Work as a doctor in Germany

Step by step

Each fee links to the page we took it from.

1. 1

   Learn German to B2

   varies

   Most states want a general B2 certificate (for example Goethe or telc) before they accept the medical language exam. Course and test costs depend on the provider.

2. 2

   Apply for the Approbation

   set by each state

   Apply to the licensing authority of the state where you want to work. Typical documents: diploma, transcript, passport, CV, certificate of good standing, criminal record and medical certificate. The authority tells you which translations and certifications it needs.

3. 3

   Pass the Fachsprachprüfung (C1 medical German)

   €595 in Lower Saxony

   Run by the state medical chamber. In Lower Saxony it has three parts of 20 minutes each: a conversation with a simulated patient, a written doctor's report, and a talk with a colleague about the case. Source

4. 4

   Pass the Kenntnisprüfung

   €980 in Lower Saxony

   Oral-practical exam on the knowledge of a doctor finishing German medical school, focused on internal medicine and surgery. In Lower Saxony each candidate is examined for 60–90 minutes in a group of up to four. Expect several months of waiting for a date. Source

5. 5

   Optional: work on a temporary permit

   set by each state

   While you prepare, many states can grant a temporary licence (Berufserlaubnis) to work under supervision, for up to two years.

6. 6

   Receive the Approbation

   set by each state

   With the licence you can work anywhere in Germany, for life. The authority charges its fee at the end of the procedure.

Not included: courses, translations, travel, visas and living costs.

Prepare with our apps

Our own apps, written for exactly these exams. One-time purchase, no subscription. On a computer, use them in your browser.

Agencies that help with this route

No agency listed for this route yet.

Recruiter, school or consultant for doctors in Germany? List your agency.