NExT Exam

NExT Exam2026 Guide

Your ultimate blueprint for India’s ultimate medical licensing and PG gateway. Master the clinical syllabus, track the latest NMC updates, & unlock your career as a registered doctor and specialist.

NExT Exam 2026 Guide
Total Step 1 MCQs/Marks

Total Step 1 MCQs/Marks

540 MCQs / 540 Marks

Step 1 examination

Step 1 examination

6 Papers

Step 1 schedule

Step 1 schedule

3 Days

Practical/clinical assessment

Practical/clinical assessment

Step 2: Pass/Fail

Overview

What is NExT?

NExT (National Exit Test) is a mandatory licensing & PG entrance examination for MBBS students in India. Introduced by the National Medical Commission, it is designed to replace the existing National Eligibility Cum Entrance Test for Postgraduate seats (NExT PG) and the Foreign Medical Graduate Examination (FMGE).

The National Exit Test (NExT) is a computer-based (CBT) and practical examination, categorised into two steps, i.e. NExT Step 1 and NExT Step 2. The exam format includes multiple-choice questions (MCQs) and clinical assessments. With the implementation of this system, the NExT Exam Compulsory rule will be applied to all MBBS graduates seeking licensing and postgraduate studies in India.

Through the NExT exam (National Exit Test), qualified medical graduates can obtain a modern medicine practising license in India and secure admission to postgraduate medical programs, including:

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.

Exam Duration13.5 Hours

Key subjects include

  • Medicine and Allied Subjects
  • Surgery and Allied Subjects
  • Obstetrics and Gynaecology
  • Pediatrics
  • Otorhinolaryngology (ENT)
  • Ophthalmology

No. of Universities, Colleges, and Seat Availability in India for NExT Exam

The National Exit Test (NExT) has been deferred by the National Medical Commission (NMC) and is not active or scheduled for the 2026 academic/exam cycle.

Important

Why is NExT Exam Important?

The National Exit Test (NExT) is critical because it standardises medical education across India. It acts as a unified gateway, replacing NEET-PG and the Foreign Medical Graduate Exam (FMGE) with a single licensing and postgraduate entrance test.

  • Unified "Single-Window" Examination

    NExT consolidates multiple major medical exams into a single framework. It acts as a licentiate exam for medical practice, the final-year MBBS theory exam, and the primary eligibility test for allocating postgraduate (MD/MS) seats.

  • Replaces NEET-PG and FMGE

    By combining functionalities, it completely replaces separate, highly competitive exams like the NEET-PG (for postgraduate admissions) and the FMGE (the screening test for foreign medical graduates).

  • Standardises Education Nationwide

    Prior to NExT, different medical colleges across Indian states maintained varied testing standards. NExT introduces a centralised, uniform evaluation system to ensure every graduate meets the same high-quality benchmark.

  • Equal Footing for Foreign and Indian Graduates

    Historically, students who completed their MBBS abroad had to pass the FMGE, while domestic graduates did not. NExT creates a level playing field by making the same examination mandatory for both domestic & overseas graduates.

  • Shifts Focus from Rote Learning to Clinical Application

    The NExT syllabus and pattern (specifically NExT Step 1) rely heavily on clinical case scenarios and problem-solving. This discourages rote memorisation and ensures that upcoming doctors are evaluated on practical, real-world competence.

  • Mandatory Gateway to Internships & Licensing

    The exam is split into two phases. Passing NExT Step 1 is structurally essential to even qualify for the mandatory 12-month clinical internship, while clearing NExT Step 2 secures the official license to legally practice medicine in India.

Key Takeaway

Qualifying the National Exit Test (NExT) solidifies your medical career by granting you an official license to practice medicine, unlocking postgraduate (MD/MS) opportunities, and replacing legacy exams like NEET-PG and FMGE.
Highlights

NExT Exam 2026 Highlights

National Exit Test (NExT) remains one of the most discussed reforms in Indian medical education. Below are the key highlights, latest implementation status, and structure details regarding the NExT exam.

