Germany | Residency Database

Section A. Residency System

1. Does this country accept international physicians for specialization in its hospitals?:

Yes

2. Specialties offered (name duration)::

Anesthesiology 60 months
Cardiology 72 months
Biochemistry 48 months
Clinical Pharmacology 60 months
Dermatology 60 months
Family Practice 60 months
Forensic Medicine 60 months
Genetics 60 months
Hematology 72 months
Hygiene 60 months
Labaratory Medicine 60 months
Microbiology/ Virology 60 months
Neurology 60 months
Neurological Surgery 72 months
Nuclear Medicine 60 months
Obstetrics and Gynecology 60 months
Ophthalmology 60 months
Orthopaedic Surgery 72 months
Otolaryngology 60 months
Pathology 72 months
Pediatrics 60 months
Pediatric Surgery 72 months
Pharmacology & Toxicology 60 months
Plastic Surgery 72 months
Public Health 60 months
Psychiatry 60 months
Radiology 60 months
Radiotherapy 60 months
Rheumatology 72 months
Surgery General 72 months
Thoracic Surgery 72 months
Transfusion Medicine 60 months
Urology 60 months
Vascular Surgery 72 months

3. Are there examinations during the residency? How are the residents’ evaluated?:

There is an examination at the end of the residency (Facharztprüfung)
Exam at least once a year talk with the supervising doctor

4. How many hours of work per week are there?:

37.5 hours – 40 hours + extra hours depending on your hospital

5. What is the ratio between this country’s doctors and its population?:

1 medical doctor per 274 inhabitants / 3.64 per 1000 inhabitants

6. Which languages are necessary for the medical residency?:

German

Section B. Finance

1. A. Is there a tuition fee for the residency? If so, how much (in euro or usd)?:

No, you are considered as an Assistant Doctor getting paid

2. What is the annual salary (in euro or u.s.d)?:

30.000-36.000 € before tax

3. How expensive are the costs of living (average annual expenditure in euro or u.s.d)?:

6000 EU at the minimum.

4. References:

http://www.tdl-online.de/Aerzte/Tabellen/default.asp
http://www.uni-hildesheim.de/de/2169.htm

Section C. Application Procedure

1. Accreditation procedure:

That is depending on you country of origin.

If you fullfill the requierments of the EC directive 93/16 (that is basically being a EU citizen having aquired a license in one of the member countries) you do have a right to be licensed in Germany (receive the so called Approbation). You just have to apply with the state authority of the applicable German state:
http://www.bundesaerztekammer.de/30/Auslandsdienst/20FAQ/FAQ_D/D5.html

If you do not fullfill the requirements you will also have to contact the state authority mentioned above. The authorities do have a list of required forms. Generally they require prove of a license as a medical doctor in the applicants home country, a letter from a German employer confirming a job offer, German language profficency. These applicants will only receive limited licenses for an ad-finitum time, at a specified insitution for a specific residency program. Please note that the Grerman foreigners act may also impose some restrictions for working in Germany

2. Other requirements:

Actually getting a restricted license usually requires a German employer certifying the applicant will be employed.

3. Differences in application procedure depending on country of origin:

Generally you will need to send your application directly to the departement of you choice at your hospital of choice. Applicants meeting the EC Directive 93/16 will be considered as German applicants for most practical puposes, all others will need to go through the extra buraucracy mentioned above.

4. Ratio between applicants and physicians who finally obtain a residency position:

There is virtually no unemployment for physicians in Germany. However since there is no centrally run residency program this data is mostly not available.

5. Does everyone who passes the medical license examinations gain a residency position in a hospital?:

International Residency positions are awarded at the discretion of the doctors that are authoried by the medical chambers to run residency programs. They have to hire you for a residency possition.

6. Specialties in which it is most difficult to obtain a position:

Again no centralized data. Pediatrics is considered highly competitive. Also many smaller subjects since there are not many residency possitions to begin with.

7. Is there a waiting list for medical graduates who want to begin a residency?:

Hiring a graduate for a residency position is a decission of the concerned hospital. This is a regular job on the regular job market.

8. Countries, except this one, in which the medical residency title is recognized:

That is up to the discretion of the recognizing country. Within the EU the directive for automatic recognition is currently under review so there is no firm data.

9. Requirements for international physicians to be able to work in this country after completing their specialization there:

Depending on whether you want to work in a employed position or in a private practice you have to get a medical license that is not limited to the residency program as mentioned above and the necessary legal permission to practice medicine in Germany be state authorities. This is subject to change. The up to date information can be obtained with the Regional Doctor Chambers.

10. References:

http://www.bundesaerztekammer.de/
http://www.bundesaerztekammer.de/30/Auslandsdienst/20FAQ/FAQ_B/B1.html

Section E. Other References

Other references:

State authorities that will issue licenses:
http://www.bundesaerztekammer.de/30/Auslandsdienst/20FAQ/FAQ_D/D5.html

Jobs for physicians are generally advertised in the Deutsches Ärztebllatt (available only for free):
http://www.aerzteblatt.de/v4/home.asp

Job services of the federal government:
http://www.arbeitsagentur.de/

Pre-requisites or the requirements being asked really are intended to make sure that the physicians do have the right credentials to work in the facility. These are all made in order to evaluate to be able to know if he or she has the right skills to do the job properly.

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