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Watching · 17 chambers · 31 official pages · Last checked 2 h ago

Fachsprachprüfung (FSP) for doctors: rules by state

The Fachsprachprüfung tests the medical German you need for your Approbation, at C1 level. Your state's medical chamber (Ärztekammer) or authority runs it. You cannot choose a date on a public calendar. You apply for your licence first. In some states the authority registers you; in others you register with the chamber after the authority's receipt. The chamber assigns the date.

No public calendar. Chambers assign dates. We cannot alert you to seats. We alert you when the official pages change.

Level
C1 medical German
Parts
Doctor-patient talk, written report, doctor-doctor talk
Length in Lower Saxony
3 parts of 20 min
Medical knowledge
Not tested here

FSP by state (Fachsprachprüfung Ärztekammer)

  • Baden-Württemberg

    Run by
    Regional medical chambers
    Fee
    €420
    Stated wait
    Not stated

  • Bavaria (Bayern)

    Run by
    BLÄK, Munich
    Fee
    €550
    Stated wait
    About 8 weeks from the chamber's letter to your date

  • Berlin

    Run by
    Ärztekammer Berlin
    Fee
    €550
    Stated wait
    Not stated

  • Brandenburg

    Run by
    Landesärztekammer Brandenburg
    Fee
    €487
    Stated wait
    Not stated

  • Bremen

    Run by
    Ärztekammer Bremen
    Fee
    Not stated
    Stated wait
    Not stated

  • Hamburg

    Run by
    Ärztekammer Hamburg
    Fee
    Not stated
    Stated wait
    Not stated

  • Hesse (Hessen)

    Run by
    Landesärztekammer Hessen, Frankfurt am Main
    Fee
    €650
    Stated wait
    Not stated

  • Lower Saxony (Niedersachsen)

    Run by
    Ärztekammer Niedersachsen, Hannover
    Fee
    €595
    Stated wait
    Not stated

  • Mecklenburg-Western Pomerania

    Run by
    Ärztekammer Mecklenburg-Vorpommern, Rostock
    Fee
    Not stated
    Stated wait
    Not stated

  • North Rhine (Ärztekammer Nordrhein)

    Run by
    Ärztekammer Nordrhein, Düsseldorf
    Fee
    €430
    Stated wait
    Not stated

  • Rhineland-Palatinate

    Run by
    Bezirksärztekammer Rheinhessen, Mainz
    Fee
    €470
    Stated wait
    Not stated

  • Saarland

    Run by
    Not stated
    Fee
    Not stated
    Stated wait
    Not stated

  • Saxony (Sachsen)

    Run by
    Sächsische Landesärztekammer, Dresden
    Fee
    €590
    Stated wait
    Not stated

  • Saxony-Anhalt

    Run by
    Ärztekammer Sachsen-Anhalt, Halle
    Fee
    Not stated
    Stated wait
    Not stated

  • Schleswig-Holstein

    Run by
    Ärztekammer Mecklenburg-Vorpommern, Rostock
    Fee
    €600 (page dated March 2024)
    Stated wait
    About three and a half months after registration

  • Thuringia (Thüringen)

    Run by
    Landesärztekammer Thüringen, Jena
    Fee
    €600
    Stated wait
    Three to four months after application

  • Westphalia-Lippe (Ärztekammer Westfalen-Lippe)

    Run by
    Ärztekammer Westfalen-Lippe, Münster
    Fee
    €400
    Stated wait
    Not stated

Facts checked against each chamber's official page on 17 Oct 2026. Some pages carry an older date, shown in the cell. "Not stated" means the official page gives no figure.

Dates you can book now

Ask your licensing authority first whether it accepts the PKT.

PKT MEDIZINSeats free05 Nov 2026 · Frankfurt / online · FIA
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Fee, process or waiting time, for every state.

COMMON QUESTIONS

Fachsprachprüfung for doctors, explained

What is the Fachsprachprüfung (FSP)?

The medical German test for doctors trained abroad. You need it for your Approbation or a temporary licence (Berufserlaubnis). It checks German in a medical setting at C1 level. It does not test medical knowledge.

Source: nizza.niedersachsen.de, checked 20 Oct 2026

What happens in the FSP?

In Lower Saxony it has three parts of 20 minutes: a simulated talk with a patient, a written doctor's report on that patient, and a talk with a doctor on the panel about the case. Check your state guide for your chamber.

Source: nizza.niedersachsen.de, checked 20 Oct 2026

How much does the FSP cost?

It depends on the state. Examples from the official pages: Westphalia-Lippe 400 EUR, Rhineland-Palatinate (Mainz) 470 EUR, Bavaria 550 EUR, Lower Saxony 595 EUR, Hesse 650 EUR. The table above lists every state.

Source: the chamber pages, checked 17 to 20 Oct 2026

Can I book the FSP myself?

Not on a public calendar. You apply for your Approbation or Berufserlaubnis first. In Lower Saxony and Bavaria the authority registers you once your file is complete, and the chamber invites you to a date; in Lower Saxony you pay only after NiZzA asks you to. In Hesse and Thuringia you register with the chamber electronically after the authority's step. Your state guide has the details.

Source: nizza.niedersachsen.de, blaek.de, laekh.de, laek-thueringen.de, checked 17 to 20 Oct 2026

Can I retake the FSP?

In Lower Saxony you repeat the whole exam, and there is no limit on attempts. Other states set their own rules.

Source: nizza.niedersachsen.de, checked 20 Oct 2026

Does the PKT replace the FSP?

Only in some states. FIA says that for EU degrees the PKT is recognised in Hamburg and Hesse; with a non-EU degree you take the chamber's Fachsprachprüfung there. FIA says that in Saarland the PKT Medicine and Pharmacy counts for all degrees. For dentistry, ask first. Your licensing authority decides.

Source: fia-academy.de, checked 20 Oct 2026

FSP or Kenntnisprüfung: what is the difference?

The FSP tests your medical German. The Kenntnisprüfung tests your medical knowledge. Until 31 October 2026 you take it when the authority finds substantial differences in your training; from 1 November 2026 it is the normal route for degrees from outside the EU, the EEA and Switzerland. A doctor with such a degree may need both.

Source: nizza.niedersachsen.de and bundesgesundheitsministerium.de, checked 20 Oct 2026