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Obtaining a medical license is the most important step towards working as a physician in Germany. The recognition process for foreign degrees varies depending on whether the qualification was obtained in an EU or non-EU country. Key components of this process include the medical language examination (Fachsprachprüfung) and the medical knowledge test (Kenntnisprüfung):
This page provides an overview of the recognition process, which may vary in individual cases. As a knowledge and continuing education platform, AMBOSS offers physicians important treatment recommendations and supports preparation for both the Fachsprachprüfung and the Kenntnisprüfung.
In collaboration with our partner Lingoda, we have developed a state-funded online preparation course that combines the AMBOSS Kenntnisprüfung study plan with Lingoda’s language course.
To obtain a medical license in Germany, doctors have to pass various examinations such as the equivalence test, medical language exam or knowledge test, depending on their country of training and language skills. It is easy to get overwhelmed, which is why the differences between these exams are explained below:
As part of the recognition process (also known as "equivalency examination"), authorities formally assess whether foreign medical training is comparable to the German qualification. This assessment is based on submitted documents and does not include a theoretical or practical exam.
• For physicians from EU countries: The training is generally recognized automatically, meaning that in most cases, only the Fachsprachprüfung is required, not the Kenntnisprüfung.
• For physicians from non-EU countries: Equivalency is often not granted, so both the Fachsprachprüfung and the Kenntnisprüfung must be completed.
The Fachsprachprüfung is mandatory for all physicians seeking a temporary medical license in Germany.
• Contents: Medical report writing, communication with patients and colleagues, and correct use of medical terminology.
• Format: Simulated doctor-patient conversation, anamnesis documentation, and doctor-to-doctor dialogue.
• Goal: Proof of linguistic competence for medical practice in Germany.
Tip: Our partner Lingoda offers a language course specifically designed to help physicians develop German medical language skills. Additionally, the AMBOSS Kenntnisprüfung study plan can help to learn medical terms and content in German.
The Kenntnisprüfung is an oral-practical medical exam taken by foreign physicians. It determines whether or not their knowledge meets German medical standards and guidelines.
• Contents: Topics such as internal medicine, surgery, and related fields.
• Format: A combination of theoretical and practical assessments, including patient examinations.
• Goal: Obtain full medical licensing (Approbation) in Germany.
Tip: Alongside our partner Lingoda, we offer a state-funded preparation course for the Kenntnisprüfung, which includes a language course and the AMBOSS study plan.
For physicians from non-EU countries, the recognition process for medical licensing in Germany involves several steps:
More details can be found in our FAQs.
In order to prepare doctors from third countries for the knowledge test, we offer a state-funded preparation course with our partner Lingoda, which combines a language course at Lingoda with the AMBOSS learning plan for the knowledge test.
For physicians from EU countries, the recognition process includes:
Preparation for the Fachsprachprüfung requires time. The AMBOSS study plan not only helps to prepare for the Kenntnisprüfung, it helps you to learn medical terminology and language through chapters on common diseases and practical skills. It is included with any active AMBOSS access (e.g., AMBOSS subscription or clinic license).
AMBOSS and Lingoda (Match Doctors initiative), have teamed up to develop a state-funded preparation course. This course combines the AMBOSS Kenntnisprüfung study plan with a Lingoda language course, meaning you can learn German medical terminology and professional knowledge for medical licensing (Approbation) in Germany, all in one place.
The following documents are usually required for the recognition process:
To obtain a medical license (Approbation), language proficiency at the C1 level in a professional context is required. Proof is provided by passing the medical language exam (Fachsprachprüfung), which is organized by the regional medical associations. General language skills at a minimum B2 level are necessary to qualify for the medical language exam.
The equivalency assessment formally evaluates a foreign medical qualification, based on supporting documents. The medical knowledge test is required if equivalence cannot be certified.
The medical language exam assesses the ability to communicate clearly in German medical language, particularly in patient interactions and professional collaboration. The knowledge test, on the other hand, evaluates medical knowledge based on German guidelines, including clinical skills in internal medicine, surgery, and emergency medicine. It is required if medical knowledge is not recognized as equivalent to a German degree.
The medical language exam typically lasts 60 minutes and consists of three parts:
The exact requirements depend on the responsible authority. For example, the Berlin Medical Association provides detailed information on the exam process.
The knowledge test assesses whether medical expertise aligns with German guidelines. It consists of two parts:
The AMBOSS study plan for the medical knowledge test is a structured guide for preparation, covering essential conditions in internal medicine and surgery, core medical topics, clinical skills, and medical terminology.
Requirements vary by federal state, so it is important to check with the relevant authority in advance.
The preparation time depends on individual factors such as current language skills and the need for additional courses. There is no fixed timeline.
Costs also vary and may include:
State authorities provide detailed cost information, and financial aid may be available under certain conditions. Further details can be found on the German government’s information portal.
It is possible to apply for a temporary medical work permit while awaiting full licensing (Approbation). The type of work allowed depends on state-specific regulations. However, you can take the exams, even without having this permit.
Yes, institutions such as the Employment Agency or Job Center offer education vouchers to support certified preparation courses. These courses are designed specifically for foreign physicians preparing for the exams.
One example is the state-funded preparation course by AMBOSS in collaboration with Lingoda, which combines a structured AMBOSS study plan with a specialized language course. Lingoda also offers dedicated preparation for the medical language exam. Funding eligibility depends on individual circumstances and location.
Language schools, medical associations, and specialized providers offer courses tailored to the Medical Language Exam, focusing on medical terminology and specific exam requirements.
The state-funded AMBOSS and Lingoda course provides a comprehensive preparation:
This combination ensures both professional and language preparation for the exams.
The recognition process varies based on the country of origin:
The process may vary depending on the federal state. More details on the differences are provided in the sections above.
An AMBOSS subscription is required to use the study plan and other features. Physicians without an AMBOSS account can subscribe to a discounted annual plan (€16.50/month) or a flexible monthly plan (€25/month).
Our partner, the Marburger Bund, answers all your questions on general recognition procedures, temporary work permits, equivalency assessments, employment contracts, and more.
1 in 4 physicians in Germany already rely on the AMBOSS knowledge platform for daily clinical decision-making.
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