  • Exam NameNational Exit Test (NExT)
  • Conducting BodyNational Medical Commission (NMC)
  • Mode of the examinationStep 1 (CBT) + Step 2 (Offline)
  • DurationStep 1: 3 days (810 minutes/13.5 hours); Step 2: Practical/clinical assessment.
  • Total QuestionsStep 1: 540 MCQs across 6 papers.
  • Total MarksStep 1: 540 marks; Step 2: Practical/clinical assessment (Pass/Fail).
  • Question TypeMCQs + LAQs + SAQs + Viva
  • SubjectsStep 1: Medicine, Surgery, OBG, Paediatrics, ENT & Ophthalmology. Step 2: Medicine, Surgery, OBG, Paediatrics, ENT, Ophthalmology, Orthopaedics & PMR.
  • Marking Scheme+1 correct, 0 incorrect
  • FrequencyTwice a Year
Eligibility

NExT Eligibility Criteria

As mandated by the National Medical Commission (NMC), candidates must fulfil the NExT Eligibility Criteria to appear. The eligibility for the NExT exam is expected to include:

  • 1. Indian Medical Graduates (IMGs)

    • Pursuing or having completed an MBBS degree from an NMC-recognised medical college in India
    • Have completed the required MBBS training as prescribed by the National Medical Commission
    • Can appear for NExT Step 1 during the final MBBS phase
    • Can appear for NExT Step 2 only after completing internship requirements
  • 2. Foreign Medical Graduates (FMGs)

    • Hold a recognised MBBS degree from abroad
    • Meet National Medical Commission (NMC) recognition requirements
    • Complete mandatory eligibility and document verification
    • Pass both NExT Step 1 and Step 2 for registration in India
Exam Structure

NExT Step 1 Exam Pattern (Proposed NMC Framework)

As of now, the NExT Exam is not implemented, but the National Medical Commission structures the National Exit Test (NExT) into two separate parts, Step 1 (theory) and Step 2 (practical), to serve as both a licensing and PG medical entrance exam in India.

Day 1

SubjectsMedicine & allied subjects/ Pediatrics
Number of Questions120/ 60
Allotted Time180 minutes/ 90 minutes

Day 2

SubjectsSurgery & Allied/ ENT
Number of Questions120/ 60
Allotted Time180 minutes/ 90 minutes

Day 3

SubjectsObstetrics & Gynaecology/ Ophthalmology
Number of Questions120/ 60
Allotted Time180 minutes/ 90 minutes

Total: 540 MCQs | 540 Max Marks | 13.5 Hours

Marking Scheme

  • Correct Answer+1
  • Incorrect Answer0
  • Unanswered0
Syllabus

NExT Exam Syllabus, Subject by Subject

The NExT Exam Syllabus covers all 19 subjects from the standard MBBS curriculum, split across theoretical (Step 1) and practical (Step 2) components. A dedicated structure for the examination is mentioned below.

General Medicine

  1. Cardiovascular System
  2. Respiratory System
  3. Gastrointestinal System
  4. Neurology
  5. Nephrology
  6. Endocrinology
  7. Rheumatology
  8. Haematology
  9. Infectious Diseases
  10. Emergency Medicine
  11. Critical Care Medicine

Psychiatry

  1. General Psychiatry
  2. Psychotic Disorders
  3. Mood Disorders
  4. Anxiety Disorders
  5. Substance Use Disorders
  6. Child & Adolescent Psychiatry
  7. Psychiatric Emergencies

Dermatology

  1. Common Skin Disorders
  2. Infectious & Parasitic Skin Diseases
  3. Autoimmune & Connective Tissue Disorders
  4. Drug Reactions
  5. Sexually Transmitted Infections

Basic & Para-clinical Integration

  1. Anatomy
  2. Physiology
  3. Biochemistry
  4. Pathology
  5. Pharmacology
  6. Microbiology
Students studying together
Registration

NExT Registration Process Step by Step

The NExT Exam Application Portal handles registration online through a multi-step process including basic sign-up, form filling, and fee payment. You can expect these steps for your registration.

Step 1
Visit the official portal

Visit the official portal

Visit the designated NExT examination portal when applications open.
Step 2
Create a candidate account

Create a candidate account

Register using your valid mobile number, email, and required details.
Step 3
Fill in personal & academic details.

Fill in personal & academic details.

Enter accurate personal, academic, internship, and medical qualification details.
Step 4
Upload required documents

Upload required documents

Upload photographs, signatures, identity proof, and prescribed academic documents.
Step 5
Pay the application fee online.

Pay the application fee online.

Pay the prescribed examination fee through available online payment methods.
Step 6
Submit the application form

Submit the application form

Review all information carefully before submitting the completed application form.
Step 7
Download confirmation receipt

Download confirmation receipt

Save the submitted application form and confirmation receipt for future reference.
Document

Document Required for NExT Exam

To register for and appear in the NExT Exam, candidates must submit specific identity, academic, and category-related documents during the online application and verification process.

Valid Government-Issued Photo ID

Valid Government-Issued Photo ID

Recent Passport-Size Photograph

Recent Passport-Size Photograph

Scanned Signature

Scanned Signature

MBBS Degree/Marksheets

MBBS Degree/Marksheets

Internship Completion Certificate

Internship Completion Certificate

Class 10 Marksheet

Class 10 Marksheet

Class 12 Marksheet

Class 12 Marksheet

Foreign Medical Qualification Documents, for FMGs

Foreign Medical Qualification Documents, for FMGs

Category Certificate

Category Certificate

Free Guidance

Not Sure Where NExT Can Take You?

