UG Medical Training in Germany (Equivalent to MBBS)

Under-Graduate Medical training in Germany leads to graduation with an Approbation (License to Practise Medicine). This medical training lasts six years and is done at Medical universities. The final year of studies includes 48 weeks of continuous practical training (Praktisches Jahr / Practical Year/Internship).

PG Medicine/Surgery in Germany (Equivalent to MD/MS/Mch/DM)

The first level of Post-Graduate Medicine/Surgery qualification in Germany is the Facharzt meaning SPECIALIST. SPECIALIST qualification in Germany is comparable to the Super-Specialisation of India. After obtaining Fachartz, a candidate can further obtain another qualification by completing another course called Zusatz-Weiterbildung meaning Extra-Qualification in one or more Schwerpunkte meanings SPECIALITIES.

Who can do PG Medicine/Surgery (SPECIALIST) Training in Germany?

The Approbation, i.e. the Medical Licence to Practise Medicine, is an absolutely indispensable requirement for admission to PG Medicine/Surgery Training programs in Germany. Doctors who hold a basic medical degree awarded in countries outside the European Union (EU), the European Economic Area (EEA) or Switzerland, can obtain Approbation (Medical Licence to Practise Medicine) bypassing the Fachsprachprufung (Medical Terminology in German language exam) and the Kenntisprufung (Medical Knowledge Exam). However, foreign doctors must prove that they have completed their medical training as a doctor and are entitled to practice medicine in their respective home country or the country of studies. Apart from this, they also ought to have a C1 level certificate in the German language.

How long does it take to complete Specialist Training in Germany?

The duration of PG Medical/Surgery Training given are minimum requirements and may vary from case to case. if the training syllabuses cannot be completed within the minimum allowed time. The tables below only serve as a general overview of the continuing training periods in the various fields, Schwerpunkte (Specialities) and Zusatz-Weiterbildungen (Extra Qualifications). As mentioned above, PG Medicine/Surgery training as a Facharzt (Specialist) in a Schwerpunkt (Speciality) can be done in all branches of Medicine/Surgery. It is not compulsory to do Extra Qualification after obtaining a PG in Medicine/Surgery-Fachartz.


The following examples explain the table Facharzt- und Schwerpunktkompetenz (Specialist and Specialty Competence). They specify the minimum time needed for four different Facharzt (Specialist) qualifications. At the end of each Specialist, Specialty or Extra Qualification course, the trained doctor must demonstrate the required disciplinary competencies by passing an examination in order to gain the relevant title: Specialist, Speciality or Extra Qualification.

 Example-1: Anesthesiology

A doctor must complete at least 60 months (5 years) of continuing PG Medicine/Surgery training to qualify as an Anesthetist.

 Example-2: Surgery

To gain the specialist competencies listed in the table for the field of “Surgery”, a doctor must initially complete at least 24 months (2 years) of basic continuing training also called the Common Trunk. This is then followed by specialist continuing surgical training in the desired field. The choice of specialist competencies in the field of surgery is General Surgery; Vascular Surgery; Cardiac Surgery; Paediatric Surgery; Orthopedics and Trauma Surgery; Plastic and Aesthetic Surgery; Thorax Surgery and Visceral Surgery. In other words: A doctor wishing to gain qualification as a Facharzt (Specialist) in the field of thorax surgery must, for example, complete at least 24 months of basic continuing training plus at least 48 months of subsequent specialist continuing training in Thorax surgery. This means 24 months + 48 months = a minimum of at least 72 months (6 years).

Example-3: Internal Medicine and General Medicine

Post Graduate training in the fields of Internal and General Medicine lasts (a total of) at least: – 60 months (5 years) for disciplinary competence (Fachkompetenz) as a General Practitioner, 72 months (6 years) for specialist competence (Facharztkompetenz) as an Internist.

 Example-4: Paediatrics

PG Training the field of Paediatrics lasts at least 60 months. After passing the final examination, the qualified doctor is given the title: Facharzt für Kinderund Jugendmedizin (Paediatrician). Subsequent specialization, for example in the field of Neuropaediatrics / Child Neurology, takes at least 36 months and is completed with a further examination.

 Table of Specialist and Speciality Courses

The following table lists the minimum times required for PG Medicine/Surgery training in the various medical fields and Specialty Competencies.

Note: The figures listed in this table are based on the Syllabus set by the Bundesärztekammer (German Medical Association). The study regulations of the respective Landesärztekammern (State Medical Associations) may differ slightly.

