SRM Institute of Science and Technology runs its MBBS programme
under the National Medical Commission's Competency Based Medical
Education (CBME) Regulations, 2023 — the same framework every
NMC-recognised Indian medical college follows, with
SRMIST-specific scheduling on top.
Total duration
5.5 yrs
Professional years
4
Internship
1 yr
Total subjects
19
Curriculum
CBME 2023
§How the course is structured
Every learner undergoes 4½ academic years across four professional
phases, followed by a full year of Compulsory Rotatory Medical
Internship (CRMI) — 5½ years in total, informally called "the 5
years" of MBBS.
Year (this guide)
Official phase name
Duration
Subjects examined
Year 1
First Professional (Phase I)
12 months
Anatomy, Physiology, Biochemistry
Year 2
Second Professional (Phase II)
~13 months
Pathology, Pharmacology, Microbiology
Year 3
Third Professional – Part 1
~10.5 months
Forensic Medicine & Toxicology, Community Medicine, ENT,
Ophthalmology
Year 4
Third Professional – Part 2 (Final)
~17–18 months
General Medicine, General Surgery, OBG, Paediatrics (+ allied
specialties)
Year 5
CRMI — Internship
12 months
Rotatory postings, no university subject exams
Durations shift slightly by admission cohort because NMC
re-notifies the academic calendar each year — see the
Academic Calendar tab for the exact published dates.
Internal Assessment (IA) tests — 3–5 per subject per
year, formative
Mid-Term / Sessional exam — one comprehensive internal,
roughly mid-year
University Theory exam — 2 papers × 100 marks per subject
(FMT: 1 paper × 100)
University Practical / Clinical exam — 100 marks per
subject
Viva Voce (oral) — conducted alongside the
practical/clinical exam
NExT (National Exit Test) — replaces the classic
final-year university exam, rolled out per NMC timeline
Start Here
New joinee checklist
What to sort out before and during your first week, so orientation
week doesn't blindside you.
01Documents to carry (originals +
photocopies)
NEET-UG scorecard and admit card
Counselling allotment/admission letter (state or All India
Quota)
10th & 12th mark sheets and passing certificates
Transfer Certificate (TC) and Migration Certificate
Conduct/character certificate from your previous institution
Community/category certificate, if applicable
Income certificate, if applying for a fee concession/scholarship
Medical fitness certificate
Passport-size photographs (carry more than you think you need)
Photo ID proof (Aadhaar/Passport)
Anti-ragging affidavit — notarized, both student's and parent's,
as mandated by UGC/NMC norms
02First-week sequence
Document verification & fee confirmation at the admissions
desk
ID card issuance — you'll need this on campus and in hospital
areas from day one
Hostel allotment and check-in, if you're a resident student
Library membership and biometric attendance registration
Meeting your mentor/faculty advisor under the Student Mentoring
Programme (SMP)
Foundation Course (1 week) — orientation, communication skills,
AETCOM basics, Basic Life Support, biomedical waste handling
White Coat Ceremony (see the
Dress Code & White Coat tab)
Dissection hall orientation and safety briefing before your
first Anatomy practical
03What to arrange in week one
Textbooks — don't buy the entire list on Day 1; get your primary
Indian text per subject first, borrow/share the rest (see
Textbook Library)
Apron/white coat and any dissection-kit items the Anatomy
department asks for locally
Formal/semi-formal clothing for the White Coat Ceremony and any
inaugural events
A laptop or tablet if you plan to use QBank/video-lecture apps
(see Apps & Tools)
Basic stationery, a lab coat for Biochemistry/Pathology
practicals
Local SIM/data plan and joining your batch's official
WhatsApp/class groups
Don't over-purchase in week one. Ask your seniors or SMP mentor
what's actually used before spending on anything expensive
(stethoscope, instrument sets) — needs and recommended brands vary
by department and change little year to year, but timing of when
you'll actually need them does.
Start Here
Glossary of MBBS terms
This guide (and your department) will throw a lot of acronyms at
you in week one. Here's what they mean.
Term
Meaning
NMC
National Medical Commission — India's medical education
regulator
MCI
Medical Council of India — NMC's predecessor body
CBME
Competency Based Medical Education — the curriculum framework
this guide is built on
AETCOM
Attitude, Ethics & Communication — a longitudinal module
across all 4 professional years
CRMI
Compulsory Rotatory Medical Internship — the Year 5 rotatory
posting year
NExT
National Exit Test — the licensing exam replacing/aligned with
the final-year university exam and FMGE
PSM
Preventive & Social Medicine — also called Community
Medicine
FMT
Forensic Medicine & Toxicology
OSCE
Objective Structured Clinical Examination — station-based skills
assessment format
Viva Voce
Oral examination, usually conducted alongside a
practical/clinical exam
Spotters
Rapid identification stations (specimens, slides, instruments,
X-rays) in a practical exam
Long Case / Short Case
Clinical exam formats — a detailed, extended patient work-up vs.
a rapid, focused one
IA
Internal Assessment — the class tests that determine exam
eligibility
FAP
Family Adoption Programme — each student follows ~5 families
longitudinally as part of Community Medicine training
SMP
Student Mentoring Programme — SRMIST's faculty-mentor system for
students
PHC / CHC / UHC
Primary / Community / Urban Health Centre — field posting sites
for Community Medicine
Log book
A continuous personal record of procedures, cases, and skills
completed during postings
Elective posting
A self-chosen short clinical/non-clinical rotation, mainly in
the final year
NEET-PG
The entrance exam for postgraduate (MD/MS) admission after MBBS
+ internship
DNB
Diplomate of National Board — a hospital-based postgraduate
qualification, an alternative to MD/MS
AIQ
All India Quota — a share of postgraduate/undergraduate seats
filled via central counselling
Foundations · Pre-Year 1
Greek & Latin medical terminology — a 20-hour crash course
Every medical term is a small, assembled machine — prefix, root,
and suffix bolted together in a predictable pattern. Learn the
pattern once, and you can decode words you've never seen before.
Best done just before or during your first weeks of
Anatomy/Physiology.
Case-chart deconstruction (3 charts), contextual guessing (7
terms), 2 full chart-translation drills, Latin prescription
abbreviations, timed quiz
2
Why this order: M1 gives you the toolkit, M2–M4 stock it with the
actual vocabulary (prefixes → suffixes → roots), and M5 forces you
to use all three together at speed — which is exactly what reading
a real chart demands.
§How to use it alongside Year 1
Do M1–M3 before your first Anatomy lecture — prefixes and
suffixes recur across every system, so they pay off immediately
Do M4 in parallel with Anatomy's systemic units — the roots map
almost 1:1 onto the order you'll meet body systems
Save M5 for a week before your first Anatomy/Physiology Internal
Assessment as a speed check
Module 1 · 3 Hours
The blueprint of medical language
Every long medical word is built from the same four kinds of
pieces, assembled the same way, every time.
