Facharzt Allgemeinmedizin
Facharzt Allgemeinmedizin (Facharztprüfung Allgemeinmedizin, Germany)
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ExploreAbout this exam
The Facharztprüfung Allgemeinmedizin is the German specialist examination that a physician in general practice must pass before being entitled to use the title Facharzt für Allgemeinmedizin. It is conducted by the responsible Landesärztekammer, which means the practical arrangements - how the examination is run, how long it lasts, how it is graded and what it costs - are set regionally. Candidates should confirm every logistical detail directly with their own chamber rather than relying on national summaries.
Content follows the current (Muster-)Weiterbildungsordnung of the Bundesärztekammer and the corresponding regional Weiterbildungsordnung. The Bundesärztekammer notes that the MWBO 2018 introduced a competency-based reorientation of postgraduate medical education, and that the 121. Deutscher Ärztetag 2018 resolved to document training through an electronic logbook (eLogbuch). Expect your documented training pathway, not only textbook knowledge, to shape how you are assessed.
The examination is oral and case-based. Examiners typically explore how you reason through undifferentiated complaints, sustain continuity of care over time, manage multimorbidity and polypharmacy, counsel on prevention, and act in acute situations in the practice. Preparation is strongest when built around your own patient cases, guideline-based management of common conditions, and the organisational realities of a German practice.
This page is independent study material and is not affiliated with, endorsed by, or issued by any Ärztekammer.
What you'll study
About Facharzt Allgemeinmedizin preparation
What actually happens on the day of the Facharztprüfung Allgemeinmedizin?
You sit an oral examination with a physician examiner panel, structured around case-based discussion rather than multiple-choice items. Examiners probe your clinical reasoning, your approach to undifferentiated symptoms, and your handling of chronic disease and acute presentations. The precise structure, number of cases and time allocation are decided by your Landesärztekammer, so request the current format description from them.
How long does the examination take and how many cases are covered?
No national duration or case count is published by the Bundesärztekammer, and the retrieved source states none. Duration and case numbers are set by the responsible Landesärztekammer and vary between chambers. Ask your chamber for its current examination regulations before you plan your final revision weeks.
What is the pass mark, and what happens if I fail?
Neither the pass criterion nor the retake rules are published centrally in the available source, so no figure can be quoted here. Both are governed by the Weiterbildungsordnung and Prüfungsordnung of your Landesärztekammer. Obtain the written regulations from your chamber, including the number of permitted attempts and any waiting period between attempts.
How much does the examination cost?
No fee is stated in the retrieved Bundesärztekammer source, so none is given here. Examination fees are levied by the individual Landesärztekammer and differ between regions. Check your chamber's current fee schedule, and ask whether any additional charges apply for issuing the Facharzt certificate or for repeat attempts.
In what order should I prepare?
Start with your own logbook cases, because the examination is case-based and examiners follow your reasoning. Then work through common primary care presentations, chronic disease and multimorbidity, prevention and vaccination, acute situations, and finally practice organisation, billing and certification. Rehearse aloud with a colleague; spoken structuring is the skill being tested, not silent recall.
What are the most common ways candidates do poorly?
Typical weaknesses are jumping to a diagnosis before characterising the symptom, ignoring red flags and safety-netting, forgetting the psychosocial dimension, and being unable to justify a management plan against current guidance. Candidates also stumble on practice organisation, billing and certification of incapacity. Answering confidently but without a structured differential is a frequent, avoidable problem.
Do I need an electronic logbook?
The source states that the 121. Deutscher Ärztetag 2018 resolved to document postgraduate training through an electronic logbook (eLogbuch). Whether and in what form this is mandatory for you depends on your Landesärztekammer and the stage of your training. Confirm the current requirement and documentation format with your chamber and your training supervisor.
Is the examination conducted in German?
The retrieved source does not specify examination language, so treat this as unverified. German-language patient communication and documentation are central to general practice in Germany, and chambers generally conduct the examination in German. Confirm the language rules, and any provisions for physicians trained abroad, directly with your Landesärztekammer.
How current is the content the examiners expect?
Content follows the current (Muster-)Weiterbildungsordnung and your regional Weiterbildungsordnung. The Bundesärztekammer notes that the MWBO 2018 introduced a competency-based reorientation of postgraduate medical education, shifting emphasis towards documented competencies rather than time served alone. Base your revision on the most recent guideline versions and your chamber's current documents.