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Q & A about Germany Residency Pathway
Dear MD Guidance followers,We are happy to invite you to attend this special educational workshop titled: (Q & A about Germany Residency Pathway) This workshop aimed to provide detailed answers regarding the journey of specialization in Germany, starting from preparations and the necessary exams for certificate equivalency, to discussing the various specialties available and the...
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Dear MD Guidance followers,
We are happy to invite you to attend this special educational workshop titled:
(Q & A about Germany Residency Pathway)
This workshop aimed to provide detailed answers regarding the journey of specialization in Germany, starting from preparations and the necessary exams for certificate equivalency, to discussing the various specialties available and the costs involved in the process.
Our distinguished guest for the workshop was Dr. Hussein Shomar, a specialist in visceral surgery, currently working as a Senior Consultant General & Visceral Surgery at Helios Klinken Kassel/ Warburg. Additionally, he is a member of the German Society for General and Visceral Surgery and the Chairman of the Palestinian Physicians and Pharmacists Association in North Rhine-Westphalia.
You can also check our German articles page:
https://mdguidance.com/category/germany-pathway/
Wait us for more sessions!
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber. The German permanent Medical license exam is an examination that doctors who wish to practice medicine in Germany indefinitely must pass. The exam tests the doctors’ general medical knowledge and is conducted in German. In this post we gathered all...
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber.
The German permanent Medical license exam is an examination that doctors who wish to practice medicine in Germany indefinitely must pass. The exam tests the doctors’ general medical knowledge and is conducted in German. In this post we gathered all what you need to know in one place. Answering all the commonly asked questions about the exam.

The German permanent Medical license exam mainly focuses on internal medicine, general surgery, and common bone fractures, but other topics may also be included. Here is a list of some of the topics that may be covered on the exam:
It is important to note that the exam may cover additional topics or vary in emphasis depending on the specific examiners and clinical scenarios presented during the exam. Therefore, candidates should prepare thoroughly and be well-versed in a broad range of medical topics to have the best chance of passing the exam.
The German permanent Medical license exam mainly focuses on internal medicine, general surgery, and common bone fractures, but other topics may also be included. Here is a list of some of the topics that may be covered on the exam:

The German permanent Medical license exam is an oral exam that is conducted in German. Here is some information on how the exam is taken:
There are no grades and you will be told whether you pass or fail as soon as you finish the exam.
Note: you only have three attempts after which you are permanently prohibited from practicing medicine in Germany.

There are several study sources available to help candidates prepare for the German permanent Medical license exam. Here are some of the most commonly used study materials:
Candidates are typically notified of their examiners three weeks before the German permanent Medical license exam. The notification is sent by email and includes the names of the three examiners who will be conducting the exam. It is important to note that it is illegal to contact the examiners in any way prior to the exam. Candidates should focus on preparing for the exam using the available study materials and practice extensively to ensure they are well-prepared for the clinical scenarios and questions that will be presented during the exam.
he German permanent Medical license exam is known to be a challenging exam, but its level of difficulty can vary depending on the candidate’s level of knowledge, preparation, and experience.
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Living as a foreigner in Germany: What will happen? will I be able to fit in? will I make friends? What if I die alone at the edge of the universe?? will I get the job? what will the patients think about me? … and the what and the what ifs never stop rushing in your mind.
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber.

Moving to a new place and starting a new life can be extremely exciting and terrifying at the same time.
What will happen? will I be able to fit in? will I make friends? What if I die alone at the edge of the universe?? will I get the job? what will the patients think about me? … and the what and the what ifs never stop rushing in your mind.
In this post we will try to make a little easier for you, by letting you know at least what to expect.

German people are respectful and most of them are highly educated so the rates of crime and other problems are much less than other countries. However, German people are usually quiet and not so much appreciative of getting to know new people, so it may be a little bit hard at the beginning to break into their circles. At these first days it is helpful to get to know other foreign students from other countries.
It means you, your culture and religion will be respected as long as you respect them too. Racism is not the rule in Germany but rather the exception.
You won’t have to worry about doing you prayers at work if it doesn’t affect your work performance. Also, the Hijab won’t cause significant problems as opposed to what you may have heard.
There are many working Muslim doctors in Germany, men and women, and many of women are hijabies as well.
However, I don’t want to make it seem like you are going to lala land where everything is perfect and everyone is kind, of course you will be facing some racist people or not so nice ones, what I am saying is this is not the norm.
Doctors especially are usually respected by German people and by patients and considered to be of highly socioeconomic status in the community.

