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University medical centre · Rotterdam

Erasmus MC Careers, Salaries & Jobs

Erasmus MC in Rotterdam describes itself as the largest university medical centre in the Netherlands, and it has an International Office that handles permits for new international employees.

Last reviewed against the sources listed below.

About Erasmus MC

Erasmus MC is the university medical centre of Rotterdam and the medical faculty of Erasmus University Rotterdam.

Its 2025 annual report puts the workforce at about 17,000 employees and more than 4,000 students, and its own pages describe it as the largest university medical centre in the Netherlands.

As a university medical centre it provides tertiary care: complex treatment for patients with rare conditions, acute needs or needs for special equipment or medication. The 2025 annual report says it hosts 58 recognised expertise centres for rare disorders, the highest number in the Netherlands, and three institutes for cancer, transplantation and heart and vascular care. Erasmus MC Sophia, on the same campus, calls itself the oldest and largest children's hospital in the Netherlands.

Erasmus MC is one of the few Dutch hospitals with a clear, public service for international staff. Its International Office handles residence permits, MVV visas and municipal registration for new international employees and PhD candidates. That support covers immigration; it does not replace the BIG registration and Dutch language proof that any clinical role requires.

Pay follows the Cao umc. Its careers site links to the English text of the collective agreement for university medical centres.

Founded
2002
Run by
Erasmus MC, the university medical centre of Rotterdam and medical faculty of Erasmus University Rotterdam
Leadership
  • Stefan Sleijfer, Voorzitter en decaan (chair and dean)
  • Paul Boomkamp, Vice voorzitter en CFO (vice chair and CFO)
  • Dirk Schraven, Lid (member)
  • Joke Hendriks, Lid (member)
Switchboard
+31 10 704 0 704

What it is known for

  • Erasmus MC Cancer Institute

    Cancer care and research, with more than 100 years of experience in diagnosing and treating cancer, according to the institute.

  • Erasmus MC Transplant Institute

    Brings together the specialists involved in organ transplantation; the institute was formally unveiled in 2021.

  • Heart and vascular care

    One of the three institutes Erasmus MC has set up for multidisciplinary top clinical care.

  • Erasmus MC Sophia Children's Hospital

    Described by Erasmus MC as the oldest and largest children's hospital in the Netherlands, treating mainly children with complex or rare disorders.

  • Rare disorders

    58 recognised expertise centres for rare disorders in 2025, the highest number in the country according to the annual report.

  • Acute and complex care

    Erasmus MC focuses on patients with complex care needs, rare conditions or acute needs for care and treatment.

International recruitment

  • Erasmus MC has an International Office that helps new international employees, PhD candidates and students prepare for their journey and stay in the Netherlands. For non-EU staff it handles the residence permit application and, where needed, the visa through the IND, including the MVV entry visa collected at an embassy.
  • The International Office also arranges an appointment with the municipality of Rotterdam for a citizen service number (BSN), runs pre-boarding and onboarding sessions, a buddy programme and social events, and has a housing partnership for PhD candidates and Research Master students. It can be reached at [email protected].
  • Erasmus Medisch Centrum is listed in the IND public register of recognised sponsors for labour and highly skilled migrants (checked 21 October 2026).
  • We did not find a recruitment programme aimed at internationally trained nurses or doctors. The International Office supports people once they are hired; clinicians still need BIG registration and Dutch before they can work with patients. Several featured vacancies on the English careers site were research posts and internships.

What you need before you can be hired

  • BIG registration. To work at Erasmus MC as a doctor, nurse, physician assistant, pharmacist, midwife, physiotherapist or in another profession listed in Article 3 of the BIG Act, you must be in the BIG register. With a diploma from outside the EEA and Switzerland you first need a certificate of professional competence, assessed by the BIG register on the advice of the CBGV. The BIG register says the whole process takes on average 6 months to 1.5 years from your application, the application and assessment are free, and registration costs €85. Your first registration is conditional: you work for 3 months under supervision before it becomes definitive.

  • Dutch at the level the BIG register sets. You prove Dutch before you apply for recognition: B1 for nursing, B2 for higher vocational professions such as physiotherapy and midwifery, and B2+ (above B2, below C1) for doctors, dentists and pharmacists. The BIG register also asks for proof of English reading skills, and says learning Dutch to the right level takes on average one and a half to two years.

  • The BI-test. Doctors, dentists and nurses sit a professional knowledge test (BI-toets) as part of the assessment. The BIG register lists the fee for nurses as €400. For doctors it said, when we checked in October 2026, that there are no test places available at the moment and that it is not known when doctors can be scheduled again.

  • A residence permit. Non-EU staff usually come on the IND's highly skilled migrant (kennismigrant) permit, which only a recognised sponsor can apply for. Erasmus Medisch Centrum is listed in the IND public register of recognised sponsors for labour and highly skilled migrants (register updated 5 October 2026, checked 21 October 2026). In 2026 the salary must be at least €5,942 gross a month if you are 30 or older, or €4,357 if you are under 30, excluding holiday allowance; the fee is €423 and the IND decides within 90 days.

