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.

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  • 300

    Total Questions

  • 300

    Total Marks

  • 150

    Pass Mark (50%)

  • 0

    Negative Marking

    Attempt every question

  • 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.

Part A — Pre & Para Clinical100 questions total
Part A — Pre & Para Clinical question distribution
SubjectQuestions% of Part
Anatomy1717%
Physiology1717%
Biochemistry1717%
Pathology1313%
Microbiology1313%
Pharmacology1313%
Forensic Medicine1010%
Total Part A100100%
Part B — Clinical Subjects200 questions total
Part B — Clinical Subjects question distribution
SubjectQuestions% of Part
General Medicine3316.5%
General Surgery3216%
OBG3015%
Community Medicine3015%
Paediatrics157.5%
Ophthalmology157.5%
ENT157.5%
Psychiatry52.5%
Dermatology & STD52.5%
Radiotherapy52.5%
Anaesthesiology52.5%
Orthopaedics52.5%
Radiodiagnosis52.5%
Total Part B200100%

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.

June session
Application opens
Around April
Application closes
Around May
Admit card
Around June
Exam date
Late June
Result declaration
Around July
December session
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. 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. 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. 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. 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. 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. 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.

23.7%
24.3%
10.6%
32.2%
10.2%
20.6%
20.9%
29.6%
18.6%
23.4%
12.77%
Jun 2021Dec 2021Jun 2022Dec 2022Jun 2023Dec 2023Jun 2024Dec 2024Jun 2025Dec 2025Jun 2026
FMGE pass rate by examination session
SessionPass rateCandidates appeared
Jun 202123.7%18048
Dec 202124.3%23349
Jun 202210.6%22092
Dec 202232.2%30548
Jun 202310.2%24250
Dec 202320.6%37827
Jun 202420.9%34608
Dec 202429.6%44390
Jun 202518.6%36034
Dec 202523.4%42872
Jun 202612.77%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.

Check the latest FMGE result and pass statistics →
Testimonials

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.

    Dr. Priya SharmaMBBS, Bashkir State Medical University, Russia
  • 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.

    Dr. Ananya SharmaMBBS, Georgia
  • 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.

    Dr. Karan MehtaMBBS, China
  • 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.

    Dr. Fatima KhanMBBS, Russia

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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