01The 4-part structure
Part
Job
Example piece
Prefix (optional)
Modifies meaning — location, time, number, negation
hypo-
Root
The core meaning — usually a body part, substance, or
condition
derm
Combining vowel (usually "o")
Links root to suffix (or root to root) for pronounceability —
has no meaning of its own
dermat/o
Suffix
The ending — indicates a procedure, condition, or pathology
-logy
Root + combining vowel together is called the
Combining Form, written with a slash — e.g.
cardi/o,
gastr/o. Example assembled:
dermat/o/logy = dermat (skin) + o (vowel) + logy (study of)
= "the study of skin."
02Rules of word construction
The combining vowel isn't always used — three fixed rules decide
when it appears:
Rule
When
Example
Rule 1 — Drop the vowel
Suffix starts with a vowel (a,e,i,o,u)
gastr + -itis → gastritis,
not "gastroitis"
Rule 2 — Keep the vowel
Suffix starts with a consonant
gastr + -megaly →
gastromegaly, not "gastrmegaly"
Rule 3 — Keep between roots
Joining two word roots together, even if the second starts
with a vowel
gastr + enter + -itis →
gastroenteritis (the "o" between gastr and enter stays;
the one before -itis drops)
Rule 3 is the one students most often get wrong under exam
pressure — the vowel between two roots survives even when the same
vowel right before the suffix would be dropped.
03The decoding rule — read backward
Always decode in this order:
1. Suffix (end) → 2. Prefix (start) → 3. Root/combining form
(middle). This mirrors how the word was built in the first place.
Worked example: hypercholesterolemia
Step 1 — Suffix: -emia = blood
condition
Step 2 — Prefix: hyper- = excessive,
above normal
Step 3 — Root: cholesterol =
cholesterol
Full meaning: "a blood condition of excessive cholesterol" →
high cholesterol
These irregular plurals show up constantly in Pathology and
Anatomy reports — getting them right in a viva reads as attention
to detail.
05Pronunciation & silent-letter rules
Pattern
Sounds like
Example
ch
k
Cholelithiasis → "ko-le-li-thi-a-sis"
c before e, i, y
s
Cerebrum → "se-re-brum"
c before a, o, u
k
Colon → "ko-lon"
g before e, i, y
j
Gingivitis → "jin-ji-vi-tis"
g before a, o, u
g (hard)
Gastric → "gas-trik"
ps- (word start)
s
Psychiatry → "sy-ki-a-tree"
pn- (word start)
n
Pneumonia → "new-mo-nia"
pt- (word start)
t
Ptosis → "to-sis"
x- (word start)
z
Xanthoderma → "zan-tho-der-ma"
ae / oe
ee
Fasciae → "fash-ee-ee"; Coelom → "see-lom"
This is the part that trips people up out loud in viva even when
they've decoded the word correctly on paper — worth a few minutes
of reading terms aloud, not just silently.
06Anatomical position & directional
terms
Before you meet a single body system, Anatomy starts here — every
description of "where" in the body uses this fixed vocabulary,
almost all of it Latin.
Term pair
Meaning
Superior / Inferior
Toward the head / toward the feet
Anterior (Ventral) / Posterior (Dorsal)
Toward the front / toward the back
Medial / Lateral
Toward the midline / away from the midline
Proximal / Distal
Closer to the trunk/origin / farther from it
Superficial / Deep
Closer to the surface / farther from the surface
Cephalic / Caudal
Toward the head / toward the tail end
Palmar / Plantar
Palm side of the hand / sole side of the foot
Ipsilateral / Contralateral
Same side / opposite side
Supine / Prone
Lying face-up / lying face-down
These aren't prefixes or suffixes — they're standalone descriptive
terms — but they're the single most-used vocabulary set in your
entire first Anatomy practical, so they belong in Module 1, not
buried later.
07Practice — decode these yourself
subcutaneous — decode it, then reveal
sub (under) + cutane (skin) +
ous (pertaining to) = pertaining to under the skin
intercostal — decode it, then reveal
inter (between) + cost (rib) +
al (pertaining to) = pertaining to between the ribs
epigastric — decode it, then reveal
epi (above/upon) + gastr (stomach) +
ic (pertaining to) = pertaining to the region above the
stomach
Module 2 · 5 Hours
Prefixes — direction, quantity & status
Prefixes are the first thing to check when decoding a word — they
tell you where, how much, and whether something is normal or not.
01Direction & position
Prefix
Meaning
Example
Epi-
Above, upon
epidermis (upon the skin)
Sub-
Under, below
subcutaneous (under the skin)
Inter-
Between
intercostal (between the ribs)
Intra-
Within
intravenous (within the vein)
Peri-
Around
pericardium (around the heart)
Supra-
Above
suprarenal (above the kidney)
Retro-
Behind
retroperitoneal
Trans-
Across
transdermal
Dia-
Through, across
diagnosis (knowledge through examination)
Juxta-
Near, beside
juxtaglomerular
Para-
Near, beside; also "abnormal"
parathyroid; paranoia
Sym- / Syn-
Together, joined, with
symphysis; syndactyly (webbed fingers/toes)
02Quantity & measurement
Prefix
Meaning
Example
Hyper-
Excessive
hypertension
Hypo-
Deficient
hypotension
Tachy-
Fast
tachycardia
Brady-
Slow
bradycardia
Oligo-
Few, scanty
oliguria (scanty urine)
Poly-
Many
polyuria
Macro-
Large
macrocytic
Micro-
Small
microcytic
03Status & negation
Prefix
Meaning
Example
A- / An-
Without
anemia (without blood/iron)
Dys-
Painful, difficult, abnormal
dysuria (painful urination)
Eu-
Normal, good
euthyroid (normal thyroid function)
Neo-
New
neoplasm (new growth)
Mal-
Bad, abnormal
malabsorption
Pseudo-
False
pseudoseizure
Notice the pattern: A-/An-, Dys-, Eu-, and Neo- are the four
you'll use constantly to describe whether something is present,
difficult, normal, or novel — worth over-learning these four
first.
Ab-/Ad- and Ecto-/Endo- are easy to swap under exam pressure —
anchor them to a physical gesture: Ab- = "abandon" (move away),
Ad- = "add on" (move toward).
Module 3 · 4 Hours
Suffixes — surgical, diagnostic & symptomatic
The suffix is the first thing you decode and usually the most
clinically important piece — it tells you what's actually being
done or what's wrong.
01Surgical procedures
Suffix
Meaning
Example
-ectomy
Surgical removal
appendectomy
-otomy
Cutting into, incision
tracheotomy
-stomy
Creating a new opening
colostomy
-plasty
Surgical repair/reshaping
rhinoplasty
-rrhaphy
Suturing
herniorrhaphy
-centesis
Puncture to remove fluid
amniocentesis
-clasis
Surgical breaking/fracturing
osteoclasis
-otomy vs -ectomy vs -stomy is a classic mix-up: -otomy =
cut into (temporary), -ectomy = cut out (removed),
-stomy = create a permanent/semi-permanent opening.
02Diagnostic & imaging
Suffix
Meaning
Example
-scopy
Visual examination (with a scope)
endoscopy
-graphy
Process of recording an image
angiography
-gram
The record/image itself
electrocardiogram
-scope
Instrument used for visual examination
otoscope
-graph
Instrument used to record
polygraph
-meter
Instrument used to measure
thermometer
-metry
The process of measuring
spirometry
-opsy
To view, examine living tissue
biopsy
-graphy is the act of imaging; -gram is the resulting picture. An
angiography produces an angiogram.
