Here is a step-by-step guide for a medical residency in Germany in 2024 for international medical graduates:

1. Decision Making: Make up your mind. Decide if you want to continue or start your residency in Germany. Ideally, do this before graduating.
2. Graduation: Graduate from your medical school.
3. Internship completion: Obtain full registration as a medical doctor in your home country. This needs completing your internship or practical year. This year of clinical experience is crucial. It should be done either in your home country or where you studied medicine. This is one of the most important documents you need to provide.
4. Registration: Check the relevant website, contact them, and send your papers as soon as possible. Submit what the papers you have and work on providing any missing documents on the go.
5. Language Learning: Start learning German as early as possible. The more time you spend with the language, the better. Language skills are a decisive factor in your success as a medical doctor in Germany. You need at least a B2 level for the application.
6. Visa Application: Once you receive the certificate that your application is being processed from the authorities in Germany, you can apply for a visa to look for a job and take your exams in Germany. Always check authority websites for recent changes.
7. Exams: You need to be in Germany to attend the exams. You will need to pass two exams to get the full license: the German medical language exam and the knowledge exam.
   • Some manage to arrange to do the exams and appointments before traveling to Germany.
   • Some ask for their university degree and curriculum to be examined for equivalency and may skip the knowledge exam, a process that takes time and is not guaranteed. For more information on the German medical language exam, check our course on Udemy.
8. Licensure: Once you pass your exams, you will receive your approbation or full license, and congratulations, you are allowed to work as a medical doctor in Germany.

Note: The path for each individual is different and depends highly on your specific case. Always contact authorities directly, ask questions, and ensure you understand your specific case and path.

Good luck.