NMC Guidelines for Foreign Medical Graduates 2025: To regulate and standardise the quality of foreign medical education, the National Medical Commission (NMC) has laid down detailed criteria to recognise Foreign Medical Graduates (FMGs) applying for permanent registration and medical practice in India.
The detailed guidelines aim to ensure that the medical education and clinical training acquired abroad are equivalent to India’s MBBS standards. It is to safeguard public health and maintain uniformity in the competence of licensed practitioners.
NMC Guidelines: Equivalence with Indian MBBS Standards
According to the notification, the guiding principle for licensing foreign medical graduates is to verify that the education, training, and clinical exposure obtained by the candidate are on par with the MBBS curriculum in India. This includes both academic and practical components as outlined in the Graduate Medical Education Regulations, 1997, and its amendments.
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Foreign Medical Graduates: Eligibility Criteria
Course Duration and Training Requirements
- The FMG must have pursued a full-time course comprising theory, practical, and clinical training equivalent to the Indian MBBS degree.
- A 12-month compulsory internship must be completed in the same foreign institution from which the degree is awarded.
- The internship must include hands-on training in key clinical disciplines such as:
- Community Medicine
- General Medicine
- Psychiatry
- Paediatrics
- General Surgery
- Anaesthesia
- Obstetrics & Gynaecology
- Orthopaedics
- ENT (Otorhinolaryngology)
- Ophthalmology
- Dermatology
- Emergency Services
- Laboratory Services and Subspecialties

Course Content and Curriculum Transparency
- The course and internship must be commensurate with India’s MBBS course, as defined in the NMC regulations.
- Institutions must make the curriculum publicly available, preferably via their official websites, for verification by Indian authorities.
- All subjects studied should be recognised by the NMC under Section 61(2) of the National Medical Commission Act.
Location and Administration of the Course
- The entire duration of the medical education, internship, and clinical clerkship must be completed outside India, in the same foreign medical institution.
- No part of the training should be undertaken in India or in any third country.
Timeframe for Completion
- The total duration of the foreign medical graduation course must be completed within ten years from the date of joining.
- Delays or extensions beyond ten years may render the degree ineligible for recognition in India.
Implications for Aspiring Medical Students
These updated criteria serve as a filter mechanism to eliminate low-quality foreign medical programs that fail to meet international or Indian standards. The regulations are especially relevant in the wake of a rising number of Indian students pursuing MBBS in countries with less structured or inconsistent clinical training systems.
The NMC’s decision is being welcomed by public health experts who emphasise the need for uniform clinical competence among doctors, irrespective of where they obtain their degrees.
Expert Opinion
Mr Sanjay Tiwari, a senior medical education policy analyst, said:
“This was a long-awaited move. Many foreign graduates enter India without sufficient hands-on exposure. This framework ensures that only genuinely trained doctors become eligible for licensure, thus protecting patients and maintaining the dignity of the medical profession.”
What FMG Aspirants Must Now Do
- Verify the eligibility of the foreign university and its curriculum before enrolling.
- Ensure the course meets all requirements listed under NMC guidelines.
- Plan to complete the entire course and internship in one country.
- Keep academic records and curriculum documents readily accessible for verification.
The National Medical Commission’s structured criteria for foreign medical graduates represent a paradigm shift in India’s approach to licensing foreign-educated doctors. With this policy in force, India takes a decisive step toward safeguarding clinical standards, ensuring that only competent, thoroughly trained, and eligible medical graduates are granted the right to practice in the country.
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