Guide · Medicine in Norway
What level of Norwegian does a doctor need to work in Norway?
By the SnakkTrygt team ·
B2, spoken and written. If you studied medicine outside the EU/EEA, Helsedirektoratet requires it before granting authorisation: B2 in every part of Norskprøven or a pass in Bergenstesten, and only then can you take the mandatory courses and the fagprøve. If you studied in the EU/EEA, medicine is a harmonised profession with automatic recognition and those additional requirements do not apply, but the national hiring guide recommends B2 for all health personnel and the employer must make sure your Norwegian is good enough to give safe care.
What does B2 mean?
B2 is the fourth of the six levels of the Common European Framework of Reference for Languages (CEFR), which run from A1 to C2. It is the highest “independent user” level.
According to the Council of Europe, a B2 speaker understands the main ideas of complex texts, including technical discussions in their field, interacts with native speakers with a degree of fluency and spontaneity, without strain for either side, and writes clear, detailed texts. In medicine, that means taking a history, explaining a diagnosis or treatment to a patient and their family, and writing clinical notes without falling back on another language.
Source: [6]
What does Helsedirektoratet require if you studied outside the EU/EEA?
First, your degree must be assessed as equivalent to the Norwegian one. Then come four additional requirements, and the language one comes first: without it you cannot be admitted to the others. There is no exemption from the language requirement.
You have three years to complete them from the date your education is found equivalent, with at most three attempts at each course and at the fagprøve, and you pay the costs yourself.
- Language: B2 in every part of Norskprøven (the test from the Directorate for Higher Education and Skills, HK-dir) or the “Test i norsk – høyere nivå” (Bergenstesten). Some studies in Norwegian, Swedish or Danish also count.
- National subjects course (kurs i nasjonale fag): the organisation of Norwegian health and care services; health, social security and welfare law; cultural understanding and national priorities.
- Medication handling course (kurs i legemiddelhåndtering): medicines regulations and prescribing rights, medication handling and dose calculation. It is taken together with the previous course.
- Fagprøve: a professional exam run by the University of Oslo (UiO) once in the spring and once in the autumn. It has three parts: a written digital exam, a clinical oral exam and a practical OSCE (OSKE in Norwegian). You must pass all three, but not necessarily in the same attempt.
What if you studied medicine in the EU/EEA?
Medicine is a harmonised profession across the EEA: with a degree that meets the EU Professional Qualifications Directive you are entitled to authorisation without Helsedirektoratet assessing the content of your training, and the additional language, course and fagprøve requirements do not apply. That does not mean you can work without Norwegian.
The national guide on hiring health personnel says everyone hired in Norwegian healthcare should be able to document Norwegian at B2, spoken and written, and that it is the employer's responsibility to make sure staff speak and understand Norwegian well enough to give safe care. The same guide recommends holding job interviews in Norwegian, so employers may ask you to show your level.
What is Norskprøven like?
Norskprøven has a written part, split into listening, reading and writing, and an oral test. It is digital, and each part can be taken separately.
There are three versions depending on the level you are aiming for: A1–A2, A2–B1 and B1–B2. The B1–B2 version is the one that goes up to B2. Helsedirektoratet requires B2 in every part: an average is not enough. Bear in mind that the written fagprøve exam is also in Norwegian, so you need clinical Norwegian, not just everyday Norwegian.
Does the SnakkTrygt certificate replace Norskprøven?
No. The SnakkTrygt certificate shows that you passed our exam for a level and carries a verification code, but it is not an official qualification and it is not one of the language tests Helsedirektoratet accepts.
What the healthcare Norwegian course does is take you from A1 to B2 with the vocabulary and situations of hospital work: talking with patients and relatives, medication, shift handovers and clinical documentation, with instant feedback on what you write.
Where do I start?
First check your case on Helsedirektoratet's website, because the requirements depend on where you trained. Then work out how far you are from B2 and start with the part you find hardest: listening, reading, writing or speaking.
Source: [1]
Sources
- Helsedirektoratet: additional requirements for applicants educated outside the EU/EEA (updated 12 Dec 2025)
- Helsedirektoratet: commentary on the Health Personnel Act, conditions for authorisation, licence and specialist approval
- National guide “Ansettelse av helsepersonell”, section on language skills (updated 4 May 2023)
- University of Oslo (UiO), Faculty of Medicine: fagprøve for doctors educated outside the EU/EEA and Switzerland
- Bergen municipality: Norskprøven A1–A2, A2–B1 and B1–B2 (updated 1 June 2026)
- Council of Europe: CEFR common reference levels (global scale)
Rules can change. Before starting any application, check the requirements on helsedirektoratet.no.