NBEMS screening examination
Everything you need to know about the FMGE
The Foreign Medical Graduate Examination is the licensing test that determines whether Indian doctors who studied abroad can practise medicine in India. This guide covers the complete picture — eligibility, pattern, subjects, dates, and what comes after.
Use our free score calculator to track your mock test performance →300
Total Questions
300
Total Marks
150
Pass Mark (50%)
0
Negative Marking
Attempt every question
2×
Per Year
June and December
∞
Attempts Allowed
No attempt limit
Background
What is the FMGE and why does it exist?
The Foreign Medical Graduate Examination is a screening test conducted by the National Board of Examinations in Medical Sciences under the National Medical Commission. It exists because Indian doctors who complete their MBBS abroad train under different medical education systems, with different syllabi, clinical exposure and standards. Before practising in India they must show they meet the same knowledge standard as graduates of Indian medical colleges.
This is not a postgraduate entrance exam. It is a licensing exam — pass or fail, with no rank, no merit list and no percentile. The pass mark is 150 out of 300. Every correct answer scores one mark; wrong and unattempted answers score zero. The structure is simple, but the pass rate tells a different story: historically between 10 and 32 percent of candidates clear each session. The distance between the syllabus and the level most candidates arrive with is the problem FMGE preparation has to solve.
The exam runs twice a year and is computer-based, held at NBEMS-approved centres across India. Passing grants eligibility to apply for provisional or permanent registration with the NMC or a State Medical Council — the formal prerequisite to practising medicine in India.
Who must take FMGE
FMGE is mandatory for Indian citizens and Overseas Citizens of India who obtained their primary medical qualification from a foreign country.
- Indian citizens with an MBBS from Russia, China, Ukraine, the Philippines, or any other foreign country
- Overseas Citizens of India (OCIs) holding a foreign MBBS degree
- Nepalese citizens holding an Indian government issued ID who studied medicine abroad, where special provisions apply — check the NBEMS bulletin
- Anyone holding a primary medical qualification obtained abroad that is equivalent to an Indian MBBS
Who is exempt from FMGE
Certain categories are exempt under NMC regulations and do not need to appear.
- Candidates holding a postgraduate medical qualification (MD or MS equivalent) from Australia, Canada, New Zealand, the United Kingdom or the United States, who are eligible to practise medicine in those countries
- Candidates admitted to a foreign medical institution before 15 March 2002 are exempt from the Eligibility Certificate requirement — check current NMC guidelines for the full position
FMGE is not required for an MBBS from an Indian medical college. It applies exclusively to foreign-trained graduates.
Eligibility criteria
To appear for FMGE, candidates must meet all of the following.
Citizenship
You must be an Indian citizen or an Overseas Citizen of India. Nationality is verified against your passport during the application.
Foreign medical degree
You must hold an MBBS or equivalent primary medical qualification from a foreign institution recognised in that country and listed in the World Directory of Medical Schools. The degree must carry Indian Embassy attestation.
Eligibility Certificate
A valid Eligibility Certificate from the NMC is required before you can appear. It is issued after your foreign degree is verified, and processing takes time — apply as early as you can.
Degree completion
Your final qualifying result must be declared on or before the cut-off date given in that session’s NBEMS information bulletin. The date moves between sessions, so check the bulletin rather than assuming.
You do not need to have completed your internship to appear for FMGE. Internship completion is required only when you apply for medical registration after passing. You can sit the exam while your internship is in progress, or before starting it.
FMGE exam pattern
Understanding the structure is the first step to preparing for it properly.