Generally, Germans have the priority in any job opportunity, followed by other European citizens, then comes non-Europeans.
The good news is although this is the case you as a non-European still have a good chance since job opportunities in Germany are usually sufficient for everyone.
Short answer Yes.
Long answer YESSSSSSSSSSSSSS.
Don’t miss the other articles if you want to study in Germany:
https://mdguidance.com/category/germany-pathway/
Living as a foreigner in Germany Living as a foreigner in Germany Living as a foreigner in Germany Living as a foreigner in Germany Living as a foreigner in Germany Living as a foreigner in Germany Living as a foreigner in Germany Living as a foreigner in Germany Living as a foreigner in Germany Living as a foreigner in Germany
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German citizenship and residence permit, Criteria for applying for the permanent residence permit in Germany:
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber.

Your student visa usually lasts for 3-6 months; after which you have to be enrolled in an educational institution or a job.
Then you will be allowed to apply for a temporary residence permit, which is called the blue card.

The blue card lasts for a maximum of 20 months, after which you have to apply for a permanent residence permit.
Criteria for applying for the permanent residence permit in Germany:

What are the available options for health insurance?
Family reunion in Germany
For your spouse, children, or both of course.
The needed documents are:
German citizenship
So like vacations, we usually like to conclude our posts with the best parts!
As a doctor and after having the residence permit for 6 constitutive years of work (having a paid job), you are allowed to apply for German citizenship.

There is a simple test before getting citizenship, this test includes 33 questions about different topics related to German history, geography, and politics. I know you don’t like history or memorizing but relax it is general and easy. People usually pass it from the first time.
Note:
Under the German law you can’t have two citizenships so once you get the German citizenship you will lose yours however this has exceptions:
Congratulations, when you reach this you have made it! Now you can get all your rights as a German citizen.
Don’t miss the other articles if you want to study in Germany:
https://mdguidance.com/category/turkey-pathway/
German citizenship and residence permit, New German citizenship and residence permit, New German citizenship and residence permit, New German citizenship and residence permit, New German citizenship and residence permit, New German citizenship and residence permit, New
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Money and Germany, In this post we will talk about the expenses you will need before making your own income in Germany and we will also talk about the average doctor salaries there!
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber.
Money and Germany, Germany and Money, two interesting terms in one sentence. Let’s figure it out!
In this post we will talk about the expenses you will need before making your own income in Germany and we will also talk about the average doctor salaries there!

It is better that you find student accommodation or find a hospital that provides accommodation, they are much cheaper. This will cost you 400-600 euro per month.
You will need around 400-600 euro per month in average, of course this is variable between individuals and their needs.
So overall you will need 500 euro per month for accommodation and daily expenses, this makes around 10K euro in the 9 -12 months you will spend in Germany before your first Job.
You will need to translate your official documents into German, and this is quite expensive. It costs 20-30 euro in average for each paper!
You may be thinking why not translate it by the help of a friend or even google translator, however it is required by the German law that is translated in their certified institutions.

Now to best part, you are finally making your own money after all those blue years that lasted too long that you started to lose hope in ever reaching here, but you made ittttttt.
Ok drama aside.
The average doctor’s salaries are about the same in all hospitals and they are all quite excellent, they range between 65,000-80,000 euro per year.
However, the taxes in Germany is a great deal and may take off about 40% of the salary leaving you will only 2500 euro per month. But let’s admit it this is still good.
This is not the end of the story, your income increases as your medical year or level increases, which means each year of work in your residency increases your income by a great deal.
Something else to mention your income per month also increases significantly if you take 24 hours shifts.
Don’t miss the other articles if you want to study in Germany:
https://mdguidance.com/category/turkey-pathway/
Money and Germany Money and Germany Money and Germany Money and Germany Money and Germany Money and Germany Money and Germany
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber. 4 steps you will take until you are settled as a medical resident in Germany You finally made it to Germany, but this is still the beginning! In this article we will take you through all the steps you will...
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber.
You finally made it to Germany, but this is still the beginning!
In this article we will take you through all the steps you will take until you are settled as a medical resident in the specialty you choose.
If you still don’t know how to reach Germany, read our post titled “So you decided to choose Germany for your medical specialty, What next?”
First, pass the B2 language test in Germany.

