• Mon - Fri 9.00 - 19.00
Open

Tag Archives: Approbation

Tamara News  /  Blog  /  Approbation
26 Oct 2026
Germany Kenntnisprüfung

Germany Makes Knowledge Exam the Default for Foreign Doctors

Categories Germany, Work Permits

From 1 November 2026, the Germany Kenntnisprüfung for foreign doctors becomes the standard route to a licence for applicants with degrees from outside the EU, EEA and Switzerland, according to a summary by the study-prep provider Klinikfuchs. The Kenntnisprüfung is a knowledge examination. It replaces the default of a document-by-document equivalence check. The change comes from a federal law to speed up recognition of foreign health qualifications, and applications filed by 31 October 2026 stay under the old rules, so the next few days matter.

In this report

What the law changes

The Federal Ministry of Health (BMG) describes the act in its FAQ on the recognition law as a way to make recognition faster and more transparent while keeping patient-safety standards unchanged. The ministry says the knowledge test becomes the default (“Regelfall”). It calls the test a licensing exam that applies the same standards to everyone and does not focus on an individual applicant’s specific gaps.

The document-based equivalence check does not disappear. The BMG says it remains available if an applicant explicitly chooses it. That check compares a foreign qualification with German training and looks for significant differences. Klinikfuchs adds that the choice must be made within four weeks of applying and then binds the whole procedure, and that applicants with significant differences still end up taking the Kenntnisprüfung. That detail comes from a commercial provider, so confirm it with your state authority.

Two practical effects are stated by the ministry. Applicants who do not choose the document check no longer need to submit, translate or certify documents such as course curricula. And the German states (Länder) may in future test the language skills of third-country applicants before their professional qualification is assessed.

The dates that decide which rules apply

Klinikfuchs reports that the Bundestag passed the act on 26 March 2026 and the Bundesrat on 8 May 2026, that it was published in the Federal Law Gazette on 28 July 2026 (BGBl. 2026 I Nr. 225), and that it takes effect on 1 November 2026. The BMG’s FAQ page, as we read it, does not itself state the commencement date, so we are attributing the date to the law-gazette reference given by Klinikfuchs and by the law firm FMR Legal.

The transition rule is the part that matters most this week. Klinikfuchs says the application date decides, not nationality: applications submitted by 31 October 2026 stay under the old law, where the authority first assesses equivalence from your documents and requires the Kenntnisprüfung if equivalence is not established or cannot be fully assessed. Anything filed from 1 November follows the new default.

Who is affected

Klinikfuchs covers only doctors. FMR Legal, also a commercial source, says the standard knowledge-exam route applies to physicians, dentists, pharmacists and midwives. Applicants with EU, EEA or Swiss degrees are treated differently: Klinikfuchs says they do not take the Kenntnisprüfung, and substantial differences are addressed through an aptitude test instead. The BMG adds that for those qualifications the professional check still comes before any language check, as EU law requires.

Consider a hypothetical example. Ngozi is a Nigerian doctor with a medical degree from outside the EU who is preparing documents for a German licence. If she files by 31 October, the authority starts with a paper comparison of her training. If she files in November, the exam becomes her default path and she may not need to translate curricula at all. Neither outcome is better in every case; it depends on how complete her paperwork is and how ready she is to sit the exam.

What applicants can do now

First, find the licensing authority for the state where you plan to work, since the BMG notes the Länder run these procedures. Second, ask it in writing which rules apply to your file and whether the state is offering exam dates under the new system. Third, if you are a doctor from a third country weighing a move, compare Germany with other routes on our visa eligibility checker. Germany also appears in our coverage of German PhD scholarship deadlines, and for readers choosing between European destinations, see our report on ETIAS and EES border rules.

What happens next

The law takes effect on 1 November, and how quickly state authorities can schedule exams will determine whether the promised speed-up reaches applicants. The BMG estimates roughly 16 million euros in annual savings from reduced bureaucracy, about 12 million euros and 7,000 hours for applicants and about 3.9 million euros for the states. Those are the ministry’s own estimates. Tamara News will report if the Länder publish exam calendars or if the transition rules change.

Questions on the Kenntnisprüfung change

What is the Kenntnisprüfung?

It is a knowledge examination the BMG describes as a licensing exam applying the same standards to everyone. From 1 November 2026 it becomes the default route to recognition for third-country qualifications.

Does the equivalence check still exist?

Yes. The BMG says it remains available if the applicant explicitly chooses it. Klinikfuchs says the choice must be made within four weeks of applying.

Which applications stay under the old rules?

According to Klinikfuchs, applications submitted by 31 October 2026.

Do EU, EEA or Swiss graduates take the exam?

Klinikfuchs says no. Substantial differences are addressed through an aptitude test instead.

Will I still need translated curricula?

The BMG says applicants who do not choose the document-based check no longer need to submit, translate or certify documents such as curricula.

Who decides my case?

The licensing authority of the German state. Klinikfuchs notes its decision is binding, so confirm details with it directly.

Sources