National Exit Test

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National Exit Test (abbreviated as NExT) is a proposed examination for all MBBS students in India that is required to pass the final year and obtain a license to practice medicine.[1] Admissions to postgraduate courses will be based on the merit of a candidate in NEXT. Introduced by the National Medical Commission Bill 2019, NEXT will also serve the purpose of Screening Test for Foreign Medical Graduates who are now required to qualify Medical Council of India Screening Test (Foreign Medical Graduates Examination or FMGE) and will for admission into postgraduate medical courses.[2] In January 2020, the Ministry of Health and Family Welfare also introduced the draft National Dental commission Bill that also called for National Exit Test after BDS for dentists in India.[3]


The very first amendment to the NMC bill was in February 2018, then again in March 2019. A lot of debates and discussions regarding these came up from medical practitioners and medical aspirants.

On January 7, 2019, The National Commission for Indian System of Medicine Bill, 2019 (abbreviated as "National Medical Commission Bill" or "NMC Bill") was introduced in Rajya Sabha by Shripad Yesso Naik, Minister of State for AYUSH.[4]

On July 17, 2019, The Union Cabinet approved the Bill with a purpose to unify all the medical entrance examinations and setting uniform standards for Indian System of Medicine.[5]

Among other reforms, NMC Bill sought to introduce the National Exit Test in the Indian System of Medicine. In year 2020 the Medical Council of India was replaced with a new authority that is called National Commission for Indian System of Medicine (abbreviated as National Medical Commission or NMC).[6]

The National Medical Commission released draft regulations in 2021 on foreign medical graduates (FMGs) that amends the requirement for the Foreign Medical Graduate Exam. Starting at an unknown date, overseas graduates will be required to qualify the new National Exit Test (NExT) in place of the Foreign Medical Graduate Exam (FMGE). Candidates intending to practice in India will have to clear NExT, within two years of completing their medical studies abroad. The draft regulation is expected to become official when published in the next gazette.[7]


A lack of provision for repeaters and failures of the test was cited as a concern. However, it was clarified that the exam will have no cap on the number of attempts.[8]


  2. ^ Sharma, Neetu Chandra (2019-07-17). "Government clears NMC Bill to revamp medical education system". Mint. Retrieved 2019-07-20.
  3. ^ "NEXT After BDS For License To Practice, PG Dental Admissions Proposed By Govt". Medical Dialogues. 30 Jan 2021. Retrieved 30 Jan 2020.
  4. ^ "PRS Parliament Diary: Winter Session – Day 16: Jan 7, 2019". PRSIndia. 2019-01-08. Retrieved 2019-07-20.
  5. ^ The Hindu Net Desk (2019-07-17). "Key takeaways from Union Cabinet decisions on July 17". The Hindu. ISSN 0971-751X. Retrieved 2019-07-20.
  6. ^ "NMC comes into force from today, repeals Indian Medical Council Act". 25 September 2020. Retrieved 13 May 2021.
  7. ^ "Evaluating foreign medical graduates based on clinical questions is unfair". MSN. Retrieved 7 May 2021.
  8. ^ "Medical exit test assurance". Telegraph India. 2019-08-09. Retrieved 2019-08-09.