thank you for sharing your question with the Wefugees Community!
If I understand your question correctly, you want to know if it is possible to study medicine without a high school graduation (A-Levels/in German: Abitur) but with a vocational training (Ausbildung) in the medical field.
First of all, I am not an expert on this field. But I did some research and find out that there are basically two ways how to study medicine:
- The first way is that you need to finish school at an intermediate level with a so called "Mittlere Reife" and then choose an Ausbildung in the medical field (f. e. practice nurse, medical assistant, physiotherapist) that lasts at least 2 years. You have to finish this Ausbildung with a grade better than 2,5. After that you will have to work for three years in the medical field an gain work experience.
- Another way is to do an Ausbildung in another area that doesnt have to be related to medicine but give you the opportunity to do a kind of vocational upgrading training. You can find more information about via this link (https://www.wefugees.de/805976/can-go-the-university-with-realschulabschluss-ausbildung) but I think the first alternative is what you asked for.
I hope this helps and please don´t hesitate getting back to the Wefugees Community if you have further questions!
All the best