Introduction to the NExT Exam – Why It Matters for Every Medical Student
Are you an MBBS student in India or planning to pursue medicine abroad? If so, the National Exit Test (NExT) is about to become one of the most important milestones in your medical career. Whether you’re studying in India or returning after an MBBS abroad, understanding NExT is crucial for your future as a doctor in India.
What is the NExT Exam?
The National Exit Test (NExT) is a standardized examination introduced by the National Medical Commission (NMC) to streamline and unify the process of medical licensure and postgraduate (PG) admissions in India. NExT will replace the traditional final year MBBS exams, NEET-PG, and the Foreign Medical Graduate Examination (FMGE), making it a single gateway for:
- MBBS graduation (final year assessment)
- Licentiate to practice medicine in India
- Eligibility for PG medical admissions (MD/MS/Diploma)
- Screening test for foreign medical graduates
Why Was NExT Introduced?
The NMC’s vision for NExT is to ensure a uniform standard of medical education and practice across India. Here’s why this change is significant:
- Uniformity: One exam for all, regardless of where you studied MBBS-India or abroad.
- Transparency: A single merit list for PG seats, reducing ambiguity and multiple exams.
- Quality Assurance: Ensures all doctors meet a minimum competency standard before practicing or pursuing specialization.
Who Needs to Take the NExT Exam?
NExT is mandatory for:
- All MBBS students in India (from the 2020 batch onwards)
- All foreign medical graduates who wish to practice or pursue PG in India
The Big Picture: How NExT Impacts Your Medical Journey
Whether you’re a student at an Indian medical college or planning to return to India after studying MBBS abroad, NExT will shape your future in several ways:
| Student Type | Purpose of NExT | Outcome |
|---|---|---|
| Indian MBBS Students | Final year exam, licentiate, PG entrance | MBBS degree, license, PG eligibility |
| Foreign Medical Graduates | Licentiate, screening, PG entrance | License to practice, PG eligibility |
Pro Tip:
Start planning early! Knowing the NExT pattern, timeline, and process can give you a strategic edge-whether you’re aiming for a PG seat in a top college or simply want to secure your license to practice.
NExT Exam Pattern: Detailed Breakdown, Subjects, and Marking Scheme
Understanding the pattern of the NExT exam is vital for every medical student, whether you’re studying in India or planning to return after an MBBS abroad. The NExT exam is structured to comprehensively assess your theoretical knowledge, clinical skills, and readiness to practice medicine in India.
1. Overview: Two-Step Structure
The NExT exam is divided into two distinct steps:
| Step | Type | Purpose | When Taken |
|---|---|---|---|
| NExT Step 1 | Theory (MCQ-based) | Final MBBS exam, PG entrance, licentiate eligibility | After final year MBBS (before internship) |
| NExT Step 2 | Practical/Clinical | Clinical and practical skills assessment | After completing internship |
2. NExT Step 1: Theory Exam (MCQ-Based)
Format and Subjects
NExT Step 1 is an online, computer-based test consisting of Multiple Choice Questions (MCQs) that cover the core clinical subjects of the MBBS curriculum. The exam is designed to test not just recall, but also problem-solving and clinical reasoning skills.
| Subject | Number of Questions | Duration |
|---|---|---|
| Medicine & Allied Subjects | 120 | 3 hours |
| Surgery & Allied Subjects | 120 | 3 hours |
| Obstetrics & Gynaecology | 120 | 3 hours |
| Paediatrics | 60 | 1.5 hours |
| Otorhinolaryngology (ENT) | 60 | 1.5 hours |
| Ophthalmology | 60 | 1.5 hours |
| Total | 540 | 13.5 hours |
Question Distribution
- Problem-solving/Analytical: 65%
- Comprehension: 25%
- Recall: 10%
This means the majority of questions will require you to apply your knowledge in clinical scenarios, not just memorize facts.
Marking Scheme
- Each correct answer: +1 mark
- No negative marking (as per current guidelines, but always check latest NMC updates)
- Passing Criteria: Minimum 50% marks in each subject paper
Exam Schedule
- Conducted over three consecutive days
- Each day covers different subjects (exact schedule released by the exam authority)
3. NExT Step 2: Practical/Clinical Exam
Format
- Mode: Offline, practical and viva-based assessment
- Content: Real patient cases, clinical skills, communication, and professionalism
- Assessment: Conducted by respective universities/medical colleges, under NMC guidelines
Result
- Pass/Fail only (no numerical score)
- Must pass to receive permanent registration as a medical practitioner in India
4. Key Differences: NExT vs NEET-PG/FMGE/Old MBBS Final Exam
| Feature | NExT Step 1 | NEET-PG/FMGE/Old MBBS Final Exam |
|---|---|---|
| Type | MCQ-based, clinical focus | MCQ (NEET-PG/FMGE), theory/practical (MBBS) |
| Subjects | 6 major clinical subjects | 19 subjects (NEET-PG), theory/practical (MBBS) |
| Attempts | Unlimited for Step 1 | Limited attempts (FMGE), once/year (MBBS) |
| Passing Criteria | 50% in each paper | 50% overall (FMGE), university norms (MBBS) |
| Role in PG Admission | Direct merit list | Separate exam (NEET-PG) |
5. Why This Pattern Matters
- For Indian Students:
- No need for a separate NEET-PG after MBBS. Your Step 1 score is your PG entrance rank.
