After MBBS in Russia Which Exam is Required – Over the past two decades, an increasing number of Indian students have opted to study MBBS in Russia. The Primary Reason? Accessible Education. Russian Medical Universities Are Recognized Internationally, which adds to their attractiveness. However, after the degree comes the big question: after MBBS in Russia, which exam is required to practice in India?
The dream of becoming a practicing doctor often accompanies students from India who are pursuing their MBBS abroad. Although students must understand there is a set of conditions to practice medicine in India, which require additional knowledge notwithstanding of one’s postgraduate specialty.
This guide will walk you through all the critical examinations, dates of revisions, steps to achieve them, and the ideal course of action upon passing.
Indian Medical System
Before detailing the exams, there is a condition regarding the structure of the medical profession and the recognition, acceptance, and validation of the diploma from a foreign institution, and clinical certificates after which would be issued in India on funds.
The entire medical profession of India is supervised by the National Medical Commission (NMC). Previously, this used to be called the Medical Council of India (MCI), and now the NMC assumes the responsibilities. For students completing their MBBS abroad, NMC has provided guidelines that aim to streamline the process.
In order for a Russian MBBS degree to be valid in India, the respective medical university has to be recognized by the NMC. Furthermore, students need to abide by some basic eligibility norms, which include passing 10+2 with Physics, Chemistry, Biology, and English, alongside qualifying for NEET before going abroad for admission.
But recognition of the degree is not sufficient. Students are supposed to clear a screening test in India if they wish to obtain a license for practice. This is where FMGE or NEXT comes into play.
FMGE – The Foreign Medical Graduate Examination
The most popular examination at this moment for Indians who pursue MBBS abroad is without a doubt the FMGE (Foreign Medical Graduate Examination). This exam is compulsory and is held by the National Board of Examinations (NBE) in India.
FMGE functions as a bridge. It verifies if a foreign medical graduate’s education and training were adequate to Indian standards. It is better to consider it as a filter; only those who take in the relevant medical material are granted access to practice as doctors in India.
The test is taken in June and December, making it a twice-yearly event. It is taken on the computer in English. FMGE aims to restrict unqualified professionals from entering healthcare in India.
Who Needs to Appear for FMGE?
If you are a citizen of India or an Overseas Citizen of India (OCI) and have done your MBBS from a foreign country such as Russia, you need to take FMGE. There are some requirements following it:
- The medical college must be listed on the NMC website.
- The candidate must have completed an MBBS program, which is 6 years in Russia.
- All documents, such as a degree and internship certificate, must be available.
Who is exempt? Candidates who have pursued their MBBS degree from the United States of America, the United Kingdom, Australia, New Zealand, or Canada do not need to sit FMGE, provided the degree is recognized by the medical council of that country. However, graduates from Russia are not exempt and are required to take the FMGE.
Exam Pattern of FMGE
The FMGE test is held in two sessions on the same day:
- Part A: 150 questions (Morning Session)
- Part B: 150 questions (Afternoon Session)
It is still a single exam comprising300 questionsin multiple-choice format. Overall, it is a 300-question exam, and the duration allotted for each part is 2 hours and 30 minutes. Since there is no negative marking, you can attempt all questions without worry.
The topics incorporate every subject comprising the degree such as:
- Anatomy
- Physiology
- Biochemistry
- Pathology
- Pharmacology
- Microbiology
- Forensic Medicine
- ENT
- Ophthalmology
- Community Medicine
- Medicine
- Surgery
- Pediatrics
- Obstetrics & Gynecology
It is a highly specialized exam which requires preparation throughout.
FMGE Passing Criteria
You might think passing the FMGE is easy because it only requires 150 marks out of the total 300, but in reality, it is more complicated. As of late, the average success rate is lower than 25%. The most common reason is a lack of preparation, underestimating the exam, or discrepancies in the syllabus of Russian and Indian MBBS programs.
This is exactly the reason why students are recommended to begin their studies at least half a year in advance. Following structured online courses or joining coaching institutes can change a lot.
NEXT – National Exit Test (Upcoming)
The Government of India intends to replace the FMGE with the National Exit Test (NEXT) for both Indian and foreign medical graduates. The initiative is intended to unify the process of obtaining a license to practice medicine in India.
What does this mean for students who pursued their MBBS degree from Russia?
If you graduate after the implementation of NEXT, then you won’t appear for FMGE. Instead, you will need to clear NEXT. Along with being a licensing exam, this will also serve as an entrance examination for Postgraduate medical courses in India.
NEXT vs FMGE: What’s Changing?
