In 2026, many European doctors are considering professional mobility towards Western Europe. France, Spain, and Portugal are three very popular destinations, but the working conditions, salaries, and administrative obligations vary greatly. Here is a clear comparison to determine which country offers the best opportunities.
1. Medical salaries: France still leads
Generally speaking, France offers higher salaries than Spain or Portugal. This is explained by the very strong demand, especially in underserved areas.
- 🇫🇷 France: high salaries for salaried doctors and very attractive incomes in private practice, with a stable compensation system.
- 🇪🇸 Spain: lower public sector salaries, often offset by a second job or additional shifts.
- 🇵🇹 Portugal: salaries below the European average, although some regions offer financial incentives.
For a realistic estimate of salary in France, you can use the Euromotion salary simulators.
2. Working conditions: three very different models
🇫🇷 France
France offers a structured framework, great freedom of practice (salaried or private) and significant medical needs. The country also guarantees professional stability, solid social protection and many opportunities for advancement.
🇪🇸 Spain
The public system is highly valued, but the positions are sometimes precarious and the salaries lower. The private sector exists, but it plays a less significant role than in France.
🇵🇹 Portugal
The market is more restricted and private practice opportunities are limited. Many Portuguese doctors migrate to other European countries for better remuneration.
3. Administrative procedures: France requires a structured path
To practice in France in 2026, European doctors must follow a clear path structured around three key organizations:
📌 1. DREETS (authorization to practice)
The DREETS analyzes the file, verifies the authenticity of the European degree and issues the authorization to practice. https://dreets.gouv.fr
📌 2. Ordre des Médecins (mandatory registration)
The National Council of the Order of Doctors (CNOM) assigns the mandatory RPPS number to practice. National Council of the Order of Doctors
📌 3. ARS (regional practice monitoring)
The ARS regulate the activity of the establishments, coordinate the territories and ensure the quality of care.
In comparison, Spain and Portugal have simpler administrative procedures, but also less professional and salary protections.
4. Settlement and quality of life: three attractive countries, three realities
The quality of life in France, Spain, and Portugal is excellent, but the realities of the real estate market and integration vary:
- 🇫🇷 France: more expensive real estate market but more professional opportunities; numerous regional aids; developed public services.
- 🇪🇸 Spain: lower cost of living, but lower salaries.
- 🇵🇹 Portugal: very good quality of life, but little competitive salary for experienced doctors.
To prepare for settlement in France: housing guide and language resources: medical French courses.
5. Verdict 2026: which country is the most advantageous?
When comparing salaries, working conditions, professional stability, and possibilities for advancement, France stands out as the most advantageous country for European doctors in 2026. It offers:
- ✔ strong national demand,
- ✔ higher salaries,
- ✔ an extremely structured professional framework,
- ✔ a robust and modernized healthcare system.
Spain and Portugal remain very attractive for their quality of life, but they do not match the professional conditions offered by France.
🚀 Ready to work in France in 2026?
Euromotion Medical supports European doctors from the first contact to their settlement in the French territory:
- 🔎 Check out the available job offers
- 📘 Discover our practical guides
- 💼 Find a position quickly via Mediirect
- 📩 Contact us: nicetomeetyou@euromotion.care
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