- More clinical, less rote learning-focus on real-world application.
- For Foreign Medical Graduates:
- No more FMGE. NExT Step 1 is your screening test.
- Same standard as Indian MBBS students-level playing field.
6. Pro Tips for Success
- Start early with integrated clinical preparation.
- Focus on problem-solving and case-based learning.
- Practice MCQs from standard sources and previous year patterns.
- Don’t neglect practical skills-Step 2 is crucial for licensure!
NExT Exam Timeline: Commencement Dates, Frequency, and Who is Eligible
Knowing when and how often the NExT exam will take place is crucial for your planning, whether you’re an MBBS student in India or a foreign medical graduate aiming to practice in India. This section covers the official timeline, eligibility, and key deadlines you must know.
NExT Exam Commencement: When Does It Start?
Official Announcements
- Pilot Phase:
The NMC has indicated that a pilot (mock) NExT exam is expected to be conducted in mid-2025. This will help students and institutions familiarize themselves with the format. - Full Implementation:
The NExT exam is likely to be fully implemented for the 2020 MBBS batch onwards. This means students who started their MBBS in 2020 will be the first to take the official NExT as their final year exam, most likely in 2026.
Key Dates (Tentative)
| Event | Expected Timeline |
|---|---|
| Mock/Pilot NExT | Mid-2025 |
| First Official NExT Step 1 | Early to mid-2026 |
| First Official NExT Step 2 | After internship, late 2026/early 2027 |
Note:
Always check the NMC official website for the latest updates, as dates may change based on policy decisions.
Frequency of the NExT Exam
- NExT Step 1:
Conducted twice a year (expected in May and November). - NExT Step 2:
Conducted twice a year after internship, typically by your university or medical college.
Why Two Attempts Per Year?
This gives students flexibility to plan their attempts, especially if they need to improve their Step 1 score for PG admissions or if they need to reappear after an unsuccessful attempt.
Who is Eligible for the NExT Exam?
For Indian MBBS Students
- Eligibility:
- Must be in the final year of MBBS from an NMC-recognized medical college.
- Must complete the required coursework and clinical postings as per university and NMC norms.
- When to Take:
- NExT Step 1: At the end of the final MBBS year (before internship).
- NExT Step 2: After completing the mandatory internship.
For Foreign Medical Graduates (FMGs)
- Eligibility:
- Must have completed MBBS/MD (or equivalent) of at least 54 months duration from a recognized foreign university.
- Must have completed a 12-month internship in the same country of graduation.
- Must be eligible to practice medicine in the country of graduation.
- When to Take:
- NExT Step 1: After returning to India and getting eligibility clearance from NMC.
- NExT Step 2: After completing a 12-month internship in India (provisional registration is granted after clearing Step 1).
Special Note for Exemptions
- Graduates from Australia, Canada, New Zealand, UK, and USA with recognized PG qualifications and medical licenses may be exempt from NExT, as per latest NMC guidelines.
At a Glance: NExT Exam Timeline for Indian and Foreign Students
| Student Type | Step 1 Timing | Internship | Step 2 Timing |
|---|---|---|---|
| Indian MBBS Students | End of final year MBBS | 12 months in India | After internship |
| Foreign Medical Graduates | After eligibility clearance | 12 months in foreign country + 12 months in India | After Indian internship |
Key Takeaways
- Plan early based on your MBBS batch and expected graduation year.
- Track NMC notifications for any changes in dates or eligibility.
- Foreign graduates: Prepare your documents and internship records for NMC verification before applying for NExT.
NExT Process for Indian Students – Step-by-Step Guide from Final Year to PG Admission
Introduction
If you’re an MBBS student in India, the NExT exam will be your single gateway for graduation, licensure, and postgraduate (PG) admission. This section breaks down the entire process step-by-step, so you know exactly what to expect from your final year until you secure a PG seat.
