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Comprehensive Guide to FMGE Syllabus

Last updated17th Jul 2025
7 mins read
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Meghna Shah
Published by Meghna Shah

Study Abroad, Study in Dubai

For Indian medical graduates returning from countries like Russia, China, Ukraine, or the Philippines, the Foreign Medical Graduate Examination (FMGE) is currently the mandatory screening test towards becoming a practising physician in India. This examination is conducted by the National Board of Examinations (NBE) under the National Medical Commission (NMC). Understanding the FMGE syllabus is essential for preparation and success in this competitive examination.

However, prospective candidates must be aware that the National Medical Commission (NMC) intends for the National Exit Test (NExT) to eventually replace the FMGE (along with NEET PG) as the common licensing examination for all MBBS graduates, both Indian and foreign. While the FMGE remains in effect for cohorts preceding NExT's full implementation, preparing diligently based on the current FMGE syllabus is paramount.

This guide provides a comprehensive walkthrough of the:

  • FMGE subject-wise syllabus
  • Examination format
  • High-yield topics, and
  • Study resources for candidates aiming to clear the FMGE and obtain their medical licence in India.

Overview of FMGE Syllabus Structure

The NMC FMGE official syllabus is structured to evaluate the fundamental competencies expected from an MBBS graduate. The exam includes all major pre-clinical, para-clinical, and clinical subjects, reflecting the MBBS curriculum in India. The following table details the FMGE syllabus.

Understanding the Complete Subject-wise FMGE Syllabus

Subject CategorySubjects IncludedApprox. Weightage (Marks)
Pre-ClinicalAnatomy, Physiology, Biochemistry50 (Anatomy 17, Physiology 17, Biochemistry 16)
Para-ClinicalPathology, Pharmacology, Microbiology, Forensic Medicine & Toxicology, Social & Preventive Medicine50 (Pathology 15, Pharmacology 15, Microbiology 10, Forensic Medicine & Toxicology 10)
ClinicalGeneral Medicine, General Surgery, Obstetrics & Gynaecology, Paediatrics, Ophthalmology, ENT, Dermatology, Psychiatry, Orthopaedics, Radiology, Anaesthesia, Radiotherapy200 (General Medicine 35, General Surgery 30, Obs & Gynae 30, Paediatrics 15, Ophthalmology 15, ENT 15, Dermatology 10, Psychiatry 10, Orthopaedics 10, Radiology 10, Anaesthesia 10, Radiotherapy 5)

Through this holistic method, candidates are examined on all the necessary aspects, so it is important to study the FMGE subject-wise syllabus in depth. The approximate weightage is based on previous FMGE examinations and official NBE guidelines. Exact distribution may vary slightly year to year. 

Related Read: Medical Entrance Exams

Most Important Subjects and High-Weight Topics

FMGE syllabus weightage differs between subjects, with clinical subjects generally carrying higher marks. Candidates often find General Medicine, General Surgery, Obstetrics & Gynaecology, and Social & Preventive Medicine (PSM) to be particularly important subjects for FMGE as they constitute a significant number of questions and hold more practical relevance.

Typical High Scoring Subjects

  • General Medicine & Allied Subjects
  • General Surgery & Allied Subjects
  • Obstetrics & Gynaecology
  • Paediatrics
  • Social & Preventive Medicine

Must-Know High-Yield Topics (across subjects)

  • ECG Interpretations
  • Drug Mechanisms (Pharmacology)
  • Infectious Diseases (Microbiology, Medicine)
  • Common Surgical Procedures & Complications
  • Paediatric Milestones & Vaccinations
  • Public Health Programmes & Epidemiology (PSM)
  • Obstetric Emergencies & Gynaecological Conditions

Concentrating on these high-weightage and frequently tested topics can significantly improve overall performance. Identifying FMGE high-yield topics among these subjects is a proven method for achieving maximum scores.

FMGE Exam Pattern and Marking Scheme

For strategic preparation, a clear grasp of the FMGE exam pattern and syllabus is essential:

AspectDetails
ModeComputer-Based Test
Duration5 hours (divided into two sessions of 2.5 hours each)
Total Questions300 multiple-choice questions (MCQs)
Total Marks300 (1 mark per question)
Negative MarkingNone

The exam comprises 2 papers of 150 questions each, covering the entire FMGE syllabus. The absence of negative marking allows students to attempt every question, potentially increasing their overall score.

Is FMGE syllabus same as MBBS in India?

Staying updated with the FMGE syllabus's latest information is crucial. The National Medical Commission (NMC) periodically reviews and aligns the syllabus with the current MBBS curriculum in India. As of the latest guidelines, yes, the FMGE syllabus remains closely aligned with the Indian MBBS syllabus, ensuring parity between domestic and foreign medical graduates.

However, candidates must remain highly vigilant regarding the implementation of the National Exit Test (NExT), which is designed to replace FMGE (and NEET PG). While the FMGE syllabus currently reflects this alignment, any final NExT regulations or implementation timelines could alter future requirements for licensure. Students should also address any knowledge gaps arising from variations in their foreign medical curricula through self-learning or coaching and consistently check the NMC's official notifications for any changes or additions to the syllabus or exam structure.

