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NEXT: Question Paper Pattern & Syllabus

NEXT: National Exit Test

NEXT (more commonly known as National Exit Exam for MBBS) will be a single window examination which will replace NEET-PG exam & MCI Screening exam (FMGE: Foreign Medical Graduate Examination). It will be implemented from 2022.

This exam will be mandatory for Indian as well as foreign medical graduates. The students who will pass NEXT exit exam will start their internship. Score (rank) in NEXT exam will also be used to allot PG (MD/ MS/ DNB/ Diploma) seats in Government and private medical colleges in India.

NEXT will standardise the medical education in India. It will judge the conceptual understanding and problem solving skills of final year MBBS students.

Pattern of NEXT exam

NEXT will comprise of two parts: Theory (NEXT-1) and practical (NEXT-2). Theory questions will be multiple choice questions (MCQs). NEXT-1 will be conducted after final year MBBS, before internship. After passing NEXT-1 students will start internship. Those who manage to pass theory (i.e. NEXT-1) will have to clear NEXT-2, the practical test, separately at the end of internship. The score obtained in NEXT-1 will help you to gain a PG seat after internship. Follow below structure to understand national exit test syllabus strategy


NEXT-2 will be a pass/ fail type of exam. Marks in NEXT-2 will not contribute to PG seats allocation. Thus NEXT-1 will be a qualifying as well as competitive exam.

There will be unlimited attempts in NEXT exam. Score of NEXT-1 exam will be valid for 2 to 3 years for the purpose of PG Entrance ranking.

National Exit Test Syllabus

All 19 subjects in new MCI curriculum will be included in NEXT exit test syllabus for MBBS. But subject-wise marks distribution will be drastically different than what it was in NEET-PG exam or MCI Screening exam (i.e. FMGE: Foreign Medical Graduate Examination). The clinical subjects will carry disproportionately more marks than pre- & para-clinical subjects.

As per a proposal which was discussed in a meeting dated 15 Feb 2020 with Board of Governors (NMC: National Medical Commission), following could be the NEXT-1 question paper pattern:

Day of exam Major subjects Allied subjects No. of MCQs Minor subjects No. of MCQs Total MCQs
Dermatology, psychiatry,
Orthopedics, anesthesia,
Obstetrics & Gynecology

Total MCQs



Among above 540 MCQs:
• 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)

Among above 540 MCQs:
• 60% will be problem solving
• 30% comprehension & analysis
• 10% recall

Above is a proposal which was discussed. The official announcement about NEXT question paper pattern is yet to come from NMC (National Medical Commission), NBE (National Board of Examination) or NTA (National Testing Agency)

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