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If you are pursuing the medical Approbation (German licence to practise) in Hamburg, your file goes to BGV HH. The Fachsprachprüfung (medical-German exam, FSP) costs €550 at the responsible Ärztekammer and is required before any Berufserlaubnis or Approbation can be issued. Non-EU graduates whose curriculum is judged not equivalent must also pass the Kenntnisprüfung (KP, medical knowledge exam) — in Hamburg the fee is €900.
Total processing time from filing to Approbation in Hamburg runs about 4–7 months. KP appointment lead time: approx. 4–7 months.
Berufserlaubnis (provisional licence): Yes. Fee: €100–€430. Hamburg is the only state where the BE can be granted in year 1 without a passed FSP.
Equivalence assessment: in Hamburg the review is carried out by GfG Bonn — approx. 17 months wait. This is the single biggest driver of the time to Defizitbescheid.
FSP fail rate: about 35–42%.
The share of foreign-trained doctors in Hamburg is 8%. Starting salary for Assistenzärzte (TV-Ärzte tariff) is around €58k per year. A one-bedroom apartment in Hamburg runs €15–€19 per m². State funding: ZAA / Hamburg Welcome Center (Beratung + Zuschüsse).
All data without guarantee — if something is wrong, please let us know .