You may have already finished B1 or at least A2 before traveling to Germany, however, you have to pass level B2 before being able to apply for any job as we have mentioned in our previous post.
It is worth mentioning that some cities like Frankfurt requires a special language test held at a certified language center they refer you to (not the ordinary B2 test). But rest assured, it is still a language test, just with a different name to it.
Second, pass the medical terminology test
This test is an oral test that evaluates your ability to communicate medical terms in German that patients can understand. For example, you have to be able to explain procedures you will do to the patient in German.
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The medical terminology test includes three parts:
This test usually takes three months of preparation.
Third, the temporary German license internship period
So now with your B2 level and medical terminology tests passed, you are ready to start working in a hospital in what is called the temporary German medical license, which is only valid for two years.

In this period, you work in a hospital and make an income while you prepare for the permanent medical license exam.
In this period, it is advised that you choose a hospital with low competition rates in a small town (not Frankfurt, unless you want to wait forever). For example, nursing home or internal medicine faculty not surgical.
This period is a good chance for you to improve your skills, get used to German society, practice your language and learn medical skills you didn’t learn in your home town. In Germany, the doctor’s work is slightly different in some areas than what you may be used to, for example, you are the one who would be responsible for placing cannulas and drugs not the nurse.

We mentioned this period is valid for two years, however, you don’t have to wait for that much, if you feel ready you are allowed to apply for the permanent medical license after a year.
But make sure to reserve for this test ahead of time since it is only held at specific times of the year, you can’t suddenly decide to have the test next month, if you want it next month you probably would better have reserved the previous year.
A side note:
In some cases, you may have not to take the permeant medical license test and move directly to the residency
When does this happen?
If you are excellent enough in your temporary period, that you make your senior trust you and decide to have you complete with them.
For this, You must have any qualifications gained abroad deemed equivalent to comparable German qualifications before applying for the permanent medical license without a test.
Fourth and finally the permanent medical license test
This test is a general medical exam in which you are tested in all medical fields: internal medicine, surgery, pediatrics…etc.

After this exam, you are ready to rock the residency and apply for any specialty you like and whatever hospital accepts you.
For more information about this test wait for our article:
Permanent medical license test
Also don’t forget to read your articles that are related to Germany pathway, Do follow here:
https://mdguidance.com/category/germany-pathway/
4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany 4 steps you will take until you are settled as a medical resident in Germany
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber. What is medical residency like in Germany? This post will cover everything you need to know about your work as a physician in Germany, this will include working hours, extra hours, and vacations. We have all watched medical TV shows...
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber.
This post will cover everything you need to know about your work as a physician in Germany, this will include working hours, extra hours, and vacations.

We have all watched medical TV shows where doctors spend a tremendous amount of hours at hospitals, they work 36-48 hours shifts straight, I don’t even remember seeing how their homes look like!
So we start worrying is that the life waiting for us?
Well hopefully not, at least not in Germany.

As determined by German law, working hours for all jobs should not exceed 40 hours per week, this also applies to doctors.
However, these hours are usually not enough for medical residents, so hospitals add a part in the employment contract that implies you will have to work extra hours if it is required from you.

So is it time to start panicking?
Again, NO!
Those extra hours are also extra paid, which means your salary will increase the more hours and night shifts you work. And also you are not allowed to work more than 24 hours straight, no 36, no 48 no Grey’s anatomy.

In night shifts you arrive at work at 11 am and leave at 8 am the next day, this could be less or more. And of course, you take your next day off.
You arrive at 8 am and leave at 4 pm.

Two variables affect the number of needed extra hours
First, the number of available doctors at the department you are working in, for example, if there are 10 doctors other than you, you will need to work less than if there were 5 other doctors
Second the demand of the medical specialty you are working with?
Surgical specialties usually require more working hours, more than 70 per week.

