Germany

PART ONE Professional recognition in your country

1.1. Which organisation recognises doctors eligible to practice in your country?
In case your country has more then one organisation which can provide professional recognition, please attach to this survey a simple list of names and websites where we can acquire more information.

In case your country has more than one organisation which can provide professional recognition, please attach to this survey a simple list of names and websites where we can acquire more information.

In Germany 21 registration authorities exist. Each registration authority is competent for a specific region. Physicians have to contact the registration authority in the region they want to work.

Contact Data:

Adressen der Approbationsbehörden  (Stand: August 2013)

Baden-Württemberg

Landesprüfungsamt für Medizin und Pharmazie
Regierungspräsidium Stuttgart
Nordbahnhofstr. 135
70191 Stuttgart
Tel.: +49-(0)711-90435000
E-Mail: abteilung9@rps.bwl.de
Internet: http://www.rp.baden-wuerttemberg.de

Bayern

Regierung von Oberbayern
Umwelt, Gesundheit und Verbraucherschutz
Approbation und Berufserlaubnisse im Sachgebiet 55.2
Maximilianstr. 39
80538 München
Tel.: +49-(0)89-21762634
E-Mail: approbation.erlaubnis@reg-ob.bayern.de
Internet: http://www.regierung.oberbayern.bayern.de

Regierung von Unterfranken (zuständig für: Oberfranken, Mittelfranken und Unterfranken) Peterplatz 9
97070 Würzburg
Tel.: +49-(0)931-3801754
E-Mail: approbation@reg-ufr.bayern.de
Internet: http://www.regierung.unterfranken.bayern.de

Achtung: Die Regierung von Unterfranken ist nur für Ärzte mit Abschlüssen aus dem Europäischen Wirtschaftsraum/Schweiz zuständig. Ärzte mit einem Diplom aus einem Staat außerhalb des EWR/Schweiz müssen sich an die Regierung von Oberbayern wenden.

Berlin

Landesamt für Gesundheit und Soziales
Landesprüfungsamt
Turmstr. 21
10559 Berlin
Tel.: +49-(0)30-902290
E-Mail: elke.kempin@lageso.berlin.de
Internet: www.lageso.de

Brandenburg

Landesamt für Umwelt, Gesundheit und Verbraucherschutz
Abt. Gesundheit
Referat Akademische Heilberufe und Gesundheitsfachberufe
Wünsdorfer Platz 3
15806 Zossen
Tel.: +49-(0)33702-71123
E-Mail: gabriele.hartfelder@lugv.brandenburg.de
Internet: www.lugv.brandenburg.de/

Bremen

Die Senatorin für Arbeit, Frauen, Gesundheit, Jugend und Soziales
Abteilung Gesundheitswesen
Bahnhofsplatz 29
28195 Bremen
Tel.: +40-(0)421-36118487
E-Mail: office@gesundheit.bremen.de
Internet: www.gesundheit.bremen.de

Hamburg

Behörde für Gesundheit und Verbraucherschutz
Landesprüfungsamt für Heilberufe
Billstr. 80
20539 Hamburg
Tel.: +49-(0)40-428373788
E-Mail: verena.pospieszynski@bgv.hamburg.de
Internet: www.hamburg.de

Hessen

Regierungspräsidium Gießen
Hessisches Landesprüfungs- und Untersuchungsamt im Gesundheitswesen
Abteilung II Akademische Heilberufe
Walter-Möller-Platz 1
60439 Frankfurt a. M.
Tel: +49-(0)69-1567712
E-Mail: poststelle@hlpug.hessen.de
Internet: www.hlpug.de

Mecklenburg-Vorpommern

Landesamt für Gesundheit und Soziales
Abteilung III – Landesprüfungsamt für Heilberufe
Erich-Schlesinger-Str. 35
18059 Rostock
Tel.: +49-(0)381-33159108
E-Mail: beate.gratopp@lagus.mv-regierung.de
Internet: www.lagus.mv-regierung.de
Niedersachsen

Niedersächsischer Zweckverband zur Approbationserteilung
Berliner Allee 20
30175 Hannover
Tel.: +49-(0)511-380-02
E-Mail: uwe.schreiber@nizza.niedersachsen.de
Internet: https://www.aekn.de/arztspezial/niedersaechsischer-zweckverband-zur-appr...

