Labour Migration into Nursing

Information on “regulated professions”

The company informs the international nurse in an audience-appropriate way about the meaning of “regulated professions” and about “initial, continuing and further training opportunities” in nursing p...

3 min readLast updated: September 20, 2026
Information on “regulated professions”

The company informs the international nurse in an audience-appropriate way about the meaning of “regulated professions” and about “initial, continuing and further training opportunities” in nursing professions in Germany and how they can find out more.

We inform participants about “regulated professions” and about “initial, continuing and further training opportunities” in the following form:

At our international locations, participants learn the German language for about 1 year. During that time they receive a great deal of information from us.

A further source of information for the applicant is the website www.carelend.de

In addition to the information published on our main homepage, we have created a so-called “support centre”, on which the nurse can find out in detail about life in Germany.

Each individual location of our company (Morocco, Tunisia, Egypt, Turkey, United Arab Emirates, Iraq, Iran, India and Pakistan) has its own internet presence as well as a Facebook page, YouTube channel, Instagram account and Twitter. See locations

Through these channels, each individual location passes on information to interested persons from the respective countries and is available for all questions that arise, of a professional or private nature.

With regard to the question of regulated and non-regulated professions, the following information is presented in detail in the national language.

Regulated professions

Among regulated professions there are professions regulated by federal law and those anchored in Land law. The principle applies that the Länder may regulate professions when the Federation does not make use of its legislative competence. The Federation’s legislative competence extends to the areas of

  • Heilberufe (healthcare professions)
  • Professions under the Berufsbildungsgesetz (Vocational Training Act)
  • Professions under the Handwerksordnung (Crafts Code) (so-called healthcare crafts)

Non-regulated professions

Non-regulated professions, by contrast, are all professions whose training is not regulated by federal or Land law.

Examples of regulated professions

  • Anästhesietechnische/r Assistent/in (anaesthesia technical assistant); Anästhesietechnische- und Operationstechnische Assistenten-Gesetz – ATA-OTA-G
  • Altenpfleger/in (geriatric nurse)
  • Apotheker/in (pharmacist)
  • Arzt/Ärztin (doctor)
  • Diätassistent/in (dietitian);
  • Ergotherapeut/in (occupational therapist);
  • Gesundheits- und Kinderkrankenpfleger/in (paediatric nurse)
  • Gesundheits- und Krankenpfleger/in (nurse)
  • Hebamme (midwife)
  • Kinder- und Jugendlichenpsychotherapeut/in (child and adolescent psychotherapist)
  • Logopäde/Logopädin (speech and language therapist); Logopädengesetz –
  • Masseur/in und medizinischer Bademeister/in (masseur and medical spa attendant); Masseur- und Physiotherapeutengesetz
  • medizinisch-technischer Assistent/in für Funktionsdiagnostik (medical technical assistant for functional diagnostics)
  • medizinisch-technischer Laboratoriumsassistent/in (medical laboratory assistant); MTA-Gesetz
  • medizinisch-technischer Radiologieassistent/in (medical radiology assistant); MTA-Gesetz
  • Notfallsanitäter/in (emergency paramedic); Notfallsanitätergesetz – NotSanG
  • Operationstechnische/r Assistent/in (surgical technical assistant); Anästhesietechnische- und Operationstechnische Assistenten-Gesetz – ATA-OTA-G
  • Orthoptist/in (orthoptist); Orthoptistengesetz – OrthoptG
  • Pflegefachfrau / Pflegefachmann (qualified nurse); Pflegeberufegesetz – PflBG
  • pharmazeutisch-technische/r Assistent/in (pharmaceutical technical assistant); PTA-Gesetz – PharmTAG
  • Physiotherapeut/in (physiotherapist); Masseur- und Physiotherapeutengesetz – MPhG
  • Podologe/Podologin (podiatrist); Podologengesetz – PodG
  • Psychotherapeut/in (psychotherapist); Psychotherapeutengesetz – PsychThG

Heilberufe (healthcare professions)

Common to all healthcare professions is that use of the professional title is protected. That means the professional title may only be used with an Approbation (licence to practise) or a permit to use the professional title, and a breach is punishable as a criminal offence or an administrative offence. Approbation or the permit to use the professional title is granted on application, which among other things requires proof that the legally regulated training or degree programme has been completed and the respective state examination has been passed. The details of the training or degree programme and of the respective state examination are regulated in the Approbationsordnungen (licensing regulations) or study/training and examination regulations issued for the corresponding professional laws.

The Heilberufe count among the so-called regulated professions within the meaning of European Directive 2005/36/EC on the mutual recognition of professional qualifications. This EU directive makes it easier for members of the profession to practise their profession in other EU Member States as well. The professional qualifications of doctors, dentists, veterinary surgeons, pharmacists, midwives, nurses and Pflegefachfrauen/Pflegefachmänner (qualified nurses) can be recognised automatically. The remaining healthcare professions are subject to the recognition procedure under the so-called general system, in which an equivalence assessment is carried out and, in the case of substantial differences, adaptation programmes may where appropriate be required.

The Federation may only regulate the so-called initial admission to the profession. Continuing or further training regulations are therefore a matter for the Länder. They have in part transferred these to chambers. For example, the Ärztekammern (medical chambers) are responsible for medical further training.

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