Vacations allowed for a doctor in Germany are 28-30 days per month.
Plus…
Do you remember the extra hours we mentioned earlier that you will get paid for? Well, some hospitals especially the central ones tend to give you vacations instead of paying.
Important note regarding vacations
You have to take them every year, you are not allowed to postpone them or gather them together for later.
Check our Germany Pathway page:
https://mdguidance.com/category/germany-pathway/
So you have to enjoy your vacations every year, and our posts!
What is medical residency like in Germany? What is medical residency like in Germany? What is medical residency like in Germany? What is medical residency like in Germany? What is medical residency like in Germany? What is medical residency like in Germany? What is medical residency like in Germany? This post will cover everything you need to know about your work as a physician in Germany, this will include working hours, extra hours, and vacations. What is medical residency like in Germany? This post will cover everything you need to know about your work as a physician in Germany, this will include working hours, extra hours, and vacations.
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber. So you have decided to choose Germany as a destination for your medical specialty, what’s next? In this post we will take you through all the steps you will need to take until you reach Germany, right from your place...
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, Edited by: Majed Jaber.

So you have decided to choose Germany as a destination for your medical specialty, what’s next?
In this post we will take you through all the steps you will need to take until you reach Germany, right from your place to the airport!

Language is the most important step to consider before going to Germany. With sufficient language skills, your chances are greatly higher at succeeding in this journey.
It is mandatory to reach at least A2 German level before applying for a visa. However, it is advisable to go even further and finish level B1. In general, the rule is, the more you practice the better.

You will be working as a doctor and your job mainly relies on human communication, whether it is with your patients, colleagues or seniors. Why would a hospital hire you if you were unable to speak the language proficiently?
You are required to complete level B2 before being able to apply for jobs. That means you are expected to be able to communicate in German before even considering applying for anything. Therefore, it would be better if you start at your home town, saving lots of time, effort and MONEY!
Not knowing the language before traveling means you need to learn it there with much higher costs and that also means you would spend more time living off your money before applying to a job and starting to make an income.
The other point is away from the career stuff, you are going to a foreign country with different culture and people and by far the best thing to help you get over that barrier and not feel so lost is your language!

Generally, if you are determined enough, socializing with people and not just isolating yourself in a high palace over the mountain (not recommended). It will take around 9 months.
WAIT! There is still one IMPORTANT thing regarding language.
Germans really really love their language, many of them refuse to communicate with you in any other language even if they speak it. So, you trying to learn the German language and showing them you are making an effort (even if your German is not so good initially) would give you lots of bonus in your relationship with them.
Beginner German is better than perfect English.
Where to learn German in Gaza? And how much does it cost?

The only certified German language center in Gaza and worldwide is Goethe Institute.
It will cost you around 1400 shekel to complete a level course for example 1400 to complete a course in A1, another 1400 for A2 and so on.
The official language test from Goethe Institute, the test that you will use in your visa application will cost 350 shekels.
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The visa you will apply for is a student visa.
Visa Requirements:
By travelling agencies in Gaza.
Usually by the help of a friend, or anyone you know in Germany. Or contact us for help.
Usually around 8 weeks.

You finally made it to Germany, but this is still the beginning!
Check our Germany Pathway page:
https://mdguidance.com/category/germany-pathway/
choose Germany as a destination for your medical specialty choose Germany as a destination for your medical specialty choose Germany as a destination for your medical specialty choose Germany as a destination for your medical specialty choose Germany as a destination for your medical specialty choose Germany as a destination for your medical specialty
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The German culture Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash So now to the interesting part, let’s get to know more about the people you will be living with for the coming years, if you chose Germany of course. First: Rules Imagine that one cool evening you decided to go for...
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash
So now to the interesting part, let’s get to know more about the people you will be living with for the coming years, if you chose Germany of course.
First: Rules
Imagine that one cool evening you decided to go for a walk, the roads are clear there is no one but you enjoying the night breeze and the German nature, THEN you are faced by a red traffic light on your way to crossing the street, would you cross it? given that there is no vehicles or people? It is just you.
If after thinking your answer is yes, you are wrong, and if it was no you are also wrong because to the German people you don’t even have to think about it. It is a definite NOOOOOOOOOOO!
So, here we come to the first most important part of the German culture, RULES.
In Germany, Rules are rules, they are made to be followed, if you like to be seen as that smart rebellious guy who follows nothing but himself, Germany is not for you. In Germany, there are rules for everything and they have to be followed, it is in their genes.
One other rule you have to consider is sorting out the garbage into three categories glass, organics and plastic. Unless you want to be seen as low-class. And get neighbors avoiding you, or even worse have legal issues.
Another rule is about noise, the German people’s quietness is sacred, midnight parties till dawn are not their type at least not at homes. This part can really get you in trouble, do not get surprised if the police come knocking at your door because your TV was loud at night.
Second: Punctuality
So if you and your friends agreed on meeting at 3 pm, starting to get dressed at 2:55, and calling your friends telling them you are in your way is Never the way in Germany.
In Germany, if you have an appointment at 3 pm you’d better be there at 3 pm sharp with all what the word sharp implies.