03Pathology & symptoms
Suffix
Meaning
Example
-itis
Inflammation
appendicitis
-opathy
Disease
neuropathy
-megaly
Enlargement
hepatomegaly
-algia / -dynia
Pain
neuralgia / gastrodynia
-oma
Tumour
lipoma
-osis
Abnormal condition/increase
cyanosis
-emia
Blood condition
anemia
-penia
Deficiency
leukopenia
-rrhea
Discharge, flow
diarrhea
-rrhagia
Excessive bleeding
menorrhagia
-malacia
Softening
osteomalacia
-rrhexis
Rupture
cardiorrhexis
-plasia
Growth, formation, cellular proliferation
hyperplasia
04Cell & growth suffixes
Suffix
Meaning
Example
-cyte
Cell
leukocyte
-blast
Immature/germ cell
osteoblast
-clast
Cell that breaks down tissue
osteoclast
-poiesis
Formation, production
hematopoiesis
-trophy / -trophic
Nourishment, development
hypertrophy
-genic
Producing, originating from
pathogenic
-blast (building) and -clast (breaking) are opposites and get
mixed up constantly — osteoblasts build bone, osteoclasts resorb
it.
05Function & movement suffixes
Suffix
Meaning
Example
-lysis
Breakdown, destruction
hemolysis
-phagia
Eating, swallowing
dysphagia
-pnea
Breathing
tachypnea
-plegia
Paralysis
hemiplegia
-paresis
Partial paralysis, weakness
monoparesis
-sclerosis
Hardening
atherosclerosis
-stenosis
Narrowing
aortic stenosis
-ptosis
Drooping, prolapse
nephroptosis
-iasis
Abnormal condition of
nephrolithiasis
06Fixation & procedure suffixes
Suffix
Meaning
Example
-pexy
Surgical fixation
nephropexy
-desis
Surgical binding/fusion
arthrodesis
-tripsy
Surgical crushing
lithotripsy
07Adjectival suffixes — "pertaining to"
These turn a root into a descriptive adjective. They're
grammatically interchangeable but root-specific — you learn which
one goes with which root by exposure, not by rule.
Suffix
Example
-ac
cardiac (pertaining to the heart)
-al
renal (pertaining to the kidney)
-ar
vascular (pertaining to vessels)
-ary
pulmonary (pertaining to the lungs)
-eal
esophageal (pertaining to the esophagus)
-ic
gastric (pertaining to the stomach)
-ior
superior (pertaining to above)
-ous
cutaneous (pertaining to the skin)
-tic
hepatic (pertaining to the liver)
Module 4 · 6 Hours
Body system roots — the anatomical core
Roots are the largest vocabulary set, but they map cleanly onto
the systems you're about to study in Anatomy — learn them system
by system, not all at once.
01Cardiovascular system
Root
Meaning
Example
Cardio-
Heart
cardiology
Angio- / Vas/o- / Vascul/o-
Vessel
angioplasty
Arteri/o-
Artery
arteriosclerosis
Phleb/o- / Ven/o-
Vein
phlebitis; venipuncture
Aort/o-
Aorta
aortic stenosis
Ather/o-
Fatty plaque
atherosclerosis
Hemato- / Hemo-
Blood
hematology
Thromb/o-
Clot
thrombosis
02Respiratory system
Root
Meaning
Example
Pneumo- / Pulmo-
Lung, air
pneumonia / pulmonary
Nas/o-
Nose
nasoenteric
Laryng/o-
Larynx (voice box)
laryngospasm
Trache/o-
Trachea (windpipe)
tracheostomy
Bronch/o- / Bronchi/o-
Bronchus (airway)
bronchitis
Alveol/o-
Alveolus (air sac)
alveolar
Phren/o-
Diaphragm
phrenic nerve
Ox/o-
Oxygen
hypoxia
Capn/o-
Carbon dioxide
hypercapnia
-pnea
Breathing (suffix)
orthopnea
03Gastrointestinal system
Root
Meaning
Example
Stomat/o-
Mouth
stomatitis
Esophag/o-
Esophagus
esophagitis
Gastro-
Stomach
gastritis
Entero-
Small intestine
enteritis
Col/o- / Colon/o-
Large intestine, colon
colonoscopy
An/o- / Proct/o- / Rect/o-
Anus, rectum
proctology
Hepato-
Liver
hepatomegaly
Cholecyst/o-
Gallbladder
cholecystectomy
Choledoch/o-
Common bile duct
choledocholithiasis
Pancreat/o-
Pancreas
pancreatitis
04Renal & urinary system
Root
Meaning
Example
Nephro- / Reno-
Kidney
nephrology / renal
Glomerul/o-
Glomerulus (kidney filtering unit)
glomerulonephritis
Pyel/o-
Renal pelvis
pyelonephritis
Ureter/o-
Ureter
ureterectasis
Cyst/o- / Vesic/o-
Urinary bladder
cystitis
Urethr/o-
Urethra
urethral stricture
Ur/o- / Urin/o-
Urine, urinary tract
urology
-uria
Condition of urine (suffix)
hematuria; anuria
05Nervous system
Root
Meaning
Example
Neuro-
Nerve
neurology
Encephalo-
Brain
encephalitis
Cerebr/o-
Cerebrum
cerebrovascular
Myel/o-
Spinal cord (also bone marrow — check context)
myelogram
Mening/o-
Meninges
meningitis
Esthesi/o-
Sensation, feeling
hyperesthesia
06Musculoskeletal system
Root
Meaning
Example
Myo-
Muscle
myopathy
Osteo-
Bone
osteoporosis
Chondro-
Cartilage
chondromalacia
Arthr/o-
Joint
arthritis
Ten/o- / Tendin/o-
Tendon
tendinitis
Ligament/o-
Ligament
ligamentous laxity
Cost/o-
Rib
intercostal
Spondyl/o- / Vertebr/o-
Vertebra
spondylosis
Pace yourself here — Module 4 carries a third of the total course
hours (6 of 20) for a reason. Split it across sittings, one
system-group per sitting, rather than one long session.
