The number of practising physicians in Germany is rising; however, many regions and specialties — particularly psychiatry, paediatrics, and anaesthesia — remain understaffed. By the end of 2023, the German Medical Association had recorded approximately 428,000 clinical practitioners.

The German Advisory Council on Health warned that without countermeasures, approximately 11% of posts could be vacant by 2035. Therefore, the targeted recruitment of foreign-trained doctors is crucial. However, entry into the German healthcare system is far from straightforward: The licencing process is complex and demands not only professional qualifications but also language proficiency, medical fitness, and suitable personal traits.

The time required to have a foreign medical licence recognised varies

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