Third: Closing days
You all know that Cinderella story where she has to be home before midnight, in Germany there is another version of the story where all people are Cinderellas, everything closes down by 8 pm, the city suddenly turns off, and if you want to buy anything you’d better have it way before that unless you are good at running to catch the market at its last minute.
And Sundays are another story, the whole country closes off that day, the only option you have available if you want to go out on Sunday is a walk by the river.
This has its charm by the way when you get used to it.
The point is to Get used to it.
Wait for our coming posts with more details on every step, we will reach Germany together, Let’s GO.
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, a medical doctor in Germany. In this post, we will cover topics about all life aspects in Germany. everything you need to know to decide if it will be your next destination, let’s go!To start with, we will talk about the German hospitals and...
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Written By: Dana Mustafa AlKahlout, Reviewed By: Dr. Ibrahim Abu Riash, a medical doctor in Germany.
In this post, we will cover topics about all life aspects in Germany. everything you need to know to decide if it will be your next destination, let’s go!
To start with, we will talk about the German hospitals and health care system, obviously the system you are going to join…

I will not bore you with statistics, however, it is worth knowing that when talking about the German health care system we are talking about the oldest health insurance system in the world, providing one of the best health care services worldwide. According to the Euro health consumer index, which placed it in the seventh position in its 2015 survey, Germany has long had the most restriction-free and consumer-oriented healthcare system in Europe. Patients are allowed to seek almost any type of care they wish whenever they want it, according to another statistic in 2017 Germany spend more than €18 billion on the health system.
The German health system constitutes of around 1,914 hospitals and the proportion of physicians in the population is more than 4.6 per 1,000 inhabitants.

The medical education system for students is among the best in the world, especially talking about their residency programs, all residents must complete what is like a logbook of the major information and skills needed for their specialization, seniors in many hospitals directly supervise the residents, no need to mention that the German hospitals are equipped by all kinds of needed instruments for all specialties and operations.
Plus, the residents’ salary is excellent, in the range of 3000 -4500 Euros depending upon the area of your medical residency.
If you are interested in medical research, Germany is the place for you, all university hospitals have research programs that you can enroll in, and you can find research opportunities in most other hospitals if your senior is a university professor which is usually the case.
However, you have to pay attention to the fact that making research projects during your residency won’t subtract anything from your residency program working hours, it is just a bonus.

The main mean of transportation in Germany is the bus, transportations in Germany are quite easy and convenient. There are buses at nearly all times to all destinations, but before midnight of course. why midnight? see the Cinderella part in our next post.https://mdguidance.com/what-is-it-like-to-live-study-and-work-in-germany-part-2/
You can buy daily, monthly, or yearly bus tickets at affordable prices.
The train and metro systems in Germany are also commonly used.
The incomes in Germany are pretty good with affordable living costs and the working conditions are relatively convenient in comparison with other countries.
You can read more about this topic in our coming post (Money and Germany). Wait for us.
The German Passport
You can get a German passport relatively easily after some years of working.
You can read more about this in our coming post (German citizenship and residence permit).

Here are some of the major reasons why Germany may not be the place for you:
Other than that we totally recommend you on taking this path, so if you started to become interested in Germany? lets head to our next post https://mdguidance.com/what-is-it-like-to-live-study-and-work-in-germany-part-2/
Note: our next post is more interesting
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