What is Approbation? A Simple Explanation to Germany’s Medical Licence for Foreign Doctors

If you're a doctor who trained outside Germany and are considering working here, you’ve likely encountered the term “Approbation.” But what does it actually mean, and why is it such a critical step?

In this post, we will provide a clear, simple explanation of Approbation, its importance for foreign-trained doctors, and how you can obtain it to begin practicing medicine independently in Germany.

 

What is Approbation?

Approbation is the official, permanent medical licence issued by German authorities. It grants you the legal right to work independently as a physician throughout Germany, without supervision or time limitations.

To put it simply, it means:

• Your medical education and training meet German standards
• You possess the necessary clinical and theoretical knowledge
• You have proficient German language skills, including medical vocabulary

Without Approbation, you cannot practice medicine in Germany on your own, even if you're highly qualified abroad.

 

Approbation vs Berufserlaubnis: What is the Difference?

Before receiving Approbation, many international doctors start with a Berufserlaubnis, which is a temporary, restricted work permit. It allows you to work under supervision while completing the requirements for full licensing.

Who Needs Approbation?

You need Approbation if you:

• Earned your medical degree outside Germany
• Want to work as a doctor, not just study or observe
• Plan to build your medical career in Germany, short- or long-term

Approbation is mandatory whether you're from the EU or a non-EU country. There are no exceptions for independent practice.

 

Requirements: How to Apply for Approbation in Germany

The exact process and documentation can vary by Bundesland (federal state), but here are the general steps you must follow:

 

1. Medical Degree Equivalency

You must show that your education is comparable to German medical training. If it's not fully equivalent, you may be required to take a knowledge exam (Kenntnisprüfung).

 

2. German Language Proficiency

Most states require:

• B2-level general German
• C1-level medical German

You must pass both written and spoken evaluations.

 

3. Fachsprachprüfung (FSP)

This is a medical language exam that tests your ability to communicate effectively in clinical settings, especially with patients and colleagues.

 

4. Kenntnisprüfung (KP) (if required)

If your medical degree is not fully recognized, you will need to pass this comprehensive knowledge exam, which tests clinical and practical knowledge based on German standards.

 

5. Required Documents

You will need to submit:

• Passport or ID
• Diplomas, transcripts, and training certificates
• Certified translations of all documents
• CV
• Certificate of good conduct
• Health certificate
• Proof of language skills

Be sure to check with your specific Bundesland for an exact list, as document requirements and processing times can vary.

 

Approbation by Bundesland: Regional Differences

Each federal state in Germany has its own licensing authority, procedures, and timelines. Some may require additional documents or offer faster processing.

 

Quick Recap: Why Approbation Matters

 

• It’s your legal licence to practice medicine independently in Germany.
• It ensures your training, knowledge, and language skills meet national standards.
• You must have Approbation—whether you’re from the EU or beyond.

 

Frequently Asked Questions

 

Q: Can I work in Germany as a doctor without Approbation?

A: Only temporarily, under supervision, with a Berufserlaubnis. You’ll still need to work toward full Approbation.

Q: How long does it take to get Approbation?

A: It depends on your Bundesland, documentation, and whether you need to pass exams. It can take several months to over a year.

Q: Is Approbation valid throughout Germany?

A: Yes! Once granted, Approbation allows you to practice anywhere in Germany, regardless of which state issued it.

Ready to start your medical journey in Germany? Get in touch with us!

Let us know if you have questions, we are here to support your path forward.