Knowledge Series by Svabhava Career Coaching

What is the National Exit (NExT) exam?

The National Exit Test (NExT) is a postgraduate medical exam designed to serve as a qualifying exam for final year MBBS students and a licentiate exam enabling Indian medical professionals to practice modern medicine. The NExT aims at standardizing and streamlining the evaluation process for Indian postgraduate medical professionals.

The National Medical Commission (NMC) is rumored to release detailed guidelines related to the much-anticipated National Exit Test (NEXT) within the next two-three weeks. The examination, which will replace final-year university-level MBBS examinations, the National Eligibility cum Entrance Test (NEET) PG and the Foreign Medical Graduate Exam (FMGE), is set to begin from 2024, officials said. The NMC has approached the government with a request that AIIMS conduct the exam.

The exam will be held in two parts:

• The first part (or NEXT 1) will replace university-level final examinations. Case vignettes/clinical case scenarios shall be the overwhelming pattern of examination as per the guidelines. Clearing this step will be the basis for provisional registration with medical councils, which is needed for the one-year mandatory internship. This test will be a multiple-choice paper with questions from medicine, surgery, obstetrics and gynecology, pediatrics, ENT, and ophthalmology.

• The second part (or NEXT 2) will be a practical paper that will be held after students have completed their internships. It will focus on assessing clinical skills. The test will cover different clinical subjects or disciplines, including medicine and allied disciplines, surgery and allied disciplines, obstetrics and gynecology, pediatrics, otorhinolaryngology (study of ENT diseases), ophthalmology, orthopedics, and physical medicine and rehabilitation. The test will be clinical-case-based — It will include simulated cases or patients aimed at evaluating practical or clinical skills, clinical decision-making and communication skills expected of an Indian medical graduate, according to an official attached with the undergraduate (UG) board of the NMC.

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