Nordrhein-Westfalen

Bezirksregierung Arnsberg
Dezernat 24
Seibertzstr. 1
59821 Arnsberg
Tel.: +49-(0)2931-822404
E-Mail: rita.prchlik@bezreg-arnsberg.nrw.de
Internet: www.bezreg-arnsberg.nrw.de

Bezirksregierung Detmold
Dezernat 24
Leopoldstr. 15
32756 Detmold
Tel.: +49-(0)5231-712407
E-Mail: post24@brdt.nrw.de
Internet: www.bezreg-detmold.de

Bezirksregierung Düsseldorf
Dezernat 24
Bonneshof 35
40474 Düsseldorf
Tel.: +49-(0)211-4755263
E-Mail: marianne.porten@brd.nrw.de
Internet: www.brd.nrw.de

Bezirksregierung Köln
Dezernat 24
Zeughausstr. 2-10
50667 Köln
Tel.: +49-(0)221-1472539
E-Mail: maria.henke@brk.nrw.de
Internet: www.brk.nrw.de

Bezirksregierung Münster
Dezernat 24
Domplatz 1-3
48143 Münster
Tel.: 0251-4110
E-Mail: susanne.thom@brms.nrw.de
Internet: www.bezreg-muenster.nrw.de
Rheinland-Pfalz

Landesamt für Soziales, Jugend und Versorgung
Referat 53
Baedeker Str. 2-20
56073 Koblenz
Tel.: +49-(0)261-4041324
E-Mail: nick.maria@lsjv.rlp.de
Internet: www.lsjv.rlp.de

Saarland

Landesamt für Soziales
Zentralstelle für Gesundheitsberufe
Landesprüfungsamt
Konrad-Zuse-Straße 11
66115 Saarbrücken
Tel.: +49-(0)681-99784304
E-Mail: lpa-zentralstelle@las.saarland.de
Internet: http://www.saarland.de/gesundheitsberufe.htm

Sachsen

Landesdirektion Sachsen
Dienststelle Chemnitz
Altchemnitzer Str. 41
09120 Chemnitz
Tel.: +49-(0)371-5321225
E-Mail: sybille.grunert@lds.sachsen.de
Internet: www.lds.sachsen.de

Landesdirektion Sachsen
Dienststelle Dresden
Stauffenbergallee 2
01099 Dresden
Tel.: +49-(0)351-8252212
E-Mail: silvia.schoenert@lds.sachsen.de
Internet: www.lds.sachsen.de

Landesdirektion Sachsen
Dienstelle Leipzig
Braustr. 2
04107 Leipzig
Tel.: +49-(0)341-9772213
E-Mail: claudia.knabe@lds.sachsen.de
Internet: www.lds.sachsen.de

Sachsen-Anhalt

Landesverwaltungsamt Sachsen-Anhalt
Landesprüfungsamt für Gesundheitsberufe
Maxim-Gorki-Str. 7
06114 Halle
Tel.: +49-(0)345-5143269
E-Mail: eike.bruchmann@lvwa.sachsen-anhalt.de
Internet: www.sachsen-anhalt.de

Schleswig-Holstein

Ministerium für Soziales, Gesundheit, Familie und Gleichstellung
LAsD 321
Adolf-Westphal-Str. 4
24143 Kiel
Tel.: +49-(0)431-9885572
E-Mail: corinna.heim@lasd.landsh.de
Internet: www.schleswig-holstein.de

Thüringen

Thüringer Landesverwaltungsamt
Referat 550
Weimarplatz 4
99423 Weimar
Tel.: +49-(0)361-37737309
E-Mail: alexander.enders@tlvwa.thueringen.de
Internet: www.thueringen.de

1.2. What requirements/documents are necessary for a foreign doctor to practice medicine?
i.e. language skills, medical degree, insurance, immigration status.

