Autor: Match Doctors
18. Dezember 2025
For foreign-trained doctors aiming to practice medicine in Germany, passing the Kenntnisprüfung is often the final step before obtaining a full medical license (Approbation). While the Fachsprachprüfung assesses medical language skills, the Kenntnisprüfung tests medical knowledge and practical clinical skills to ensure that doctors meet German standards.
This article explains what the Kenntnisprüfung is, which topics are covered, how the exam is structured, and how preparation courses can help you succeed.
The Kenntnisprüfung (“knowledge exam”) is a state-recognized medical licensing exam for doctors who obtained their medical degree outside Germany. Its purpose is to verify that foreign-trained doctors have the same level of medical knowledge and clinical competence as a German-trained doctor.
Passing the exam is a prerequisite for obtaining:
Approbation (full medical license)
Certain Berufserlaubnis (temporary work permits) in some federal states
It is important to note that not all foreign medical degrees automatically allow direct licensing in Germany; the Kenntnisprüfung may be required if the authorities identify substantial differences in training.
The Kenntnisprüfung is typically required for:
Doctors from non-EU countries whose medical education differs significantly from German medical training
Doctors who want full recognition and Approbation
Foreign-trained doctors who aim to work independently in hospitals or private practice
The decision on whether you must take the exam is made by the responsible state medical authority (Landesprüfungsamt) after reviewing your qualifications.
The exam covers core medical knowledge and practical clinical skills. It is typically divided into:
Diagnosis and treatment of common diseases
Interpretation of lab results
Case-based problem solving
Patient assessment and management
Preoperative and postoperative care
Practical handling of common surgical scenarios
Prenatal care and childbirth
Pediatric assessments and treatments
Acute patient management
Resuscitation protocols
Emergency procedures
Patient examination and history-taking
Clinical decision-making
Writing medical reports and documentation
The exam usually consists of:
Oral case discussions with examiners
Practical patient examinations or simulations
Written questions (in some states)
The total exam can last several hours, depending on the federal state.
Check with your local medical authority (Landesprüfungsamt)
They will inform you whether the Kenntnisprüfung is required.
Submit your application
Include:
Medical degree and transcripts
Proof of general German language skills (usually B2/C1)
Curriculum vitae and ID
Pay the exam fee
Fees vary by state but usually range from €300–€500.
Schedule your exam
Exam dates may be limited, so early registration is advised.
Effective preparation is essential due to the exam’s comprehensive nature. Key strategies include:
Reviewing German medical textbooks and guidelines
Practicing case-based scenarios similar to those in German hospitals
Training in history-taking, clinical examinations, and documentation
Taking mock exams to simulate the real exam environment
Match Doctors Kenntnisprüfung preparation course covers all these topics and is tailored to the exact competencies tested by the exam. Many students find it helpful to combine practical training with focused knowledge review.
The Kenntnisprüfung is a rigorous but achievable step toward practicing medicine in Germany. With structured preparation and a solid understanding of German medical standards, foreign-trained doctors can confidently pass the exam and move closer to full licensure.
Whether you are preparing for practical case exams, oral discussions, or written questions, a targeted preparation course can make the difference between uncertainty and success.
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