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Specialization for Doctors & Dentists in Germany

Medical Specialization Training

The Education Network (TEN) is a company extending its helping hand in an all-encompassing range of integrated services for Doctors, Dentists & Pharmacists from all around the world who are looking for Employment and Medical Specialization options in Germany. Mastery over German language is mandatory; we at The Education Network (TEN) prepare the doctors linguistically in India & Germany to help them pass the language tests. As a next step, the company assists in organizing interviews with the HODs in German hospitals and medical centers in order to obtain a medical license. The specialization training program in medicine is based on a residency program of five to six years depending on the specialty. Furthermore, the dentistry specialization training program consists of a three-year residency program. We provide an end to end solution right from counseling, registration, documentation, visa approval and ending up by obtaining a contract of competence in Germany.

Our work is done methodically through a highly qualified and elite team of professionals and doctors in India & Germany.

To summarize, The Education Network (TEN) will assist in:

language course
medical council
visa application

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medical licensing
The steps for Medical specialization in Germany are:-
  • German Language A1-C1.
  • Apply for a Defizitbescheid.
  • Apply for a National Visa for Germany
  • C1 Medizin, Fachsprachenprüfung Course, Kenntnisprüfung course.
  • Complete Languages, FSP Course and KP Course in Germany.
  • Special Language Exam (Fachsprachenprüfung).
  • Temporary License (Berufserlaubnis).
  • Knowledge Test (Kenntnisprüfung).
  • Permanent License (Approbation).
  • Start of Medical Training in Germany.

The post-graduation starts with Approbation. With temporary license, one will be able to start working with full salary and benefits, however this period won't be counted for Post-graduation.

The doctor who has completed their medical studies from a recognized university, outside the European Union should make sure that their degree is recognized through www.anabin.kmk.org

In addition to being recognized by anabin, the doctors should take adhere to the following:

  • Must complete the internship, concession period or training year in the country of origin or from country of graduation
  • Must have a medical permit (permanent license) in the country of origin or from country of graduation
  • Must be proficient up to B2 level of German language according to the framework set by Common European Framework of Reference for Languages, CEFR
  • Must have permanent work permit known as “Approbation” for Medical practice in Germany

let's be a specialist

What is Defizitbescheid?

When a doctor applies for Approbation (Permanent License) a comparison is done between his or her medical studies with German medical studies. If significant shortage or deficit (Defizit in German) is found in their studies, the doctor will be asked to take a knowledge test known as Kenntnisprüfung. If no difference is found, Approbation will be issued directly. Defizitbescheid is the document explaining this deficit. It is usually the result of a comparison process. (Gutachterliches Verfahren). It is mandatory to submit a Defizitbescheid along with your application for a visa.

What is Fachsprachenprüfung (Specific Language Test)?

Once a student completes B2 level, he or she will be able to understand a native speaker clearly, communicate fluently & can understand and write complex texts in German. The proficiency until B2 level is tested by Goethe/ Telc Examinations. C1 Medizin focuses on Doctor-Patient communication, Daily communication in Hospitals and Doctor-Doctor communication. C1 Medizin level is tested by an exam, called Fachsprachenprüfung. It is just a verbal viva Specific Language qualifying exam conducted by individual state medical councils.

What is Berufserlaubnis?

Berufserlaubnis is the temporary license to practice medicine in Germany received after passing Fachsprachenprüfung. This is valid for 2 years. A doctor will receive salary and benefits but this period will not be counted for post-graduation. Within this period of 2 years, a doctor needs to complete the procedure of Approbation. Most of the states require a job offer (Stellenzusage) from a German hospital to apply for Berufserlaubnis.

What is Kenntnisprüfung?

If there is a substantial difference between applicant’s studies and German medical studies, he or she has to prove the knowledge by participating in a Knowledge Test known as Kenntnisprüfung. Applicant can also opt-out of the comparison process and ask for Kenntnisprüfung directly through Gutachten but the results of this are not very encouraging.

What is Approbation?

Approbation is the permanent license to practice medicine in Germany. This is received after passing the Kenntnisprüfung and makes you eligible to start your Medical Training in Germany.

Important Note

All the documents that are issued outside Germany must be translated into German language and certified by the Ministry of Higher Education, The Ministry of Foreign Affairs and the German Embassy in the home country or the study country.

Where do I start?


The following specializations are easy to get in Germany.

