NEXT Step 1 vs Step 2: Exam Structure, Key Dates & What They Mean for Medical Graduates

Introduction

Are the days of NEET PG and FMGE really behind us? For MBBS students in India, the National Exit Test (NEXT) promises a new unified pathway to postgraduation and licensure. But with two steps—each with unique scoring, format, and timelines—how can candidates confidently navigate this transition? This guide breaks down the 2025–2026 NEXT Step 1 & Step 2 schedule, exam pattern, subject coverage, and practical impact. Whether still in medical school or close to internship, discover how you can use the NEXT for career clarity, and learn how Career Plan B helps at every stage.

NEXT Exam Overview: Why Two Steps?

The National Exit Test (NEXT) replaces NEET PG and FMGE from 2025 onward, providing a single assessment system for all MBBS graduates—whether from India or abroad. Divided into:

• Step 1: Theory exam at the end of final MBBS, required before internship.
• Step 2: Practical/viva assessment after internship, required for full licensure and PG admission.

Rhetorical Question: Does a single national test make the process easier or more challenging for medical graduates?

NEXT Step 1: Exam Structure, Dates, & Syllabus

How & When Is NEXT Step 1 Conducted?

• Expected exam dates: August 2025 (for the 2020 MBBS batch); held once yearly.
• Subjects covered: Six major domains from final MBBS (Medicine, Paediatrics, Surgery, ENT, Obstetrics & Gynaecology, Ophthalmology).
• Exam format: Three-day, computer-based test. MCQs with emphasis on problem-solving (60%), analysis (30%), and recall (10%).

Detailed NEXT Step 1 Layout

• Passing criteria: Minimum 50% in each of the 6 papers to proceed to internship.

Analogy: Think of Step 1 as a “board exam”—your gateway to clinical practice and the next career leap.

NEXT Step 2: Practical Assessment & Scope

What Is Tested in NEXT Step 2?

• When held: After completing mandatory 12-month internship, typically 6+ months after Step 1 (Feb 2026 for first NEXT cohort).
• Format: Clinical/practical exam with case-based viva, simulated scenarios, and real-world skills in 7 major subjects.
• Passing criteria: Satisfactory performance in all subjects; results as PASS/FAIL, not numerical scores.

NEXT Step 2 Highlights

• Focus on hands-on skills (history, diagnosis, procedures, patient management)
• No MCQs; relies on viva, demonstrations, and simulated cases
• Mandatory for final MBBS licensure and PG admissions; bridge for Indian and foreign graduates

Rhetorical Question: Are you ready to be clinically competent and demonstrate skills beyond classroom theory?

NEXT Timeline: Key Dates & Milestones

• Applications for Step 1 open in June; Step 2 follows completion of internship in early 2026.
• Those unsuccessful in Step 1 can reappear next year; no official cap on attempts, but Step 1 must be cleared within 10 years of MBBS.

Step 1 vs Step 2: Table of Comparison

Actionable Strategies: Cracking NEXT Step 1 & Step 2

1. Integrate Theory and Practice: Don’t just memorize—apply problem-solving to clinical cases in Step 1.
2. Active Internship Engagement: For Step 2, maximize ward rounds, case presentations, and hands-on learning.
3. Mock Tests: Use online NEXT pattern mock exams for time management and confidence.
4. Note-Taking: Create summary tables and mind maps for high-yield subjects.
5. Peer Study: Practice viva and clinical scenarios with classmates before Step 2.

Rhetorical Question: How will the NEXT change your medical preparation habits—and what resources should you use?

How Career Plan B Helps

At Career Plan B, our mission is simple: right to quality education and career, hence quality life. With 15+ years’ experience, we guide students and families navigating the new era of medical licensing. We offer:

• Personalized counseling to plan for NEXT Step 1 & Step 2 success
• Up-to-date market trends, eligibility, and score analysis
• Expert-led webinars to prep for both theory and clinical stages
• Psychometric and career fit assessments for those unsure about PG direction

All advice is unbiased and student-focused, ensuring every aspirant is ready for the NEXT—and empowered for a fulfilling career.

Frequently Asked Questions

1. When is NEXT Step 1 held and who is eligible?

NEXT Step 1 is tentatively scheduled for August every year for final-year MBBS students (Indian and foreign graduates).

2. What’s the key difference between Step 1 and Step 2?

Step 1 tests medical theory and reasoning; Step 2 assesses clinical/practical skills through direct scenario simulation.

3. Can I reappear if I fail NEXT Step 1?

Yes, candidates can reattempt Step 1 unlimited times within 10 years of MBBS admission.

4. What happens if I fail Step 2?

You must complete the internship again and reappear for Step 2 practical/viva until you pass.

5. How is NEXT different from NEET PG?

NEXT unifies licensing and PG admission for Indian/foreign graduates, replaces multiple tests, and is more clinically focused.

6. Can Career Plan B help with preparation?

Absolutely—expert counseling, strategy sessions, and custom support are available to every student.

Conclusion

As the NEXT replaces previous PG admission exams, MBBS graduates face new challenges and opportunities. With distinct theory and practical phases, thoughtful preparation is key—combining knowledge, clinical skills, and strategic planning. Ready for your NEXT step? Connect with Career Plan B for personalized roadmaps, resources, and guidance to make your medical journey successful!