A structured path - from course start to recognition
Oncademy Care guides your nurses in clearly defined steps from preparation to a successful Kenntnisprüfung (knowledge exam).
AI-generated image The whole process in 4 steps
| Step | Description | Duration |
|---|---|---|
| Self-study phase (e-learning) | Introduction to topics, basic knowledge, setting your own priorities. | Individual |
| Live online classes | Theoretical basics: legal framework, communication, hygiene, documentation. | 2 weeks (40h per week) |
| On-site phase in the SkillsLab | Practical training, case work, language practice, simulations under real conditions. | 4 weeks (40h per week) |
| Kenntnisprüfung | Final exam according to the Defizitbescheid, results sent to the Landesamt für Pflege Bayern. | 1-2 days |
Goals for each learning phase
Learn. Apply. Pass.
Self-study phase
Independent start, review of medical basics, activating prior knowledge.
Live online classes
In-depth theory, communication training, understanding of German nursing practice.
On-site phase
‘Hands-on’ training in the SkillsLab, safe application of theory, targeted feedback.
Exam
Proof of equivalence - the basis for recognition as a nurse.
Defizitbescheid required
The Defizitbescheid (deficit notice) is the basis for your participation in the preparation course and for admission to the Kenntnisprüfung (knowledge exam).
To take part in the preparation course, a Defizitbescheid (deficit notice) from the Landesamt für Pflege Bayern (Bavarian State Office for Nursing) is mandatory. Only on this basis can it be determined which specialist content must be added individually and whether admission to the Kenntnisprüfung (knowledge exam) is granted.
Our courses are particularly suitable for participants with a deficit of around 240 hours. Larger deficits (e.g. 440 or 640 hours) can be taken into account by individual arrangement.
Course content at a glance
The course content follows the modules of the official Anpassungslehrgang (adaptation course) and covers all exam-relevant topics of the Kenntnisprüfung (knowledge exam). The aim is a focused combination of theory, practice and communication - for safe work in everyday nursing in Germany.
M1: Understanding nursing in Germany (40 teaching units)
Orientation in the German healthcare system, understanding of roles and organisation of nursing.
M2: Legal basics & nursing concepts (40 teaching units)
Nursing process, documentation, professional ethics and the legal framework.
M3: Supporting people in critical life situations (10 teaching units)
Care in acute situations, crisis intervention, communication in stressful moments.
M4: Mental health & dementia (30 teaching units)
Dealing with mental illness, cognitive impairment and challenging behaviour.
M5: Nursing children & young people (30 teaching units)
Developmental support, communication with families, prevention and child protection.
M6: Inpatient acute care (40 teaching units)
Care planning, setting priorities, interprofessional cooperation and hygiene.
M7: Inpatient long-term care (40 teaching units)
Promoting independence, mobilisation, nutrition and documentation in everyday care.
M8: Home care (10 teaching units)
Particularities of care at home, organisation and legal aspects.
The Kenntnisprüfung in detail
The Kenntnisprüfung (knowledge exam) consists of an oral part and a practical part, both on one day. The scope depends on your individual Defizitbescheid (deficit notice) from the Landesamt für Pflege Bayern (Bavarian State Office for Nursing).
| Deficit hours | Oral exam | Practical exam | Notes |
|---|---|---|---|
| 240 hours | 45 min | 120 min | Standard scope |
| 440 hours | 45 min | 180 min | Additional situations |
| 640 hours | 45 min | 240 min | Extended complex cases |
Exam board: 1 nurse educator (chair) & 1 practice instructor (second examiner, from the facility on request)
All your questions answered
Both routes lead to the same goal - the German licence to practise as a nurse. The difference lies in the procedure, the duration and the way your performance is assessed.
Anpassungslehrgang (adaptation course)
The Anpassungslehrgang is a clearly defined route that follows your individual Defizitbescheid (deficit notice). Depending on the learning needs identified, 240 to 640 teaching units and practical phases in specific areas of nursing must be completed. The programme lasts at least 6 months and ends with a final discussion instead of an exam. This route is particularly suitable for nurses with less practical experience or greater subject-specific gaps to close.
Preparation course with Kenntnisprüfung
The preparation course is more compact and takes place in block form. Its content follows the Anpassungslehrgang, but it ends with an oral and practical Kenntnisprüfung (knowledge exam). The educational institution sets the scope and duration - at our centre the course lasts 6 weeks. Participants should already have practical experience in Germany, as the focus is on exam preparation.
Conclusion
Both routes lead to recognition as a nurse in Germany.
The Anpassungslehrgang offers more time and more practical training for less experienced nurses.
The Kenntnisprüfung is ideal for experienced nurses who want to reach the licence to practise faster.
1. Course & participation
What is the difference between the preparation course and the Kenntnisprüfung?
Both routes lead to the same goal - the German licence to practise as a nurse. The difference lies in the procedure, the duration and the way your performance is assessed.
Anpassungslehrgang (adaptation course)
The Anpassungslehrgang is a clearly defined route that follows your individual Defizitbescheid (deficit notice). Depending on the learning needs identified, 240 to 640 teaching units and practical phases in specific areas of nursing must be completed. The programme lasts at least 6 months and ends with a final discussion instead of an exam. This route is particularly suitable for nurses with less practical experience or greater subject-specific gaps to close.
Preparation course with Kenntnisprüfung
The preparation course is more compact and takes place in block form. Its content follows the Anpassungslehrgang, but it ends with an oral and practical Kenntnisprüfung (knowledge exam). The educational institution sets the scope and duration - at our centre the course lasts 6 weeks. Participants should already have practical experience in Germany, as the focus is on exam preparation.
Conclusion
Both routes lead to recognition as a nurse in Germany.
The Anpassungslehrgang offers more time and more practical training for less experienced nurses.
The Kenntnisprüfung is ideal for experienced nurses who want to reach the licence to practise faster.
Who can take part in the course?
How long does the course last?
Can I take part without a Defizitbescheid?
2. Exam & procedure
What happens if I do not pass the Kenntnisprüfung?
How often can I repeat the Kenntnisprüfung?
Where does the exam take place?
How does the exam work?
Who assesses the exam?
3. Organisation & booking
How can I book a place?
Can I register several participants at once as a company?
When is my place firmly reserved?
4. Costs & services
How much does the course cost?
Are learning materials included in the price?
Is accommodation included?
5. Accommodation & stay
How do I find accommodation during the on-site phase?
Can I book accommodation myself?
6. After the exam
When do I get my exam result?
What happens after I pass the exam?
Simulation instead of ward stress
Our exams take place in the SkillsLab - realistic, predictable and stress-free.
- No dependence on ward operations
- Same conditions for all participants
- Less exam anxiety thanks to a familiar environment
- Standardised assessment for maximum fairness
What our participants say
International nurses share their journey to German recognition.
Talk to us
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Found the right course?
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