Updated: 2026-01-15 · MyGermanWay
Why recognition is necessary
Since January 2023, the MT-Berufe-Gesetz (MTBG, the German act governing medical technology professions) regulates the medical technology professions in Germany. The title "MTR" is protected by law: only those who hold state authorization may practice independently. That is why foreign qualifications go through an equivalence assessment — resulting either in full recognition or a Defizitbescheid (deficit notice).
The main steps at a glance
- Application to the competent authority of the federal state.
- Assessment of your qualification (equivalence).
- Result: full recognition or a Defizitbescheid.
- If there are deficits: a compensation measure (Kenntnisprüfung or Anpassungslehrgang).
Kenntnisprüfung or Anpassungslehrgang?
With a Defizitbescheid there are two paths: the Kenntnisprüfung (Kenntnisprüfung — a practical-oral knowledge exam, the faster route) or the Anpassungslehrgang (Anpassungslehrgang — an adaptation course of 3 to 12 months, compatible with working). Which one suits you is explained in our comparison: read it here.
Estimate time and costs realistically
Plan realistically for 8 to 14 months from the application to your first day of work. There are costs for administrative fees and certified translations. As a participant in the MyGermanWay program, the path is free for you — including the German and Fachsprache (specialized medical German) courses.
Frequently asked questions
Can I work before full recognition? Yes — with a Berufserlaubnis auf Zeit (temporary work permit, max. 2 years) you can work under supervision.
What level of German do I need? For the application, at least B2; for the exam, specialized medical language as well.
Ready for the Kenntnisprüfung?
Our AZAV-certified preparation takes you to recognition in a structured, fully online way.
View the preparation