- Total questions
- 300 MCQs
- Total marks
- 300 (1 mark per question)
- Pass mark
- 150 out of 300 (50%)
- Negative marking
- None
- Mode
- Computer-based test (CBT)
- Duration
- 5 hours total (2 hours 30 minutes per part)
Two-part structure
Part A
Pre & Para Clinical
100 questions
2 hours 30 minutes
- Anatomy
- Physiology
- Biochemistry
- Pathology
- Microbiology
- Pharmacology
- Forensic Medicine
Part B
Clinical Subjects
200 questions
2 hours 30 minutes
- General Medicine
- Psychiatry
- Dermatology & STD
- Radiotherapy
- General Surgery
- Anaesthesiology
- Orthopaedics
- Radiodiagnosis
- Paediatrics
- Ophthalmology
- ENT
- OBG
- Community Medicine
Since May 2024, each 150-question part is divided into three locked sections of 50 questions and 50 minutes each. Once a section’s timer expires it closes automatically and you cannot go back to it. Plan your time within each section — the 50-minute clock is not forgiving.
Subject-wise question distribution
The 300 questions are distributed across 20 subjects in two parts, following the NMC Graduate Medical Regulations.
| Subject | Questions | % of Part |
|---|---|---|
| Anatomy | 17 | 17% |
| Physiology | 17 | 17% |
| Biochemistry | 17 | 17% |
| Pathology | 13 | 13% |
| Microbiology | 13 | 13% |
| Pharmacology | 13 | 13% |
| Forensic Medicine | 10 | 10% |
| Total Part A | 100 | 100% |
| Subject | Questions | % of Part |
|---|---|---|
| General Medicine | 33 | 16.5% |
| General Surgery | 32 | 16% |
| OBG | 30 | 15% |
| Community Medicine | 30 | 15% |
| Paediatrics | 15 | 7.5% |
| Ophthalmology | 15 | 7.5% |
| ENT | 15 | 7.5% |
| Psychiatry | 5 | 2.5% |
| Dermatology & STD | 5 | 2.5% |
| Radiotherapy | 5 | 2.5% |
| Anaesthesiology | 5 | 2.5% |
| Orthopaedics | 5 | 2.5% |
| Radiodiagnosis | 5 | 2.5% |
| Total Part B | 200 | 100% |
General Medicine (33), General Surgery (32), OBG (30) and Community Medicine (30) together account for 125 of the 200 clinical questions — 62.5% of Part B. These four subjects are where most of your preparation time should go.
Use the FMGE score calculator to see how subject-wise accuracy adds up to a total score →FMGE exam schedule
FMGE is conducted twice a year. June session results are usually declared the following month, and the December session exam is generally held in January of the following year.
- Application opens
- Around April
- Application closes
- Around May
- Admit card
- Around June
- Exam date
- Late June
- Result declaration
- Around July
- Application opens
- Around October
- Application closes
- Around November
- Admit card
- Around December
- Exam date
- January of the following year
- Result declaration
- Around February
Dates are announced by NBEMS on natboard.edu.in. Always verify against the official information bulletin before applying rather than relying on any third-party site, including this one. The application fee is non-refundable and is stated in each session’s bulletin.
See confirmed 2026 dates →How to apply for FMGE
- 1
Get your Eligibility Certificate
Before anything else, apply for an Eligibility Certificate from the National Medical Commission at nmc.org.in. It confirms your foreign degree is recognised, and without it the FMGE application cannot be completed. Processing takes time, so apply as soon as your degree is finished.
- 2
Create an account on natboard.edu.in
Register as a new applicant with your email address and mobile number. Your login credentials arrive by email and SMS — keep them somewhere you will find them again in six months.
- 3
Fill the application form
Complete your personal details, educational qualifications, and communication details. Check every entry before submitting: the form is submitted once and changes afterwards are not permitted.
- 4
Upload your documents
You will need scans of your passport (all pages), your foreign medical degree with Indian Embassy attestation, your NMC Eligibility Certificate, and a recent passport-size photograph and signature matching the stated specifications.
- 5
Pay the application fee
Pay online through the NBEMS portal by net banking, card or UPI. The fee is non-refundable, so save the payment confirmation before you close the window.
- 6
Download your admit card
If NBEMS flags a document deficiency, fix it during the announced edit window. Once the application is processed, download the admit card from the portal and report to your centre 30 minutes before the scheduled start with the admit card and a valid photo ID.