Step 1: Final Year MBBS Preparation
- Focus on clinical subjects: Medicine, Surgery, Obstetrics & Gynaecology, Paediatrics, ENT, and Ophthalmology.
- Integrate theory with case-based learning and MCQ practice.
- Attend clinical postings and practical sessions diligently, as these will be tested in NExT Step 2.
Step 2: NExT Step 1 (Theory Exam)
- When: At the end of your final MBBS year (before internship).
- Format: Computer-based, MCQ exam covering six major clinical subjects.
- Passing Criteria: Minimum 50% marks in each subject paper.
- Attempts: Unlimited, but you must clear all six papers in one attempt to be eligible for PG seat allocation.
- Score Validity: Step 1 scores are valid for 2–3 years for PG admissions.
Step 3: Internship
- Duration: 12 months of compulsory rotatory internship in India.
- Eligibility: You can start internship only after passing NExT Step 1.
- Provisional Registration: Granted after clearing Step 1, allowing you to begin internship.
Step 4: NExT Step 2 (Practical/Clinical Exam)
- When: After successful completion of internship.
- Format: Practical and viva-based assessment, conducted by your university/medical college.
- Result: Pass/Fail only. No numerical score is awarded.
- Purpose: Required for permanent registration as a medical practitioner in India.
Step 5: PG Admission Process
- Merit List: Your latest NExT Step 1 score will determine your rank for PG counselling.
- PG Counselling: Centralized, online process for all government, private, and deemed universities.
- Rounds: Four rounds – Round 1, Round 2, Mop-Up, and Stray Vacancy.
- Reservation: As per government norms (OBC, SC, ST, EWS, PwD, etc.).
- Note: Only candidates who clear all Step 1 papers in one attempt are eligible for PG seat allocation.
Step-by-Step Flowchart
| Stage | Action | Outcome |
|---|---|---|
| Final Year MBBS | Prepare for NExT Step 1 | Ready for theory exam |
| NExT Step 1 | Appear and pass all six papers | Eligible for internship & PG merit |
| Internship | Complete 12 months in India | Eligible for Step 2 |
| NExT Step 2 | Appear for practical/clinical exam | Permanent registration |
| PG Counselling | Apply with Step 1 score | PG seat allocation |
Key Tips for Indian MBBS Students
- Start NExT-focused preparation from your third year onward.
- Balance MCQ practice with clinical exposure and practical skills.
- Track official NMC updates for any changes in pattern or process.
- Plan your internship rotations strategically to strengthen clinical skills for Step 2.
NExT Process for Foreign Medical Graduates – Step-by-Step Guide for Returning to India
Introduction
If you’ve completed your MBBS or equivalent degree abroad and wish to practice or pursue postgraduate studies in India, the NExT exam is now your mandatory pathway. This section provides a detailed, step-by-step guide tailored for foreign medical graduates (FMGs), covering eligibility, documentation, exam process, and key differences compared to Indian graduates.
Step 1: Verify Your Eligibility
- Degree Requirements: Your MBBS/MD (or equivalent) must be at least 54 months in duration and completed from a single, recognized foreign university.
- Medium of Instruction: The entire course must be taught in English.
- Internship: Completion of a 12-month internship in the same country and institution where you pursued your MBBS.
- Practice Eligibility: You must be eligible to register and practice medicine in the country of your graduation.
Step 2: Obtain Eligibility Certificate from NMC
- Before appearing for NExT, apply for an Eligibility Certificate from the National Medical Commission (NMC) via their official portal.
- Prepare and submit all required documents: degree certificate, transcripts, internship completion, passport, and proof of registration eligibility in your country of study.
- Wait for official clearance from NMC before proceeding further.
Step 3: Appear for NExT Step 1 (Theory Exam)
- When: After obtaining the NMC eligibility certificate and returning to India.
- Format: Same as Indian students – computer-based MCQ exam covering six clinical subjects.
- Passing Criteria: Minimum 50% marks in each subject paper.
- Attempts: Unlimited, but all six papers must be cleared in one attempt for PG seat eligibility.
Step 4: Compulsory Internship in India
- Duration: 12 months of rotatory internship at an NMC-recognized medical college or hospital in India.
- Provisional Registration: Granted after clearing NExT Step 1, allowing you to begin your Indian internship.
- Documentation: Maintain detailed internship records, as these will be verified before permanent registration.
Step 5: Appear for NExT Step 2 (Practical/Clinical Exam)
- When: After successful completion of your internship in India.
- Format: Practical and viva-based assessment conducted by your assigned university or medical college.
- Result: Pass/Fail only. Required for permanent registration.
