
What is the Fachsprachprüfung (FSP) and How to Prepare for It
Autor: Match Doctors
17. Dezember 2025
For international doctors who want to work in Germany, language proficiency in a medical context is essential. One of the key requirements in this process is the Fachsprachprüfung (FSP). This exam evaluates whether doctors can communicate safely and professionally in German healthcare settings.
In this article, we explain what the Fachsprachprüfung is, which topics are tested, how the exam is structured, and how common exam formats such as TELC FSP and FAMED fit into the process.
What Is the Fachsprachprüfung?
The Fachsprachprüfung is a medical language examination designed specifically for doctors trained outside Germany. Its main goal is to assess whether a doctor can:
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Communicate clearly with patients
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Take structured medical histories (Anamnese)
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Explain diagnoses and treatment plans in understandable German
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Communicate professionally with colleagues
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Use correct medical terminology in everyday clinical work
Unlike general German language exams, the FSP focuses on practical medical communication rather than academic language skills.
Who Needs to Take the FSP?
The Fachsprachprüfung is usually required for:
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Doctors applying for Approbation (full medical license)
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Doctors applying for a Berufserlaubnis (temporary work permit)
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Medical professionals who need proof of medical German proficiency
The exact requirements may vary slightly depending on the federal state.
Topics Covered in the Fachsprachprüfung
Although the format can differ, the content of the FSP is very similar across Germany. Typical topics include:
1. Patient Interview (Anamnese)
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Current symptoms
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Past medical history
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Medication and allergies
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Family and social history