If you come to Germany as a physician from abroad, you will quickly encounter two important terms: the Berufserlaubnis (temporary medical license) and the Approbation (full medical license). Especially at the beginning, the Berufserlaubnis can be your entry point to start working practically while you work towards obtaining your full Approbation. This text provides all the essential information you need for a smooth start.
Definition: What is the Berufserlaubnis and how does it differ from the Approbation?
The Berufserlaubnis is a temporary authorization that allows you to work as a physician in Germany before obtaining your full Approbation. In contrast to the Approbation, it is limited in both time and location: it is valid only in a specific federal state (Bundesland) and usually tied to a particular institution, such as a hospital or clinic.
The Berufserlaubnis is intended to facilitate your transition into the German healthcare system and gives you the opportunity to fulfill the necessary requirements for the Approbation. However, it is not a permanent solution. Once you obtain the Approbation, you will have an unrestricted, nationwide medical license and can apply freely for jobs or establish your own practice anywhere in Germany.
Validity, Federal State Restriction, and Transfer
The Berufserlaubnis is issued by the competent authority of a specific federal state. It is only valid within the state where it was applied for and granted. If you wish to change your workplace or move to another federal state, you must apply for a new Berufserlaubnis.
The Berufserlaubnis is time-limited, usually issued for one to two years. Extensions are only granted in exceptional cases, for example, if the medical knowledge examination (Kenntnisprüfung) is delayed for reasons beyond your control. Changing to another hospital within the same federal state usually also requires a new application.
