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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.
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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.
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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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.
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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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.
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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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
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
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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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.
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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On Question asked by student community
Hello,
Yes, FMGE-qualified candidates who have completed the required internship and fulfil the National Medical Commission (NMC) and Maharashtra CET Cell eligibility criteria can participate in Maharashtra PG medical admissions.
Admission to MD/MS courses is based on NEET PG qualification, counselling rules, and other eligibility requirements. FMGE qualification alone does
Hey there,
If your Class 11 marksheet is slightly damaged or stained but all details, marks, school seal, and signatures are clearly visible, it is generally accepted during document verification. However, the final decision rests with the verifying authority. If the damage is significant, obtain a duplicate marksheet from your
If you're a Foreign Medical Graduate (FMG) and have not yet passed the FMGE , you cannot obtain medical registration to practice clinical medicine in India . This means you cannot legally work as a licensed doctor, prescribe medications, or enroll in most clinical postgraduate medical programs in India.
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Hello Dear Student,
You cannot appear for NEET PG 2026. The examination is scheduled for August 30, 2026, and the official internship completion deadline for candidates is September 30, 2026. Since your internship concludes on December 14, 2026, you will not meet the eligibility cutoff to sit for this specific
Hello dear students,
you can refer to the article link below to get an overview of the expected questions and exam pattern: https://medicine.careers360.com/articles/fmge-question-paper-2026
FMGE June 2026 is expected to include clinical, concept-based, and image-based questions from subjects like Medicine, Surgery, Pharmacology, Pathology, and OBGYN. The exact questions cannot be predicted,
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