From MBBS to PG: Will the NExT Exam Shape the Future of Medical Education in India?
NExT Exam: The proposed National Exit Test (NExT) in India has sparked widespread debate among medical students, educators, and policymakers.
As a licensure and postgraduate entrance exam, NExT is set to revolutionize the way medical professionals are evaluated. However, a recent study has shed light on the uncertainty and concerns surrounding this new exam, particularly regarding its format, frequency, and purpose.
Conducted by a team of ten doctors from across the country, the study sought to understand medical students’ perceptions and preferences concerning the NExT, especially in terms of how it would impact their academic journey.
Only 31% Indian Students Aware of NExT Exam
The survey, published in the Medical Science Educator journal, included 729 medical students, ranging from MBBS students to postgraduates, across various institutions in Delhi, Chennai, and Andhra Pradesh.
 One of the most striking revelations from the study is that a significant portion of students, 31%, are not fully aware of the NExT pattern and its intended purpose.
This lack of clarity points to a gap in communication and highlights the need for better dissemination of information to students who are about to be impacted by this monumental shift in medical education.
Preferences for NExT Role
The majority of students prefer the NExT to function primarily as a postgraduate entrance exam, rather than as the Third Professional Part 2 (final-year) theory exam.
According to the survey, 69.1% of participants believe that NExT Step 1 should serve as an entrance exam for postgraduate medical education, while 52.1% also see it as a medical licensing exam.
Interestingly, only 43.1% of students feel that NExT Step 1 should replace the traditional final-year theory exam, emphasizing the desire for clarity between licensure and postgraduate entrance exams.
Shift to MCQ-Based Examinations
The study also reveals a strong preference among students for a 100% MCQ-based exam format for theoretical university professional exams.
About 80.7% of respondents believe that adopting this format would help them better prepare for competitive exams like NExT Step 1, which is likely to be MCQ-based.
This preference aligns with the growing trend of standardized testing formats worldwide, as students feel it provides a more focused and efficient way to assess knowledge, as opposed to the traditional long-answer formats prevalent in many medical schools.
No limits on the number of attempts
In terms of logistics, the majority of students expressed a desire for NExT exam Step 1 to be conducted every six months. They also preferred it to be a 1-day exam, lasting for about 3 hours, rather than a prolonged multi-day examination. This preference reflects the students’ desire to reduce the stress and pressure associated with long exam durations and limited opportunities to retake the exam.
Notably, 60% of participants voiced support for having no limits on the number of attempts for NExT Step 1, a suggestion that would help alleviate the burden of facing a single, high-stakes exam.
Importance of Mock Tests and Self-Assessment
Furthermore, the study advocates for the inclusion of regular mock tests that simulate the NExT exam format.
The students believe that these mock tests, conducted at least three times a year, would serve as invaluable tools for both self-assessment and preparation.
By offering practice exams that mirror the actual test conditions, students can gain confidence and familiarize themselves with the types of questions and time constraints they will face.
 This approach would be similar to the self-assessment exams administered by the National Board of Medical Examiners (NBME) in the United States for students preparing for the USMLE.
Continuous Feedback and Adaptation
The research also highlights the importance of continuous feedback from all stakeholders—students, faculty, and examiners—to refine the NExT exam over time. The researchers note that feedback will be crucial to ensure that the exam evolves to meet the changing needs of the medical community.
Additionally, they stress the importance of giving students sufficient time to adjust to the new exam pattern. Introducing briefing sessions for both students and faculty could help align teaching methods with the new structure of the exam, ensuring that both educators and learners are prepared for the shift.
Time to Adjust Before Implementation
According to Bodmas Medical report NMC will implement NExT exam in the year 2025. The study’s findings reveal a consensus among students about the need for the NExT exam to be implemented thoughtfully and systematically.
Students not only want clear communication about the exam’s structure and timing but also wish for the exam to be flexible enough to cater to their diverse needs.
The researchers also emphasize that proper implementation of NExT should involve adequate time between its announcement and its first rollout, allowing students to prepare without undue anxiety.