Step 6: Permanent Registration and PG Admission
- Permanent Registration: Granted by the State Medical Council/NMC after clearing Step 2.
- PG Admission: Use your latest NExT Step 1 score to participate in centralized PG counselling, just like Indian MBBS graduates.
- PG Counselling: Centralized, online, and merit-based on your Step 1 score.
Comparison: Indian vs. Foreign Medical Graduate NExT Pathway
| Step | Indian MBBS Graduate | Foreign Medical Graduate |
|---|---|---|
| Eligibility | MBBS from Indian NMC-recognized college | MBBS/MD from recognized foreign university, NMC eligibility certificate |
| Step 1 (Theory) | After final year | After returning to India and NMC clearance |
| Internship | 12 months in India | 12 months abroad + 12 months in India |
| Step 2 (Practical) | After internship in India | After internship in India |
| PG Admission | Centralized counselling (Step 1 score) | Centralized counselling (Step 1 score) |
| Permanent Registration | After Step 2 | After Step 2 |
Special Note: Exemptions
- Graduates from Australia, Canada, New Zealand, UK, and USA with recognized PG qualifications and medical licenses may be exempt from the NExT screening, as per the latest NMC gazette.
Key Tips for Foreign Medical Graduates
- Start the NMC eligibility process early, as document verification can take time.
- Brush up on clinical subjects and MCQs, as the NExT pattern is clinically oriented.
- Network with Indian medical colleges for internship placements immediately after clearing Step 1.
- Maintain all original documents, including degree, transcripts, and internship certificates, for smooth registration.
NExT PG Counselling Process: How Seats Are Allotted & What Students Must Know
Introduction
After clearing NExT Step 1, the next big milestone for both Indian and foreign medical graduates is securing a postgraduate (PG) seat. The PG counselling process is now unified and merit-based, relying exclusively on your NExT Step 1 score. This section explains the entire PG counselling process, seat allotment, reservation policies, and tips for maximizing your chances.
PG Counselling Overview
- Centralized Process: All India PG medical seats (MD/MS/Diploma) in government, private, and deemed universities are filled through a single, centralized counselling system.
- Conducted By: Medical Counselling Committee (MCC) under the Directorate General of Health Services (DGHS), Ministry of Health & Family Welfare.
- Basis for Merit: Your most recent NExT Step 1 score (not Step 2).
- Eligibility: You must clear all six Step 1 papers in a single attempt to be eligible for PG seat allotment.
PG Counselling Rounds
- Round 1: All eligible candidates can participate and choose from available seats.
- Round 2: Unfilled and newly added seats are available for candidates who did not get a seat in Round 1 or wish to upgrade.
- Mop-Up Round: Remaining vacant seats are filled, usually for candidates who haven’t been allotted any seat yet.
- Stray Vacancy Round: Final round for any leftover seats; conducted at the institution level.
Reservation Policy
- Categories Covered: OBC, SC, ST, EWS, PwD, and other government-mandated reservations.
- Percentage: As per prevailing central and state government norms.
- All India Quota (AIQ): 50% of seats in government medical colleges are reserved for AIQ, open to all eligible candidates across India.
- State Quota: 50% of seats are reserved for candidates belonging to the respective state.
Seat Allotment Process
- Registration: Register online on the official MCC counselling portal after NExT Step 1 results.
- Choice Filling: List and prioritize your preferred colleges and courses.
- Seat Allotment: Seats are allotted based on your NExT Step 1 rank, reservation category, and choices filled.
- Reporting: Report to the allotted college with required documents for admission and verification.
- Upgradation: Option to upgrade your seat in subsequent rounds if you are allotted a lower preference initially.
Comparison Table: NExT PG Counselling vs NEET-PG Counselling
| Feature | NExT PG Counselling | NEET-PG Counselling (Old) |
|---|---|---|
| Basis for Merit | NExT Step 1 score | NEET-PG score |
| Number of Exams | Single exam (NExT Step 1) | Separate from MBBS final exam |
| Eligibility | Clear all Step 1 papers in one go | Qualifying score in NEET-PG |
| PG Counselling Authority | MCC/DGHS | MCC/DGHS |
| Reservation Policies | Central & State norms | Central & State norms |
Important Documents for PG Counselling
- NExT Step 1 scorecard
- MBBS degree and mark sheets
- Internship completion certificate
- Provisional/permanent registration certificate
- Category certificate (if applicable)
- Photo ID proof
- Other documents as specified by MCC
Key Tips for a Successful PG Counselling Experience
- Research colleges and courses thoroughly before filling choices.
- Keep all documents ready and verified in advance.
- Track counselling dates and deadlines closely on the MCC portal.
- Use the upgradation option wisely if you want a better seat in later rounds.
