized. Annually between 3200 and 3500 medical doctors are registared to practice medicine. Internal medicine speciallity is obtained after 11 years (7 years of pregrade, one year of community service and 3 years of speciallity university regular program with previous selection). There are other ways to obtain the speciallity with the assingned of the general practitiones who are working for the state. One alternative way is by competencies which are obtained in the daily practice who are working in a recognized hospitals or for internists which obtained the speciallity in foreign country. University is the institution to approve the speciallity. Since 2011 the recertification of the speciallity is mandatory with 5 years of duration issued by Colegio Médico del Perú (official national medical institution).