Approval (medical professions)

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The license to practice medicine ( Latin approbatio , 'recognition' , 'approval') as a doctor , dentist , psychological psychotherapist , child and adolescent psychotherapist , pharmacist or veterinarian is the state approval in Germany to practice the relevant profession independently and on one's own responsibility. Associated with this is the authority to use the respective professional title. The granting of the license to practice medicine is regulated by license ordinances, which are issued by the Federal Ministry of Health (Germany) on the basis of the relevant laws ( Federal Doctors ' Ordinance , Law on the Practice of Dentistry , Psychotherapists Act , Federal Pharmacists ' Ordinance , Federal Veterinary Ordinance ).

Grant requirements

Requirements for the granting of the license to practice medicine are that the applicant

  • has completed the required training and passed the exam,
  • has not been guilty of behavior that would make it unworthy or unreliable to pursue the profession,
  • has the health suitability to exercise the profession and
  • has sufficient German language skills.

If the requirements are met, German citizens and EU citizens have a legal right to be granted a license to practice medicine in Germany.

Competent bodies for granting the license to practice medicine

The license to practice medicine is issued by the competent authority of the federal state in which the final examination, i.e. the state examination , was successfully completed. In the case of a degree abroad, admission takes place in the federal state in which the profession is to be practiced. The license to practice medicine is granted by handing over a license to practice medicine. Who wants to be involved with a German license to practice medicine in non-European countries in a health profession, also generally requires a clearance certificate ( Certificate of good standing ).

Withdrawal or suspension of license to practice medicine

The license to practice medicine is an administrative act . It must or can be withdrawn if the prerequisites for its issuance were not met (withdrawal) or if the prerequisites for issuance have subsequently ceased to exist (revocation), etc. a. if the license holder is guilty of professional or non-professional behavior, from which his unreliability arises.

The license to practice medicine can be suspended by order of the authorities if

  • criminal proceedings have been initiated against the license holder on suspicion of a criminal offense , which may result in unreliability or unworthiness to practice the profession,
  • the license holder unsuitable for the exercise of the profession in terms of health, e.g. B. is no longer able to carry out his job properly due to an addiction or a mental or physical weakness,
  • There are doubts about the health suitability and the license holder refuses to undergo an official or specialist medical examination, or if so
  • it emerges that holders of a license to practice medicine do not have the knowledge of the German language that is required to work in Germany.


North German Federal Law Gazette 1869

The term "Approbation" was first introduced in 1869 in the trade regulations for the North German Confederation as a precondition for medical practice and was initially used until 1935. With the enactment of the Reichsärzteordnung on December 13, 1935, H. the license to practice medicine, combined with the provisions of the law for the restoration of the civil service of April 7, 1933, the foreign word was replaced by appointment . This term, which was introduced during the time of National Socialism , was retained in the appointment regulations for doctors from September 15, 1953. With the entry into force of the Federal Doctors' Ordinance on January 1, 1970, the term Approval was again applicable. As a result, a license to practice medicine was issued on October 28, 1970 . It was replaced in 2002 by a new license to practice medicine (ÄApprO 2002).

Professional approval

The license to practice medicine is authorization to practice the respective profession, which is not automatically linked to a social insurance license (authorization to participate in statutory health care). In Germany, approval as a contract doctor , contract psychotherapist , contract dentist is required separately by the admissions committee .

Web links

Individual evidence

  1. For doctors regulated in Section 12, Paragraph 1, Clause 1 of the Federal Medical Regulations
  2. ↑ Authorities responsible for granting license to practice medicine ( Memento from May 2, 2016 in the Internet Archive ) (PDF 115 kB)
  3. Sample of a license to practice medicine ( Memento of the original from March 7, 2013 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. State Medical Association of Rhineland-Palatinate @1@ 2Template: Webachiv / IABot /
  4. Certificate of good standing ( Memento from December 8, 2015 in the Internet Archive ) (PDF; 11 kB)
  5. Heinz Bendheuer: The medical profession in the light of the new Reichsärzteordnung. Wroclaw 1938.
  6. ^ Reichsgesetzblatt . 1935, I, p. 1433.
  7. ^ Robert Jütte : History of Alternative Medicine. From folk medicine to today's unconventional therapies. Beck, Munich 1996, ISBN 3-406-40495-2 , pp. 17–65 ( From quackery to alternative medicine: a conceptual historical approach ), here: p. 47.
  8. ^ Annette Güntert et al .: Licensing Regulations for Doctors (ÄAppO). Federal Doctors' Ordinance (BÄO) . Deutscher Ärzte-Verlag, Cologne 2003, ISBN 3-7691-3177-0 , p. 8–11 ( limited preview in Google Book search).