Recognition of Foreign Medical Qualifications in Germany (Anerkennung)

If you are a foreign-trained doctor and want to work in Germany, one of the most important steps is obtaining recognition of your qualifications — known as “Anerkennung.” This process ensures that your medical training and experience meet German standards and leads to the Approbation — the official medical license that allows you to practice independently as a doctor in Germany.

This guide breaks down the Anerkennungsverfahren (recognition process) step by step so you can navigate it smoothly and avoid unnecessary delays.


What is “Anerkennung” for Doctors in Germany?

“Anerkennung” means the official recognition of your foreign medical degree and professional training. Without it, you cannot work as a licensed doctor.

Germany welcomes international doctors, but the recognition process guarantees that all medical professionals — whether trained in Germany or abroad — meet the same high standards of medical knowledge and patient care.


Step-by-Step Process for Anerkennung

Step 1: Submit Your Application

You apply through the Landesprüfungsamt (LPA) or the responsible state recognition authority in the federal state where you intend to work.

Required Documents:

  • Completed application form (available on the LPA website)

  • Valid passport or ID

  • Medical degree and transcripts (with certified German translations, if required)

  • Proof of clinical training and work experience (internships, rotations, residency)

  • Proof of German language proficiency (B2 general + C1 medical German)

  • Medical fitness certificate (issued within the last 3 months)

  • Police clearance certificate (issued within the last 3 months)


Step 2: Equivalence Check (Gleichwertigkeitsprüfung)

The LPA reviews your education and training to compare them with German standards.

Possible outcomes:

  • Full Recognition → You receive the Approbation.
    Partial Recognition → You may need to pass the Kenntnisprüfung (knowledge exam) to prove your medical knowledge.

  • No Recognition → If major gaps exist, you may need additional training before reapplying.


Step 3: Prove Your Language Proficiency

Strong German skills are essential for practicing medicine.

  • B2 or C1 Certificate: Prove your general German proficiency through exams such as Goethe, telc, TestDaF, or ÖSD.

  • Fachsprachprüfung (FSP): A mandatory medical language exam that tests your ability to communicate with patients, handle medical documentation, and collaborate with colleagues. Passing this is required for Approbation.


After Submitting Your Application

  • Processing Time: Typically 4–12 months, depending on the state and workload.

  • Decision: The LPA informs you whether your qualifications are fully, partially, or not recognized.

  • If fully recognized → You obtain the Approbation and can work as a licensed doctor.

  • If partially recognized → You may need to take the Kenntnisprüfung or fulfill other requirements.


Costs and Timeline

The recognition process can be lengthy, so accuracy is critical. Mistakes in your application can delay the process by months. Many candidates consult professionals to avoid setbacks.

Typical Costs:

  • Approbation fee: €400–450

  • Fachsprachprüfung (FSP): €400–500

  • Kenntnisprüfung (if required): €300–500

  • Additional expenses: Translations, notarizations, medical and police certificates

Processing Timeline: About 4–12 months, depending on completeness of documents and state authority speed.


Tips for a Smooth Application

  • Prepare Early: Collect, certify, and translate your documents before applying.

  • Focus on German: Aim for C1 proficiency to avoid delays.

  • Stay in Touch: Follow up with the LPA regularly.

  • Seek Professional Guidance: Experienced consultants can help you avoid costly errors and save months of waiting.


Next Steps After Recognition

Once you receive the Approbation, you can:

  • Apply for residency (specialization) positions in Germany.

  • Begin practicing medicine independently.

  • Access career opportunities across Germany and the EU, thanks to your recognized license.

Germany offers structured residency training and excellent career growth, making it one of the most attractive destinations for international doctors.