Feature | FMGE | NEXT |
Purpose | Screening for foreign graduates | Licensing + PG Entrance |
Attempt Limit | Unlimited | Likely limited (as per reports) |
Negative Marking | No | May have (yet to be confirmed) |
Syllabus | MBBS subjects | More clinical and problem-solving |
Validity | Just for practice license | PG admission + license |
This will enable all medical graduates to be incorporated into a single framework which gives equal opportunities to everyone. Unfortunately, if the system had already been fully implanted, those graduating in a year or two would not need to tackle the FMGE.
How NEXT Will Affect Future MBBS Graduates
If you are starting your MBBS now or are in the first to second years, there’s a good chance that NEXT will be applicable by the time you graduate. The National Medical Commission Act has been passed by the government, and there are plans in place to conduct trial runs for NEXT.
Here’s what could change for you:
- You will not be required to appear in yet another examination totally designed for PG entrance, like the NEET-PG.
- There will be two parts of the examination: NEXT (licensing) would be post-final year, and internship (PG).
- Regardless of whether you are from India or abroad, every student will have to take the same examination.
In any case, this means serious preparation should be done long in advance, along with permanent notification from NMC and the University of your choice in Russia.
Steps After Clearing FMGE or NEXT
Assuming that you have passed FMGE or NEXT, what comes next? You are not eligible to practice; there is, in fact, more to d,o which is divided into stages.
- Provisional Registration with the State Medical Council
Once you clear the exam, you will receive a certificate from either NBE (for FMGE) or NMC (for NEXT). With this credential, you may apply for provisional registration. - Compulsory Internship in India
Even though you’ve done an internship in Russia, you must complete your 12-month internship period in India; this is mandatory. You will have to be placed with a recognized medical college or hospital. - Learning Indian Medical Practice
This internship also gives you with the Indian health care system, patient behavior, and hospital protocols. Besides, you do gain a bit of experience in the Indian medical set-up.
Do keep all your documents ready for the internship application: degree, transcripts, and FMGE scorecard.
Permanent Medical Registration in India
Upon the successful completion of your internship in India, you will now be able to apply for permanent registration, which allows you to:
- Open your clinic
- Work in private or government hospitals
- Apply for postgraduate courses in India
Here’s what you need to do:
- Apply through the State Medical Council (like the Delhi Medical Council, the Maharashtra Medical Council).
- Submit originals and photocopies of the MBBS degree, pass certificate of FMGE, internship completion certificate, and some ID proof.
Once your application is accepted, you are assigned a permanent registration number, which is the license to practice the medical profession in India.
Also, do keep photocopies and digital scans of all documents, as they might come to be use during several stages.
Preparation Tips for FMGE
To be honest, FMGE Exam is tough. But it is not impossible through hard work; so many have cleared the exam through dedication and systematic approach. You can clear it on the very first attempt, provided you schedule your studies well and follow through with your planning.
- Start Early: Give yourself at least 6-8 months before the exam.
- Understand the Syllabus: Focus more on clinical subjects, especially Medicine, Surgery, Pediatrics, and Obstetrics.
- Daily Study Plan: Study for 6-8 hours daily with breaks and revisions.
- Join Online Coaching: Platforms such as PrepLadder, Marrow, and Unacademy offer FMGE-specific courses.
- Solve MCQs: Make sure to work through as many past-year questions as you can.
- Take Mock Tests: Gets one oriented toward time pressure and exam atmosphere.
Do not mechanically memorize; keep the conceptual thinking, especially in subjects such as Pharmacology and Pathology.
Recommended Books and Online Platforms
Here are some resources you may want to consult while preparing for the FMGE:
Books:
- FMGE Solutions by Deepak Marwah
- Across: A Complete Review of Short Subjects
- Review of FMGE by Mudit Khanna
- Subject-wise question banks
Online Coaching:
- PrepLadder – Excellent video lectures and notes
- Marrow – Detailed subject-wise MCQs and mock tests
- Unacademy – Affordable plans and live sessions
YouTube Channels:
- Dr. Najeeb Lectures
- FMGE Solutions
- Marrow FMGE Strategy
Challenges Faced by Students Returning from Russia
Coming back to India after completing MBBS in Russia may sound exciting, but with it comes a host of challenges. Some barriers would greatly slow down many students, either academically or emotionally, in their journey to becoming a registered doctor in India..
Language and Communication Gap
In Russia, the first semesters of MBBS courses are taught in English; later semesters, however, may have some interaction with patients in Russian language. Upon their return to India, those students must suddenly switch back to thinking, writing, and even conversing in English or local Indian languages while preparing for exams such as FMGE. Such a sudden switch can exert stress on the ability to concentrate and on one’s confidence.