  • Internal and General Medicine
  • Anesthesiology
  • Neurological diseases
  • General Surgery
  • Orthopedics Surgery
  • Gynecology and Obstetrics
  • Dermatological and Venereal Diseases
  • Oral and Maxillofacial Surgery
  • Pediatrics
  • Radiology
  • Ophthalmology
  • Neurosurgery

Medical Specialization Training in Germany is not difficult but is a long draw and tedious process that requires a professional guidance and handholding. Excellent linguistic level of the doctor allows him to get a job and specialty quickly.

Click here to browse more Specializations available


Can I "choose" my Specialization?



In short you should have a completed medical degree as well as the license to practice medicine independently in your study country or home country. The academic requirements for permanent license to practice medicine in Germany are

  • MBBS Degree Certificate (Or Equivalent)
  • Medical Council Registration Certificate (Study Country/Home Country)
  • Internship Completion Certificate
  • Good Standing Certificate
  • Syllabus/Curriculum (Personalized) from the University.
General requirements for Medical PG in Germany
The following additional documents are required
  • Police Clearance Certificate
  • Birth Certificate
  • Passport
Documents required from Germany
The following documents are required from Germany
  • Job Offer (Stellenzusage)*.
  • Medical Certificate.
  • Notarized Copies of Originals Documents.
  • Attested Translations of all Documents by a certified translator from Germany

How do I start?


Germany not only allows foreign Doctors to complete specialist training in Germany, but also offers the security of settlement. This has been achieved through the EU-Blue Card Program, the Visa for highly qualified professionals. A doctor in Specialist Training is a salaried profession (not stipend!) and is considered as a Job, which entitle the candidate for this special category of Visa. After 21 months of EU-Blue Card, the holder qualifies for a Permanent Residency in Germany! In a nutshell, the advantages compared to many foreign countries are

  • Job of 40 Hours/Week (Monday to Friday)
  • Weekend Duties, Night Duties, Overtime, Holiday Shifts etc are compensated with extra payment as well as compensatory offs.
  • Salary of 4800-5100 €/Month (Basic)
  • Pre-tax, Social Security & Health and Pension Insurances.
  • Residency of Choice & Super-Specialty
  • As Germany has vacancies in all fields, the chance of getting the desired branch is significantly high. Moreover in Germany, you can opt for Direct Super-Specialization.
  • International Recognition
  • German degrees are highly reputed world-wide. The quality of health care, facilities, technological development etc in Germany is well known too.
  • Zero Tuition Fee
  • Unlike many other countries, Germany offers free education. As medical specialization is considered as a Job, all residents will receive a handsome monthly salary!

The doctor gets permanent residency after working in the jurisdiction for two years and will be eligible for German citizenship after eight years. There is a high probability of family reunion immediately after commencement of employment.


German University and private hospitals are among the best pay masters in the European Union with monthly salaries ranging from €4,600 to € 5,100 per month according to the latest collective agreement or the union pay scale.


Once the doctor has acquired the permanent Medical permit "Approbation" from a German board the doctors have the opportunity to work in the most technogically advanced and prestigious hospitals and Medical centers in the European union.


German Medical Training system provides an integrate pathway for Super specialization with no competitive MCQ based exams. It provides doctors the flexibility to choose his interest of specialization with favorable working hours of just 40 hours/week.

It's amazing


Counseling & Profile Evaluation
German Language & Adaptation Courses
Translation of Documents from Germany
Equalization procedure & Application
VISA Documentation & Travel Services


Landing and Logistic Arrangements
Adaptation services
Advance German language learning
Job Search, Preparation & Application
Signing final work contracts.
Medical German & Knowledge test training
Approbation Application Guidance
Berufserlaubnis Application Guidance

time to roll !


1. What do you mean by Approbation?

The word has a Latin origin (apropatio) that means permission. It is a government permit to practice medical profession responsibly, independently & permanently in Germany under the title "Doctor". This permit is valid throughout Germany & is for an unlimited period.

2. What do you mean by Berufserlaubnis?

It is a temporary permit or license to practice medical profession and is issued upon request for those who have successfully completed the medical university study. It could be the temporary profession permit limited to a specific work and place and is valid for practicing medicine in the specified state only. The temporary permit can be renewed for a maximum period of two years.

