This article discusses the standard of "Doctor of medicine degree" (Pedagogical aspect) created by LCME (USA & Canada). It follows that the development of appropriate mechanisms of academic quality assurance and assessment has two closely linked damensions. One is focussed on specificity, that is, the development of national bodies and institutional mechanisms of quality assessment and assurance closely related to specific value systems and conceptions of higher education. The other dimension is internationally oriented, which means that national values, criteria, and standards applied in the evaluation of higher education should be widely compatible with those developed in other countries, this in order to facilitate academic mobility and diploma recognition.