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    Is FMGE/NExT Mandatory After MBBS Abroad?

    Is FMGE/NExT Mandatory After MBBS Abroad?

    Pittala Bhanu PrasadUpdated on 30 Jul 2026, 04:28 PM IST

    Students from India widely pursue MBBS abroad for expert medical training, and the exposure gained by studying at internationally recognised universities is available at an affordable tuition fee compared to private universities in India. One of the most common concerns is whether they need to clear FMGE or NExT to practise medicine in India. The National Medical Commission made it mandatory for students to clear either FMGE or NExT.

    This Story also Contains

    1. What is FMGE?
    2. What is NExT?
    3. Is FMGE Compulsory After MBBS Abroad?
    4. Who Needs to Appear for FMGE/NExT?
    5. Eligibility Criteria for FMGE/NExT
    6. Registration Process for FMGE/NExT
    7. Documents Required for FMGE/NExT exams
    8. Tips for MBBS Abroad Students
    9. Conclusion
    Is FMGE/NExT Mandatory After MBBS Abroad?
    Is FMGE/NExT Mandatory After MBBS Abroad

    The degrees of students who have pursued their MBBS abroad will be considered valid only if they cleared FMGE/NExT. The article below provides complete details about the difference and importance of FMGE and NExT, exemptions in FMGE/NExT, the current rules and latest guidelines of NMC.

    What is FMGE?

    FMGE stands for Foreign Medical Graduate Examination. It is a mandatory licensing test in India for Indian citizens and Overseas Citizens of India who earned their primary medical degree outside India and want to practice medicine legally in the country. The National Board of Examinations in Medical Sciences conducts the FMGE exam twice a year.

    The FMGE acts as a screening test to check if foreign-trained doctors meet Indian medical standards. Candidates must score at least 150 out of 300 marks to pass the FMGE examination.

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    What is NExT?

    The National Exit Test (NExT) is a proposed unified medical licensing and postgraduate entrance examination in India designed to replace NEET-PG, INI-CET, and the FMGE screening test. The NExT exam serves as the mandatory qualifying test to practice medicine as a registered doctor in India for both local and foreign graduates.

    The NExT exam is divided into two steps: NExT-Step 1 and Step 2. The NExT Step 1 evaluates clinical reasoning and core medical knowledge through an online, computer-based exam. The NExT Step 2 evaluates hands-on skills through an objective structured clinical examination (OSCE) and oral viva.

    Is FMGE Compulsory After MBBS Abroad?

    Yes, a licensing exam is strictly mandatory to practice medicine in India after completing an MBBS abroad, with FMGE currently active while NExT is deferred. To practise medicine in India, students must have qualified for NEET-UG before starting their medical course abroad and must clear the FMGE exam with at least 50 % aggregate. Students must take the FMGE exam right now to secure registration to practice in India.

    The National Medical Commission plans to replace FMGE and NEET-PG with NExT, but its rollout has been postponed for several years. It is not operational yet. Candidates must regularly follow the latest notifications issued by NMC and NBEMS for any changes implemented in the future.

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    Who Needs to Appear for FMGE/NExT?

    The following list provides the candidates who should appear for the FMGE/NExT exam:

    • Indian citizens completing MBBS abroad

    • Overseas Citizens of India (OCI)

    • Students intending to obtain medical registration in India

    • Graduates holding primary medical qualifications and legal licenses from specific English-speaking Western nations (like the USA, UK, Canada, Australia, and New Zealand) may be exempt from FMGE.

    • Medical graduates from countries or institutions are exempted under prevailing regulations.

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    Eligibility Criteria for FMGE/NExT

    Students planning to appear for the FMGE/NExT exams must qualify for the eligibility criteria. The following requirements are to be met to be eligible to appear for the FMGE/NExT exam:

    • The candidate must be an Indian citizen or an Overseas Citizen of India (OCI).

    • Candidates must possess a primary medical qualification (like an MBBS) equivalent to Indian standards, from a foreign university listed in the World Directory of Medical Schools (WDOMS) and verified by the respective Indian Embassy.

    • Candidates must have qualified for NEET-UG before joining the foreign medical course, if mandated by the year of admission.

    • Candidates must score a minimum of 50% (150 out of 300 marks) to qualify.

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    Registration Process for FMGE/NExT

    Students who have completed their MBBS graduation abroad must register and appear for the FMGE/NExT exam. The steps below are to be followed to register for the FMGE/NExT exam

    Steps to fill out the FMGE registration form

    • Visit the official National Board of Examinations in Medical Sciences website.

    • Access the FMGE application portal and register to generate credentials.

    • Log in using the credentials

    • Fill in all the personal, academic, and primary medical qualification details carefully.

    • Upload all the scanned copies of the necessary documents

    • Pay the exam fee online

    • Submit the final form and print the confirmation page for future reference

    Documents Required for FMGE/NExT exams

    Candidates must possess the following documents to appear for the FMGE/NExT exam:

    • MBBS Degree/Provisional Degree

    • Academic Transcripts

    • Internship Completion Certificate

    • Passport

    • NEET Scorecard

    • Identity Proof

    • Passport-size Photographs

    • Eligibility Certificate

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    Tips for MBBS Abroad Students

    Preparing for the FMGE or NExT exam while studying MBBS abroad requires early planning, focusing on high-weightage clinical subjects, and using Indian standard preparation resources. Key strategies include starting early with basic sciences, practicing daily multiple-choice questions, and strengthening clinical diagnostic skills.

    Candidates must have completed graduation in an NMC-compliant medical university. Students must understand the licensing requirements before taking admission and maintain all academic documents safely. Candidates must begin preparing for the licensing examination early and regularly monitor NMC and NBEMS notifications.

    Conclusion

    Indian students completing MBBS abroad must comply with India's medical licensing regulations before practising medicine. Currently, FMGE is the applicable licensing examination for eligible foreign medical graduates, which the students must clear to practise medicine in India. While NExT is intended to become the future licensing framework once implemented. Candidates must follow the latest notifications issued by the National Medical Commission (NMC) and NBEMS regularly, as the regulatory framework may evolve


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