
Overview
The NExT exam (National Exit Text) is a licensure examination for those who aspire to practice medicine in India after completing their MBBS degree. The exam is designed to standardize medical education and ensure that medical professionals meet the required competency levels before they can practice in India. The NExT examination will replace the existing National Eligibility-Cum-Entrance Test for postgraduate seats (NEET PG) and the Foreign Medical Graduate Examination (FMGE), which are required of national and international medical graduates to register for medical practice in India. The NExT exam MBBSsets a wide range of topics including basic medical sciences, clinical subjects, and practical skills and the format of the exam includes multiple-choice questions (MCQs) and clinical assessments. The results of the NExT exam play a significant role in determining a candidate’s eligibility for PG (Postgraduate) medical admissions and the ability to work as a practicing doctor in India.
The NExT test is divided into two parts i.e. NExT-1 and NExT-2, the NExT-1 is designed to assess theoretical knowledge across various medical subjects and it is typically conducted after completion of the MBBS program and the NExT-2 is a comprehensive examination to evaluate both theoretical knowledge and clinical skills. It is necessary to obtain a license to practice medicine in the country that’s why the NExT exam acts as a licensing exam for practicing in India and an entrance exam for PG (Postgraduate) studies. According to the Ministry of Health, the main purpose of the NExT test trial is to improve the country’s health insurance system and produce more qualified doctors, as mentioned above. This is also a first step towards the government’s goal of ensuring that every student in the country has an exam plan.
Registration

Eligibility Criteria

- All undergraduate medical students who have completed an MBBS degree from NMC-approved medical institutions with at least 50% marks.
- Foreign medical graduates who have been approved by the NMC to apply for a license to practice as registered medical practitioners in India.
- Any other individual with a medical degree for purposes that the NMC may specify and recognize.
Exam Pattern
The NExT exam is a standardized national-level exam for all medical graduates who want to practice in India, It acts as an entrance exam for admission to PG medical courses and a licensure exam for practising medicine in India. The NExT Exam Step for medical students in India is divided into two segments i.e. NExT Step 1 and NExT Step 2. Let’s explore them in brief:
NExT Step 1:
The NExT Step 1 is a theoretical examination conducted in CBT (Computer-Based Test) mode. It focuses on evaluating the knowledge of students related to medical sciences, covering both clinical and preclinical subjects.
The exam contains 6 papers that cover various topics and subjects of MBBS, each paper has multiple-choice questions (MCQs). The subjects include:
- Medicine and Allied Subjects
- Surgery and Allied Subjects
- Obstetrics and Gynecology
- Paediatrics
- Otorhinolaryngology (ENT)
- Ophthalmology
NExT Step 2:
The NExT Step 2 is a practical & clinical-based examination that evaluates the practical knowledge, clinical skills, and patient management abilities of candidates.
The NExT Step 2 is conducted after the completion of a one-year internship, it focuses on practicals, viva voce, and real-life case management studies. It also includes core clinical subjects like
- Medicine
- Surgery
- Obstetrics
- Gynaecology
- Paediatrics
- ENT & Ophthalmology
Highlight
Aspect | NExT Step 1 | NExT Step 2 |
Exam Type | Theoretical (MCQ-based) | Practical and clinical |
Purpose | Eligibility for internship & PG ranking | Licensing to practice medicine |
Exam Format | 6 papers (CBT) covering preclinical & clinical subjects | Practical/viva-voce-based exam |
Focus | Conceptual and problem-solving | Clinical and patient management skills |
Paper Pattern
Days | Subjects | Number of Questions | Allotted Time |
Day 1 | Medicine & allied subjects | 120 | 180 minutes |
Paediatrics | 60 | 90 minutes | |
Day 2 | Surgery & Allied | 120 | 180 minutes |
ENT | 60 | 90 minutes | |
Day 3 | Obstetrics & Gynaecology | 120 | 180 minutes |
Ophthalmology | 60 | 90 minutes | |
Total | 540 | 810 minutes |