07Integumentary & immune/lymphatic
systems
Root
Meaning
Example
Dermo- / Dermato- / Cutane/o-
Skin
dermatitis; subcutaneous
Trich/o-
Hair
trichotillomania
Onych/o- / Ungu/o-
Nail
onycholysis
Hidr/o-
Sweat
hyperhidrosis
Seb/o-
Sebum (oil gland secretion)
seborrhea
Lympho-
Lymph
lymphoma
Spleno-
Spleen
splenectomy
Thymo-
Thymus gland
thymoma
Immuno-
Safe, protected, immune
immunodeficiency
Myco-
Fungus
mycosis
08Reproductive system
Root
Meaning
Example
Gyneco-
Woman, female
gynecology
Andro-
Man, male
andrology
Oophoro- / Ovario-
Ovary
oophorectomy
Orchi- / Orchido-
Testis
orchidopexy
Vas/o-
Vas deferens (context-dependent — not "vessel" here)
vasectomy
Prostato-
Prostate
prostatitis
Salpingo-
Fallopian tube
salpingectomy
Hystero- / Metro-
Uterus
hysterectomy
Colp/o- / Vagin/o-
Vagina
colposcopy
Mamm/o- / Mast/o-
Breast
mastitis
09Endocrine system
Root
Meaning
Example
Adeno-
Gland
adenoma
Thyro-
Thyroid gland
thyroiditis
Adreno-
Adrenal gland
adrenalectomy
Pancreato-
Pancreas
pancreatitis
Crin/o-
To secrete
endocrinology
10Sensory organs
Root
Meaning
Example
Ophthalmo- / Opto-
Eye
ophthalmology
Blephar/o-
Eyelid
blepharoptosis
Kerat/o-
Cornea (also horny skin tissue)
keratoplasty
Oto-
Ear
otitis
Myring/o- / Tympan/o-
Tympanic membrane (eardrum)
myringotomy
Rhino-
Nose
rhinoplasty
Glosso- / Lingu-
Tongue
glossitis
Odonto- / Stomato-
Tooth / mouth
odontalgia / stomatitis
11Colour, substance & diagnostic roots
Root
Meaning
Example
Cyto-
Cell
cytology
Leuko-
White
leukocyte
Erythro-
Red
erythrocyte
Cyano-
Blue
cyanosis
Melano-
Black
melanoma
Xantho-
Yellow
xanthoma
Chloro-
Green
chlorosis
Glauc/o-
Grey, silver
glaucoma
Cirrh/o- / Jaund/o-
Orange-yellow
cirrhosis
Cry/o-
Cold
cryotherapy
Therm/o-
Heat
hypothermia
Pyret/o- / Pyr/o-
Fever, fire
antipyretic
Necr/o-
Death
necrosis
Lith/o-
Stone, calculus
nephrolithiasis
These roots combine directly with -cyte, -osis, -derma, and -oma
constantly in Histology and Pathology — leukocyte, erythrocyte,
cyanosis, melanoma are words you'll use in Year 1 and 2 both.
Module 5 · 2 Hours
Clinical application & speed drills
The real test: can you decode an unfamiliar word on the spot,
using only the toolkit from Modules 1–4?
01Case chart deconstruction
Chart note 1 — click to reveal the breakdown
"Pt presents with acute cholecystitis, suspected
choledocholithiasis, and hepatomegaly on exam. Plan:
cholecystectomy."
"Bilateral otitis media with mild conductive hearing loss;
recommend myringotomy if no improvement. No cyanosis, no
lymphadenopathy."
Term
Breakdown
Meaning
otitis media
ot (ear) + itis (inflammation) + media (middle, Latin)
Inflammation of the middle ear
myringotomy
myringo (eardrum) + otomy (cutting into)
Surgical incision into the eardrum
cyanosis
cyano (blue) + osis (abnormal condition)
Bluish discolouration, usually from low oxygen
lymphadenopathy
lymph (lymph) + aden (gland) + opathy (disease)
Disease/enlargement of lymph nodes
02Contextual guessing — try before you
reveal
osteochondritis — guess it, then reveal
osteo (bone) + chondr (cartilage) +
itis (inflammation) = inflammation of bone and
cartilage
tachypnea — guess it, then reveal
tachy (fast) + pnea (breathing) = abnormally
fast breathing
nephrolithotomy — guess it, then reveal
nephro (kidney) + lith (stone) +
otomy (cutting into) = surgical incision into the
kidney to remove a stone
hepatosplenomegaly — guess it, then reveal
hepato (liver) + spleno (spleen) +
megaly (enlargement) = enlargement of both the liver
and spleen
salpingo-oophorectomy — guess it, then reveal
salpingo (fallopian tube) + oophor (ovary) +
ectomy (surgical removal) = surgical removal of both
the fallopian tube(s) and ovary(ies)
oligohydramnios — guess it, then reveal
oligo (scanty, deficient) + hydr (water/fluid) +
amnios (amniotic sac) = a deficiency of amniotic fluid
around a fetus
encephalomalacia — guess it, then reveal
encephalo (brain) + malacia (abnormal softening)
= abnormal softening of brain tissue, typically after
infarction or trauma
03Real chart translation drills
Don't peek at the plain-English translation until you've tried
decoding every bolded term yourself.
Scenario A — click to reveal the translation
"Patient presents with severe dysuria and hematuria.
Urinalysis confirms leukocytosis and bacteriuria. Suspect
acute cystitis."
Plain-English: "The patient has painful urination and
blood in the urine. The urine test shows an abnormally high
white blood cell count and bacteria in the urine. We suspect
an acute bladder infection."
Scenario B — click to reveal the translation
"The infant displays marked macrocephaly and cyanosis during
episodes of apnea. Echocardiography ordered to r/o structural
defects."
Plain-English: "The baby has an abnormally large head
and turns bluish during episodes where breathing stops. A
heart ultrasound has been ordered to rule out structural
defects."
04Common Latin prescription abbreviations
A quick bonus — these aren't roots/prefixes/suffixes, but they're
Latin-derived shorthand you'll see on every prescription and drug
chart from Pharmacology onward.
Abbreviation
Latin
Meaning
b.i.d.
bis in die
Twice a day
t.i.d.
ter in die
Three times a day
q.i.d.
quater in die
Four times a day
o.d. / q.d.
omni die
Once a day
p.o.
per os
By mouth
stat
statim
Immediately
p.r.n.
pro re nata
As needed
a.c. / p.c.
ante cibum / post cibum
Before meals / after meals
h.s.
hora somni
At bedtime
NPO
nil per os
Nothing by mouth
05Timed self-check quiz
First Professional · Phase I
Year 1
The pre-clinical year — foundational sciences taught largely
through lecture, dissection hall, and lab practicals.
Per IA test: 3–5 focused days on the topics taught since
the last test
Mid-term: 2–3 weeks, consolidating ~4–6 months of
teaching
University theory (per subject): 4–6 weeks dedicated
revision on top of year-round study — 2–3 full revision passes
plus previous-year question papers
Practical/viva: 1–2 weeks of focused specimen/spotter and
experiment practice after theory papers
04Subjects → papers, marks, practicals
& viva
Each Year 1 subject converts into 2 University Theory papers + 1
Practical/Clinical exam, with Viva Voce embedded in that same
practical sitting:
Subject
Theory papers
Theory marks
Practical/Clinical exam
Practical marks
Viva voce
Subject total
Anatomy
2
100+100=200
Dissection, specimens, histology slides
100
Embedded in practical
300
Physiology
2
100+100=200
Experiments, haematology practicals
100
Embedded in practical
300
Biochemistry
2
100+100=200
Biochemistry practicals
100
Embedded in practical
300
Total theory papers
6
Total practical exams
3
Total viva sessions
3
Total marks, Year 1
900
Viva Voce is not a separate paper — it's scored within the
Practical/Clinical exam sitting, usually as a sub-component. The
exact internal split between practical performance and viva marks
is set by the university.
05Clinical postings this year
None, formally. Year 1 is pre-clinical — the only clinical contact
is occasional orientation ward visits tied to Anatomy/Physiology
teaching. Real clinical postings begin in Year 2. See the
Clinical Postings Matrix tab for the full year-wise
picture.
