NExT Exam in India for MBBS

Today we will discuss about “NExT Exam in India for MBBS”.Read this article till end to know the complete details when , how it will be implemented ?

NExT Exam in India for MBBS

NExT is currently a proposed amendment to be brought in the form of a test.This will be conducted  in the last year MBBS level for all the MBBS enrolled students in India or Abroad  . It is currently proposed under the National Commission Medical Bill (NMC). NExT for MBBS is believed to be designed in order to assess the basic skills and knowledge of a medical student.

Amidst all the confusion prevailing about the NExT exam here is some initial information from sources.

NExT exam latest update

Good news for 2019 batch MBBS candidates , that NExT will not be applicable to them .

Click here to see the latest Gazzeetee on NExT Examination.

National Exit Examination (NExT) Summary

NExT: Exam in will be conductedin  two steps. NMC drafts guidelines on schedule, duration, scores, papers.

As per latest NMC guidelines, National Exit Test will be held as Step 1 is to be held in 2nd week of December  2023 and Step 2 will be held in the month of  March, 2024.

The National Medical Commission (NMC) has recently issued draft regulations on National Exit Test (NExT) for admission to PG (Postgraduate medical programmes) and for getting license to practise medicine in India. According to the draft guidelines, NExT will be conducted as two separate exams termed as ‘Steps’.

As far as  Step 1, is concerned it will be a theory exam and will be held in the 2nd week of December 2023 and Step 2 will be a practical exam and will be conducted in the 2nd week of March,2024.

NMC guidelines on NExT

As per NMC guidelines, NExT Step 1 will be a theoretical examination consist of  multiple choice questions and will be held in a computer-based test mode whereas Step 2 will be a practical and viva voce examination.

NExT Step 1 exam

Step 1 will consist of six papers covering subjects of MBBS third year of final year, both part 1 and part 2:

Medicine and allied disciplines
Surgery and allied disciplines
Obstetrics and Gynaecology
Paediatrics
Otorhinolaryngology
Ophthalmology

Applied aspects of all subjects covered under I MBBS and II MBBS
Applied aspects of all subjects covered under III MBBS /Final MBBS Part l

All those students who have completed the MBBS third year of final year course from a medical college recognized by the commission will be eligible to appear. There will be a regular NExT Step 1 exam held once a year prior to the university practical examination for the third MBBS (Part2) or final MBBS preceding Compulsory Rotating Internship.

Number of attempts to appear in NExT

There is no restriction to the number of attempts to appear in NExT Step 1 provided the candidate has passed both NExT Step 1 and NExT Step 2 exam within 10 years of joining the MBBS course. There is no limitation on the number of attempts to improve scores too. The exam will replace the theory exams of MBBS third year and final year students.

NExT Step 2 exam

Step 2 will consist of seven clinical subjects which are as follows:

Medicine and allied disciplines
Surgery and allied disciplines
Obstetrics and Gynaecology
Paediatrics
Otorhinolaryngology
Ophthalmology
Orthopaedics and PMR (Physical Medicine and Rehabilitation)

The exam will be held once a year. There is no restriction on the number of attempts to appear for Step 2 exam.

A supplementary exam will be held for both steps for students who do not clear the regular exam, according to the guidelines.

NExT qualifying scores

The minimum marks for passing will be 50% [50 out of 100] or half of the maximum possible raw for NExT Step 1

For the NExT Step 1, in each of the six papers a minimum of 50% (50 /100) or half of the maximum possible raw scores should be scored to pass the exam.
The criteria for passing NExT Step 2 will be satisfactory demonstration having acquired the competencies that are evaluated that will be declared as pass or fail.

Calculation of NExT scores

The total marks will be calculated from the sum of raw scores obtained in each paper or subject. In the case of failure in one or more subjects, the total marks or percentage of NExT Step 1 for a candidate will be calculated from the sum of total of raw scores in each subject /paper obtained in both regular and supplementary exam in which the candidate has secured pass marks.
The Total marks percentage of those candidates who have appeared in NExT Step Exam to improve their scores will be calculated from the average or mean of last three consecutive scores.

Explaining the validity of the NExT exam , the guidelines said, “It is implied that whenever the NExT is in force, the corresponding equivalent existing Examinations shall be phased out/cease to be applicable for purpose for which the NExT shall be appropriate.

Click here to read complete notification on Official website released on December 28,2022.

There was a meeting with The BoG at ICMR. The meeting was just for proposals. No final conclusion has been made.

Image credit: News agency Rajasthan

As per preliminary information received from sources, NExT  will be 2 step exams

NExT 1: 6 to 8 weeks after final proof exams. It will comprise of exams as shown in the slide

• Medical , Allied – 120 items (3 hrs)
  + Paediatric -60 items (1.5 hr post-lunch)
• Surgery , Allied – 120 items (3 hrs)
  + ENT – 60 items (1.5 hr post-lunch)
• Obst. , Gynae – 120 items (3 hrs)
  + Ophthalmology – 60 items (1.5 hr post-lunch)

PATTERN of Exam

• 60% Problem Solving
• 30% Comprehension/Analysis
• 10% Recall
•  Preventive , Public Health-10%
• (10% of the total in each stream will be asked from applied basic sciences)
• Qualifying this exam is necessary if you want to enter an internship and get an MBBS degree. (cutoff will be decided by NMC)
• The exam will be Online, it will decide your rank for getting admission in PG course
• NEXT -1 will be conducted over 3 days. (details are still confidential , can’t be disclosed as of now before ratification)
• Scores will be in Percentile.

NEXT _2: will be held After Internship (after 1 month)

It will be only an exam to test the practical skills of the Doctor.
It will be based on skills learned by MBBS graduate during his/her internship
extra attempts will be provided on failing in 1st attempt

Both Exams will get implemented for the Batch of 2017.

A batch of 2016 should be prepared to give a Qualifying exam at the end of the Internship to be allowed to practice.

There was a proposal of quashing the Final 2 Year Profs, converting them to IA by College and instead there can be conducted a NExT 1 exam (in March) after course completion (in Jan).
In other words, the suggestion was to :

Eliminate the theory exam of 3rd proof part 1 and part 2 and only test their practical exam.
Then at the end of MBBS 3rd proof part 2, NExT  -1 will be held comprising of all subjects with the involvement of only applied knowledge from pre , paramedical subjects
In this manner, NExT -1 is claimed to reduce exam burden of students , also act as both licentiate as well as PG entrance exam
Now that plans for quashing an Essay based Final 3rd , 4th Profs are being discussed, the necessity of a Supplementary Exam was strongly put forward and it will be considered, so we can hope for a Supplementary Exam

• With the change in the GMER schedule, the Prof III part II exams are proposed to be held in January, in all medical colleges.
• Supplementary exams are proposed to be held in February.
• NExT  1 also known as Prof-IV part I is proposed to be held in March.
• The internship is proposed to start from April
• The internship is proposed to complete in March
• NExT  2 also known as Prof-IV part II is proposed to be held in April
• PG course is expected to start in JULY

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