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National Exit Test mandatory

NExT, or the National Exit Test, is a pivotal licentiate examination for medical students in India and abroad pursuing MBBS. It serves as a unified pathway for practicing medicine in India and qualifying for post-graduation studies. The exam consists of two parts:

  • NExT-1: A yearly theoretical exam conducted online in a Multiple Choice Question (MCQ) format, covering six papers to assess conceptual understanding of MBBS final year subjects.
  • NExT-2: A practical and viva-based examination conducted in person, covering all seven clinical subjects, typically by the state or authorized medical universities.

The MBBS curriculum is divided into three phases

In medical education, the curriculum is typically divided into three phases: Pre-Clinical, Para-Clinical, and Clinical. The Clinical phase is further bifurcated into two parts. As part of recent reforms, the traditional theory exam in the Para-Clinical phase is set to be replaced by the NExT. Upon clearing NExT 1, students advance to the Clinical phase (NExT 2) after completing a mandatory one-year rotatory internship.

The NExT Evaluation Process

After successfully clearing NExT1, students move on to NExT2, the second step of the National Exit Test. Each exam has its distinct format and is mandatory for all students. To qualify for NExT2, students must achieve a minimum of 50% marks in NExT1. NExT2 evaluates students solely on their practical knowledge, determining their pass or fail status based on performance.

Criteria for Practicing Medicine in India

Medical graduates are divided into two, they are Indian medical graduates (IMG) who study and complete their MBBS studies in India, and Foreign Medical graduates (FMG) are students who complete their medical studies from a foreign university. The NExT exam is compulsory for both IMG and FMG students. Prior to the introduction of  NExT, IMGs could obtain their medical license just after completion of compulsory rotatory internship, since this was part of the curriculum in India. But now with the introduction of NExT, all medical students (IMG as well as FMG) are required to appear for the examination in order to be eligible for practicing medicine in India. 

For FMGs, earlier there was an exam ‘Foreign Graduate Medical Examination’, passing which they could obtain a license that allows them to practice in India.

The implementation of NExT marks a significant change. Foreign Medical Graduates (FMGs) will no longer be required to take the FMGE exam for licensure. Additionally, passing NExT will enable them to pursue advanced studies, including post-graduate programs in India.   

For students to be registered medical practitioners in India, it is compulsory to pass the NExT exam. To get admission to postgraduate broad specialty courses in medicine students must clear the following  –

–          NExT1,

–          their internship, the final MBBS practical exam of their respective colleges

–          and, NExT2. 

Counseling will be done for the students to gain admission into their choice of course and seat. Admission in the PG courses is based on merit i.e., it is determined by the marks obtained in the NExT 1. The total marks across all six subjects will be considered. The marks obtained in NeXT 1 will indeed remain valid for three years.

The next exam is all set to replace two of the exams that are currently in use, which are the NEET-PG and FMGE. The aim of NExT is to unify the exam pattern in India for medical students and streamline the process to make it easy for the students to pursue medical practice as well as take up post-graduation courses. The exam aims to assess the clinical skills of the MBBS graduate and also test their clinical decision-making and communication skills. 

National Exit Test Comprehensive Guide   

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