University theory (per subject): 4–6 weeks, with extra
time for Pharmacology prescription-writing drills and
Pathology/Microbiology spotter practice
Practical/viva: 1–2 weeks — slide/specimen recognition is
high-yield and needs repetition, not just reading
04Subjects → papers, marks, practicals
& viva
Only Pathology, Pharmacology, and Microbiology are examined this
year — Community Medicine and FMT are taught but examined in Year
3:
Subject
Theory papers
Theory marks
Practical/Clinical exam
Practical marks
Viva voce
Subject total
Pathology
2
100+100=200
Specimens, slides, haematology
100
Embedded in practical
300
Pharmacology
2
100+100=200
Prescription writing, pharmacy exercises
100
Embedded in practical
300
Microbiology
2
100+100=200
Culture, serology, slides
100
Embedded in practical
300
Total theory papers
6
Total practical exams
3
Total viva sessions
3
Total marks, Year 2
900
Community Medicine and FMT are being taught in the background this
year but don't add papers/marks until Year 3 — don't count them
into this year's exam load.
05Clinical postings this year
Postings
Weekly load
Nature
Introduction to Clinical Sciences — Medicine, Surgery, OBG,
Paediatrics
Planning estimate only — see the
Exam Timetable (2026 Batch) tab for the full 5-year table
and its caveats.
09Study time calculator — Year 3 exams
Third Professional · Part 2 (Final Year)
Year 4
The clinical capstone — major specialties plus their allied
disciplines, culminating in NExT Step 1.
Duration
~17–18 mo
Major subjects
4
Allied specialties
7
Exit exam
NExT-1
01Subjects
General Medicine — plus allied: Psychiatry, Dermatology
& STD, Radiodiagnosis, Respiratory Medicine (TB & Chest)
General Surgery — plus allied: Orthopaedics,
Anaesthesiology, Radiology
Obstetrics & Gynaecology
Paediatrics
02Exams this year
Exam
Format
Marks
Internal Assessment (×3–5)
Per subject
varies
Mid-Term / Pre-final (send-up)
Mock university exam; gatekeeps eligibility (75% attendance +
pass marks)
varies
University Theory
2 papers per major subject
100 + 100
University Clinical/Practical
Long Case + Short Case(s) + OSCE-style stations
100
Viva Voce
Includes allied-subject viva within the major subject
within practical marks
NExT Step 1
Theory + clinical, per NMC rollout — aligned with/replacing
the final university exam
per NExT format
03Suggested prep time
Per IA test: 3–5 days
Pre-final/send-up: 3–4 weeks, treated as a full dress
rehearsal
University theory (per major subject): 5–6 weeks —
Medicine and Surgery in particular reward starting revision 3
months out given the allied-subject load
Clinical exam (long/short case): 2–3 weeks of supervised
bedside practice — history-taking speed and confident
presentation matter as much as knowledge
NExT Step 1: 2–3 months of structured, integrated,
case-based revision with mock tests
04Subjects → papers, marks, practicals
& viva
Only 4 subjects carry separate papers this year — allied
specialties are folded into the Medicine/Surgery viva rather than
given their own papers:
Subject
Theory papers
Theory marks
Clinical exam
Clinical marks
Viva voce
Subject total
General Medicine
2
100+100=200
Long Case + Short Case
100
Incl. Psychiatry, Dermatology, Radiodiagnosis, Resp. Medicine
viva
The 7 allied specialties (Psychiatry, Dermatology, Radiodiagnosis,
Respiratory Medicine under Medicine; Orthopaedics,
Anaesthesiology, Radiology under Surgery) don't get separate
papers or marks columns — they're examined through extra viva
questions inside Medicine's/Surgery's own practical session. NExT
Step 1, where applicable, restructures this into an integrated
theory + clinical format per NMC's rollout.
Planning estimate only — see the
Exam Timetable (2026 Batch) tab for the full 5-year table
and its caveats.
09Study time calculator — Year 4 exams
CRMI
Year 5 — Internship
No university subject exams. This year is about hands-on
competency, not recall.
Duration
12 mo
University exams
0
Exit exam
NExT-2
Format
Rotatory
01Rotatory postings
General Medicine
General Surgery
Obstetrics & Gynaecology
Paediatrics
Orthopaedics
Community Medicine (rural/urban health centre posting)
Casualty / Emergency Medicine
Anaesthesia
Electives (student's choice, within NMC-permitted list)
02Assessment
Component
Format
Log book
Continuous record of procedures, cases, and skills per posting
Posting-wise skill assessment
Formative, supervised by the posting department
NExT Step 2
Skills/clinical-competency based licensing exam at the end of
internship (rollout per NMC timeline)
NExT implementation has been phased in gradually by NMC — always
confirm the current applicability for your batch via the official
SRMIST/NMC circulars in the Sources tab.
03Full 12-month rotation split
Department
Duration
Community Medicine (incl. 1 month rural PHC/CHC posting)
2 months
General Medicine (+ allied)
2 months
General Surgery (+ allied)
2 months
Obstetrics & Gynaecology
2 months
Paediatrics
1 month
Orthopaedics
1 month
Casualty / Emergency Medicine
15 days
Anaesthesiology
15 days
Elective (student's choice)
1 month
04Subjects → papers, marks, practicals
& viva
Internship breaks the pattern followed in Years 1–4 — there are no
University theory papers or marks-based practicals this year:
Component
Count / format
University theory papers
0
University practical/clinical exams
0
Viva voce
0 formal — informal case discussions happen daily on rounds
NExT Step 2
Skill-station / OSCE-style competency exam, not a marks-paper
format
Assessment shifts from "papers and marks" to "logged skills and
supervised competency" — see the log-book and posting-wise
assessment in the section above.
05Quick-reference books for internship
Indian
Author
Book
Publisher
CIMS (Current Index of Medical Specialities) — editorial
team
Planning estimate only — see the
Exam Timetable (2026 Batch) tab for the full 5-year table
and its caveats.
08Study time calculator — NExT Step 2 prep
Reference
Exam types & how long to prepare
The same six exam formats recur every professional year. Here's
what each one is and a realistic prep-time budget.
Exam type
What it is
Suggested prep time
Internal Assessment / Class test
Short written test on recently taught topics, several times a
year
3–5 days
Mid-Term (Sessional) exam
A more comprehensive internal, consolidating several months of
teaching
2–3 weeks
Pre-final / Send-up exam
Full mock university exam; attendance + marks eligibility gate
to sit the real one
3–4 weeks
University Theory paper
2 papers × 100 marks per subject (FMT: 1 × 100)
4–6 weeks per subject
University Practical / Clinical exam
Specimens/slides/spotters, experiments, or long & short
clinical cases depending on subject
1–2 weeks focused practice
Viva Voce (oral)
Conducted with the practical exam; tests applied &
clinical-correlation understanding
3–5 days, plus ongoing mock vivas through the year
NExT Step 1 / Step 2
National licensing exam — theory+clinical (Step 1, final year)
and skills (Step 2, post-internship)
2–3 months structured revision
Rule of thumb across all years: internals reward speed (a few
focused days), university papers reward depth (weeks of layered
revision), and practicals/vivas reward repetition (spotting the same
specimen or case type dozens of times, not reading about it once).
