You are here: Approbatio / Approbation for foreign doctors

🇬🇧 | 🇩🇪

Approbation for foreign doctors in Germany

Approbation for foreign doctors

The approbation is a prerequisite for doctors to work in Germany. Doctors who have studied in Germany receive their license to practice medicine directly after completing their medical studies. For doctors from abroad, the approbation process usually takes about one to two years, as various bureaucratic steps have to be gone through.

Here you will find the most important information about how to become a doctor in Germany as an foreign physician. For example, you can find out where to apply for approbation or which requirements must be met.

Approbation foreign doctors

Important topics for the approbation

These exams are relevant for foreign physicians:

Author: Leon Pobuda

Position: Managing Director of Approbatio

Updated: 11.07.2021

Share now!

10 Steps to Approbation for Foreign Doctors

The path to German approbation for foreign physicians is a multi-step process. Among other things, you must pass language tests and submit documents that meet certain requirements. For example, some documents must be notarized. With our 10 steps to the approbation for foreign doctors we give you a procedural overview.

Deutsch B2

 1. Obtain German B2 certificate

In order to be able to work as a doctor in Germany, you must prove that you have the necessary language skills. At the time of application, you will need a German B2 certificate from a recognized language school (according to the European Framework of Reference – CEFR). You can find more information in this article.

Medizinstudium Voraussetzungen

 2. Choose federal state

Before you apply for the approbation, you must consider in which of the 16 federal states you want to apply. In your considerations, you should take into account where you have the best chance of quickly obtaining the approbation, where you want to live. Since the requirements can differ from state to state, you should definitely compare them. For example, in some states you must submit a confirmation of employment.

Dokumente übersetzen & beglaubigen lassen

 3. Translate & certify documents

Before you can apply for German approbation as a physician from abroad, you must gather the necessary documents. Many documents must meet certain requirements. You can find more about this and important contacts on this page.

Lebenslauf Assistenzarzt

4. German resume

The curriculum vitae for the application for the approbation must be written in the German language.  In exchange for a small fee, we will translate your resume from English into German and check whether your resume meets the requirements. Upon request, you will also receive a modern design. You can find more information here.

Dokumente übersetzen & beglaubigen lassen

5. Medical certificate

A medical certificate is required for the issuance of the approbation. This medical certificate must state that the applicant is not unfit to practice the profession from a health point of view. The medical certificate can be issued by a family doctor, among others.

Dokumente übersetzen & beglaubigen lassen

6. Proof that you intend to start working

Most state offices require proof that you intend to work in the state where you are applying for the approbation. Depending on the federal state, the type of proof varies. In some states you only have to state that you intend to work in the state or prove that you have a permanent residence in the state. In many other states, however, you must provide proof of employment. If necessary, the confirmation of employment can also be submitted at the very end (shortly before the approbation is issued).

Dokumente übersetzen & beglaubigen lassen

7. Submitting the application for the approbation

As soon as you have the required documents, you must send them to the relevant state office by mail. Before you send the documents, however, you should check your documents for completeness and check whether you have correctly followed the instructions of the relevant state government. You can find the instructions on the homepage of the respective state government.

Dokumente übersetzen & beglaubigen lassen

8. State office checks the documents

After you have submitted your documents to the relevant state office, your application for the approbation will be reviewed by an administrator. It will be determined that you still lack the language certificate C1 Medicine. Furthermore, the equivalence of your training contents with the German qualification standards will be checked (equivalence test). If you have studied medicine as a doctor in a third country, elementary differences in the training are almost always determined. These deficits can be compensated with relevant professional experience. If the licensing authority does not assess the equivalence as sufficient, you will be asked to take a knowledge test.


9. Fachsprachprüfung

If the state office determines that you do not have the required knowledge of the German language for medical practice, you must successfully pass the Fachsprachprüfung. As a rule, you will be automatically registered for this examination when you apply for your approbation. You can find further information here.


10. Kenntnisprüfung

The Kenntnisprüfung ensures that the applicant has the required knowledge and skills to practice as a physician in Germany. The knowledge examination ensures that the applicant. Accordingly, the entire knowledge of the German final examination is relevant to the examination. For more information click here.

Approbation Arzt

Issue of the approbation

If you have successfully completed all the steps and the state office has all the necessary documents from you, there is nothing standing in the way of you being granted your approbation. As a rule, your German approbation will be sent to you by mail. From now on you are allowed to use the professional title „doctor“ and are allowed to practice as a doctor in Germany.

Why foreign doctors need the license to practice

In order for a doctor to be allowed to practice medicine in Germany, he or she must have a license to practice medicine. The license is also a prerequisite for foreign doctors to be allowed to use the professional title „doctor“ and to practice. According to the statistics of the German Medical Association as of December 31, 2020, there were approximately 409,121 licensed physicians in Germany. Approximately 56,107 foreign physicians were practicing in Germany by that date.

German license to practice for foreign doctors

In order for foreign physicians to be able to practice in Germany, they must apply for a license to practice medicine at one of the responsible state or district governments. However, the application for the German license to practice medicine is usually not directly recognized for foreign doctors. The decisive factor for this is the different study contents between Germany and the foreign country. Accordingly, for the recognition of the license to practice medicine, the equivalence test for foreign doctors (also called equivalency review) must be successfully completed. In this regard, two groups of procedures are distinguished in the application for licensure:

  1. Physicians, with a medical degree in the EU/EWR or Switzerland.
  2. Physicians with a medical degree in a third country.