FMGE pass rates — the real picture
The pass rate tells you something important: clearing FMGE takes deliberate preparation. It is not a formality, and it has a meaningful fail rate.
| Session | Pass rate | Candidates appeared |
|---|---|---|
| Jun 2021 | 23.7% | 18048 |
| Dec 2021 | 24.3% | 23349 |
| Jun 2022 | 10.6% | 22092 |
| Dec 2022 | 32.2% | 30548 |
| Jun 2023 | 10.2% | 24250 |
| Dec 2023 | 20.6% | 37827 |
| Jun 2024 | 20.9% | 34608 |
| Dec 2024 | 29.6% | 44390 |
| Jun 2025 | 18.6% | 36034 |
| Dec 2025 | 23.4% | 42872 |
| Jun 2026 | 12.77% | 37448 |
~20.6%
Average pass rate
across recent sessions
Higher
December pass rates
consistently above June — more preparation time after final MBBS
29.6%
Dec 2024 pass rate
the highest in recent sessions
The variation — from 10% to 32% within a few years — is driven almost entirely by exam difficulty and question distribution, not by any change in the cutoff, which stays fixed at 150/300. Sessions with more image-based and integrated clinical questions typically show lower pass rates. Preparation that builds genuine understanding rather than rote recall is more resilient to that variation.
What happens after you pass FMGE?
Apply for NMC registration
With your FMGE pass certificate, apply for provisional or permanent registration with the National Medical Commission or a State Medical Council. This is the formal licence to practise medicine in India.
Complete your internship
If you have not already, complete a one-year rotating internship at a recognised Indian hospital. It is required for permanent registration and before you can practise independently.
Start practising
With registration in hand you are licensed to practise in India, in a clinic, a hospital, or your own practice. The long route back to Indian medicine is finished.
Consider postgraduate entrance
Many candidates go on to sit the postgraduate entrance exam to specialise. The syllabus overlaps substantially with FMGE, so the preparation you have already done carries over.
Doctors who cleared FMGE with Reflex
Graduates from Russia, China, and Ukraine on the specific thing that changed.
I had failed FMGE twice before I found Reflex. Not because I did not know medicine, I did. The subject-wise accuracy breakdown showed me I was losing 11 marks in Pharmacology alone. Three months of fixing that specific gap and I cleared on my third attempt.
I graduated from a university in Georgia and the FMGE pattern felt completely different from what I studied. Reflex's PYQ bank showed me exactly how the exam frames questions. Cleared it on my first attempt.
Studied MBBS in China, came back unsure how to prep for FMGE. The 12,000+ questions meant I never ran out of practice. Passed comfortably.
I came from a Russia MBBS background and the Indian exam pattern was my weak point. Reflex bridged that gap. The daily practice habit it built is what got me through.
The question style in China is very different from how FMGE asks. Reading the same subject twice got me nowhere. Practising 40 PYQs a day through Reflex, with the explanation of why the answer is what it is, made the Indian pattern make sense. Passed first attempt.
The high-yield topic breakdown saved me. Instead of drowning in the whole syllabus, I knew where the marks actually were. Worth every rupee.
What I liked most was the difficulty tagging, I could focus on the hard questions in the last month. The mock tests felt exactly like the real thing.
Affordable compared to everything else out there, and honestly more focused. I recommend it to every FMG I know who's preparing.
I tracked my score in the Reflex calculator after every mock. In November I was at 128. By January I was at 167. Seeing the number move kept me at it every day. That consistency was the difference.
After one failed attempt on my own, I switched to Reflex FMGE. The subject-wise question practice rebuilt my confidence. The explanations are clear and to the point.
The app works even on a patchy connection, which mattered because I was practising between clinical duties. Simple, focused, no distractions.
FMGE frequently asked questions
FMGE stands for Foreign Medical Graduate Examination. It is a licensing screening test conducted by the National Board of Examinations in Medical Sciences (NBEMS) for Indian citizens and Overseas Citizens of India who completed their MBBS or an equivalent medical degree abroad.
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