A basic medical training completed successfully in a member state of the European Union will, on request, be automatically recognised in Germany provided that the qualification is listed in the European Directive on the Recognition of Professional Qualifications (2005/36/EC, Annex V No. 5.1.1), that the minimum criteria of the directive are met and that the basic medical training had been started after the specified reference date. As the EU has passed corresponding treaties with Norway, Iceland, Liechtenstein and Switzerland, similar rules apply for diplomas from these countries.
Furthermore foreign physicians have to have an adequate knowledge of the German language. Basically, all registration authority demand  the level B2 for general German and the level C1 for medical German. It is important to note that the physician has to contact the registration authority responsible for the geographic area in which he/she wants to work in order to find out which language certificates are acceptable.  
There are some other requirements (e.g. health requirements, no criminal record) which also need to be fulfilled in order to obtain full registration (Approbation).
Further information and the list of documents are posted on the websites of the registration authorities.

1.3. Are there any application deadlines (if so, when)?
Furthermore, how long does the professional recognition procedure usually take?

There are no deadlines. The recognition process should be completed within 3 months after the registration authority received all necessary documents. For those physicians who do not fall under the automatic recognition system of the Directive 2005/36/EC the process can last up to 4 months after a complete application has been handed in.

Further information is posted on the websites of the registration authorities

1.4. Are there any sort of examinations/interviews to apply for Medical Professional Recognition?

No.

(Only if the physician falls under the general system of recognition of the Directive 2005/36/EC and substantial differences in the basic medical education have been detected which could not be compensated, the physician has to pass an aptitude exam. These are rather exceptional cases.)

1.5.1. What kind of professional medical degrees are there in your country?

Physician (Arzt/Ärztin)
Specialist Physician (Fachärztin)

1.5.2. How do you access each degree?

After graduation from medical university in Germany junior doctors can do their postgraduate training. With the completion of postgraduate training (including the specialist exam) the physician becomes a specialist physician.
                        
Further information can be found on the websites of the State Chamber of Physicians.

PART TWO Training in your country

2.1. Which organisation is responsible for medical training in your country?
In case your country has more than one organisation with this function, please attach to this survey a simple list of names and websites where we can acquire more information.

The State Chambers of Physicians (Landesärztekammern) are responsible for postgraduate medical training, the recognition of postgraduate training done abroad and the recognition of foreign medical specialist diplomas. Each German State (Bundesland) has one State Chamber of Physicians with the exception of North Rhine-Westphalia where there are two (please see attached list).

For each physician only the regulations for postgraduate medical training issued by the State Chamber of Physicians where he/she is a member are legally binding.

2.2. Besides professional recognition, is there any other requirement for a doctor to start his training/begin to work (i.e. examination, clerkship, internship)? Namely, which documents/examinations are necessary when applying for training/job?

There are no examination, clerkship, internship etc. However, all doctors need to register with the State Chamber of Physicians in which jurisdiction they work.

2.2.1. Where are training positions advertised?

Employment ads may be found e.g. in the following media:
Marburger Bund: http://www.marburger-bund.de/mbz/stellenmarkt
Deutsches Ärzteblatt: www.aerzteblatt.de
Websites of hospitals
Federal Employment Agency/International and Specialized Services: ZAV@arbeitsagentur.de

2.3. Are there any application deadlines (if so, which)?

There are no general deadlines. Individual job advertisements often have a specific deadline.

2.4. How do applicants choose what and where they would like to train?

It is the individual choice of the physician in which speciality and in which region he/she applies for a position. However, there is no guarantee that the applicant gets the desired position. In such a case he/she needs to look for an alternative.

2.5. Is there a fee/tuition for attending a training programme?

No.

