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In order for a doctor to be allowed to practice medicine in Germany, he or she must have a license to practice medicine. The license is also a prerequisite for foreign doctors to be allowed to use the professional title „doctor“ and to practice. According to the statistics of the German Medical Association as of December 31, 2020, there were approximately 409,121 licensed physicians in Germany. Approximately 56,107 foreign physicians were practicing in Germany by that date.

In order for foreign physicians to be able to practice in Germany, they must apply for a license to practice medicine at one of the responsible state or district governments. However, the application for the German license to practice medicine is usually not directly recognized for foreign doctors. The decisive factor for this is the different study contents between Germany and the foreign country. Accordingly, for the recognition of the license to practice medicine, the equivalence test for foreign doctors (also called equivalency review) must be successfully completed. In this regard, two groups of procedures are distinguished in the application for licensure.