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page icons Overview

Overview

The NExT exam (National Exit Text) is a licensure examination for those who aspire to practice medicine in India after completing their MBBS degree. The exam is designed to standardize medical education and ensure that medical professionals meet the required competency levels before they can practice in India. The NExT examination will replace the existing National Eligibility-Cum-Entrance Test for postgraduate seats (NEET PG) and the Foreign Medical Graduate Examination (FMGE), which are required of national and international medical graduates to register for medical practice in India. The NExT exam MBBS sets a wide range of topics including basic medical sciences, clinical subjects, and practical skills and the format of the exam includes multiple-choice questions (MCQs) and clinical assessments. The results of the NExT exam play a significant role in determining a candidate’s eligibility for PG (Postgraduate) medical admissions and the ability to work as a practicing doctor in India.

The NExT test is divided into two parts i.e. NExT-1 and NExT-2, the NExT-1 is designed to assess theoretical knowledge across various medical subjects and it is typically conducted after completion of the MBBS program and the NExT-2 is a comprehensive examination to evaluate both theoretical knowledge and clinical skills. It is necessary to obtain a license to practice medicine in the country that’s why the NExT exam acts as a licensing exam for practicing in India and an entrance exam for PG (Postgraduate) studies. According to the Ministry of Health, the main purpose of the NExT test trial is to improve the country's health insurance system and produce more qualified doctors, as mentioned above. This is also a first step towards the government's goal of ensuring that every student in the country has an exam plan.

page icons Registration

Registration
The candidate must submit the NExT exam application form, the NExT mock application process involves steps such as the generation of Exam Unique Code (EUC) and completion of the application form.     Register Now
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page icons Eligibility Criteria

Eligibility
Candidates must fulfil the NExT Exam eligibility criteria for taking the exam. The National Exit Test will only be open to individuals who satisfy the following requirements:
elegibility_criteria
  • All undergraduate medical students who have completed an MBBS degree from NMC-approved medical institutions with at least 50% marks.
  • Foreign medical graduates who have been approved by the NMC to apply for a license to practice as registered medical practitioners in India.
  • Any other individual with a medical degree for purposes that the NMC may specify and recognize.
  • Candidates must finish a 12-month internship after passing the NExT Step 1 exam to be considered eligible to appear for the NExT Step 2 exam.

 

 

Exam Pattern

Exam Pattern

The NExT exam is a standardized national-level exam for all medical graduates who want to practice in India, It acts as an entrance exam for admission to PG medical courses and a licensure exam for practising medicine in India. The NExT Exam Step for medical students in India is divided into two segments i.e. NExT Step 1 and NExT Step 2. Let’s explore them in brief:

NExT Step 1:

The NExT Step 1 is a theoretical examination conducted in CBT (Computer-Based Test) mode. It focuses on evaluating the knowledge of students related to medical sciences, covering both clinical and preclinical subjects.

The exam contains 6 papers that cover various topics and subjects of MBBS, each paper has multiple-choice questions (MCQs). The subjects include:

  • Medicine and Allied Subjects
  • Surgery and Allied Subjects
  • Obstetrics and Gynecology
  • Paediatrics
  • Otorhinolaryngology (ENT)
  • Ophthalmology

NExT Step 2:

The NExT Step 2 is a practical & clinical-based examination that evaluates the practical knowledge, clinical skills, and patient management abilities of candidates.

The NExT Step 2 is conducted after the completion of a one-year internship, it focuses on practicals, viva voce, and real-life case management studies. It also includes core clinical subjects like 

  • Medicine
  • Surgery
  • Obstetrics
  • Gynaecology
  • Paediatrics
  • ENT & Ophthalmology

Highlight

Aspect

NExT Step 1

NExT Step 2

Exam Type

Theoretical (MCQ-based)

Practical and clinical

Purpose

Eligibility for internship & PG ranking

Licensing to practice medicine

Exam Format

6 papers (CBT) covering preclinical & clinical subjects

Practical/viva-voce-based exam

Focus

Conceptual and problem-solving

Clinical and patient management skills

Paper Pattern

Days

Subjects

Number of Questions

Allotted Time

Day 1

Medicine & allied subjects

120

180 minutes

Paediatrics

60

90 minutes

Day 2

Surgery & Allied

120

180 minutes

ENT

60

90 minutes

Day 3

Obstetrics & Gynaecology

120

180 minutes

Ophthalmology

60

90 minutes

Total

540

810 minutes


As of January 24, 2025, the NExT is scheduled to be implemented from August 2025 for final-year MBBS students of the 2020 batch. The National Medical Commission (NMC) has yet to release the official brochure detailing specific dates and further information about the exam. Candidates are advised to stay updated through official NMC communications for the most accurate and timely information.

page icons Exam Syllabus

Exam Syllabus

Frequently Asked Questions

FAQs

Ans. Additional NMC NExT Step 1 exams are held once a year, and candidates who fail one or more of the six subjects are eligible to take these exams. There is no limit to the number of times you can take the next exam. The only requirement is that the candidate have passed the NExT 1 exam within 10 years of attending the MBBS.

As mentioned above, without a next exam qualification, you are not eligible to be a doctor or an intern in India.

The next exam will tend to narrow down the shortcuts many aspirants have taken in recent years to get their desired seats. Conceptual learning replaces memorization, and students need to focus more on clinical and application-based learning.

There are some significant advantages to the next exam which are given below. Uniformity through individual testing Abolition of unnecessary documents for international students Many illegal activities by unlicensed doctors will be restricted Clinical and application-based exams make MBBS graduates more qualified.

The next exam NEXT is a pattern that aims to produce more competent doctors with a more practical, applied, and clinical approach, so it has no major drawbacks compared to NEET PG. However, the next exam pattern overall lengthens the overall duration of medical education.

Apart from not being eligible for the desired seat on the PG medical course, you can take the exam next year, but you cannot complete your internship until you pass the exam. It is similar to the fourth-grade MBBS exam.

The format of the next exam is more comprehensive than the existing NEET PG, and clinical skills are thoroughly tested. The first part of this exam (NExT 1) consists of an objective MCQ-based paper whose rank determines the placement in PG medical courses and the eligibility for post-MBBS internships. The second part of NEXT (NExT 2) is practice-oriented and tests students' practical performance. If a student fails to master any part of it, that student will not be given a PG seat and a licence to practise in India.

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