The National Exit Test (NExT) serves as a unified, single-window common exam in India that replaces NEET-PG and the Foreign Medical Graduate Examination (FMGE). You can practice medicine in India and take part in PG admissions in India through it.

Date

NExT Exam Date

NExT is not operational as of 2026, and the National Medical Commission has not announced an official NExT 2026 examination date or application schedule. The NExT framework consists of two steps: NExT Step 1 is a theoretical examination, while NExT Step 2 is a practical/clinical examination conducted after internship.

EventsDate
01NExT Regulations Notified27 June 2023
02NExT ExaminationDeferred; no revised date officially notified
03NExT Step 1 Application FormNot announced
04NExT Step 1 Admit CardNot announced
05NExT Step 1 ExaminationNot announced
06NExT Step 1 ResultNot announced
07NExT Step 2Not announced
08NExT Step 2 Application/RegistrationNot announced
09NExT Step 2 Practical/Clinical ExamNot announced
10NExT Result/CompletionNot announced
11PG Counselling Based on NExTNot announced

NExT was deferred on 13 July 2023, and as of the NMC's March 2026 FAQ, it remains not operational. Therefore, NExT 2026 dates circulating online should not be considered official unless announced by the NMC or designated authority.

Preparation

NExT Exam Preparation Strategy

  • 6

    Step 1 examination

  • 540

    Step 1 question count

  • 3 Days

    Step 1 schedule

  • 2 Steps

    Step 1 theory + Step 2 practical/clinical

Discipline and consistency win NExT. Here's the strategy top scorers follow.

Understand the Two Parts

NExT-1 is an online theory exam with case-based multiple-choice questions covering 19 subjects, while NExT-2 is a practical, hands-on viva voce and clinical evaluation taken after your internship.

Prioritise Clinical Subjects

Clinical disciplines carry high weightage. Pre- and para-clinical subjects account for about 10% of the core weightage, but you must use them to build foundational reasoning for clinical symptoms.

Start Case-Based Practice Early

Begin solving clinical-scenario MCQs and tracking your progress with monthly Grand Tests by the end of your third year.

Use Standard Textbooks and Apps

Read standard medical textbooks for core concepts and supplement them with structured digital platforms like Marrow, PrepLadder, or E-Gurukul for concise video lectures and question banks.

Learn Actively During Internships

Treat your clinical postings and internship as direct prep for NExT-2 by actively correlating patient symptoms with your theoretical knowledge.

Time Management

Time management – Mistakes to avoid

To manage time well during NExT Step 1, aim to complete each question within 1 minute, flag difficult questions for later, and keep the final 15–20 minutes for review. With 6 subject groups to cover, avoid spending too long on any single question and use the review time to check unanswered or flagged questions.

Do’s

  • Start with familiar questions to build momentum and avoid wasting time early.
  • Track your pace regularly so you can complete all 6 papers/subject groups within the allotted time.
  • Flag difficult questions and return to them after answering the questions you can solve confidently.
  • Use the final 15–20 minutes to review flagged questions and check unanswered questions.

Don’t

  • Don't spend more than 1–2 minutes on a difficult question during your first attempt.
  • Don't rush clinical case-based questions; carefully identify the key symptoms, findings and clinical clues.
  • Don't randomly change answers during review unless you identify a clear reason for the change.
  • Don't panic over a difficult paper; maintain your pace and focus on questions you can answer accurately.

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Frequently asked Questions

NExT (National Exit Test) is planned as a common medical examination for licensure and postgraduate medical admissions in India.

Under the NExT framework, it is intended to serve as the common licentiate examination for medical graduates, including eligible foreign medical graduates.

No. NExT is not operational as of 2026, and no official 2026 examination date has been announced by the NMC.

NExT has 2 steps: Step 1 is the theory examination, while Step 2 is the practical/clinical examination.

NExT Step 1 is planned as a 6-paper computer-based examination covering major medical subject groups.

The NExT framework envisages 2 examinations per year for Step 1, subject to the final implementation schedule.

Yes. The proposed NExT Step 1 is a computer-based multiple-choice examination (CBT/MCQ).

Yes. The NExT framework is intended to function as the licentiate examination for eligible graduates with foreign medical qualifications as well.

NExT is designed to provide the basis for postgraduate medical admissions and ranking, thereby replacing the existing PG entrance mechanism once implemented.

There is currently no officially announced NExT 2026 date. Students should rely on notifications from NMC and the designated examination authority, rather than dates circulated by coaching or third-party websites.

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