FSP (Fachsprachprüfung) Scoring Guide
How scores are calculated, what they mean, and how to reach your goal score.
Scoring Overview
FSP is assessed by a panel of examiners. Pass/fail result; no numeric score. Criteria include medical accuracy, register appropriateness, patient communication, and documentation quality. Some states publish marking criteria; all have similar structure.
Score Scale
| Section | Duration | Max Score |
|---|---|---|
| Anamnese | 20 min | 33 |
| Arztbrief | 20 min | 33 |
| Arzt-Arzt-Gespräch | 20 min | 34 |
Section Breakdown
patient interview
Anamnese — take a history from a simulated patient (actor).
Chief complaint (Hauptbeschwerde)History of presenting illness (Anamnese)Medical history (Vorerkrankungen)Medication, allergies, family/social historySystematic review
documentation
Arztbrief / Patientenakte — write clinical documentation.
Admission note or referral letterPatient summary from interviewFormal structure: Anamnese → Diagnose → TherapieempfehlungMedical abbreviations and abbreviation etiquette
doctor communication
Arzt-Arzt-Gespräch — present a case to another doctor or receive handover.
ISBAR handover structureDifferential diagnosis discussionTreatment plan presentationCalling for a specialist consultation
Key Facts
- Sections
- Patient interview + Case documentation + Doctor-doctor communication
- Duration
- ~60 minutes total
- Passing
- Pass/fail (assessed by examiners)
- Cost
- €300–€600 (varies by Bundesland)
- Prerequisites
- Kenntnisprüfung OR Approbation application in progress
- Language level
- B2–C1 medical German minimum
Study Tips
- 1.Learn the Anamnese structure cold: Hauptbeschwerde → HPI → Vorerkrankungen → Medikamente → Allergien → Familienanamnese → Sozialanamnese.
- 2.Practice history-taking with a study partner 3× per week — fluency in the Anamnese is the biggest differentiator.
- 3.Write one Arztbrief every day for 3 weeks from sample cases. Focus on structure and formal register.
- 4.Medical abbreviations are heavily tested in documentation: V.a., Z.n., ggf., i.v., p.o., s.c., o.B. (ohne Befund), AZ, EZ.
- 5.Watch German medical education videos (Amboss, Lecturio auf Deutsch) to internalize how doctors speak.
- 6.Know the ISBAR framework for the Arzt-Arzt-Gespräch section — most states test this explicitly.