Federal states

FSP by federal state: where things differ

The principle of the Fachsprachprüfung is the same nationwide, the practice is not: fees, waiting times, retake rules and details of the format are set by each chamber. Here you will find all 16 states with the details that matter for your application – and with sources, so you can check them yourself.

4 min readLast reviewed: 5 November 2026

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On this page
  1. What differs – and what does not
  2. All 16 federal states
  3. Frequently asked questions about the federal states

What differs – and what does not

The same everywhere: three parts of about 20 minutes each, level C1 medical German, individual in-person exam, examiners with a medical background, a case from everyday clinical practice.

Different from state to state:

  • The responsible body. Usually the state medical chamber, in some states a commissioned institution.
  • The fee – several hundred euros separate the states.
  • Registration. Sometimes the licensing authority registers you, sometimes you register yourself with its letter.
  • Details of the format. Handwriting or laptop, an additional terminology test, an informed-consent conversation, a phone call with the lab – such special features exist only in individual states.
  • Retakes and waiting period.

Choose your federal state below. Each state page names the source and the date on which we checked the details – the chamber’s information is always binding.

All 16 federal states

Exam fee by federal state

Tap a state — clicking opens its profile.

Map data: © GeoBasis-DE / BKG (dl-de/by-2-0)

Tap a state — clicking opens its profile.

Fee
  • 420–490 €
  • 490–560 €
  • 560–630 €
  • 630–700 €
  • not published

Frequently asked questions about the federal states

In which federal state is the FSP easiest?

That cannot be said seriously: the exam is an individual exam with an individual board everywhere, and pass rates are not published uniformly. The responsible state is in any case the one in which you apply for the Approbation – choose it by your job, not by rumours.

Is an FSP from another federal state recognised?

As a rule yes: a passed FSP is recognised by the licensing authorities of the other states. If in doubt, the authority where you file your application will confirm it.

How do I find the responsible body?

Each state page names the body with a link to the official information. The starting point is always the licensing authority of your federal state – it tells you where and how to register.

Read on

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