Sr.No. Field Specialist and Speciality Competence No. of months
1 Anaesthesiology Anesthetist 60
2 Anatomy Anatomist 48
3 Industrial Medicine Specialist in Industrial Medicine 60
Occupational Medicine Specialist in Occupational Medicine
4 Ophthalmology Ophthalmologist 60
5 Biochemistry Biochemist 48
6 Surgery Specialist in General Surgery 24 Basis+48
Vascular Surgeon 24 Basis+48
Cardiac Surgeon 24 Basis+48
Paediatric Surgeon 24 Basis+48
Orthopaedic and Trauma Surgeon 24 Basis+48
Plastic and Aesthetic Surgeon 24 Basis+48
Thorax Surgeon 24 Basis+48
Visceral Surgeon 24 Basis+48
7 Gynaecology and Obstetrics Gynaecologist and Obstetrician Specialities 60
– Gynaecological Endocrinology and Reproductive Medicine 60 Basis+36
– Gynaecological Oncology 60 Basis+36
– Special Obstetrics and Perinatal Medicine 60 Basis+36
8 Ear-Nose-Throat Medicine Ear-Nose-Throat Specialist 24 Basis+36
Speech, Voice and Paediatric Hearing Disorders – Phoniatrician 24 Basis+36
9 Dermatological and Venereal Diseases Dermatologist and Venereologist 60
10 Human Genetics Human Geneticist 60
11 Hygiene and Environmental Medicine Hygiene and Environmental Medicine Specialist 60
12 Internal and General Medicine 12.1 Internist (General Practitioner) 60
12.2 Internist: 60
12.3.1– Internist and Angiologist 72
12.3.2–Internist and Endocrinologist and Diabetologist 72
12.3.3– Internist and Gastroenterologist 72
12.3.4– Internist and Haematologist and Oncologist 72
12.3.5– Internist and Cardiologist 72
12.3.6– Internist and Nephrologist 72
12.3.7– Internist and Pneumologist 72
12.3.8 – Internist and Rheumatologist 72
13 Paediatrics Paediatrician Specialities 60
– Paediatric Haematology and Oncology 60 Basis+36
– Paediatric Cardiology 60 Basis+36
– Neonatology 60 Basis+36
– Neuropediatrics / Child Neurology 60 Basis+36
14 Paediatric Psychiatry and Psychotherapy Paediatric Psychiatrist and Psychotherapist 60
15 Laboratory Medicine Laboratory Medicine Specialist 60
16 Microbiology, Virology and Infection Epidemiology Microbiologist, Virologist and Infection 60
17 Oral and Maxillofacial Surgery Oral and Maxillofacial Surgeon 60
18 Neurosurgery Neurosurgeon 72
19 Neurology Neurologist 60
20 Nuclear Medicine Nuclear Medicine Specialist 60
21 Public Health Public Health Specialist 60
22 Pathology Neuropathologist 24 Basis+48
Pathologist 24 Basis+48
23 Pharmacology Clinical Pharmacologist 24 Basis+36
Pharmacologist and Toxicologist 24 Basis+36
24 Physical Medicine and Rehabilitation Physical Medicine and Rehabilitation Specialist (Physiatrist) 60
25 Physiology Physiologist 48
26 Psychiatry and Psychotherapy Psychiatrist and Psychotherapist 60
Forensic Psychiatrist 60 Basis+36
27 Psychosomatic Medicine and Psychotherapy Psychosomatic Medicine Specialist and Psychotherapist 60
28 Radiology Radiologist Specialities: 60
Paediatric Radiology 60 Basis+36
Neuroradiology 60 Basis+36
29 Forensic Pathology Forensic Pathologist 60
30 Radiation Therapy Radiation Therapist 60
Radiation Oncologist
31 Transfusion Medicine Transfusion Medicine Specialist 60
32 Urology Urologist 60

Table of Extra Qualifications (Sub-Specialities)

In addition to PG Medicine/Surgery training continuing training and qualification in the Schwerpunkte (Specialities), doctors wishing to further specialize can gain a Zusatz-Weiterbildung (Sub-Speciality). The minimum time needed for the individual disciplinary competencies is as follows:

Extra Qualifications

Number of Months (m) / Hours (h)

Medical Quality Management

200 h


120 h + 60 h +20 h


18 m


18 m

Occupational Health

36 h + 360 h

Dermatological Histology

24 m


18 m

Aviation Medicine

6 m + 180 h

Geriatric Medicine

18 m

Gynaecological Exfoliative Cytology

No proof of minimal continuing training hrs required


12 m

Hand Surgery

36 m


6 m +160 h


12 m

Intensive Care

24 m

Paediatric Endocrinology and Diabetology

36 m

Paediatric Gastroenterology

18 m

Paediatric Nephrology

36 m

Paediatric Orthopaedics

18 m

Paediatric Pneumology

36 m

Paediatric Rheumatology

18 m

Laboratory Diagnosis– subject specific –

6 m

Magnetic Resonance Imaging (MRI) – subject-specific –

24 m

Manual Medicine/Chirotherapy

120 h +200 h

Pharmacological tumor therapy

12 m

Medical Information Systems

12 m +360 h +480 h


3 m / or 80 h + 160 h

Emergency (Trauma) Medicine

6 m + 80 h + proof of 50 emergency (trauma) care assignments

Orthopedic Rheumatology

36 m

Palliative Medicine

12 m + 40 h


18 m

Physical Therapy and Balneology

12 m + 240 h

Plastic Operations

24 m


12 m


250 h + 240 +600 h

Psychotherapy – subject specific –

100 h + 16 double hr + 15 double hr + 15 double hr + 120 h +100 h + 120 h + 16 double + 15 double hr +15

double hr +15 double +120 h + 100 h

Rehabilitation Medicine

12 +160 h + 160 h

X-ray Diagnostics – subject specific –

18 m and/or 12 m (depending on the subject)

Sleep Medicine

18 m

Social Medicine

12 m +160 h +160 h

Special Orthopaedic Surgery

36 m

Special Pain Therapy

12 m + 80 h

Special Trauma Surgery

36 m

Sports Medicine

12 m +240 h +120 h

Addiction Medicine

50 h

Tropical Medicine

12 h +12 h +3 m

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