2.6. Do trainees receive a salary during training?

Yes, physicians are employees during their postgraduate training and receive a salary.

2.6.1. Moreover, what is the current salary and is overtime paid?

Physician: 4,402.39 € (1st year) - 5,658.97 € (6th year)
Specialist Physician 5,810.48 € (1st year) - 7,462.09 € (13th year onwards)

There are different collective agreements for different types of hospitals (e.g. hospitals run by the state, hospitals run by local authorities, private hospitals). Therefore, the salaries and other working conditions vary slightly. The above figures refer to the collective agreement of the communal hospitals. 

According to all our collective agreements overtime has to be compensated. Unfortunately, this does not always happen automatically. Members of the Marburger Bund who work overtime and do not get an adequate compensation should contact the Marburger Bund.

2.6.2. What type of contracts are there? How long are the working and on-calls times?

There are unlimited and fixed-term positions. Most training positions are fixed-term. The regular weekly working time is 40-42 hours (collective agreement for communal and university hospitals). The average weekly working time including on-call time can be up to 58 hours (collective agreement for communal and university hospitals).

2.6.3. Are sick leave, vacation days, maternity leave, voluntary work allowed and do they entail a reduction of salary?

Employed physicians who are sick receive their full salary for up to 6 weeks. Afterwards they might receive sick pay from the health insurance (depending on the insurance contract) for up to 78 weeks and a possible allowance from their employer for up to a maximum of 39 weeks. 
     
According to our collective agreements 29-30 days of paid holidays are granted.

In general female employees have 14 weeks of paid maternity leave (six weeks before giving birth and 8 weeks after giving birth).

For some sort of voluntary work (e.g. work in the Chamber of Physicians) physicians can be released partly from their work while being paid. 

For more information please refer to the specific health insurance and the collective agreement which is applicable.
Information on maternity leave:
https://www.bmfsfj.de/blob/94398/ff6a51cf550dbb2c4b6170cce99e5b3d/mutter...

Information on parental leave and parental money:
https://www.bmfsfj.de/blob/93614/883f631806ac368da9d4a5a1cce66aa8/eltern...
https://www.bmfsfj.de/blob/93632/05485225123c3b6093ffaf3d36bb5568/eltern...
Members of the Marburger Bund get free advice on these issues from their Marburger Bund State Association.

2.7. In general terms, how is the training assessment done?
i.e. exams, evaluations, interviews, appraisal

The State Chambers of Physicians are responsible for postgraduate training. They conduct evaluations and the final specialist examinations which every physician has to pass towards the end of the training. Hospitals, practices and other places need to be accredited by the State Chamber of Physicians in order to be able to offer postgraduate training. Furthermore senior physicians who supervise junior doctors must also be certified by the respective State Chamber of Physicians. They have to provide regularly feed-back to junior doctors under their supervision, at least once a year. These feed-back discussions need to be documented.     

 

Before signing a contract it is advisable to check with the State Chamber of Physicians if the hospital, practice etc. is accredited and if and for how many years the senior doctor is certified to supervise junior doctors. 

 

Further information can be found on the websites of the State Chamber of Physicians.   

PART THREE Other details about training/working in your country

3.1. Is mobility possible inside and outside the country during your training?

Yes (depending on the contract).

 

Members of the Marburger Bund get free advice from their Marburger Bund State Association. 

3.2. How many trainees are there in your country?
Divided, if possible, by in each speciality.

On the federal level no data is available.

For specific information please refer to the State Chamber of Physicians.

3.3. What are the success, training drop-out and post-training employment rates?

On the federal level no data is available.  

Information on the State level might be available from the State Chamber of Physicians.

3.4. Is there an accreditation procedure for training centres (and do they include visitations)?

Yes. Hospitals, practices and other places need to be accredited by the State Chamber of Physicians in order to be able to offer postgraduate training. Evaluations are conducted by the State Chamber of Physicians.                      

For further information please contact the State Chambers of Physicians.

