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.
Fachsprachprüfung · Approbation
Simulate the complete FSP with AI: patient, Arztbrief and Oberarzt.Walk away knowing what to fix.
Three blocks back to back, timed, spoken in German. What you get at the end is not a gut feeling but a report: six criteria with a label each, every critical omission named, and at most three reasons you could fail — each one backed by a quote from your own recording.
One complete simulation with the complete report. No card needed, just an account with a verified email address.
- 20 · 20 · 10 minutes, with the timer running on the server
- Nothing appears in the report without evidence from the transcript
- 12 cases across internal medicine, surgery and neurology
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 blocks. Exactly like the exam day.
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.
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
You write the case letter in the editor, with the same sections the exam expects. Afterwards you see your text against the model letter for that case.
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%)
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 result
The report tells you what to correct.
No overall grade, no percentage, no promise about your odds. 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 — anything that cannot be evidenced is not shown.
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.
Pricing
One product. You only choose how long.
Every plan contains the same complete product — all three blocks, all cases, all reports. The only difference is how long your access lasts.
€79
30 days of access
€2.63/day
One-off payment. No subscription, no automatic renewal, nothing to cancel.
€119
60 days of access
€1.98/day
One-off payment. No subscription, no automatic renewal, nothing to cancel.
€149
90 days of access
€1.66/day
One-off payment. No subscription, no automatic renewal, nothing to cancel.
Included in every plan
- All three exam blocks, as often as you like
- 12 base cases plus generated variants
- 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
- When access expires your history and reports stay readable; buying again unlocks everything.
- Invoice with the correct VAT for your country. Before access is activated you confirm the waiver of the right of withdrawal for digital content.
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.
Not included: training cards and history — those belong to paid access.
Federal state
Nordrhein-Westfalen first
The exam is administered by each state's Ärztekammer, and format, fee and registration differ. FSPreif starts with the exam profile for NRW; the structure is built to take further states.
First simulation
One complete simulation, free.
Three blocks, a real case, 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.
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.