  • BIG registration for the permit. The IND states that if you will practise a profession listed in Article 3 or 36a of the BIG Act, you must be registered (or conditionally registered) in the BIG register. For doctors in specialist training the salary only has to reach the minimum wage, but the training must be recognised by the RGS or another listed committee.

How to apply

  1. Check your profession and start BIG recognition

    If your job is a BIG profession, use the BIG register's advice wizard and apply for a certificate of professional competence through mijn.bigregister.nl. It is free, but it takes months and may end with extra training, so start well before you apply for jobs.
  2. Get your Dutch to the required level

    Plan for the language certificate the BIG register asks for: B1 for nurses, B2+ for doctors. Certificates must be no more than two years old when you apply.
  3. Find a vacancy at Erasmus MC

    Search the vacancies at werkenbijerasmusmc.nl/en. Set a job alert if nothing fits yet. Read each advert for the Cao umc scale, the hours and whether BIG registration is required.
  4. Apply online

    Apply through the vacancy with your CV and motivation letter. Mention your BIG status (registered, in progress or not yet started) and your Dutch level, because both decide whether you can start in a clinical role.
  5. Let the International Office handle your permit

    After you accept an offer, the International Office prepares the residence permit and, if needed, the MVV application with the IND. Erasmus MC applies as a recognised sponsor, so do not file your own application.
  6. Start under supervision

    If your BIG registration is conditional, you work your first 3 months under the supervision of a BIG-registered colleague in your profession, then send the signed supervision form to the BIG register.

Pay

All seven Dutch university medical centres pay staff under the Cao universitair medische centra (Cao umc) 2026-2027, which runs from 1 January 2026 to 31 December 2027. The figures below are gross monthly salaries for full working hours from the tables in force from 1 July 2026, when pay rose by 3.5% (capped at €306 a month); a further 3.5% rise follows on 1 May 2027. Full working hours are 1,872 hours a year (36 hours a week) for most staff and 2,392 hours a year for doctors in the arts-assistent group. On top of salary the cao pays an 8% holiday allowance and an 8.3% year-end bonus. Your scale depends on how the job is graded, not on your nationality. New staff start at step 0 of their scale, although a doctor's relevant experience can place them higher.
  • All general scales (1 to 18)

    €2,744 to €13,171 a month

    Cao umc appendix A, from scale 1 step 0 to the top of scale 18, 1 July 2026.

  • Salary scales for nurses (8aM, 8M, 9aM, 9M)

    €3,626 to €5,845 a month

    Cao umc appendix Aa, 1 July 2026. Which scale applies depends on how the nursing job is graded.

  • Doctors not yet specialists, including residents (scale 11a)

    €4,642 to €6,393 a month

    Cao umc appendix B, steps 0 to 10, 1 July 2026. Covers aios and anios.

  • Medical specialist (MS scale)

    €7,727 to €9,136 a month

    Cao umc appendix C, 1 July 2026.

  • University medical specialist (UMS scale)

    €10,032 to €14,265 a month

    Cao umc appendix C, 1 July 2026.

  • Holiday allowance

    8% of annual salary

    Cao umc article 4.5.

  • Year-end bonus

    8.3% of annual salary

    Cao umc article 4.4.

Questions

Yes. Its International Office handles the residence permit and, where needed, the visa application with the IND for non-EU employees, and arranges registration with the municipality of Rotterdam.

Erasmus MC describes itself as the largest university medical centre in the Netherlands. Its 2025 annual report gives about 17,000 employees and more than 4,000 students.

Research and PhD posts are often advertised in English. Clinical jobs with patients need BIG registration, which requires Dutch at B1 for nurses and B2+ for doctors.

For clinical work, yes. The BIG register will not issue a certificate of professional competence without proof of Dutch: B1 for nurses and B2+ for doctors, dentists and pharmacists. Research posts such as PhD and postdoc positions are a different matter, because they do not need BIG registration.

It is listed in the IND public register of recognised sponsors for labour and highly skilled migrants, which lets it apply for a highly skilled migrant permit for you. Whether a particular job comes with sponsorship is for the employer to decide when it makes an offer.

From 1 July 2026 doctors who are not yet specialists, including residents, are paid on scale 11a, from €4,642 to €6,393 gross a month. Medical specialists are on the MS scale (€7,727 to €9,136) or the university medical specialist scale (€10,032 to €14,265). An 8% holiday allowance and an 8.3% year-end bonus come on top.

When we checked in October 2026, the BIG register said there were no BI-test places available for doctors and that it did not know when it could schedule doctors again. Check the BIG register's test page before you plan your timeline.

Sources