You revise vocabulary; what is examined is register
Saying „Hypertonie“ to a patient instead of „Bluthochdruck“ is exactly what gets noticed in the room. The report marks those moments, with the sentence you actually said.
Practise medical German for the FSP
AI simulations with patient interviews, medical letters and case presentations. €79 for 12 months from the purchase date. One-time payment, no subscription
Offer until 7 November, then €149
- 30 fully developed cases
- 60 minutes per simulation
- 3 exam blocks to practise
5 minutes free. See your result immediately and get detailed feedback by email.
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Hear a patient interview
Transcript
Guten Tag, Herr Weber. Seit wann haben Sie diese Schmerzen, und wo genau spüren Sie sie?
Seit heute Morgen. Hier auf der Brust, wie ein starker Druck. Manchmal zieht es in den linken Arm.
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Hear a case presentation
Transcript
Ich stelle Ihnen Herrn Weber vor, einen achtundfünfzigjährigen Patienten mit drückenden Thoraxschmerzen seit heute Morgen und Ausstrahlung in den linken Arm. Eine arterielle Hypertonie ist bekannt. Es besteht der Verdacht auf ein akutes Koronarsyndrom.
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Listen: medicines and allergies
Transcript
Nehmen Sie regelmäßig Medikamente ein, Herr Weber? Haben Sie Allergien?
Ja, morgens nehme ich Ramipril gegen meinen Bluthochdruck. Gegen Penicillin bin ich allergisch. Davon bekomme ich einen Hautausschlag.
It is the language that fails people, not the medicine
Study partners grade on feeling
A colleague says it went well. The report says which critical checklist item was missing and at which minute the history-taking went off the rails.
The third block gets underestimated
Presenting to the senior doctor and defending the case against objections is its own block with its own criteria. Here it is practised as one.
How it runs
Three main blocks. 20 minutes each.
The simulation runs in one sitting. The timer runs on the server, you get a warning 60 seconds before the end, then the block moves on. One pause of up to five minutes per block is possible: the real exam has none, and the interface tells you so.
One run: 20 · 20 · 20 minutes
- Patientengespräch
- Arztbrief
- Arzt-Arzt-Gespräch
- Reportin under 60 seconds
The width of each block is its length: 60 minutes in one sitting, the timer runs on the server and the switch between blocks is automatic.
01
Patientengespräch
An AI patient with a personality and everyday speech. Some facts come out unprompted, others only if you ask, and one only appears if you probe with empathy. He asks his own questions: „Ist das was Schlimmes, Herr Doktor?“, and it is noticed when you do not answer. You can interrupt him like a real person.
What is assessed
- Checklist items covered, critical ones weighted triple
- Plain language instead of technical terms
- Patient questions actually answered
02
Arztbrief
Document the case in five clear sections, then compare your text with the case model letter. Choose your medical chamber to see its documentation format.
What is assessed
- Structure: sections present and in the right order (40%)
- Content: facts from the interview carried across correctly (40%)
- Language: grammar and report style (20%)
03
Arzt-Arzt-Gespräch
You present the case. The senior doctor speaks in a formal register, interrupts if your presentation runs past three minutes, and always raises at least two objections, for instance: „Warum schließen Sie eine Lungenembolie aus?“
What is assessed
- Structure of the case presentation (40%)
- Answers to the objections (40%)
- Terminological precision (20%)
Everything runs in the browser, on your phone too. The two spoken blocks need microphone permission and, ideally, headphones; for the Arztbrief a real keyboard is more comfortable.
If the connection drops you get a 60-second grace period with automatic reconnection, and the state of the conversation is kept. If it does not come back, the block is assessed on what exists and is clearly flagged as incomplete in the report.
The second block
The Arztbrief is written in the editor, not on paper.
Five sections and 20 minutes on the server clock. Save as you write and submit at the end; the report compares your text with the case model letter.
The real editor surface: the same template, the same CSS and the same worked case as in the simulation, rendered straight from the product's own code, not a redrawn mock-up.
The result
The report tells you what to correct.
Six dimensions with a label, the critical omissions by name, and at most three concrete reasons this could go wrong. Every statement is backed by a quote from your recording: no overall grade, no percentage, just the exact places you can still fix before the exam.
Open the sample reportA full report from a real run, shortened to one screen.
Overall assessment
NEEDS WORKTwo dimensions below the threshold and one critical omission.
Six dimensions
Anamnesemoderate
Patientenspracheweak
Fachsprachemoderate
Arztbriefmoderate
Arzt-Arzt-Gesprächweak
Zeitmanagementstrong
Critical omissions
Antikoagulation nicht erfragtCritical point
Top reason you could fail
Fachsprache mit dem Patienten
Evidence from your recording
„Sie haben eine Hypertonie, und die Beschwerden passen zu einer Angina pectoris.“06:52
Better with a patientHypertonieBluthochdruck
Quotes, technical terms and the section names of the report stay in German in every interface language: the exam is in German, after all.
Afterwards
Every mistake becomes a card
Each terminology finding in your report turns into a short drill. You say or type the sentence again, correctly, and the card closes. If the same mistake shows up in a later attempt, the card comes back.
You saidHypertonie(to the patient)
Patient-friendlyBluthochdruck
Sample card from a real report.
Afterwards
Repeat a single block
From the report you can redo one block on its own. Only that block is re-assessed, the report is recalculated, and it marks which parts were repeats.
