What to Do if You Don't Qualify FMGE 2025?

Shruti Chatterjee

Updated On: March 05, 2025 11:09 AM

FMGE 2024 Result for Dec Session has been released on January 19, 2025. FMGE is a tough exam to crack and every year around 80% of students fail to clear the exam. What are the career options for candidates who have not qualified for FMGE 2024? Find out here!

What to Do if You Don't Qualify FMGE 2025?

What to Do if You Don't Qualify for FMGE 2025? This is a common question that comes to the mind of every aspirant. There is no need to worry if you don't qualify for the FMGE 2025 exam. The FMGE Exam is conducted bi-annually, and hence, applicants can try to reappear for the test after 6 months. Apart from this option, there are several other options that candidates can choose if they don't qualify for the  FMGE 2025 exam. Some of the options that candidates can choose if they do not qualify for the FMGE Exam 2025 include exploring non-medical careers, studying abroad, and preparing for other examinations.
The FMGE or Foreign Medical Graduates Exam is conducted by the National Board of Examinations (NBE). This exam is also known as the MCI exam or MCI screening for foreign medical graduates. The FMGE 2025 Syllabus for the June session is as per the MBBS course for clinical, para-clinical, and preclinical students.  Unfortunately, in the past few years, the FMGE exam's passing rate has decreased to less than 18%, including several medical graduates from Russia, China, Ukraine, the Philippines, etc. Unless foreign medical graduates pass the FMGE, the MBBS degree earned by foreign medical graduates has no significance.

What is the Reason Behind the Low Pass Rate in FMGE?

The reasons behind the low pass rate in FMGE are varied. In the recent past, the global analysis of the number of foreign medical students qualifying in FMGE has indicated a rapid decrease in the pass rate. While some common reasons for the same could be identified as different medical procedures and the use of medication, some others could be defined as the language or medium of studying MBBS being different than what the candidates are comfortable with, etc.

Mentioned below are some of the major reasons behind the low pass rate in FMGE, as recorded by the experts over the years:

Examination Difficulty Level

As we know already, FMGE is one of the most difficult examinations to crack for candidates wishing to pursue a career in the medical stream. Evidently, through the past five sessions of conducting the FMGE examination, it has been prevalent that the passing rate of candidates in the following hhasdrastically decreased. As recorded previously, only about 25% of the candidates appearing for FMGE have successfully managed to pass the following in the previous five sessions.

Thus, the difficulty level of the FMGE examination is regarded as one of the primary reasons for the rapid decrease in the passing rate of FMGE. There is no set limit to otothe number of attempts a candidate can pursue, therefore, a majority of the candidates appearing for the same are most likely repeaters.

Unfamiliarity with Specific Subject Topics

Another challenge that many candidates from different countries face is the alienity of specific topics covered in the FMGE syllabus. Depending on the geographical regions, some candidates are made to focus on some particular topics throughout their academics, which may not be the highlight or focus of discussion in other countries. This, therefore, creates an unequal discrepancy for the candidates to prepare for the unfamiliar subject topics to qualify FMGE.

Examination Difficulty Level

Talking about unfamiliarity with subjects, the candidates appearing for FMGE also often report the unavailability or lack of a defined syllabus to prepare for FMGE. While 80% of the candidates struggle with securing the minimum passing percentage in the exam, the remaining 20% have opened up about the difficulty in analyzing the reason behind the absence of a defined syllabus for the FMGE.

Moreover, the National Board of Examinations (NBE) does not quite provide the aspirants with a list of suggested books/study materials to prepare for the exam either. This not only makes it difficult for the candidates to understand the fundamentals of the topics to be covered for FMGE but also creates a lot of confusion and disruption in the exam preparation process.

Lack of a Proper Preparation Strategy

Owing to the previously stated reasons, many candidates fail to chart a proper preparation strategy for FMGE every year, resulting in their failure to secure a minimum passing percentage to qualify  While most of the time is spent calculating and understanding the syllabus of FMGE, the remaining is spent trying to chart a proper method to prepare for the exam. Without a guideline of prescribed books and notes, it becomes not only difficult but equally daunting for the candidates appearing in the FMGE Exam.

Language Barrier

The FMGE 2025 Exam is conducted in English, which may be a second language for many students. This can pose a challenge for some students, especially if they are not proficient in English. Students may have difficulty understanding the questions or expressing their answers in English, even if they have the required medical knowledge.

Differences in Medical Curriculum

The medical curriculum in India may differ significantly from that in the student's home country. Some students may have gaps in knowledge or may not be familiar with certain topics that are covered in the FMGE exam. This can make it difficult for them to answer questions correctly and pass the exam.

