Requirements for Medical PG in Germany

If you have completed your medical studies and have a registration to practice; either from Study Country or Home Country, you are eligible to pursue post-graduation in Germany. We will elaborate the requirements as three categories here.

1. Language Requirements

2. Academic Requirements

2. General Requirements


Language requirements for Medical PG in Germany

A medical graduate should have at least B2 (General German) and C1(Medical German) Level of German language knowledge to pursue medical post-graduation in Germany. According to The Common European Framework of Reference for Languages (CEFR), C1 level means advanced proficiency. The following diagram illustrates the levels of German language required for a Doctor.


Basic  Stage

(8 Weeks)


Elementary Stage

(8 Weeks)


Intermediate Stage

( 12 Weeks)


Upper Intermediate

(16-24 Weeks)

C1 Medizin

Proficient User

(16 Weeks)

How long does it take to learn German?

German classes outside Germany will usually takes longer to complete as students have less opportunity to practice the language lessons.The below table indicates approximate duration in Germany and Outside Germany.

Outside Germany



8 Weeks

4 Weeks


8 Weeks

4 Weeks


12 Weeks

6-8 Weeks


24 Weeks

10-12 Weeks

The language learning largely depends on the grasping power of students too. The data is based on Goethe Institut prescribed duration (for German language studies outside Germany) and Ameti Akademie intensive course for Doctors in Germany. Whoever promise to teach faster than this (outside Germany), is just a scam. The student may pass the Goethe Exams, but they will not be able to communicate properly in Germany which is crucial for Doctors.


Fachsprachenprüfung (Specific Language Test)

Once a student completes B2 level, he or she will be able to understand a native speaker clearly, communicate fluently & can understand and write complex texts in German.The proficiency until B2 level are tested by Goethe/ Telc Examinations.  C1 Medizin focuses on Doctor-Patient communication, Daily communication in Hospitals and Doctor-Doctor communication. C1 level is tested by an exam, called Fachsprachenprüfung (Specific Language Test conducted by individual state medical councils). The pattern of Fachsprachenprüfung is as follows

Pattern of Fachsprachenprüfung (Specific Language Test)

The Fachsprachprüfung takes place as an individual exam in 3 stages. The assessment is carried out by at least two examiners, of which at least one is a physician.


1. Doctor-Patient conversation (History taking) (20 min)

2. Documentation (20 min)

3. Doctor-Doctor communication (Case presentation) (20 min)

The medical expertise is not checked in the technical language examination.

How difficult is Fachsprachenprüfung (FSP)

The average failure rate all over Germany is 56%. Many states it averages between 60-40 %. Though, most of the candidates pass the exam in second attempt. We found that students who have learnt German language in their home countries find extreme difficulty in understanding the local dialects and this can be a major reason for the high failure rate. A language course, tailored to the needs of medical communication will be the solution. If possible, it is always advisable to learn German language in Germany as communication is the most important determination factor for a foreign Doctor´s success in Germany. Special language courses for foreign Doctors are offered by;

Charite Berlin (Berlin, Germany; Only FSP training)

Freiburg International Academy (Freiburg, Germany; All levels)

Ameti Akademie (Bayreuth,Germany & Hyderabad India; All levels) etc.

A detailed comparison of different institutes can be found here

How to apply for Fachsprachenprüfung (FSP)

In most states, a direct application for FSP Exam is not possible. Once a doctor applied for Temporary (Berufserlaubnis) or Permanent Licence (Approbation), after verification of the documents, the application for Fachsprachenprüfung will be forwarded to the corresponding medical council (Landesärztekammer) by the Approbation Authorities. An appointment for the exam will be provided by the medical council. The individual requirements for applying for Approbation or Temporary licence can be found at corresponding Approbation Authorities websites.


Academic requirements for Medical PG in Germany

In short you should have a completed medical degree as well as the licence to practice medicine independently  in your study country or home country. The academic requirements for permanent licence to practice medicine in Germany are;

1.MBBS Degree Certificate (Or Equivalent)

2.Medical Council Registration Certificate (Study Country/Home Country)

3.Internship Completion Certificate

4.Good Standing Certificate

5.Syllabus/Curriculum (Personalized) from the University


General requirements for Medical PG in Germany

The following additional documents are required

1.Police Clearance Certificate

2.Birth Certificate


Documents required from Germany

The following documents are required from Germany

1.Hospitation/Job Offer (Stellenzusage)*

2.Medical Certificate

3.Notarized Copies of Originals

4.Attested Translations of all Documents by a certified translator from Germany


Translations are accepted if they have been prepared by an interpreter or translator appointed or sworn in Germany, the other contracting countries of the EEA or Switzerland.

Translations made outside of Germany, the EEA or Switzerland are generally not recognized

Once you fulfill these requirements, you can apply for Approbation in the state you are residing/working/intend to work.

*Specific requirements of individual states in Germany are not covered here.

This website is an initiative by Foreign Physicians in Germany. The website is for information purposes only. The views, information, or opinions expressed here are solely those of the individuals involved and do not necessarily represent those of any official Authorities, Agencies or Institutes. None of the authors, contributors, administrators or anyone else connected with this website, in any way whatsoever, can be responsible for your use of the information contained in or linked from these web pages.The authors assumes no responsibility or liability for any errors or omissions in the content of this site. The information contained in this site is provided on an “as is” basis with no guarantees of completeness, accuracy, usefulness or timeliness. 

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