If you are pursuing the medical Approbation (German licence to practise) in Rhineland-Palatinate, your file goes to LSJV. The Fachsprachprüfung (medical-German exam, FSP) costs €470 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 Rhineland-Palatinate the fee is €1,100.
Total processing time from filing to Approbation in Rhineland-Palatinate runs about 14–16 months. KP wait: roughly 50+ weeks.
Berufserlaubnis (provisional licence): Yes. Fee: €151.
Equivalence assessment: in Rhineland-Palatinate the review is carried out by ProfeS GmbH — case management since July 2024. This is the single biggest driver of the time to Defizitbescheid.
FSP fail rate: about 38–44%. KP fail rate: roughly 25–31%.
The share of foreign-trained doctors in Rhineland-Palatinate is 14%. Starting salary for Assistenzärzte (TV-Ärzte tariff) is around €57k per year. A one-bedroom apartment in Mainz runs €10–€13 per m². Non-EU policy: Moderate. State funding: Hausärzte-Förderung (bis €20k Land + €39k KV Strukturfonds).
All data without guarantee — if something is wrong, please let us know .