Also Read: FMGE Previous Year Question Paper

Careers Options for FMGE 2025 Failed Candidates

Evaluating Your Options: Exploring Alternative Career Paths after FMGE 2025 or Exam Options

If you don't qualify for the FMGE exam, it's important to evaluate your options and explore alternative career paths or exam options. Here are some steps to consider:

  1. Assess Your Interests and Skills: The first step is to assess your interests and skills. Identify your strengths and weaknesses and explore alternative career options that align with your interests and abilities. You can also consider taking a career assessment test or consulting a career counselor for guidance.

  2. Explore Other Medical Exams: If you are determined to pursue a career in medicine in India, consider exploring other medical exams that are available. For instance, you can explore the All India Institute of Medical Sciences (AIIMS) entrance exam, the National Eligibility cum Entrance Test (NEET), or state-level medical entrance exams. These exams have different eligibility criteria and exam patterns, so research them thoroughly before making a decision.

  3. Consider Studying Abroad: If you are open to studying abroad, you can explore medical programs in other countries. For instance, you can consider countries like the Philippines, Russia, China, or Ukraine, which offer medical programs in English at affordable costs. However, do thorough research on the eligibility criteria, admission process, and the reputation of the university before applying.

  4. Explore Non-Medical Career Options: If you are open to exploring non-medical career options, you can consider pursuing other fields that interest you. You can explore fields like public health, healthcare administration, medical writing, medical research, or medical law. These fields require different qualifications and skill sets, so research them thoroughly before making a decision.

  5. Seek Guidance and Support: Finally, seek guidance and support from friends, family members, or career counselors. They can provide you with valuable insights, advice, and support during this challenging time. You can also connect with other foreign medical graduates who have faced similar challenges and learn from their experiences. Given below are some popular options for students who do not qualify for FMGE 2025. Candidates can opt for a suitable choice depending on their preference, aptitude, and plans.

Pursue a PG Degree in the UK

The best career option for FMGE 2025 failed candidates is to enrol in one or two years of post-graduation courses in the UK. There are various specializations to choose from, such as:

Clinical

  • Internal Medicine

  • Cardiology

  • Dermatology

  • Oncology

  • Orthopaedics

  • Respiratory Medicine

Non-clinical

  • Master of Public Health

  • Master of Hospital Administration

  • Bariatric Medicine

  • Pharmacology

  • Diabetes care

After completing a post-graduation degree in the UK, candidates can practice in India as well as 47 other countries without the needto appearg for the FMGE. PG from the UK is recognised by NMC and MCI.

Pursue Paramedical Courses in India

Here are some paramedical undergraduate courses that students can opt for if they fail to clear their FMGE 2025 Exam:

Course Name

Course Duration

Average Course Fees

BSc Radiology

3 years

INR 2 LPA to 10 LPA

Bachelor of Physiotherapy

4.5 years

INR 4 LPA

BSc in Audiology and Speech Therapy

3 years

INR 4 LPA to 5 LPA

BSc Ophthalmic Technology

3 years

INR 2 LPA to 6 LPA

Bachelor or BSc in Operation Theatre Technology

3 to 5 years

INR 4 LPA

BSc in Respiratory Therapy Technology

3 years

INR 2 LPA to 4 LPA

BSc in Dialysis Therapy

3 years

INR 1 LPA to 2 LPA

BSc Nursing

4 years

INR 1 LPA to 2 LPA

Bachelor of Naturopathy and Yogic Sciences

5 years

INR 1 LPA to 2 LPA

Diploma in Physiotherapy

2 years

INR 1 LPA to 3 LPA


Study Medicine Abroad

International Medical Graduates who have completed their internships (this is especially for China Medical Graduates) can apply to various medical courses and complete them within a span of 1 to 2 years. Students will have the opportunity to receive training and guidance from world-class faculties and update their existing knowledge from some of the best universities and research institutes. To be eligible for Membership of the respective Royal College, a candidate must acquire at least 1 year of experience in the respective specialty. IMGs receive clinical training under these postgraduate courses, which are up to UK standards. It also opens many doors of opportunities such as MRCP, MRCS, MRCR, etc.

International Medical Graduates who have not completed their internship are also eligible for completing their internship (F1 Training in the UK)too gain Membership in the concerned Royal College.

International Medical Graduates can also appear for the PLAB (Professional and Linguistic Assessments Board), which is a licensing exam for IMGs. Candidates who successfully pass PLAB 1 and PLAB 2 are eligible to apply for GMC registration. The best thing about GMC registration is that it makes candidates eligible to work as doctors in the UK. GMC registration is also valid in India, and one does not need to clear the FMGE exam for that.

GMC Registration

To legally practice medicine in the UK, it is mandatory to have a license to practice. It demonstrates the type of registration a doctor has, their level of training, and other crucial information. The registration validates that doctors practicing medicine in the UK have the right skill set, training, and relevant experience required to fulfill the standard criteria that patients expect.

