The Temporary Medical License (Berufserlaubnis)

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.

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.

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.

To apply for a Berufserlaubnis, you must meet several requirements. These include proof of a completed medical degree through a diploma or certificate, as well as sufficient German language skills, usually at least at the B2 level. Some authorities additionally require a C1 medical-specific language certificate (FSP-Exam passed).

You also need a current health certificate confirming your physical and mental fitness to practice medicine, as well as a certificate of good standing from your home country proving that you were authorized to practice medicine there.

Additionally, you must present a binding job offer or employment contract from a German hospital or another medical institution, as the Berufserlaubnis is tied to a specific position. Depending on the federal state, further documents may be required, such as a residence permit or a police clearance certificate.

You submit your Berufserlaubnis application to the licensing authority of the federal state where you intend to work. First, you must carefully prepare all required documents and submit them collectively.

After submission, the authority will review your documents. You may be invited for a personal interview or asked to provide additional evidence, especially regarding your language skills. Once your documents have been reviewed and approved, you will receive a written notice confirming the issuance of your Berufserlaubnis.

Processing times vary depending on the federal state and the workload of the authority. Therefore, it is advisable to allow sufficient time and to stay in direct contact with the authority if you have any questions.

While working with a Berufserlaubnis, you should actively prepare for the Kenntnisprüfung, which is often a prerequisite for obtaining the full Approbation. Many hospitals offer internal training courses or observership programs to support you.

Careful preparation is crucial. Use this time to update your medical knowledge according to German standards, improve your language skills in clinical settings, and familiarize yourself with hospital workflows in Germany. Successfully passing the Kenntnisprüfung is the next major step toward unrestricted medical practice in Germany.

If your Berufserlaubnis expires and you have not yet passed the Kenntnisprüfung, your authorization to work as a physician in Germany automatically ends. An extension is rarely granted in most federal states. You must either obtain your Approbation or, in exceptional cases, apply for a new Berufserlaubnis.

Therefore, it is crucial to schedule examination dates in good time and to prepare thoroughly. Plan ahead and maintain close communication with your hospital and the licensing authority to ensure a smooth transition from the Berufserlaubnis to the full Approbation.

The temporary medical license (Berufserlaubnis) can be an important first step to starting your medical career in Germany — but it often comes with a lot of questions and uncertainty. Whether you’re just starting to explore your options or already in the middle of the recognition process: Get2Germany is here to support you.

On our platform, you’ll find everything you need to navigate this journey with confidence:

• clear, step-by-step guides to the temporary license, full license (Approbation), and the knowledge exam,
• honest testimonials from other international doctors,
• useful templates, checklists, and up-to-date information about authorities and application processes.

The information provided in this article is for general guidance only and does not replace legal advice or official sources. We strive for accuracy, but we recommend consulting the responsible authorities for the most up-to-date requirements.

All information provided without guarantee.