The first step of the National Exit Test (NExT) will be a theory examination. The questions in this examination will be of the multiple-choice type. The exam will be conducted online using a computer-based format. The specific procedures for conducting common counseling for admission to postgraduate medical courses will be determined by the Commission and notified by the Government of India. Students who have completed their III MBBS/Final MBBS from a recognized medical college approved by the Commission will be eligible to take the NExT Step 1 examination.
The Step 1 exams will be held twice a year, in May and November, or as notified by the Commission. Candidates are allowed multiple attempts to pass NExT Step 1 and Step 2 exams within 10 years of joining the MBBS course. However, candidates can only take the Step 1 exam to improve their scores after completing the Step 2 exam. The NExT Step 1 will replace the conventional university/institutional theory exams for III MBBS/Final MBBS Part II. Practical/clinical exams for III MBBS/Final MBBS will continue to be conducted in the conventional manner, unless notified otherwise by the Commission.
Next step 2
The NExT examination’s second step, known as NExT Step 2, focuses on evaluating practical/clinical skills, clinical decision-making, and communication skills expected of an Indian Medical Graduate. It is an Objective Structured Clinical Case-based examination that involves simulated cases or patients.
The examination is conducted in person by the respective state Health Universities/Institutions, following the standards and guidelines provided by the Commission. In cases where state Health Universities do not exist, the Commission determines the authorized University/Institution to conduct NExT Step 2 for the respective colleges.
Regular NExT Step 2 Examinations are held twice a year, and there is also a NExT Step 2 Supplementary Examination conducted twice a year. The supplementary examination is specifically for candidates who have failed in one or more of the seven subjects and need to repeat those subjects. If a candidate fails in more than three subjects, they must appear in all seven subjects again in the supplementary examination.
There is no limit to the number of attempts a candidate can make in NExT Step 2, as long as they have passed both NExT Step 1 and NExT Step 2 Examinations within 10 years of joining the MBBS Course.
Syllabus of next step 2
NExT Step 2 is a Practical/Clinical and Viva Voce Examination.The purpose of NExT Step 2 is to assess practical skills, clinical knowledge, and decision-making abilities of the candidates.
● It covers seven clinical subjects/disciplines, including Medicine and allied disciplines, Surgery and allied disciplines, Obstetrics and Gynaecology, Paediatrics, Otorhinolaryngology, Ophthalmology, and Orthopaedics and PMR (Physical Medicine and Rehabilitation).
● The examination is conducted in an Objective Structured format.
● It is a Clinical Case Based examination, meaning that it focuses on real-life clinical scenarios.
Eligibility for Provisional Internship
Indian Medical Graduate: A student from a recognized medical college in India is eligible for compulsory rotating internship if they meet the following criteria:
a) Pass all six theory papers of NExT Step 1.
b) Pass the practical/clinical examination of III MBBS/Final MBBS (Part 2) regulated by the university/institution.
Foreign Medical Graduate:
A student who completed their medical education overseas and fulfills the requirements specified by the Foreign Medical Graduate Regulations of the Commission is eligible for compulsory rotating internship if they pass all six theory papers of NExT Step 1.
Eligibility for Medical Registration and Practice
Indian Medical Graduate or Foreign Medical Graduate: To be registered in the National Medical Register/State Medical Register and obtain a license to practice medicine in India, the following conditions must be met:
a) Completion of the required duration of internship as applicable.
b) Passing the NExT Step 2 practical/clinical examination.
c) Meeting the requirements stated in the Registration of Medical Practitioners and License to Practice Medicine Regulations of the National Medical Commission.
d) Fulfillment of any other requirements specified by the Commission.
Eligibility for Postgraduate Medical Courses:
Graduates with Medical Registration: Those who have obtained a license to practice medicine and are registered in the National Medical Register/State Medical Register are eligible for admission to postgraduate medical courses in broad specialty subjects, provided they meet the following criteria:
a) Eligible and granted a license to practice modern medicine in India.
b) Participation in the common counseling process as prescribed by the Commission through an approved designated authority.
Apart from the mentioned eligibility criteria, the NExT Step 1 scores can be used by the Government of India, State Governments, and other organizations for purposes such as employment, scholarships, fellowships, etc.
Note: The MBBS degree is awarded upon passing the Final MBBS examination and successfully completing a one-year internship.
Note: There will be another round of counseling in December for any remaining vacant seats after the earlier counseling held in May-June.