PLAB Test

Students who have graduated from a medical institute outside of the UK, Switzerland, or the European Economic Area (EEA) will probably need to clear the PLAB test. The PLAB test is intended to check if students know and can perform as a doctor starting their Foundation Programme training in the second year in the UK.

Pursue a PG Degree in the UK

A wise career prospect for the candidates who have failed FMGE is to simply enroll themselves into a post-graduation course in the UK. The duration of the following is between one to two years, and they open up a lot of opportunities for future projects. Mentioned below are the various specialization courses to choose from:

Clinical

Internal Medicine

Oncology

Cardiology

Orthopaedics

Dermatology

Respiratory Medicine

Non-Clinical

Master of Public Health

Pharmacology

Bariatric Medicine

Diabetes Care

Master of Hospital Administration


Prepare Better for Retaking FMGE

Candidates who are still willing to pass the FMGE 2025 Exam to gain a medical license in India can prepare again for the FMGE exam. Since the NBE has not put any limits on the number of attempts for FMGE, with hard work and sincerity, one can try to crack the exam again. According to the expert opinion, one must follow the NEET Syllabus 2025 diligently and practice previous years' question papers to successfully pass the FMGE.

ReasonsBehindd the Introduction of FMGE

It was around 1998-99 when the former NBE executive director, Dr. Vipin Batr,  came up with the idea of setting up a screening exam. It was earlier a diplomatic window as the government nominated students for their post-graduation medical examination in the former USSR and Commonwealth of Independent States (CIS countries). Lat, this became more of a commercial venture as more students kept joining other colleges.

According to Dr. Batra, there has always been a mismatch in terms of demand and supply in the field of medicine in India. Previously, medical education in the USSR used to be a part of a diplomatic exchange programme as the government nominated students. However, this changed in 1998 as MCI decided to derecognize foreign medical graduates in a resolution passed by the authorities.

However, on receiving a significant setback and due to the surmounting diplomatic pressure against the derecognition in the backdrop of the Pokhran nuclear test, a middle path was devised. Hence, a screening test was developed. The test was met with some opposition, and the Supreme Court allowed some relaxations, which included the removal of the cap on the number of attempts to clear the FMGE 2025 Exam.

To know more about FMGE 2025, stay tuned to CollegeDekho ! If you have any doubts, send them to us through the Q&A Zone or call the toll-free student helpline number 1800-572-9877.

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FAQs

What is the passing rate for the FMGE Exam?

Previously the passing rate for the FMGE used to be higher. But at present, the passing rate of the FMGE exam has dropped to 9-18%. Hence, the passing rate of the FMGE exam is low.

What can I do if I do not qualify for the FMGE 2024 Exam?

Students who fail to clear FMGE can choose to reappear for the exam with better preparation or opt to study post-graduation courses such as MS/MD in other countries such as the UK where FMGE is not required. Many students also choose a different career path after failing to clear the FMGE 2024 Exam.

Which countries have a lower passing rate for the FMGE?

The passing rate of the FMGE exam has significantly fallen in the past few years. A significant number of medical graduates are from Russia, China, Ukraine, and the Philippines.

Why is the passing rate in FMGE so less?

There are many reasons behind the drop in the passing rate of the FMGE exam. The primary reason is the difference in medical standards and curricula in various countries, differences in medical procedures and prescribing of medicines. The quality of education also matters when it comes to being able to clear the FMGE.

Why do only 20% of students manage to pass the FMGE exam?

Besides the differences in the syllabus and curriculum in different countries, many students also claim that there are no prescribed books for the FMGE exam. According to some FMGE failed candidates, the questions of the FMGE exam are not just restricted to the MBBS syllabus but often include questions from the PG syllabus.

What are the different paramedical undergraduate courses that foreign medical graduates can pursue if they fail to clear FMGE?

There are many courses that can be pursued by foreign medical graduates who failed to clear the FMGE course such as BSc Radiology, Bachelor of Physiotherapy, BSc in Audiology and Speech Therapy, BSc Ophthalmic Technology, Bachelor or BSc in Operation Theatre Technology, etc.

What other career options can FMGE 2024 failed candidates pursue?

FMGE 2024 failed candidates can study MS/MD in the UK after completing their internship in the respective countries or opt to do an internship followed by various post-graduation in clinical and/or non-clinical subjects.

Can FMGE 2024 failed candidates reappear for the exam?

Yes, candidates who have failed to clear the FMGE 2024 exam can reappear for the exam with better preparation. There are no limitations on the number of attempts that can be made to clear the FMGE exam.

Is FMGE more difficult than NEET PG?

Previously, the questions of FMGE used to be comparatively easy in comparison to NEET PG. But at present, the pass percentage has fallen to 9-18% which makes it a very tough exam to crack.

What is FMGE?

FMGE or Foreign Medical Graduates Examination, also known as the MCI screening test, is an exam that takes place biannually by the National Board of Examinations for students who return to India after completing their medical graduates in universities abroad. 

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