Understanding the Common National Exit Test (NEXT) – What Indian & Foreign Medical Graduates Must Know
The National Medical Commission (NMC) has proposed a single, common National Exit Test (NEXT) for all medical graduates – whether they study in government colleges in India, private colleges in India, or obtain their MBBS degree from abroad. At Professional Career Academy, we keep our students and their families informed about the latest regulatory changes that affect medical education and practice in India. This article explains everything you need to know about NEXT, how it differs from the earlier FMGE (Foreign Medical Graduates Examination), and what it means for Indian students planning to study MBBS abroad.
According to the NMC’s gazette notification, the National Exit Test (NEXT) will serve as a common qualifying exam for all Indian medical graduates (including those with degrees from foreign universities) to obtain a license to practice medicine in India. It will also be used as the entrance examination for Post‑Graduate (PG) medical courses in India. This is a significant shift from the earlier system where:
- Indian medical graduates had to take NEET‑PG for postgraduate admissions.
- Foreign medical graduates had to clear the FMGE (Foreign Medical Graduates Examination) / MCI Screening Test to practice in India.
Under the new framework, NEXT will replace both NEET‑PG and FMGE. This means that if you are an Indian student completing your MBBS from a recognised university abroad (Russia, Kyrgyzstan, Uzbekistan, Kazakhstan, etc.), you will need to qualify the NEXT exam to obtain permanent registration with the NMC and practice medicine in India. At the same time, top ranks in NEXT will determine admission to PG medical courses in India.
The NMC had planned to conduct the first mock test of NEXT in 2023. However, in July 2023, the NMC issued a public notice announcing that the implementation of NEXT has been postponed/deferred. Since then, no further official dates have been announced. The NMC has indicated that NEXT will be implemented only after adequate consultations and infrastructure readiness.
At Professional Career Academy, we strongly believe that the introduction of NEXT will bring more uniformity and transparency to the medical licensing process. It will create a single, fair assessment for all doctors, regardless of where they studied. For Indian students aspiring to study MBBS abroad, the key takeaway is: you must graduate from an NMC‑recognised medical university (listed in the WDOMS) and later qualify the NEXT exam (when implemented) to practice in India. The exam will most likely follow the pattern of NEET‑PG (with a focus on clinical knowledge) and require at least 50% marks to pass.
We recommend that all students keep a close watch on official NMC announcements. Professional Career Academy will continue to provide timely updates, guidance, and preparation support for NEXT as the situation evolves. Our goal is to ensure that every student who trusts us for MBBS admission abroad is fully aware of the pathway to practice in India – including the ultimate requirement of clearing NEXT.
For now, if you are planning to pursue MBBS abroad, focus on three things: (1) Qualify NEET, (2) Choose an NMC‑recognised university, and (3) Keep yourself updated on NEXT implementation. We are here to help you at every step.

