NExT Exam Deferred: NMC Postpones Implementation for a Few Years to Refine the Model

New Delhi, October 31, 2025: In a significant update for Indian and international medical students, the National Medical Commission (NMC) has officially announced that the National Exit Test (NExT) will not be implemented immediately. Instead, the commission has decided to postpone the rollout for the next 3-4 years while it works on refining and perfecting the exam model through mock trials and feedback sessions.

This decision marks a crucial moment in India’s medical education reform, offering students more clarity and time to prepare for the transition from the current system of NEET-PG and FMGE to a unified national examination.

Why the NExT Exam Has Been Deferred

According to the NMC, the delay was necessary to ensure that the new exam system is fair, transparent, and technically sound before being introduced nationwide. The commission will conduct mock NExT exams, which will be fully funded by NMC, over the next few years to evaluate the model’s feasibility and gather feedback from students and institutions.

The announcement came after a meeting between NMC Chairman Dr. Abhijat Sheth and representatives from the Federation of All India Medical Association (FAIMA), one of India’s most prominent resident doctors’ associations. FAIMA confirmed that the NExT will be deferred for 3-4 years, and its implementation will only be considered after the outcomes of the mock tests are analyzed.

Understanding the Purpose of NExT

The National Exit Test (NExT) is a comprehensive reform proposed under the National Medical Commission Act, 2019. Once introduced, NExT will serve three major functions:

  • Licensing Examination - for MBBS graduates to obtain permission to practice medicine in India.
  • Postgraduate Admission Test - replacing NEET-PG for entry into MD/MS programs.
  • Screening Test for Foreign Medical Graduates (FMGs) - replacing the existing FMGE exam.

Essentially, NExT aims to standardize the evaluation process for medical students in India and abroad, ensuring that every doctor meets the same level of competence and knowledge, regardless of where they studied.

Impact on Indian and Foreign Medical Students

The postponement of NExT is a relief for both Indian MBBS students and Foreign Medical Graduates (FMGs) who plan to return to India for medical licensure.

  • For Indian MBBS students: The existing exam systems, including NEET-PG, will continue for the next few years. This provides more time for colleges to align their curriculum with the upcoming NExT pattern and for students to adjust their preparation strategies.
  • For Foreign Medical Graduates: Those currently studying MBBS abroad will still take the Foreign Medical Graduate Examination (FMGE) after completing their degree. The NExT will eventually replace FMGE, but only after the model is finalized and tested through mock exams.

This means students studying medicine in countries such as Russia, Uzbekistan, Georgia, Kazakhstan, and the Philippines can plan their education and return to India with greater clarity regarding the current licensing requirements.

Why This Move Matters

The NMC’s decision reflects its commitment to building a more efficient and standardized evaluation system. By delaying implementation, the commission aims to avoid confusion, technical challenges, and disparities across institutions. It also ensures that the new exam will be data-driven, evidence-based, and student-friendly once introduced.

Medical associations have largely welcomed the move, describing it as a “mature and thoughtful decision.” Many experts believe that mock trials will help identify gaps in infrastructure and academic readiness, ultimately leading to a smoother transition.

What Students Should Do Now

While NExT remains on hold, students both in India and abroad should:

  • Continue preparing for existing exams like NEET-PG and FMGE.
  • Stay updated through official NMC notifications regarding mock tests and future timelines.
  • Focus on strengthening clinical knowledge, conceptual clarity, and communication skills, which will form the foundation of the NExT exam structure.
  • For FMGs, ensure that their medical universities abroad are NMC-approved and maintain the required standards of education and clinical exposure.

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