Syllabus Differences
While having well-structured courses, the Russian medical curriculum is not in full alignment with the Indian MBBS syllabus. For example, the Russian curriculum may not cover community medicine or diseases specific to India like dengue or malaria, so students feel ill-prepared when they come across topics related to these in FMGE preparation.
Cultural and Systemic Differences
The whole hospital system, patient behavior, along protocols on treatments in India are not what the students encountered in the context of their clinical training in Russia. Adjusting to Indian clinical practices during the one-year compulsory internship can take some time.
Low FMGE Pass Rate
FMGE had a consistently low pass percentage all through the years-often staying below 25%. So comes the added pressure and fear, especially for the ones appearing for the first time. Factor lack of coaching or right guidance or study material, and you get the problem.
Financial and Emotional Stress
Having spent huge amounts of money on MBBS education abroad, the uncertainty of getting to pass FMGE and acquire a license thereby leads to emotional and financial strain on students and their families.
Overcoming these impediments, the students must work on their preparation skills while finding mentors, FMGE achievers, or online collegial support for guidance and motivation.
Important Documents After MBBS in Russia
Make sure all must-have documents required at every stage—exam registration, internship, provisional registration, and permanent registration—are properly attested and in order before you even plan to apply for an internship or appear for FMGE.
List of Mandatory Documents:
- MBBS Degree Certificate – Original and photocopy.
- Mark Sheets / Transcript – Year-wise or semester-wise.
- Passport – Pages showing entry, exit, and visa stamps.
- FMGE Pass Certificate – Issued by NBE after result declaration.
- Eligibility Certificate from NMC/MCI – Mandatory if you took admission before 2018.
- Internship Certificate (Russia) – Showing completion of mandatory 1-year training.
- 10th and 12th Mark Sheets – Proof of academic background.
- NEET Score Card – For students who took admission after 2018.
- Medical Fitness Certificate – Issued by a registered medical officer.
- Passport-sized Photographs – As per specification.
Any document issued in Russian should be translated into English, and the translation notarized. Make photocopies of the documents in several sets to be submitted as required at offices like NMC, state councils, or hospitals.
Final Advice for MBBS Students Returning from Russia
Some practical advice for you as you plan your smooth return to India after MBBS in Russia:
- Stay Updated with NMC Guidelines: The rules and exam systems are changing rapidly. Hence, keep checking the official website of the NMC for any notifications related to FMGE and NEXT.
- Start FMGE Preparation Early: Do not keep things on the back burner. Start preparing in your final year of MBBS using online platforms that offer flexibility and updated content.
- Join Student Communities: Depending on your needs, FMGE aspirants can benefit from Facebook groups, Telegram channels, or WhatsApp groups for tips, guidance, and a lot of moral support.
- Have a Backup Plan: In the event that you do not make it your first time, do not panic. There is no limit to how many times you can retake the FMGE examination. Meanwhile, enroll in short medical courses or engage in volunteer work or research to keep yourself hooked to the medical field.
- Stay Positive and Consistent: It is not merely an exam, FMGE or NEXT; it is a test of patience, resilience, and willingness to move on. Hence, smart preparation and the correct mindset will help you pass this exam.
Conclusion:After MBBS in Russia which exam is required?
Taking the FMGE for now and the NEXT in the near future. Both are compulsory for Indian students who wish to practice medicine in India after completing their degree abroad.
Clearing these exams is your gateway to a medical license in India. It may be a challenging road, but with proper planning, guidance, and determination, success is well within reach. Whether it’s FMGE or NEXT, remember that these exams are not barriers—they are stepping stones to a noble profession.
Your journey does not end with MBBS; it begins with the dream of serving humanity in your homeland. So study hard, stay focused, and believe in your journey.
FAQs
Is FMGE compulsory after MBBS in Russia?
Yes, FMGE is mandatory for all Indian students who complete their MBBS from Russia unless NMC changes the rule in favor of NEXT implementation in the days to come.
How many times can I attempt FMGE?
There is no limit; you can attempt FMGE as many times as you want until you pass it. However, one should optimally clear it in the first or second attempt with sound preparation.
Will NEXT replace FMGE completely?
Yes, NEXT will replace FMGE and NEET-PG in the future according to NMC intent; it will become a single exam for both licensing and admission to post-graduation.
Can I do internship in Russia and skip Indian internship?
No, even after finishing your internship in Russia, you have to do a one-year internship in India after clearing FMGE.
What is the passing score for FMGE?
You need to score 150 marks out of 300 (50%) to qualify for FMGE. There is no negative marking, and the exam is held twice a year.
Maxwell Baille
June 2, 2025I always leave your blog feeling smarter and more inspired. That’s the hallmark of truly excellent writing.