Article 55-17Special Provisions of the National Public Service Act, etc. for Medical Officers
第五十五条の十七（医師等職員の国家公務員法等の特例）
A physician or dentist on staff (meaning a physician or dentist who is an official of an immigration detention center or a regional immigration services bureau; the same applies hereinafter in this Chapter) to whom the Medical Service Salary Schedule (I) in Appended Table 8 (a) of the Act on Remuneration of Officials in the Regular Service (Act No. 95 of 1950) applies may, if intending to engage in outside medical practice (meaning the practice of medicine or dentistry at a hospital, clinic or any other facility specified by Cabinet Secretariat and Ministry of Justice Order as being equivalent thereto (limited to a facility whose staff do not have the status of national public employees) (excluding practice that the physician or dentist on staff engages in while concurrently holding the position of officer, advisor or councilor of an organization and practice that the physician or dentist on staff engages in by personally operating a private enterprise for profit); the same applies hereinafter in this Article), obtain the approval of the Commissioner of the Immigration Services Agency pursuant to Cabinet Secretariat and Ministry of Justice Order if engaging in the outside medical practice falls under either of the following items:
医師等職員（入国者収容所又は地方出入国在留管理局の職員である医師又は歯科医師をいう。以下この章において同じ。）であつて、一般職の職員の給与に関する法律（昭和二十五年法律第九十五号）別表第八イ医療職俸給表（一）の適用を受ける者は、部外診療（病院又は診療所その他これらに準ずるものとして内閣官房令・法務省令で定める施設（これらの職員が国家公務員の身分を有しないものに限る。）において行う医業又は歯科医業（当該医師等職員が団体の役員、顧問又は評議員の職を兼ねて行うもの及び自ら営利を目的とする私企業を営んで行うものを除く。）をいう。以下この条において同じ。）を行おうとする場合において、当該部外診療を行うことが、次の各号のいずれかに該当するときは、内閣官房令・法務省令で定めるところにより、出入国在留管理庁長官の承認を受けることができる。
the case where it results in the medical officer not working during their regular working hours (meaning the regular working hours prescribed in Article 13, paragraph (1) of the Act on Working Hours, Leave, and Other Matters of Officials in the Regular Service (Act No. 33 of 1994); the same applies hereinafter in this Article); or
その正規の勤務時間（一般職の職員の勤務時間、休暇等に関する法律（平成六年法律第三十三号）第十三条第一項に規定する正規の勤務時間をいう。以下この条において同じ。）において、勤務しないこととなる場合
the case where it is engaged in for remuneration.
報酬を得て、行うこととなる場合
If a physician or dentist on staff who has obtained the approval set forth in the preceding paragraph does not work during their regular working hours in order to engage in the outside medical practice pertaining to that approval, the provisions of the first sentence of Article 101, paragraph (1) of the National Public Service Act (Act No. 120 of 1947) do not apply with respect to the hours not worked.
If a physician or dentist on staff who has obtained the approval set forth in paragraph (1) engages in the outside medical practice pertaining to that approval for remuneration, the permission set forth in Article 104 of the National Public Service Act is not required.
If a physician or dentist on staff who has obtained the approval set forth in paragraph (1) does not work during their regular working hours in order to engage in the outside medical practice pertaining to that approval, notwithstanding the provisions of Article 15 of the Act on Remuneration of Officials in the Regular Service, their remuneration is paid after deducting, for each hour not worked, the amount of remuneration per working hour prescribed in Article 19 of that Act.