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NEXT/National Exit Test

  • NEXT or National Exit Test will be a common exit exam (FMGE + Exit for Indian graduates & NEET-PG)  conducted for the medical students to both practice medicine across India and pursue higher education.in India as per the NMC Bill 2019.
    1. Mandatory for all FMGs & IMGs to qualify in this exit exam to gain their license to practice medicine in India
    2. PGMEE aspirants will be required to sit for this exam to acquire a PG seat.
  • NEXT is expected to be implemented from 2022.
    • Screening: The NEXT shall replace FMGE
    • Licensure: The licensure exam for IMGs
    • Entrance: The NEXT shall replace NEET-PG

Purposes of NEXT

  • Creating highly qualified and skilled doctors: NMC is on the path to standardize medical education in India & producing a more highly qualified and skilled batch through NEXT by implementing:

    1. the conceptual + analytic questions that can be solved only through a deeper understanding of the concepts  & critical understanding (conceptual understanding and problem-solving skills).
    2. Structures clinical examination to enhancing the clinical skills, instrumentation & communication skills
  • The licensure exam for Indian (Licensure) & foreign medical graduates (Screening): foreign medical graduates & Indian medical graduates will sit for the single common standard next exam in order to licensure the graduates before starting their internship.
  • Common PGMEE exam (entrance): NEET-PG will be subsequently replaced by NEXT where Scores (ranks) will also be used for granting admissions to the PG/Masters medical courses (MD/ MS/ DNB/ Diploma in Government and private medical college) in India.

  • Improve rural medical services; MBBS graduates who clear the exam will be required to work for 3 years in a rural or tribal area & PG(MD/MS) aspirants who secure PG seats will further be asked work for another 3 years in similar difficult areas in their respective specialties in order to Improve rural medical services.

Pros & Cons of NEXT (NEXT exam)

  1. Increasing the Number of Qualified MBBS graduates
  2. Uniformity through One Exam
  3. Quality Enhancement of Medical Facilities
  4. Removal of Unnecessary Paperwork for Foreign Students
  5. Build an International Recognition
  1. Rise of Expensive Coaching Centres
  2. Overall Increased Duration of Medical Education
  3. Rushed Implementation

NEXT in a nutshell

  • NEXT will be conducted in two parts.
    1. NEXT Part -1: Online MCQ Based Exam (Still written exam is under consideration).
      • MBBS students will start the internship after passing the NEXT-1.
      • The score obtained in NEXT-1 determines the PG admission after the internship.
      • The score of the NEXT-1 is valid for 2-3 years for the purpose of PGMEE ranking.
    2. NEXT Part -2: Practical Based Exam (expected to be OSCE type as per the CBC).
      • NEXT-2 is a pass/ fail type of exam.
      • NEXT-2 has to be cleared separately at the end of the internship.
      • NEXT-2 marks will not contribute to the PGMEE ranking/scores/admission.


NEXT Part -1

  • NEXT Format:
Mode of exam
  • Computer-based objective exam (online-MCQs)
Number of sessions
  • 6 sessions (2 sessions/day X 3 days)
    • Day 1; Medical & allied + Pediatrics
    • Day 2: Surgical & allied + ENT
    • Day 3: OBG + Ophthalmology
Time allotted
  • 14.5 hours in 3 days.
    • Pre-Lunch: 3 hours
    • Lunch break
    • Part B:1.5 hours
Type of questions
  • Objective (MCQ) type (Types & distribution of the objective questions are not officially specified till now)
Number of questions
  • 540 (1.5 minutes/MCQ)
  • English
  • Questions will be based on the new competency-based curriculum for MBBS Implemented in 2019.
  • Unlimited
Criteria to pass the exam
  • Details are not officially specified till now
Negative marks
  • Details are not officially specified till now
  • Subject distribution of NEXT:
DayTimingsDurationSubjects# of MCQs
1Pre-lunch3 hrsMedical & allied120
Post-lunch1.5 hrsPediatrics60
2Pre-lunch3 hrsSurgery & allied120
Post-lunch1.5 hrsENT60
3Pre-lunch3 hrsOBG120
Post-lunch1.5 hrsOphthalmology60
  • NB: Uneven distribution of the 19 subjects where the clinical subjects will carry disproportionately more marks than pre- & para-clinical subjects.
    • 10% MCQs from each stream will be from basic applied sciences (anatomy, physiology, biochemistry, microbiology, pathology & pharmacology)
    • 10% MCQs will be from Preventive & Social Medicine (PSM)
  • MCQ pattern of NEXT:
    • 10% simple recall questions
    • 60% will be problem-solving questions
    • 30% comprehension & analytic questions
  • NB: The above-mentioned details are only tentative & the official announcement about the exact NEXT question paper pattern is yet to come from NMC (National Medical Commission), NBE (National Board of Examination) or NTA (National Testing Agency).


EligibilityAfter passing the final year exam with or without the internshipAfter graduation & internshipAfter completing the final year before the internship
SyllabusOld MCI syllabusNew CBC (2019
Subjects to be testedAll 19All 19All 19 subjects but clinical subjects will carry disproportionately more marks than pre- & para-clinical subjects.
Distribution of subjects (Blueprint)FMGE blueprintNEET-PG blueprintFind the distribution given above
Parts1 (theory only)1 (theory only)Next Part-1: 3 days long theory

NEXT Part-2: Practical

Sessions23Next Part-1: 2 sessions X 3 days

NEXT Part-2: Not specified

Mode of examComputer-based objective exam (online-MCQs)Next 1:  Computer-based objective exam (online-MCQs)

NEXT 2: OSCE based practical exam

Number of questions300300540
Pattern/type of MCQs (Tentative @ 2020)Simple recall: 20%

CBQs: 60%

IBQs: 20 %

Simple recall: 10%

Problem-solving: 60%

Analytic: 30%

Duration5 hrs3.5 hrsNext 1:  13.5 hrs

NEXT 2: Not specified

Negative marksNoyesNot specified
Pass marks> 50% Ranking per scoresNot specified

Also Watch :

  1. NEXT Exam from the youtube channel “Ranjan Kumar Patel”

Also read:



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