Approbation Ärztin oder Arzt aus Drittstaaten Erteilung

Would you like to work as a doctor in Germany? Then you need a state license, the Approbation. You can also obtain a license to practice medicine with a foreign professional qualification. To do so, you must have your professional qualification recognized.

The medical profession is regulated in Germany. This means that in order to work as a doctor in Germany without any restrictions, you need a license to practice medicine. Approbation is the state license to practice the profession. This means that you are not allowed to work independently as a doctor without a license to practice medicine.

You can also obtain a license to practice in Germany with a professional qualification from a so-called third country. Third countries are all countries that do not belong to the European Union (EU), the European Economic Area (EEA) or Switzerland.

In order to obtain a license to practice medicine, you must have your foreign professional qualification recognized.

In the recognition procedure, the competent authority compares your professional qualification from abroad with the German professional qualification and checks the equivalence. The equivalence of the professional qualification is an important prerequisite for the granting of a license to practice.

In addition to the equivalence of the professional qualification, you must also meet other requirements for the license to be issued. Further requirements include, for example, sufficient German language skills and health suitability.

If your professional qualification comes from the EU, the EEA or Switzerland, other regulations apply.

In principle, you can also apply for the procedure from abroad.

• You have a professional qualification as a doctor from a third country.
• You want to work as a doctor in Germany.
• You can provide proof of competence in the federal state of Bremen.
• Personal suitability: You are reliable to work as a doctor and have no criminal record.
• Health suitability: You are mentally and physically fit to work as a doctor.
• You have German language skills at the required level. This is usually general language skills at level B2 according to the Common European Framework of Reference for Languages (CEFR) and medical language skills at level C1.

Application

You submit an application for a license to practice medicine to the competent authority. The application must be submitted electronically. The original documents must be presented at a personal appointment.

The competent authority will then check whether your training corresponds to the German training and whether all other requirements have been met. Approval can only be granted if your training from a third country is equivalent to German training.

Examination of equivalence

The competent authority compares your professional qualification from abroad with the German professional qualification. The competent authority will check whether your professional qualification is equivalent. The professional qualification is equivalent if there are no significant differences between your foreign professional qualification and the German professional qualification.

Possible results of the examination

If your professional qualification is equivalent, your foreign professional qualification will be recognized. The authority can confirm the result in writing. You must still fulfill the other requirements and provide proof of your language skills. You will then be granted a license to practice medicine.

Are there any significant differences between your professional qualification and the German professional qualification? You may be able to compensate for the differences through your professional experience, other knowledge or skills (lifelong learning). You must provide evidence of your professional experience. Knowledge and skills must be certified by an authority in the country in which you acquired the knowledge or skills.

However, it is possible that the essential differences cannot be compensated for by this knowledge. The competent authority will tell you the main differences and why you cannot compensate for the main differences with your professional experience.

The decision of the competent authority will also state the level of your training and the level required in Germany. You will then not be allowed to work as a doctor in Germany.

Knowledge test

If your professional qualification is not equivalent and you cannot compensate for the differences, you can take a knowledge test. The knowledge test is based on the final examination as a doctor in Germany. The knowledge test is an oral-practical examination.

If you pass the knowledge test and meet all other requirements, you will be licensed to practice medicine.

Professional license

With a so-called professional license, you can work for a limited period of time without a license to practice medicine. With a professional license, you may work under the supervision of a person with a license to practice medicine. You may then only be allowed to carry out activities in a specific field of work. You must meet the following requirements for the professional license:

• Proof of your professional qualification
• Health suitability
• Personal aptitude
• German language skills: You must provide proof of language skills at level B2 and pass a specialist language test at level C1

You can apply for a professional license from the competent authority.

Notification of equivalence

During the licensing procedure, the equivalence of your training will be assessed (recognition procedure). You can apply for a separate notification of the result of the examination.

Procedure for ethnic German repatriates

As a late repatriate, you can go through the recognition procedure either in accordance with the laws mentioned here or in accordance with the Federal Expellee Act. You can decide for yourself. The responsible office will advise you which procedure is right for you.

Legal remedy

You can take legal action against the decision of the competent authority within a certain period of time (for example, by lodging an objection). The decision will then be reviewed. Details can be found in the information on legal remedies at the end of your decision. We recommend that you first speak to the responsible office before taking legal action against the decision.