In Japan, medical schools are making various efforts for the purpose of establishing consistent admission selection processes for securing human resources, which are compatible with individual development goals as medical doctors and admission policies. In Germany, 40% of medical students are selected through the central office (Stiftung fuer Hochschulzulassung) for the allocation of places in higher education, The rest of the students are decided by Medical Universities. In addition to overall Abitur grade, the nationwide medical admission test TMS (Test fuer Medizinische Studiengaenge) is used as one of the selection criteria by many universities in individual selection processes with the aim of choosing the students with better medical specialty aptitude. Similar attempts might be difficult in Japan where private and public universities are mixed. However, it is important to share the firm concept of ‘what type of students should be selected as medical students’.　Here, we introduce the unique selection process of medical students in Germany, especially focusing on the re-introduction of TMS.