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🗣️ FSP
Overview NRW Bayern Berlin Hamburg Hessen
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⭐ Zertifizierter Schulungsträger – gefördert durch Agentur für Arbeit & BAMF

Your path as an international doctor to medical licensure (Approbation) in Germany

The Meddienst Akademie supports you from start to finish – from your first language preparation, through the specialist language exam (FSP), all the way to full medical licensure (Approbation) and job placement.

  • Real FSP simulations with actor-patients in all federal states
  • Instructors who actively work as senior physicians and specialists
  • Fundable through the Agentur für Arbeit (AVGS) and BAMF
  • Online and on-site – flexible dates, including weekends
  • Placement in observerships, clinics & practices after the exam
700+
Graduates
95%
FSP pass rate
16
Federal states
10+
Years of experience

We are officially certified

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AZAV certification

Recognised education provider to AZAV standard

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Agentur für Arbeit (AVGS)

Courses eligible for funding – up to 100% of costs covered

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BAMF funded

Federal Office for Migration and Refugees (BAMF)

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Clinic network

Observerships & jobs in 80+ clinics nationwide

About the Meddienst Akademie

Specialised in international doctors – for over 10 years

The Meddienst Akademie is a certified training provider (AZAV) based in Germany, specialising exclusively in the further training and integration of international doctors into the German healthcare system.

Our instructors are practising senior physicians and specialists – not just language teachers. They know clinical day-to-day work, the requirements of the medical chambers and the most common exam mistakes from their own experience.

We support you not only up to the exam – but beyond: with job placement, observerships and direct connections to clinics and practices across Germany.

✓ AZAV-certified ✓ AVGS-fundable ✓ BAMF-recognised ✓ 16 federal states

Your benefits at a glance

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Instructors from practice

All instructors are practising senior physicians and specialists – they know exactly what examiners expect.

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Real simulations

FSP simulations with actor-patients – realistic, identical to the exam, available in all federal states.

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Online & on-site

Flexible participation from anywhere – as a live online course or at our training centres in Germany.

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Funding available

Up to 100% of course costs can be covered by the Agentur für Arbeit (AVGS voucher) or BAMF.

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Job placement included

After the exam we help you with observerships, permanent positions and direct placement into our clinic network.

Your journey with us

From registration to permanent employment

We guide you through every single step – transparent, personal and results-oriented.

1

Free initial consultation

We analyse your current situation and recommend the right course.

2

Language preparation C1

Medical German at the highest level – C1 Telc Medizin or Famed.

3

FSP intensive course

Practical preparation with real simulations, feedback and one-on-one training.

4

Approbation & application

Support with the application, document review and dealings with authorities.

5

Job & observership

Direct placement into clinics, practices and observership positions across Germany.

Our courses

Practical courses for every step

From the language course to full support through the Approbation process – we have the right offer for you.

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Most popular course

FSP preparation course

Intensive training for the specialist language exam with simulations, case discussions and real exam scenarios. Individual feedback from practising doctors.

  • Role-plays with actor-patients
  • Doctor’s letters & documentation
  • State-specific adaptation
  • Online & on-site
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Full support

Approbation support

Full support throughout the Approbation process – from document review and the Kenntnisprüfung (knowledge test) to the final decision.

  • Document analysis & preparation
  • Kenntnisprüfung (knowledge test) preparation
  • Support with authorities
  • 4-month package
📝
Language certificate

C1 Telc Medizin

Intensive course for the C1 language certificate in a medical context – a mandatory requirement in most federal states for the FSP and Approbation.

  • Medical terminology
  • Exam-style exercises
  • Intensive & weekend courses
  • Also as Famed & DSH
Funding & financing

Your course costs can be funded up to 100%

As an AZAV-certified training provider, our courses are officially recognised for funding programmes of the Agentur für Arbeit and BAMF. For you this means: in many cases you pay nothing at all.

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AVGS – Activation and Placement Voucher

Apply to the Agentur für Arbeit for an AVGS voucher and use it directly for our FSP and Approbation courses.

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BAMF – Professional Recognition Counselling

The Federal Office for Migration and Refugees funds qualification measures for doctors trained abroad. We help you with the application.

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We help you with the application

Not sure whether you’re eligible? Contact us – we check your situation free of charge and guide you through the application.

💡 Important to know

Many international doctors don’t know that their training can be fully funded. As a recognised training provider, we have years of experience with:

  • Applying for AVGS vouchers at the Agentur für Arbeit
  • BAMF funding for recognition counselling and language courses
  • Education voucher for professional integration measures
What sets us apart

Real simulations – not theory on paper

Our FSP simulations are built to be identical to the exam. You train with real actor-patients under real exam conditions.

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Actor-patients

Train with trained actor-patients – just like in the real FSP exam.

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All federal states

We know the specifics of each medical chamber and prepare you specifically for your federal state.

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Dedicated simulation days

Shortly before the exam we offer special simulation days – intensive practice days for final preparation.

Fast appointments

Short waiting times – we enable a quick course start, even at short notice before the exam.

Voices of our graduates

What doctors say about us

★★★★★

„The FSP simulations were incredibly realistic. On the real exam day everything felt familiar – I was so much calmer than my colleagues. Passed on the first attempt!"

AK
Dr. Ahmed K.
Internist – now working in Cologne
★★★★★

„Thanks to funding from the Agentur für Arbeit, I didn’t have to pay anything. The Meddienst Akademie team prepared the AVGS application together with me. Great service!"