- Stay updated with official notifications to avoid missing any important steps.
NExT Exam FAQs: Your Most Common Questions Answered
Introduction
The NExT exam is a major shift in India’s medical education system, and it’s natural to have questions. Here, we answer the most frequently asked questions by Indian students and foreign medical graduates to clear your doubts and help you plan confidently.
1. Who must take the NExT exam?
- All final-year MBBS students from Indian medical colleges (2020 batch onward).
- All foreign medical graduates (FMGs) who wish to practice or pursue PG in India.
2. Is NExT replacing NEET-PG and FMGE?
Yes. NExT will replace both NEET-PG (for PG admissions) and FMGE (for foreign graduate screening). It will also serve as the final MBBS exit exam.
3. What is the pattern of the NExT exam?
- Step 1: Computer-based MCQ exam covering six clinical subjects.
- Step 2: Practical/clinical and viva assessment after internship.
4. How many attempts are allowed for NExT Step 1?
Unlimited attempts are allowed for Step 1, but you must clear all six subject papers in a single attempt to be eligible for PG seat allocation.
5. How long is the NExT Step 1 score valid for PG admissions?
Your NExT Step 1 score is valid for 2–3 years for PG counselling and admissions.
6. What happens if I fail NExT Step 2?
You can reappear for Step 2 in the next available session. You need to pass Step 2 to get permanent registration and practice as a doctor in India.
7. Can I do my internship abroad if I am a foreign medical graduate?
You must complete a 12-month internship in the same country and institution as your MBBS, and then a 12-month internship in India after clearing NExT Step 1.
8. Is there any negative marking in NExT Step 1?
As per current guidelines, there is no negative marking in NExT Step 1. Always check the latest NMC notifications for updates.
9. How is the PG seat allotment done?
PG seats are allotted through centralized counselling based on your latest NExT Step 1 score, reservation category, and preferences.
10. What documents are required for NExT and PG counselling?
- NExT Step 1 scorecard
- MBBS degree and mark sheets
- Internship completion certificate(s)
- Provisional/permanent registration certificate
- Category certificate (if applicable)
- Photo ID proof
- Other documents as specified by NMC/MCC
11. Are there any exemptions for foreign graduates?
Graduates from Australia, Canada, New Zealand, UK, and USA with recognized PG qualifications and medical licenses may be exempt from NExT, as per the latest NMC gazette.
12. Where can I find official updates about NExT?
Visit the NMC official website for the latest notifications, exam schedules, and guidelines.
Conclusion and Final Tips for NExT Success
Key Takeaways
The NExT exam is a transformative step for India’s medical education system, unifying the process for MBBS exit, licensure, and PG admissions. Whether you’re studying in India or returning after an MBBS abroad, understanding the NExT process is essential for your career.
- Single Gateway: NExT serves as your final year MBBS exam, licentiate exam, and PG entrance test.
- Unified Standard: Both Indian and foreign medical graduates are assessed on the same platform, ensuring fairness and transparency.
- Clinical Focus: The exam pattern emphasizes clinical knowledge, problem-solving, and practical skills over rote memorization.
- Centralized PG Counselling: All PG seats are allotted through a single, merit-based process using your NExT Step 1 score.
- Thorough Documentation: Keep all your academic, internship, and registration documents ready and updated.
Final Tips for Success
- Start Early: Begin NExT-oriented preparation from your third year of MBBS. Focus on integrating clinical concepts and practicing MCQs regularly.
- Master Clinical Skills: Don’t neglect your practical training and patient interactions-these are crucial for Step 2 and your future practice.
- Stay Updated: Regularly check the NMC official website for the latest guidelines, notifications, and exam schedules.
- Plan Your Internship: Use your internship year to strengthen your clinical acumen and prepare for Step 2.
- Be Thorough with Documentation: Especially for foreign graduates, ensure all certificates, transcripts, and eligibility proofs are complete and verified.
- Participate Actively in Counselling: Research colleges, fill choices wisely, and keep track of all deadlines during the PG counselling process.
- Stay Positive and Consistent: The NExT journey is challenging but achievable with consistent effort and the right strategy.
Looking Ahead
The NExT exam is designed to produce competent, confident, and clinically skilled doctors for India’s healthcare system. Embrace this change as an opportunity to excel and make a meaningful impact as a future medical professional.
Need More Guidance?
If you have more questions or need personalized advice, don’t hesitate to contact us at 9344141424 or mail us at [email protected]
Stay Motivated!
Remember, the journey to becoming a doctor is demanding but deeply rewarding. Stay focused, keep learning, and give your best-success in NExT and your medical career awaits!