If it does not work out
What failing costs
A failed attempt costs time and money. The figures, before you look at the prices:
2-4 months
Waiting for the next date
Dates are allocated by the responsible Ärztekammer. Depending on the Kammer and how booked it is, two attempts are typically two to four months apart.
approx. €400-500
The exam fee, again
The fee falls due again for every attempt. Each Ärztekammer sets it in its own schedule of fees, depending on the Kammer it is usually in this range, and higher at some.
approx. €5,000 / month
Approbation later, salary later
No Fachsprachprüfung, no Approbation; no Approbation, no post as an Assistenzarzt. Starting pay is around €5,000 gross a month depending on the collective agreement and the employer. That is roughly what every month of delay is worth.
The figures come from the Ärztekammern's own schedules of fees and the clinics' collective agreements. FSPreif trains exactly the part most attempts fail on: the language at the bedside.
Pricing
12 months of full access
€79 for 12 months from purchase: 30 cases, five complete AI simulations per day and personalised AI feedback after every attempt.
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€79
Offer until 7 November, then €149
One-time payment, no subscription
12 months of access from purchase
One-off payment. No subscription, no automatic renewal, nothing to cancel.
Included with access
- All three exam blocks throughout your 12 months
- 30 fully written cases: 9 to 18 checklist points, 1 to 5 hidden findings and 3 Oberarzt questions each
- A complete report after every attempt
- Drill cards built from your own mistakes
- History and progress across all attempts
- Fair use: 5 complete simulations per day
- Your reports and training history stay ready for your next session.
- Unlocked immediately after payment: 12 months of full access from the purchase date.
Try it first, for nothing
One complete simulation on the demo case, with the complete report. All it takes is an account with a verified email address, no card.
Drill cards and your history come with paid access.
Bundesländer
The training applies in every Bundesland
Train the three 20-minute main parts with your chosen medical chamber format. Hessen adds a 20-minute vocabulary test before the patient interview.
The fee, registration and dates are set by each state medical chamber. We have researched and sourced them for all 16 Bundesländer.
The exam by federal state
Choose your medical chamber’s simulation format: seven published chamber formats with 20 minutes per main part; Hessen starts with an additional vocabulary test.
Show all 16 states
- Baden-Württembergguide (DE)
- Bayernguide (DE)
- Berlinguide (DE)
- Brandenburgguide (DE)
- Bremenguide (DE)
- Hamburgguide (DE)
- Hessenguide (DE)
- Mecklenburg-Vorpommernguide (DE)
- Niedersachsenguide (DE)
- Nordrhein-Westfalenguide (DE)
- Rheinland-Pfalzguide (DE)
- Saarlandguide (DE)
- Sachsenguide (DE)
- Sachsen-Anhaltguide (DE)
- Schleswig-Holsteinguide (DE)
- Thüringenguide (DE)
Choose Bayern, Nordrhein, Westfalen-Lippe, Baden-Württemberg, Niedersachsen, Hessen or Berlin in training.
All sixteen states are covered now. Something missing, or a fee that has changed? write to us through the contact form.
First simulation
One complete simulation, free.
Three blocks, an AI patient, the full report with quoted evidence from your own conversation. All you need is an account with a confirmed email address.
Start for free I already have an account
Not included in the free attempt: training cards and history.
Questions
Frequently asked
Is FSPreif official exam preparation?
No. FSPreif is a private training product. It is not affiliated with any Ärztekammer, not endorsed by one, and not part of the official procedure in any way. It is language training for the Fachsprachprüfung, not clinical training and not medical advice.
Which language does the simulation run in?
Always German: patient, Arztbrief and senior doctor. Only the interface and the report labels are available in German, English or Arabic. Quotes, technical terms and the report's section names stay German.
What happens to my recordings?
You are asked for consent before the first voice block. The transcript is stored because the report draws its evidence from it. The audio file is deleted automatically after 30 days by default; you may choose to keep it longer. Export and full account deletion are available to you directly in settings.
What do I need technically?
A current browser, a microphone and a stable connection. The conversation happens in real time, and you can interrupt the patient or the senior doctor just as in a real conversation. There is nothing to install: phone, tablet and laptop all work.
Does the simulation work on a phone?
Yes. The voice simulation runs entirely in the mobile browser: Safari on iPhone, Chrome on Android, with no app and nothing to install. You tap “Start the conversation”, allow access to the microphone, and the conversation runs. Headphones are recommended, otherwise the microphone picks up the patient as well. Only the Arztbrief is more comfortable with a real keyboard, because you write freely for 20 minutes there.
How many cases are there?
30 complete cases: 17 in internal medicine, 10 in surgery, 2 in neurology and 1 in psychiatry. Each case has its own patient conversation, 9 to 18 checklist points, a doctor’s letter and questions for the doctor-to-doctor discussion. Practise all three stages in your chosen exam format.
What if the connection drops mid-conversation?
It reconnects automatically for 60 seconds and the conversation state is kept. If it does not come back, the block is assessed on what exists and flagged as incomplete in the report. An abandoned session can also be resumed at the block boundary for 24 hours.
Can I repeat just one block?
Yes. From the report you can restart, say, only the Arztbrief. Only that block is re-assessed, the report is recalculated, and it shows which parts were repeats.
What does the free attempt include?
One complete simulation on the demo case with the complete report: all three blocks, all six dimensions, omissions and risks. History and drill cards are not included.
Do I get a score or a probability of passing?
No, deliberately. There is no overall percentage and no statement about likelihood. The report gives a label per dimension and names concretely what to correct.