What is a knowledge examination?

A knowledge examination consists of an oral/theoretical and a practical examination. Prior to the examination, you will receive comprehensive preparation in a corresponding course. The duration of this preparation may vary depending on the federal state and the organiser. In some cases it may be possible to begin the preparatory course with a B1 language certificate, but a B2 language certificate is generally required.

What is an adaptation course?

An adaptation course is a measure to align professional skills acquired abroad with German standards. You complete theoretical and practical units in a care facility or school to compensate for the differences identified in the recognition notice. The duration varies depending on the federal state and the educational provider. A B2 language certificate is generally required.

Language level B2 (CEFR) for nursing professionals

Language acquisition is a central prerequisite for the recognition and professional practice of nursing professionals in Germany. A language level of B2 according to the Common European Framework of Reference for Languages (CEFR) is generally required to work as a nursing professional.

Why B2?

Language level B2 ensures that nursing professionals can:

• communicate safely with patients
• understand and explain medical facts
• maintain nursing documentation correctly
• communicate professionally with the team and relatives

Recognised language examinations

To demonstrate B2 language level, recognised examinations are generally accepted, e.g.:

• telc B2 Nursing or general B2
• Goethe Certificate B2
• other officially recognised B2 certificates

(depending on the federal state and the competent recognition authority)

Preparation for language level B2

Language acquisition usually takes place in stages:

• Level assessment according to CEFR (e.g. A2 / B1)
• systematic language instruction
• exam-preparatory exercises
• language examination at B2 level

The selection of the language school and examination provider should be guided by quality criteria, in particular:

• alignment with the CEFR
• transparent course structure
• qualified teachers
• preparation for recognised examinations

Language examination and professional licence

A passed B2 language certificate is often a prerequisite for:

• completing the recognition procedure
• participation in a knowledge examination or adaptation course
• issuance of the professional practice licence

Further information

Nursing professionals can also obtain information from:

• competent recognition authorities of the federal states
• official information portals on recognition
• neutral advisory centres on migration, work and integration