How to become a doctor in Germany: your path to Approbation

1. 1

   Doctors need Approbation to practise independently. A limited Berufserlaubnis may allow supervised work while an application is pending.

2. 2

   Eligible EU, EEA or Swiss qualifications can receive automatic recognition, but you must still apply and meet the other licensing conditions. For other qualifications, the state checks equivalence; substantial differences may require a Kenntnisprüfung.

3. 3

   The state authority decides the licence. It usually asks for B2 general German and a C1-level medical Fachsprachprüfung; ask about accepted evidence and any exemption.

Use the document list issued by the authority in the state where you plan to work. Common evidence includes:

• Degree, transcript and curriculum with training hours; evidence of clinical placements and professional experience.
• Identity document, evidence of professional standing, and proof of personal and medical fitness. Check each document’s validity period.
• German-language evidence: usually B2 general German and a C1-level medical Fachsprachprüfung. The authority tells you when to provide it.
• Translations and certified copies in the form requested by that authority. Ask before obtaining an apostille or sending any original.

Knowledge exam format

Oral-practical; usually 60–90 minutes.

Knowledge exam attempts

Initial sitting plus two retakes.

Berufserlaubnis

Normally up to two years; exceptions possible.

Apply to the competent authority for the state where you intend to work. A medical chamber often administers the Fachsprachprüfung; the authority decides Approbation.

Approbation applies nationwide. A Berufserlaubnis may restrict location, employer or duties; read the permit before changing jobs.