Reference
Clinical postings duration matrix
Clinical exposure starts in Year 2 and escalates every year until
it becomes full-time in the Internship. Hours/week and duration
below follow the NMC CBME 2023 framework.
Community Medicine field posting (PHC/UHC), plus continuing
Medicine/Surgery/OBG/Paeds, plus Ophthalmology & ENT
postings
15–20 hrs/week
Field + OPD + ward
Year 4
Full postings — Medicine, Surgery, OBG, Paediatrics, plus
allied (Orthopaedics, Dermatology, Psychiatry, Radiodiagnosis,
Anaesthesia, Respiratory Medicine)
30+ hrs/week
Ward duty, case-taking, assisting procedures
Year 5
Full-time rotatory internship (see rotation table below)
full-time
Hands-on clinical responsibility under supervision
02Internship (CRMI) — 12-month rotation
split
A commonly followed CRMI rotation split (durations can vary
slightly by college/state):
Department
Duration
Community Medicine (incl. 1 month rural PHC/CHC posting)
2 months
General Medicine (+ allied)
2 months
General Surgery (+ allied)
2 months
Obstetrics & Gynaecology
2 months
Paediatrics
1 month
Orthopaedics
1 month
Casualty / Emergency Medicine
15 days
Anaesthesiology
15 days
Elective (student's choice, NMC-permitted list)
1 month
Total = 12 months. Some colleges also carve short 15-day rotations
for ENT and Ophthalmology out of the elective/casualty blocks —
confirm your exact CRMI schedule with the Medical Education Unit
at the start of internship.
Reference
Academic calendar — the annual cycle
Exact dates are re-published each admission year, but every
professional year runs through the same eight-stage cycle.
Stage 1
Foundation / Orientation
1 week — Year 1 only
Stage 2
Teaching + postings
~9–10 months, every year
Stage 3
Internal Assessments
Every 6–8 weeks, 3–5 per subject
Stage 4
Mid-Term exam
1 week, mid-year
Stage 5
Pre-final / Send-up
1–2 weeks
Stage 6
University exam
Theory ~1–2 wks, then Practical/Viva ~1–2 wks
Stage 7
Results
Within the 10-week exam+results window
Stage 8
Vacation
~3 weeks, between professional years
§Published SRMIST academic calendars
SRMIST publishes a dated calendar for each admission batch. Use
these as the authoritative source for your cohort's exact dates:
Links open SRMIST's own hosted PDFs. If a link has aged out,
search "SRMIST medical program regulations" — the current page
always relists the latest calendar.
Planning Estimate — Not Official
Tentative exam timetable — 2026 admission batch
NMC mandates that the First Professional year begin through the
Foundation Course by 1 August each year. For a student admitted in
2026, that anchors Year 1 to 1 Aug 2026. The ranges below
are a planning estimate built from standard CBME phase durations —
not a notified calendar.
Year
Phase
Starts
Teaching + postings
Mid-term (approx.)
Pre-final (approx.)
University exam window (approx.)
Ends
Year 1
First Professional
1 Aug 2026
Aug 2026 – Apr 2027
~Jan 2027
~May 2027
Jun – Jul 2027
~Jul 2027
Year 2
Second Professional
~Aug 2027
Sep 2027 – May 2028
~Feb 2028
~Jun 2028
Jul – Sep 2028
~Sep 2028
Year 3
Third Prof. – Part 1
~Oct 2028
Oct 2028 – May 2029
~Feb 2029
~Jun 2029
Jul – Aug 2029
~Aug 2029
Year 4
Third Prof. – Part 2 (Final)
~Sep 2029
Sep 2029 – Oct 2030
periodic
~Nov 2030
Dec 2030 – Feb 2031 (NExT Step 1)
~Feb 2031
Year 5
Internship (CRMI)
~Mar 2031
Rotatory postings, full year
—
—
NExT Step 2 ~Jan – Feb 2032
~Feb 2032
Why this is only an estimate: actual start dates, vacation
lengths, and exam windows are notified year-to-year by SRMIST and
NMC, and can shift by several weeks due to admission-cycle delays,
NEET counselling schedules, or NMC calendar revisions. Treat this as
a rough 5.5-year planning skeleton — check the
Academic Calendar tab's official PDFs (or SRMIST's site
directly) as your batch's calendar is published each year.
Reference
Rules & eligibility you need to know
The fine print that decides whether you can sit an exam at all,
and what counts as a pass.
01Attendance
Minimum 75% attendance in theory and in
clinical/practical training, per subject, to be eligible to
appear for the university exam
Minimum 75% attendance in electives is separately
required for eligibility
Attendance shortfall can mean detention/re-appearance in that
subject the following year, regardless of internal-assessment
marks
02Passing criteria
Minimum 50% aggregate in University Theory (average of
both papers) required to pass a subject
Minimum
50% in Practical/Clinical exam including Viva Voce
required, separately from theory
Both components must be individually cleared — high theory marks
do not compensate for a failed practical/viva, or vice versa
Internal Assessment (IA) marks are primarily used to determine
eligibility to appear for the university exam, and may
also carry a small weightage toward final marks depending on the
subject/regulation year
03Electives
Two blocks of 15 days each, one
pre/para-clinical-oriented and one clinical-oriented, adjusted
by the college within the final-year schedule
Topics include Research Methodology, AI & Computers in
Health, Health Management, Health Economics, Indian Systems of
Medicine, Medical/Clinical Photography, Global Health,
Evidence-Based Medicine, and Art/Music in Medicine
75% attendance in electives + submission of the elective log
book is required for university-exam/NExT eligibility
04AETCOM & the Family Adoption
Programme
AETCOM (Attitude, Ethics & Communication) is a
longitudinal module — it runs across all four
professional years, not just the Year 1 Foundation Course,
covering empathy, informed consent, breaking bad news, and
professionalism
Family Adoption Programme (FAP) — each student is
assigned ~5 families from Phase I onward and follows them
through the course as part of Community Medicine training,
tracking health issues and referrals longitudinally
05Re-appearance & carrying forward
A candidate who fails the First Professional exam (incl.
supplementary) joins the next academic year's batch —
there is no separate supplementary batch
A candidate who fails Second Professional may proceed to Third
Professional Part I training but cannot appear for its exam
until Second Professional is cleared
Similar carry-forward logic applies between Third Professional
Part I and Part II
Supplementary exams are conducted roughly one month after the
regular exam, with results within 15 days
These are general CBME/NMC provisions — SRMIST's own regulation
documents (linked in Official Sources) are the binding version for
your batch.
Reference
Textbook library — every year, every subject
Standard Indian and foreign references used across NMC-recognised
medical colleges. Confirm the exact edition prescribed with your
department/library each year.
Editions update every few years — always match the edition your
department currently prescribes, since page/chapter references in
guides and question banks are edition-specific.
Reference
Previous year question papers
Being upfront: SRMIST does not appear to publish a public online
archive of past university question papers. Here's where they
actually come from in practice.
