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Application and Admission

Our video gives you a quick overview of the application process, admission requirements, and important dates and deadlines. Further down the page you will find detailed information on the admission process, answers to the most frequently asked questions about entering the program, as well as further requirements and advising options!

Answers to many questions about application and admission can also be found in our FAQs.

Admission Procedure

Study places in medicine and dentistry are allocated via the Foundation for University Admission ("Hochschulstart").  You can also apply there for different medical degree programs at the same time. In addition, you can choose from as many universities as you like.

The distribution of study places awarded via the main Hochschulstart procedure is based on three admission quotas:

  • Abiturbestenquote (Abitur best quota)
    (30% of the study places)
  • Zusätzliche Eignungsquote (aptitude quota)
    (ZEQ, 10% of the study places)
  • Auswahlverfahren der Hochschulen (selection procedure of the universities)
    (AdH, 60% of the study places)

30% of the study places are allocated via the Abitur best quota exclusively on the basis of the Abitur average. Here, the comparability of the Abitur grades of all states is ensured via a compensation mechanism.

In 2020, the aptitude quota was introduced as a quota that is not dependent on school grades and is used to allocate 10% of study places. Here, the universities may decide which criteria they wish to take into consideration. These include, for example, the results of entrance tests, selection interviews and previous professional training.

At HHU, the Test for Medical Studies (TMS) plays the decisive role here!

There is no longer a waiting period quota, in which study places are awarded exclusively according to the length of the waiting semesters. In recent years, prospective students have had to wait longer and longer for a study place due to high demand. During a transitional period, the waiting period will still be taken into account within the aptitude quota, but will be gradually reduced.

We award different numbers of points for each of the criteria listed below. In total, you can achieve a maximum of 100 points in the AdH procedure:

Average Abitur grade

The most important criterion in the AdH procedure is the result of the university entrance qualification (HZB), i.e. the Abi-NC. You can achieve a maximum of 68 points for this.


In addition to the Abitur average, the result of the TMS is also taken into account for the study places awarded in our selection procedure. We award a maximum of 29 points for the TMS result.


For a completed service, e.g. a FSJ, you will be credited with three points in our AdH procedure.

Work experience

In addition, we have introduced a sub-quota in our AdH procedure for applicants with completed professional training in the medical field. Here, the applicants are ranked according to approximately the same criteria, but they only compete with each other for the 20 or so study places available to them, as the training is credited with 50 of the possible 100 points.

For the HZB you can achieve a maximum of 34 points, for the TMS a maximum of 15 points and for a completed service one point.

Detailed information on the application process can be found on the website of the Foundation for University Admission.

The Test for Medical Studies (TMS) is relevant as a selection criterion in almost all admission quotas at Heinrich Heine University Düsseldorf since 2020!

The TMS has been held twice a year since 2022 and can be repeated once. 
The TMS takes place in spring and fall at various locations throughout Germany.

For more information about the TMS and registration, click here.

In addition to the main Hochschulstart procedure, we allocate further study places via so-called "advance quotas". In addition to applications for second degree programs, hardship cases and international applicants from non-EU countries, these also include the "country doctor quota".


In North Rhine-Westphalia, 7.6% of medical study places are allocated via the rural doctor quota. In this case, applications are not submitted via Hochschulstart, but via the NRW State Center for Health. The rural doctor quota is intended to ensure the long-term provision of general medical care in rural areas.

If you are admitted to medical school via the rural doctor quota, you are required to complete further medical training that qualifies you to work as a family doctor, for example, further training in general medicine. In addition, you are required to work as a family doctor in an underserved area for at least ten years. In addition to the Abitur grade, other criteria, such as the TMS, are taken into account for the rural physician quota.

First Aid Course

You must complete nine hours of first aid training by the beginning of your 3rd year of study.

Nursing Service

By the start of the first practical block in the 3rd year of study, you must provide evidence of 3 months of nursing service. It is advisable to complete parts of the nursing service before the start of your studies, as some courses and examinations also take place during the semester break.

You should note, however, that the nursing service may only be started after obtaining the university entrance qualification (HZB). For German and European applicants, this is the day on which they receive their Abitur certificate. Non-European prospective students often receive their HZB only after attending a Studienkolleg.


If you have any questions regarding the study of medicine and the entry into the study program, please contact the contact persons in the Dean of Studies for Medicine.

General questions about application and enrollment are best directed to the HHU Student Service Center.

Would you like tips and advice from medical students? Then contact our medical student council.

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