3.5. Is there any national recertification/revalidation scheme to practice?

There is no recertification process in general but specialist physicians are obliged to earn 250 credit points of continuous medical education within each five-year-period during their professional life.

For further information please contact the State Chambers of Physicians.

3.6. Are there any differences in the application procedure according to the country of origin of a trainee?

No.

3.7.1. Are there any restrictions for a foreign doctor who is undergoing training in your country to work there afterwards?

No.

3.7.2. Moreover, is it possible for a trainee undergoing training in another EU/EEA country to do part of his training in your country? If so, what are the necessary requirements/documents?

The physician needs to apply for full registration (Approbation). He/she has to contact the registration authority in the region she/he wants to work. For further information please refer to point 1.2 and 2.2 of this questionnaire.

3.8. Please summarise the general timeline between the time where a doctor has just graduated until he has attained a final senior post as an independent medical doctor.
In other words, please describe, in general terms, the training of a junior doctor in your country.

In other words, please describe, in general terms, the training of a junior doctor in your country.

Minimum training times ranges from 4-6 years. However, there are only a few specialties where the minimum training time is 4 years. In most specialties it is 5 to 6 years. Furthermore, minimum training times are often exceeded for various reasons.

A specialist physician can move further up the hierarchy in the hospital if he/she takes on additional responsibilities, becomes Vice-Head of the Department or Chief of the Department. In these cases the salary also increases.

3.9. Is it compulsory to have malpractice (or any other) insurance?

Yes. The Marburger Bund offers its members further advice on this issue.

3.10. What is the general perspective/position on immigration of medical trainees to your country?

In Germany we have a lack of physicians especially in smaller cities and rural areas. Foreign physicians with full registration have good chances to find a position in Germany. The Marburger Bund welcomes foreign physicians, conducts seminars for this target group and offers advice. 

 

At the same time we demand from our government to establish more places in medical schools so that more young people are trained as physicians and Germany becomes self-sufficient in this respect. We also fight for better working conditions in order to make the profession more attractive and retain physicians.

 

Due to ethical considerations the Marburger Bund does not support recruitment activities from economically weaker countries with a lack of doctors as these doctors are urgently needed in their own countries.

3.11. What is the general perspective/position on emigration of medical trainees to foreign countries?

For many physicians work experiences gained abroad is a professional and personal enrichment and employers (in general) also value such experience. The Marburger Bund advises members who wish to work in other countries. Once a year we conduct a special seminar on this issue.

3.12. Are there any restrictions in your country to comply with the consolidated version of EU 2005/36?

The European Commission has pointed out that it is an unacceptable practice if a country accepts only language qualification issued by certain types of institutions. The fact that in 13 States foreign physicians have to sit a specific language exam conducted by the State Chamber of Physician is a controversial issue.

3.13. Which organisation(s) specialise in assisting doctors in legal and work matters?
i.e. trade unions, medical chambers, other organizations.

The Marburger Bund is the only trade union for physicians in Germany. We offer free legal advice in all matters pertaining to labour law (e.g. examination of working contracts, enforcement of compensation for overtime, maternity and parental regulations). We also represent our members in the labour court if necessary. However, the range of services of the Marburger Bund reaches far beyond this offer. You’ll find more details on the advantages of a membership in the Marburger Bund under:
http://www.marburger-bund.de/mitgliederservice#rechtsberatung

3.14. Is there any other information you consider relevant with regard to this subject?

If the basic medical training in the country of training consists of medical studies and an obligatory practical phase (e.g. Foundation Year, Internship) we highly recommend that the physician only come to Germany after he/she has completed this practical phase. Otherwise the competent registration authority will conclude that the basic medical training is incomplete. Please note that it is extremely difficult to integrate into the German system with an incomplete basic medical training.

The Marburger Bund has posted information for foreign physicians who wish to work in Germany on its website:
http://www.marburger-bund.de/mitgliederservice/auslaendische-aerztinnen-...