01Where students actually get them
Department office / exam cell — many departments keep a
physical file of recent papers available on request
Library reference section — often holds bound sets of
previous years' papers for reference-only use
Seniors and class WhatsApp/Telegram groups — the most
common real-world source; ask your SMP mentor to connect you
with a senior batch representative
QBank apps — Marrow and PrepLadder both fold
previous-year university/NExT-pattern questions into their
question banks (see Apps & Tools)
02How to use them well
Use them to learn the pattern and recurring high-yield
topics, not as a substitute for the syllabus
Attempt them timed, close to your pre-final/send-up exam —
that's when they're most useful as a diagnostic
Cross-check the regulation year (2019 vs. 2023 CBME) — question
patterns and blueprints changed between them
If your batch has an official repository we haven't listed, add it
here — this page is meant to be filled in with your own
department's actual practice once you know it.
Reference
Web & mobile apps for MBBS study
Tools students commonly use alongside textbooks — organised by
what they're best for.
Marrow
Web · Android · iOS
Video lectures, QBank, and revision content spanning
pre-clinical to clinical subjects.
Enter your exam and how much time you have — this gives a rough
day-by-day split, not a guarantee. Adjust it to your own pace.
Field
What to enter
Exam type
Sets the default coverage/revision/practice ratio
Exam date
Used to count down the days you actually have
Number of subjects
Splits your available days across subjects evenly
Study hours/day
Your realistic, sustainable daily hours — not your best-case day
This is a rough planning heuristic (coverage / revision / practice
ratios drawn from the prep-time guidance elsewhere in this guide) —
it does not account for your existing command of the subject, so
recalibrate as you go.
Campus & Culture
Contacts & helplines
Numbers worth saving in your phone before you need them, not
after.
01SRM Medical College — official contacts
Contact
Detail
Head Office
No. 3 Veerasamy Street, Mambalam, Chennai, Tamil Nadu 600033
SRM Medical College Hospital & Research Centre
SRM Nagar, Potheri, Chengalpattu, Tamil Nadu 603203
Specifics (mess menus, hostel fee, curfew timings) change year to
year — these links always point to SRMIST's current version rather
than a snapshot that could go stale here.
Campus & Culture
Skill lab & simulation-based learning
CBME leans heavily on simulation before — and alongside — real
patient contact.
01What it covers
Basic & Advanced Life Support (BLS/ALS) drills on mannequins
Part-task trainers for procedures — IV cannulation,
catheterisation, suturing, airway management
Simulated deliveries and emergency obstetric drills ahead of OBG
postings
OSCE-style stations — increasingly used in university
practicals, not just teaching
Communication-skill simulations (breaking bad news, informed
consent) tied to the AETCOM module
Simulation sessions are usually scheduled ahead of the clinical
posting they support — e.g., a BLS session before your first
Casualty rotation. Check your posting calendar for exact timing.
Campus & Culture
Dress code & the White Coat Ceremony
What's expected, and what the ceremony actually marks.
01Dress code essentials
Formal/semi-formal attire on campus; white coat mandatory in the
dissection hall, labs, and hospital wards
ID card worn visibly at all times on campus and in hospital
areas
Closed footwear required in the dissection hall and clinical
areas, for safety
Hair tied back and minimal jewellery in lab/clinical settings,
for hygiene and safety around instruments
Full-sleeve apron/white coat from your very first Anatomy
dissection session
02The White Coat Ceremony
A symbolic ceremony marking your transition into the medical
profession — typically held early in Year 1, during or right after
the Foundation Course. It usually involves a formal oath or pledge
(often a modified Hippocratic Oath or the Declaration of Geneva),
presided over by faculty and the Dean, followed by the formal
donning of the white coat.
Exact date and format are set by SRMIST each academic year and
announced during Foundation Course orientation.
Beyond MBBS
Career pathways after MBBS
A detailed map of what's next once the internship year ends —
worth knowing early, even if it's years away. Covers the clinical
PG route, alternatives to it, government/uniformed services,
non-clinical careers, and practising abroad.
Main entrance exam
NEET-PG
AIQ share
50%
State quota share
50%
MD/MS duration
3 yrs
01Timeline — when to actually start
thinking about this
Years 1–3: Nothing to do here yet — focus on foundations.
Broad subject exposure during these years quietly shapes which
specialities you'll later gravitate toward.
Year 4 (Final year): Clinical postings give you real
exposure to Medicine, Surgery, OBG, and Paediatrics — pay
attention to what you enjoy on the wards, not just what scores
well.
Internship (Year 5): This is when serious NEET-PG
preparation typically begins — most students study during
internship postings using QBanks and revision series (see
Apps & Tools).
Post-internship: NEET-PG is usually held a few months
after internship completion; counselling and admission follow
over the subsequent months.
02NEET-PG — the exam itself
Aspect
Detail
Eligibility
MBBS degree + completed (or soon-to-complete) internship,
provisional/permanent registration with NMC or a State Medical
Council
Format
Single-best-answer MCQs, computer-based test, negative marking
for wrong answers
Syllabus
All 19 MBBS subjects, weighted toward the major clinical
subjects (Medicine, Surgery, OBG, Paediatrics) and high-yield
pre/para-clinical topics
Score validity
Used for that year's admission cycle — you re-attempt in a
later year if you want to try again with a fresh score
Attempts
No fixed cap historically, but rules are revised periodically
— check the current NBEMS/NMC notification for your year
03Counselling — how seats actually get
allocated
Quota
Share
Counselled by
All India Quota (AIQ)
15% of state govt. UG seats feed AIQ; ~50% of PG seats
nationally
Medical Counselling Committee (MCC)
State Quota
Remaining ~50% of PG seats
Respective state counselling authority
Private/Deemed university seats
Institution-specific, often costlier
Either state or a private consortium, depending on the state
NRI quota
A small share in many private/deemed colleges
Institution-specific
Counselling runs in multiple rounds — Round 1, Round 2, Mop-Up
round, and a Stray Vacancy round for whatever remains unfilled
Seat allotment depends on your NEET-PG rank, category, domicile
(for state quota), and choices filled during counselling
Once you accept and join a seat, exiting to try for a better one
in a later round usually has consequences (bond forfeiture, fee
loss) — read your state's counselling rules carefully before
locking a choice
04MD/MS specialities — the clinical PG
route
Broad group
Common specialities
Major clinical (MD)
General Medicine, Paediatrics, Dermatology, Psychiatry,
Respiratory Medicine, Radiotherapy
Major clinical (MS)
General Surgery, Orthopaedics, ENT, Ophthalmology, Obstetrics
& Gynaecology
"Competitiveness" (the NEET-PG rank needed) shifts year to year
and by state, but Radiodiagnosis, Dermatology, General Medicine,
and General Surgery are consistently among the higher-demand
branches — factor in genuine interest and work-life expectations,
not just cutoff rank.
