Likhith · October 17, 2025 
Introduction
Completing your MBBS from a foreign university is an exciting achievement, but securing the right to practice as a doctor in India hinges on one crucial hurdle: the National Exit Test (NExT). With this single exam replacing FMGE and NEET PG, what’s at stake is not just a license—but also eligibility for postgraduate seats and your very medical career. Are you an MBBS abroad graduate feeling overwhelmed by changing guidelines, eligibility criteria, and the fierce competition? This NEXT preparation checklist for MBBS abroad students is designed to de-mystify the process, answer your burning questions, and set you on a sure-footed path to success in India.
Understanding the NExT Exam: What Has Changed?
- What is the NExT Exam?
The National Exit Test (NExT) is now the gateway for all MBBS graduates—even those from foreign universities—to obtain a license for medical practice and to apply for PG courses in India. - Why Does It Matter for MBBS Abroad Students?
From 2025, FMGE and NEET PG have been replaced by NExT. All Indian and foreign MBBS graduates must qualify NExT for both licensing and PG admissions. - How Is It Structured?
- Step 1: Theory-based MCQ exam, completed after your MBBS but before Indian internship
- Step 2: Clinical/practical skill assessment, after finishing your compulsory Indian internship period.
NExT Preparation Checklist for MBBS Abroad Students
1. Confirm Your Eligibility
- Completed MBBS/MD (minimum 54 months duration) from an NMC-recognized foreign university
- Completed a 12-month clinical internship abroad
- Eligible to practice in the country of graduation
- Cleared NEET UG before admission abroad (NMC 2025 rules)
2. Register for NExT in India
- Apply online after returning to India and receiving an NMC eligibility certificate
- Prepare documentation: mark sheets, degree certificates, internship proof, passport/visa records, and eligibility letter
3. Understand the NExT Exam Pattern
- 540 MCQs over three days, covering Medicine, Surgery, OBG, Paediatrics, ENT, Ophthalmology
- 65% problem-solving/analytical, 25% comprehension, 10% recall
- No negative marking; minimum 50% required per subject
4. Focus Your Study Approach
- Use updated NMC-recommended resources and Indian MBBS textbooks
- Practice MCQs—especially clinical scenario-based
- Build a study plan—block out 6-9 months for focused revision
- Follow Indian clinical guidelines (may differ from protocols abroad)
5. Bridge Knowledge Gaps
- Review core clinical postings, logbook requirements, practical/viva skills
- Enrol in mentorship or coaching programs tailored for NExT/FMGE returnees
- Attend webinars or seminars with Indian doctors who’ve cleared NExT/FMGE
6. Prepare for Step 2 Internship and Practical Skills
- After passing Step 1, apply for a provisional license for a 12-month compulsory rotating internship in India
- Gain clinical exposure in accredited Indian hospitals
- Strengthen patient communication, documentation, case-taking, and exam skills for the practical assessment
7. Keep Track of Official Announcements
- Regularly check NMC and NBE portals for updates on syllabus, pattern, and dates
- Prepare backup plans—if NExT rollout is delayed, be ready for interim exams
How Can Career Plan B Help International MBBS Graduates?
Career Plan B’s not-for-profit, student-first approach makes it a true ally for MBBS abroad graduates navigating India’s ever-changing licensing terrain.
- Personalized Counseling: In-depth individual sessions to help interpret NExT guidelines, eligibility loopholes, and application steps
- Document Verification Support: Assistance in compiling, checking, and submitting all required paperwork to NMC/NBE authorities without expensive middlemen
- Tailored Prep Resources: Access to curated NExT/FMGE study plans, recommended book lists, and top MCQ banks
- Mock Tests & Analytics: Practice exams that mirror NExT’s clinical orientation, with detailed feedback on strengths and weaknesses
- Internship Placement Aid: Guidance on choosing and applying for accredited Indian internships after Step 1 clearance
- Emotional & Peer Support: Webinars and support groups led by successful FMGs and Indian returnees
- Market Trend Analysis: Up-to-date insights on NExT cut-off scores, seat trends, and counseling rounds for PG aspirants
The Career Plan B difference? Real expertise, zero commission, and a clear focus: “Right to Quality Education and Career, hence Quality Life!”
Have any doubts?
📞 Contact our expert counsellor today and get all your questions answered!
Quick Comparison – MBBS Abroad vs. India NExT Requirements
| Requirement | MBBS Abroad Graduate | Indian MBBS Graduate |
|---|---|---|
| Course Duration | ≥ 54 months | 4.5 years |
| Mandatory Internship Abroad | 12 months | Yes (1 year in India) |
| Indian Clinical Internship | Compulsory after Step 1 | Part of Indian MBBS |
| NExT Step 1 (Theory) | Yes (after NMC eligibility) | Yes (final MBBS year) |
| NExT Step 2 (Practical) | Yes (after Indian internship) | Yes |
| NEET Qualification | Required | Required |
| Licensing/PG Eligibility | NExT qualified | NExT qualified |
Frequently Asked Questions (FAQ)
- Who is eligible for NExT after MBBS abroad?
Graduates who have completed at least 54 months of medical study, a compulsory 12-month internship abroad, and NEET qualification can appear after NMC screening. - What happens if I fail one NExT subject?
You must reappear for the failed subject(s) only. Unlimited attempts are allowed, but all subjects must be cleared for licensure and PG eligibility. - Is NExT tougher than the FMGE?
Yes, most experts agree that NExT demands more clinical reasoning, scenario-based MCQs, and practical skills compared to the old FMGE. - Can I use FMGE preparation material for NExT?
Some core content is similar, but NExT expects deeper clinical integration and case-based learning. Updating new guidelines is essential. - How long is my NExT score valid?
NExT Step 1 scores typically remain valid for 2–3 years, allowing flexibility for PG admission attempts. - How does Career Plan B personalize NExT support?
With researched study plans, eligibility checks, application help, and peer-mentor webinars—all without profit-driven bias, just for genuine student betterment.
Conclusion
Cracking the NExT as an MBBS abroad graduate is both a challenge and a turning point. With an organized checklist and the right guidance, you can bridge the gap between international training and a successful medical career in India. Don’t let confusion or misinformation hold you back—start preparing today, with expert help from Career Plan B, and take your next confident step toward your dream of practicing as a doctor in India