Resources and Books to Prepare for FMGE Syllabus

Choosing the right FMGE preparation books and resources is a game-changer. Recommended materials for each section include:

  • Standard MBBS textbooks (e.g., Robbins, K.D. Tripathi, Park)
  • FMGE-specific guides and review books (e.g., Mudit Khanna, Dr. Deepak Marwah, Dr. Pritesh Singh)

Best Books for Pre-Clinical & Para-Clinical Subjects

  • Anatomy: B.D. Chaurasia’s Human Anatomy
  • Physiology: Guyton and Hall Textbook of Medical Physiology
  • Biochemistry: Vasudevan’s Textbook of Biochemistry
  • Pathology: Robbins & Cotran Pathologic Basis of Disease
  • Pharmacology: K.D. Tripathi’s Essentials of Medical Pharmacology
  • Microbiology: Ananthanarayan and Paniker’s Textbook of Microbiology
  • Forensic Medicine & Toxicology: Reddy’s Essentials of Forensic Medicine & Toxicology
  • Social & Preventive Medicine: Park’s Textbook of Preventive and Social Medicine

Best Books for Clinical Subjects

  • General Medicine: Harrison’s Principles of Internal Medicine (review books like Dr. Rakesh Yadav’s also recommended)
  • General Surgery: Bailey & Love’s Short Practice of Surgery
  • Obstetrics & Gynaecology: D.C. Dutta’s Textbook of Obstetrics and Gynaecology; Shaw’s Textbook of Gynaecology
  • Paediatrics: O.P. Ghai’s Essential Paediatrics
  • Ophthalmology: A.K. Khurana’s Comprehensive Ophthalmology
  • ENT: Dhingra & Dhingra’s Diseases of Ear, Nose and Throat
  • Dermatology: Neena Khanna’s Illustrated Textbook of Dermatology
  • Psychiatry: Ahuja’s A Short Textbook of Psychiatry
  • Orthopaedics: Maheshwari & Mhaskar’s Essential Orthopaedics
  • Radiology/Anaesthesia/Radiotherapy: Often covered through review books or integrated with Medicine/Surgery.

Best Online Preparation Resources

  • FMGE previous year question papers (essential)
  • Online MCQ banks and mock tests from reputable platforms
  • Mobile apps and online platforms specialising in FMGE coaching (e.g., Marrow, PrepLadder, DAMS)
  • Video lectures covering high-yield topics

Utilising these resources ensures comprehensive coverage of the FMGE syllabus for foreign medical graduates and builds confidence for the exam.

Tips for Smart Planning and High-Yield Topics

Effective preparation for the FMGE exam pattern and syllabus requires a strategic approach:

  • Prioritise High-Weightage Subjects: Start with General Medicine, General Surgery, Obstetrics & Gynaecology, and Social & Preventive Medicine, as these consistently have the most questions.
  • Focus on High-Yield Topics: Identify recurring topics from previous years’ papers, such as cardiovascular diseases, infectious diseases, pharmacology mechanisms, and public health programmes.
  • Create a Study Schedule: Allocate more time to weaker areas but ensure regular revision of strong subjects.
  • Practice MCQs Relentlessly: Regular practice with MCQs enhances speed, accuracy, and familiarises you with the exam pattern.
  • Simulate Exam Conditions: Attempt full-length mock tests regularly to build stamina, improve time management skills, and identify areas for improvement.
  • Revise Regularly: Frequent revision of notes, high-yield facts, and important formulas is essential for long-term retention.
  • Image-Based Questions: Pay attention to image-based questions, as they are increasingly common.

Smart planning based on the FMGE syllabus weightage and focusing on FMGE high-yield topics can make a significant difference in performance.

Navigating the FMGE syllabus requires a mixture of meticulous planning, focused study based on the official outline, and judicious use of the right resources. Gaining familiarity with the FMGE subject-wise syllabus, as well as individual subject weightage, are key to medical graduates succeeding on the FMGE.

Furthermore, staying updated on the National Medical Commission’s (NMC) notifications regarding the National Exit Test (NExT) is critical, as NExT is poised to replace the FMGE. Working through previous years' question papers and practice tests will further refine your preparation strategy. The earlier you start, the better your chances of success. Download the complete FMGE syllabus PDF to help you identify your strengths and weaknesses based on the subjects listed. With diligent effort, smarter study, and the right guidance, clearing the FMGE is an achievable milestone for every aspiring doctor returning to India.

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Comprehensive Guide to FMGE Syllabus FAQs

Meghna Shah
Published by Meghna Shah

Study Abroad, Study in Dubai

Meet Meghna Shah, a seasoned expert in international education with 21 years of experience. Meghna has helped countless students achieve their dreams of studying abroad, guiding them through every step, from course selection to visa applications. Her role involves training counsellors, staying updated with university and government policies, and ensuring students receive the best possible guidance.

One of her mentees, Ananya, shares, "Meghna’s advice was a game-changer. She guided me through selecting the right course and navigating the visa process. Now, I’m thriving at a top university in Dubai"

Beyond her professional life, Meghna loves exploring new cuisines and travelling, bringing a relatable and refreshing perspective to her mentoring style. Her extensive knowledge and personal interests make her a trusted mentor for anyone looking to study abroad. With Meghna, you’re not just getting advice; you’re gaining a mentor who genuinely cares about your success and future.

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