05Alternatives to the classic MD/MS route
Route
What it is
DNB (Diplomate of National Board)
Hospital-based PG training conducted by the National Board of
Examinations (NBEMS), equivalent standing to MD/MS, entered
via NEET-PG (CET) too — often available in accredited
private/corporate hospitals when university seats are full
PG Diploma courses
Shorter (2-year) diploma qualifications in select specialities
— being phased out or converted to DNB/MD in several states,
so availability varies
DM / M.Ch (Super-speciality)
3-year super-speciality training after completing MD/MS in the
relevant parent subject, entered via NEET-SS
(Super-Speciality)
Fellowships
Shorter (6 month–2 year) focused training in a sub-area, often
after MD/MS, offered by professional bodies or specific
institutes — not a replacement for DM/MCh but adds a niche
skill
06Government & uniformed services
Route
What it involves
State Medical Officer
Direct recruitment or via State Public Service Commission
exams into state health department postings
UPSC Combined Medical Services (CMS)
Central government medical officer posts across Railways,
Municipal Corporation of Delhi, and central health services
Armed Forces Medical Services (AFMS)
Commissioned medical officer roles in the Army/Navy/Air Force
— Short Service Commission or Permanent Commission entry
Territorial Army (Medical)
Part-time uniformed medical service alongside civilian
practice
ESIC / Railways / PSU hospitals
Medical officer postings in public-sector undertakings and
their hospital networks
07Non-clinical & alternative careers
Path
What it involves
Public health (MPH)
Master of Public Health at institutes like PGIMER, AIIMS, or
TISS — policy, epidemiology, and health-systems focused
Healthcare/hospital administration (MHA)
Hospital operations, management, and administration roles
Medical writing & pharmacovigilance
Regulatory documentation, drug-safety monitoring, scientific
content for pharma/biotech companies
Clinical research
Roles in CROs (Contract Research Organisations) coordinating
and monitoring clinical trials
Health-tech & entrepreneurship
Building or joining health-tech/biotech startups, medical AI
ventures
Health policy & NGO work
Roles with WHO, UNICEF, or health-focused NGOs, often built on
an MPH or field experience
Medical journalism & communication
Science/health journalism, patient-education content, medical
communications agencies
Insurance & medico-legal roles
Medical examiner/claims-assessment roles with insurance
companies
Match into residency via NRMP; multi-year process, often
started during or right after MBBS
UK
PLAB 1 & PLAB 2, or MRCP/MRCS route
GMC registration on passing; PLAB 2 is a practical/clinical
exam
Australia
AMC Part 1 (MCQ) & Part 2 (clinical exam)
Standard pathway; specialist-recognition pathway exists for
those already holding a PG qualification
Canada
MCCQE Part 1 & Part 2, plus NAC exam
Match into Canadian residency; broadly similar in spirit to
the US route
Middle East (UAE, Saudi, Qatar)
DHA (Dubai), MOHAP, Prometric/SCFHS (Saudi) licensing exams
Generally the fastest route to practising abroad for Indian
MBBS graduates, especially with some PG or work experience
Germany
Approbation (medical licence) + Fachsprachprüfung (medical
German language exam)
Requires strong German proficiency; degree recognition process
on top of the language exam
FMGE (Foreign Medical Graduate Examination) does not apply to you
— that's only for Indian students who studied MBBS abroad and want
to practise in India. Going the other direction (India-trained
doctor practising abroad) always means clearing that destination
country's own licensing exam.
09Research & academia
ICMR-JRF (Junior Research Fellowship) — a route into
funded biomedical research straight after MBBS
PhD after MD/MS — common for those aiming at full-time
academic/research careers
Teaching faculty positions — require a PG degree (MD/MS
minimum) plus, increasingly, a publication record
Fellowship & grant-funded research — national (ICMR,
DBT) and international (Wellcome Trust, NIH-funded
collaborations) options exist for clinically-trained researchers
10Choosing a speciality — factors worth
weighing
Genuine interest — the specialities with the best
long-term satisfaction data are consistently the ones people
picked because they enjoyed the actual day-to-day work, not the
cutoff rank
Competitive cutoff vs. availability — a broader net of
acceptable specialities gives you more counselling flexibility
than fixating on one high-demand branch
Work-life balance expectations — call schedules,
emergency exposure, and procedure-heavy vs. OPD-heavy work
differ hugely by speciality
Further scope — whether the speciality has a clear DM/MCh
super-speciality path, if that's part of your longer-term plan
Geographic flexibility — some specialities
(Radiodiagnosis, Pathology, Anaesthesiology) translate more
easily to varied practice settings than others
This isn't a ranking of "best" specialities — it's a reminder that
the right choice is the one that fits how you actually want to
practise medicine, which usually only becomes clear through real
clinical exposure in Years 4–5.
Student Support
Student wellbeing
Medical school's workload and pressure are well documented — this
is about managing that reality, not toughing it out silently.
01What actually helps, practically
Protect sleep during exam weeks — cramming that costs you a full
night rarely nets out ahead
Build a study group or find one or two people you check in with
regularly — isolation makes the workload feel heavier than it is
Use your SMP mentor early, not just when something's already
gone wrong — that relationship exists for exactly this
Notice early warning signs in yourself — persistent exhaustion,
dread about specific subjects, withdrawing from friends — and
act on them early rather than waiting for a crisis point
02Support & helplines
Resource
Contact
Tele-MANAS (Govt. of India national mental health helpline,
24×7)
14416 or 1-800-891-4416
iCall (TISS psychosocial helpline)
9152987821
Vandrevala Foundation Helpline
1860-2662-345 / 1800-2333-330
Your SMP mentor / faculty advisor
First point of contact within college
If you're finding a particular period genuinely difficult,
reaching out to one of these or to a trusted person in your life
is worth doing sooner rather than later — this section is
informational, not a substitute for that conversation.
Student Support
FAQ & myths vs facts
Questions every new joinee asks in the first month, answered
plainly.
Do I need to buy every textbook on the list?
No. Pick one primary Indian text and one foreign reference per
subject; borrow or share the rest with classmates or the
library. Buying everything upfront is expensive and mostly
unnecessary.
Which edition should I buy?
Whichever edition your department currently prescribes — ask at
orientation or check with seniors before buying, since
page/chapter references in guides and question banks are
edition-specific.
Is coaching necessary alongside college?
Not in Years 1–3. Most students start leaning on
QBank/video-lecture apps (Marrow, PrepLadder, etc.) from Year
3–4 onward as NExT prep ramps up — see Apps & Tools.
Will I fail if I miss a few classes?
Attendance below 75% blocks your eligibility to sit the
university exam in that subject, regardless of how good your
marks are — it's a hard cutoff, not a formality. See
Rules & Eligibility.
Is ragging tolerated in any form?
No — it's strictly prohibited under UGC/NMC regulations. Report
it through the Anti-Ragging Cell or the 24×7 national helpline
in Contacts & Helplines.
Do I need to buy my own dissection kit/cadaver?
Cadavers and shared dissection specimens are provided by the
department. Personal instrument sets are usually bought locally,
as advised by the Anatomy department in week one — don't buy one
before you're told what's actually needed.
Can I skip the Foundation Course?
No — it's mandatory, and attendance is linked to eligibility
just like any other subject, even though it isn't itself
examined.
Reference
Official sources
Primary documents this guide is built on. When in doubt, these
override anything summarised here.
CBME Regulations 2023 — effective 1 Aug 2023nmc.org.in ↗
NMC periodically revises timelines (e.g. NExT rollout, academic
calendar start dates) — always check nmc.org.in for the latest
notification for your admission year.