1. License to practice for doctors from other EU countries

EU citizens automatically have a work and residence permit for Germany. Accordingly, physicians from the EU/EEA or Switzerland can apply for a German license to practice medicine at the responsible state or district government without any problems. Provided that the equivalence of the training content with German standards is established in the equivalence examination and all necessary documents are available (e.g. B2 language certificate for general language and C1 specialist language certificate for medicine), the applicant is granted the license to practice medicine. Unlike foreign physicians from a third country, physicians from the EU, EEA or Switzerland usually only have to pass the Fachsprachprüfung.

2. Licensure for doctors outside the EU

In order for foreign doctors from a third country to apply for a license to practice medicine in Germany, they must have studied medicine in their home country and be in possession of a work and residence permit. Furthermore, foreign doctors must be in possession of a language certificate (GER-B2) and a Fachsprachzertifikat (C1) (these are obtained through the Fachsprachprüfung), which confirms their knowledge of German. In addition to these formalities, further documents are required for the application for the license to practice medicine, which can be found in detail on the homepage of the individual state or district governments. In contrast to doctors who have studied medicine in the EU, EEA or Switzerland, doctors from third countries usually have to pass a Kenntnisprüfung.

Approbation for foreign doctors – An overview of the required documents

The requirements for the granting of the German license to practice medicine for foreign physicians is regulated by the medical licensing regulations. In essence, the applicant for licensure must submit the following documents or evidence:

Benötigte UnterlagenEU, EWR, SchweizDrittstaat
Antrag auf Erteilung der Approbation
Deutschsprachiger Lebenslauf
Nachweise über die abgeschlossene Ausbildung:

a) Diplom,

b) detaillierte Fächerauflistung, mit Angabe der pro Fach gelehrten Stundenzahl,

c) Fächer- und Notenübersicht,

d) Nachweis über die Ableistung der praktischen Ausbildung
Approbation aus dem Heimatland
Identitätsnachweis (z. B. Reisepass oder Ausweis)
Geburtsurkunde / Auszug aus dem Familienbuch
Bei Namensänderung: Nachweis / Urkunde über die Änderung des Namens (z. B. Heiratsurkunde)
Ärztliche Bescheinigung über die gesundheitliche Eignung zur Ausübung des Arztberufes
Amtliches Führungszeugnis – Belegart 0 – (Inland)
Strafregisterauszüge aus dem Heimatland
Certificate of Good Standing
Sprachzertifikat, welches die Deutschkenntnisse mit mindestens B2 bescheinigt
Fachsprachzertifikat für Medizin Niveau C1 (GER)
Einstellungszusage oder Absichtserklärung im Bundesland zu arbeiten (Aufgepasst: Je nach Bundesland gelten andere Auflagen)

Apply for the license to practice medicine for foreign doctors

To apply for a license to practice medicine, physicians from abroad must apply to a competent district or state government. In doing so, physicians are free to choose in which federal state they apply for the license to practice medicine for foreign physicians. However, the processing time for the Approbation for foreign doctors can differ from state to state. On the one hand, this has to do with whether the documents submitted with the application for the license to practice medicine are complete and in order. On the other hand, the issuance of the Approbation is protracted if many physicians have applied for the Approbation in the federal state. Below is a list of the correct contacts for applying for the license to practice medicine for foreign physicians:


Die Approbation in Baden-Württemberg beantragen Sie hier:
Landesprüfungsamt für Medizin und Pharmazie

Bayern/ Oberbayern

Die Approbation in Bayern/ Oberbayern beantragen Sie hier:
Regierung von Oberbayern

Bayern/ Unterfranken

Die Approbation in Bayern/ Unterfranken beantragen hier Sie:
Regierung von Unterfranken


Die Approbation in Berlin beantragen Sie hier:
Landesamt für Gesundheit und Soziales


Die Approbation in Brandenburg beantragen Sie hier:
Landesamt für Arbeitsschutz, Verbraucherschutz und Gesundheit


Die Approbation in Bremen beantragen Sie hier:
Die Senatorin für Wissenschaft, Gesundheit und Verbraucherschutz


Die Approbation in Hamburg beantragen Sie hier:
Behörde für Gesundheit und Verbraucherschutz


Die Approbation in Hessen beantragen Sie hier:

Hessisches Landesprüfungs- und Untersuchungsamt im Gesundheitswesen


Die Approbation in Mecklenburg-Vorpommern beantragen Sie hier:
Landesamt für Gesundheit und Soziales


Die Approbation in NRW beantragen Sie hier:
Bezirksregierung Münster


Die Approbation in Niedersachsen beantragen Sie hier:
Niedersächsischer Zweckverband zur Approbationserteilung (NiZza)


Die Approbation in Rheinland-Pfalz beantragen Sie hier:
Landesamt für Soziales, Jugend und Versorgung


Work permit for foreign doctors

In addition to the license to practice medicine, physicians from a third country can apply for a work permit in order to be able to work as a physician in Germany. However, the professional permit is only valid for two years. The professional permit is available for physicians from a third country as soon as they have passed the professional language examination and meet all other requirements.

Leon Pobuda

Managing Director of Approbatio
Personnel Psychologist (M.Sc.)

Mr. Pobuda studied psychology in Göttingen with a focus on personnel psychology and health and sports psychology. Within his scientific work he researches the leadership behavior of physicians. Mr. Pobuda’s main occupation is managing director of the personnel consultancy for physicians „Approbatio“.


Ärztestatistik zum 31. Dezember 2020. Bundesärztekammer.