3. How is foreign educational qualifications equalized in Germany?

The competent German government departments examine academic qualifications (certificate of completion of university medical education as well as a permit to practice occupation in the country of origin).In the event that there are differences between the foreign qualification & the German qualification, an equalization is attempted. The difference is based on the applicant’s clinical experience and if the medical practical experience is not sufficient or equal the difference, then the applicant must take a medical knowledge test or aptitude test known as KP.

4. Can I submit multiple applications to obtain a temporary or permanent medical permit to practice the profession in different state medical councils/ government departments at the same time?

It is not permissible to submit an application to obtain a temporary or permanent profession practice permit except in the state in which you have work contract. Doctor has to decide the state in which he intends to practice the medical profession before submitting the application for a license.

5. What do you mean by Academic Examination qualification?

It is an examination of academic qualifications papers in the relevant government departments to determine the basic differences between the system & content of University Medical Education in the applicant’s country & university medical education in Germany.

6. What do you mean by Medical knowledge test/ Kenntnis prufung (KP)?

When it is determined through disclosure in the relevant government departments that there exists a substantial differences between the qualification issued in a foreign country and the qualification issued in Germany, which cannot be equated with medical experience the applicant must undergo a medical knowledge test known as Kenntnis prufung to demonstrate the medical skills and capabilities required to work in Germany. Success in this test is evident of the proof of your equation. The medical knowledge test contains questions in internal materials, surgery and supplementary sciences such as emergency, radiology, pharmacology, clinical radiation protection and legal questions in the medical profession in Germany. The competent government departments may also specify a specific subject that represents essential differences between the medical education system in the country of origin and medical education system in Germany. The clinical knowledge test is an oral practical test with a presentation of a satisfactory condition and its duration ranges from 60 to 90 minutes.

7. How many times it is allowed to retake Medical knowledge test/ Kenntnis prufung (KP)?

Medical knowledge retest is permitted for a maximum of two times.

8. What is the equivalency examination by Gutachten?

Gutachten means assessment. In this case, the essential differences between the medical qualification issued in the home country & the qualification issued in Germany shall be examined & determined. The original application of the applicant is reviewed for qualification & scientific content & if found equivalent to a German qualification permanent license approbation is granted without any Medical knowledge test/ Kenntnis prufung.

9. What are the German language requirements for obtaining a permanent medical profession permit/Approbation?

There are general language skills and medical language skills: Certificate of completion of language level B2 from the European Framework of Reference and Medical Language Exam for language level C1 of the European Framework of Reference.

10. What are the German language requirements for obtaining a temporary medical practice permit/Berufserlaubnis?

In most German states, the same language requirements apply to obtaining a temporary and permanent medical profession permit.

11. What is the format of the Medical language exam/ fachsprachenprüfung exam (FSP)?

The medical language exam is close to daily medical practice and is conducted in front of a committee of examiners where dialogue situations are simulated. The medical language exam records data mainly from the daily medical reality and practices. The exam consists of three parts each with duration of about 20 minutes each. The first part is the doctor’s patient dialogue in the context of the medical history taking or examination. The second part is the doctor’s dialogue with the fellow doctor in the context of handing over sick cases or daily transit. The third part is a written documentation of the patient’s condition, for example writing a medical report.

12. How many times is it permissible to retake the Medical Language Exam/ fachsprachenprüfung exam (FSP) if one does not pass it?

The Medical Language Exam/ fachsprachenprüfung exam (FSP) can be repeated an infinity number of times.

13. What is the living cost in Germany?

The cost of living in Germany varies from state to state and city to city. Your blocked account is considered as a general reference for your living cost as student .For information about the cost of living in different cities in Germany, please visit the website. http://lebenshaltungskosten.info/wie-hoch-sind-die-lebenshaltungskosten-indeutschland/ https://de.statista.com/themen/38/lebenshaltungskosten/

14. How much transportation cost in Germany?

The cost of public access varies according to the Association of Public Transport in different German states (union of transport companies in departments German states and cities) and therefore we advise you to inquire about the cost of transportation in the transport company or the public transport association in the state selected. For more information please visit these sites:
https://www.study-in.de/de/los-gehts/tipps-fuer-jeden-tag/verkehrsmittel_27292.php http://www.personenverkehr.eu/Verkehrsverbund/Liste_Verkehrsverbund.htm

15. Where can I get information about taxes and the labor system?

You can get relevant information about taxes and the labor system through this link http://www.make-it-in-germany.com/de/fuer-fachkraefte/arbeiten/ratgeber/steuern


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