NExT Myths and Misconceptions: The Truth Every FMG Must Know

Introduction

Are common myths about the NExT exam fueling unnecessary panic for Foreign Medical Graduates (FMGs)? With so much information—and misinformation—flying across study groups, YouTube, and social media, it’s no wonder many FMGs feel anxious about tackling NExT in 2025. Questions abound: Is NExT much harder than NEET PG or FMGE? Will foreign graduates be at a disadvantage? Can anyone really pass without 12-hour study days? Recent policy shifts and social media rumors have only amplified these doubts.

If you’re an FMG determined to practice medicine in India, it’s time to separate fact from fiction. In this blog, we break down the most persistent NExT myths, present the realities, and share practical, expert-backed advice—so you face the exam with confidence, not confusion.

What is NExT and Why All the Myths?

The National Exit Test (NExT) is set to replace both the FMGE and NEET PG as the single licensing and PG entrance exam for MBBS graduates—whether from Indian or foreign universities. Its dual format (theory and clinical steps) has created an entirely new environment, fueling rumors, worries, and confusion among students. The transition period, frequent notifications, and lack of precedents have only made things murkier for FMGs.

The Most Common NExT Myths and the Realities

Is NExT Impossible for FMGs to Pass?

Myth: FMGs are at a serious disadvantage and NExT will be nearly impossible for them to clear.

Fact: NExT is designed to assess minimum standards in medical knowledge and clinical skills—regardless of where the MBBS was completed. Several FMGs have cracked FMGE before, and unlike FMGE’s pure theory focus, NExT’s case-based approach can even play to the strengths of FMGs who have had strong clinical rotations abroad. Real success depends on understanding the Indian MBBS curriculum and clinical approach, not the country where the degree was earned.

Is NExT Much Harder Than NEET PG or FMGE?

Myth: NExT is dramatically tougher because it tests both theory and clinical skills, unlike NEET PG or FMGE.

Fact: The format is indeed different—Step 1 of NExT covers theoretical knowledge through MCQs, while Step 2 places greater emphasis on clinical scenarios and practical skills. However, the goal is not to “filter out” FMGs, but to ensure all medical practitioners are equally prepared. The pass percentage required is 50%, not ranking-based, and the question pattern aligns with real-world clinical skills over rote memorization.

You Need to Study 12-14 Hours Daily to Clear NExT?

Myth: Only candidates who study non-stop, marathon hours make it through.

Fact: Quality always trumps quantity. Consistent, focused study sessions (even 4-6 productive hours per day) yield better results than marathon cramming, especially when paired with MCQ practice and clinical revision. Many successful FMGs credit smart study planning—balancing revision, rest, and MCQ practice—rather than extreme hours.

Medical Prep Apps and Institutes Guarantee Success?

Myth: Coaching institutes and the latest apps are all you need; they have secret tips no one else knows.

Fact: No app or course replaces personal discipline, goal setting, and honest self-assessment. Digital resources and coaching provide great structure, but real transformation comes from active MCQ solving, note revision, and practicing clinical cases, not passive video watching.

FMGs Get More “Out-of-Syllabus” or Unfair Questions in NExT?

Myth: FMGs face extra-tough or out-of-syllabus questions, making the exam “rigged” against them.

Fact: Every candidate—Indian or foreign—is assessed using the same question bank based on Indian MBBS curriculum standards. Real-life exam experiences and expert reviews confirm the majority of questions focus on “core” and “high-yield” topics also taught abroad.

Focusing Only on High-Yield/Recall Will Get You Through?

Myth: Only “high-yield” topics and coaching recalls are needed for success.

Fact: While focusing on important themes is smart, the real key is comprehensive understanding—especially for the clinical, case-based approach. Over-relying on recalls leaves significant gaps in core areas tested in Step 2.

Clinical Rotations/Internship Don’t Matter for the Exam

Myth: NExT is a purely theory test; clinical rotations don’t help much.

Fact: Much of NExT’s new focus is on clinical reasoning, case analysis, and applied skills. Candidates who develop strong real-life clinical experience have a proven boost in the practical, scenario-based sections. History-taking and patient management scenarios are being emphasized more each year.

Table: NExT Myths vs. Facts

Spotting and Avoiding Common Errors

• Don’t leave MCQ practice till late. Regularly solve exam-pattern questions, even before finishing the full syllabus.
• Stop panicking about exam pattern change. Read official NMC and NExT notifications—ignore rumors spread via social media or coaching groups.
• Prepare for clinical skills early. Shadow practicing clinicians, do extra cases, and work on scenario-based patient care.
• Don’t rely only on foreign university notes. Adapt study resources to match Indian MBBS standards and NMC updates.
• Reject “shortcuts for FMGs.” Avoid advice that skips comprehensive prep in favor of “insider” shortlists—these rarely work.

Is there a best time to start? The ideal moment is today—progress always beats perfection.

How Career Plan B Empowers FMGs for NExT

At Career Plan B, the core belief is that every student has a “Right to Quality Education and Career, hence Quality Life!” With more than 15 years supporting thousands of FMGs and Indian medical graduates, Career Plan B tackles NExT anxiety head-on with:

• Personalized NExT Prep Counseling: Crafting individual strategies for balancing theory and clinical prep for FMGs.
• Latest NMC Policy Updates: Explaining what’s real and what’s a rumor—cutting through the confusion with genuine, unbiased information.
• Mock Test Analysis: Reviewing MCQ attempts to pinpoint weaknesses, boost confidence, and fast-track improvement.
• Career & Psychometric Testing: Helping FMGs discover clinical, research, or allied career options beyond pure NExT prep.
• Community Support: Connecting FMGs with recent successful candidates and mentors for peer support and morale
• Unbiased Guidance: As a not-for-profit, every piece of advice is tailored to the student’s unique journey, empowering informed and confident career choices.

If you’re an FMG worried about NExT, Career Plan B can be your personal GPS—offering detailed prep plans, myth-busting sessions, and support that goes beyond test prep.

FAQ Section

1. Is NExT really much harder than FMGE or NEET PG for FMGs?
No, the focus shifts to clinical case scenarios, but the passing percentage stays at 50%. Consistent, targeted study with clinical backing helps bridge the difference.

2. Can FMGs compete equally with Indian MBBS graduates?
Yes. Both are assessed using the same blueprint and standards set by NMC, with no bias for or against FMGs.

3. Do I need to join expensive coaching institutes to succeed?
No. Personalized, self-driven study, aided by targeted coaching or digital resources, often yields the best results. Success stories emerge from both paths.

4. Will the NExT exam really start from 2025?
As per current NMC announcements, NExT is planned to roll out from August 2025 for new MBBS cohorts, but always check official notifications for the latest updates.

5. Are there special tips for FMGs to excel in NExT?
Yes: Focus on Indian MBBS topic mapping, early clinical practice, regular MCQ/mock test analysis, and seek expert mentoring (like through Career Plan B).

6. How can Career Plan B help in preparing for NExT?
Career Plan B provides counseling, mock test support, myth-busting info sessions, and personalized plans, all with a student-first, unbiased approach.

Conclusion:

Myths about NExT and FMGs aren’t harmless—they can erode confidence and distract from effective preparation. But the truth is, with so many new opportunities, honest effort, and smart planning, FMGs can thrive under NExT’s new system.

Don’t get stuck or scared by rumors: seek personalized, unbiased guidance from Career Plan B, and take your next step toward a fulfilling medical career in India.