SH
Dr. Sara H.
General practitioner – Hamburg
★★★★★

„After the FSP, the Meddienst Akademie placed me directly in an observership at a clinic in NRW. Within 3 months I had a permanent position. Highly recommended!"

OM
Dr. Omar M.
Surgeon – University Hospital Münster
After the exam

We place you directly into a job

For us, the work doesn’t end when you pass the FSP or receive your Approbation. We use our Germany-wide network of clinics, practices and medical care centres to bring you directly into employment.

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Observership positions

Direct entry into clinics and practices for practical orientation – ideal after the Approbation.

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Permanent positions

We initiate application processes and place you specifically with suitable employers in your specialty.

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80+ clinics & practices

Germany-wide partner network – from university hospitals and municipal hospitals to specialist practices.

FAQ: Common questions

Can I take the courses online? +

Yes! All our courses are available both online and on-site. The online simulations take place via live video sessions.

When do I get a course place? +

We aim for the earliest possible dates. Contact us – in many cases we can start within 1–2 weeks.

Is the initial consultation really free? +

Yes, completely free and without obligation. We discuss your situation and explain all options – with no commitment.

Do you also help with funding applications? +

Absolutely. We support you step by step in applying for the AVGS voucher or BAMF funding.

FAQ

Frequently asked questions

Answers to the most-searched questions about FSP, Approbation, funding and our courses.

🗣️ FSP – specialist language exam
What is the specialist language exam (FSP)? +

The FSP is an oral exam at the medical chamber (approx. 60 min.) consisting of three parts: a patient-history interview with an actor-patient, writing a doctor’s letter, and a professional discussion with the examiner. In most federal states it is a mandatory requirement for the Approbation of international doctors.

How much does the FSP exam cost per federal state? +

The exam fee varies considerably: NRW Nordrhein approx. €430, NRW Westfalen-Lippe approx. €400, Bavaria approx. €350–450, Berlin approx. €420, Hesse approx. €650, Baden-Württemberg approx. €420, Saxony approx. €590, Mecklenburg-VP approx. €700, Bremen approx. €530, Saarland approx. €450, Rhineland-Palatinate approx. €470. Translation costs may also apply.

What language level do I need for the FSP? +

In most federal states a C1 certificate (e.g. Telc Deutsch C1 Medizin) is required to register for the FSP. The certificate does not replace the FSP – it is the access requirement. The FSP itself additionally tests medical specialist communication.

How long is the waiting time for an FSP appointment? +

Hamburg/Berlin: 6–10 weeks. NRW, Bavaria: 8–16 weeks. Baden-Württemberg: 10–20 weeks. Recommendation: register as soon as the course begins so the appointment and course preparation overlap.

Difference between FSP, Telc C1 Medizin and Famed? +

Telc C1 Medizin: a general language certificate (C1 level, written & oral) – an access requirement. FSP: an official exam at the medical chamber, specific to everyday medical practice. Famed: recognised as an FSP equivalent only in Hesse. In other federal states the FSP must be taken.

Is the FSP valid nationwide? +

No – the FSP is only valid for the federal state in which you take the exam. If you move to another federal state, a new FSP is usually required unless you hold a nationally valid Approbation.

Can the FSP be repeated? +

Yes. Most medical chambers allow several attempts, usually with a 3–6 month waiting period between attempts. We offer a focused follow-up course for the second attempt – with a precise analysis of weak points.

📋 Approbation, funding & course
How much does the Approbation cost in Germany? +

Exam fees per federal state: Saarland €670–870, Saxony from €170 (with a work permit) or €490 (without), NRW €950–1,150, Hesse €1,250–1,450, Baden-Württemberg €1,000–1,200. Add to this the costs for translations, document review and equivalence assessment, which can increase the total considerably.

How long does the Approbation process take? +

Depending on the federal state and completeness of documents: 4–20 months. Saxony and Hamburg: tend to be faster (4–12 months). Bavaria and Baden-Württemberg: often 8–20 months. If a Kenntnisprüfung is required, the process extends by a further 6–12 months.

Can I work as a doctor during the Approbation process? +

Yes – with a temporary work permit (§ 10 BÄO) you can work under supervision in a hospital or practice. We help you find observership positions or assistant doctor posts in parallel with the Approbation.

Are course costs covered by the Agentur für Arbeit? +

Yes! As an AZAV-certified provider, our courses are eligible for funding via the AVGS voucher. If eligible, up to 100% of course fees can be covered. We support you with the application – just get in touch.

What is an AVGS voucher and how do I apply for it? +

The AVGS (Activation and Placement Voucher) is issued by the Agentur für Arbeit and covers the costs of professional integration measures. You apply for it through your employment adviser (Agentur für Arbeit or Jobcenter). We help you formulate and submit the application.

Do you also help with the job search after the exam? +

Yes! Our Germany-wide network of 80+ clinics and practices allows us to place graduates directly into observerships and permanent positions – free of charge for our participants, from the university hospital to the specialist practice.

In which languages do you offer counselling? +

We offer counselling in German, Arabic and English. Many of our participants come from Arabic-speaking countries – our multilingual team answers all questions in your native language.

Ready for the next step?

Book your free initial consultation now – we analyse your situation and show you the fastest path to the Approbation.