FMGE 5 Year Trend Analysis: The FMGE (Foreign Medical Graduate Examination) is an important exam for Indian students who want to practice medicine in India after earning their medical degree from a foreign university. The exam is conducted twice a year, i.e., in June and December. FMGE passing scores are influenced by a number of factors, including exam complexity, students' preparation levels, and the level of education in foreign medical schools. Over the past five years (2021 – 2025), there has been a major fluctuation of 10-32% in FMGE passing percentage. The passing percentage has been inconsistent, with a slight high of 23.9% in 2021 and 18.61% in June 2025, which is one of the lowest. However, the passing score (150 out of 300) is always 50%.
FMGE passing percentage includes both improvement and downfall. Understanding past FMGE 5 year trend analysis helps uncover patterns and better understand the problems faced by medical graduates. This article will give insight into the FMGE Past 5 Years Trends Analysis, difficult level, and important recurrent topics that one must know if appearing for the FMGE exam .
FMGE Past 5 Years Trends Analysis
Analyzing FMGE's past data offers relevant information to understand the patterns in FMGE passing percentages over time. The table below includes the past 5 years of FMGE trend analysis from 2021 – 2025:
FMGE Year (Session wise) | No. of Candidates Appeared | No. of Candidates Qualified | FMGE Pass Percentage |
|---|---|---|---|
FMGE June 2025 | 36,039 | 6,707 | 18.61% |
FMGE December 2024 | 43,230 | 13,149 | 29.62% |
FMGE June 2024 | 34,608 | 7,233 | 20.89% |
FMGE December 2023 | 37,827 | 7,781 | 20.57% |
FMGE June 2023 | 24.250 | 2,474 | 10.20% |
FMGE December 2022 | 30,548 | 9,840 | 32.2% |
FMGE June 2022 | 22,092 | 2,346 | 10.6% |
FMGE December 2021 | 23,349 | 5,665 | 24.3% |
FMGE June 2021 | 18,048 | 4,283 | 23.7% |
Also Read: 7 Tips to Strengthen FMGE 2025 Preparation
FMGE Difficulty Level of Last 5 Years
The FMGE is undoubtedly one of the most difficult entry gateways for foreign medical graduates, with success rates hardly above 25%. The clinical focus and detailed syllabus of the FMGE exam present challenges, but so does its difficulty level. However, the difficulty level of the FMGE exam has remained difficult to moderate in the past 5 years. Let’s review the FMGE difficulty level of last 5 years in more detail:
Year | Difficulty Level | Sections/ Subjects Students Found Most Difficult | Sections/ Subjects Students Found Moderate |
|---|---|---|---|
2025 | Mainly Moderate | Long clinical scenarios, surgery, microbiology, image-based questions | Short recall-based questions, pre-clinical subjects, anatomy and physiology |
2024 | Easy-moderate (June) Moderate-difficult (December) | Long clinical questions, pharma, PSM, Microbiology reasoning-based questions | Anatomy, physiology, biochemistry, basic recall questions |
2023 | Moderate | Clinical-based questions in medicine and surgery, PSM, integrated case questions | Pre-clinical subjects, short factual questions |
2022 | Moderate-Difficult | Paper 1 was difficult: Pathology, PSM, pharma, microbiology long clinical case questions | Paper 2 was moderate: Paediatrics, psychiatry, ENT, ophthalmology |
2021 | Moderate-Difficult | Pharmacology, microbiology, medicine, surgery, PSM | Anatomy, physiology, biochemistry, ophthalmology |
Also Read: What to Do if You Don't Qualify FMGE 2025?
Important Recurrent Topics for FMGE 2025
Below is a list of important recurrent topics for FMGE 2025 based on the consistent pattern observed in previous FMGE exams:
Subject | Topics |
|---|---|
Biochemistry | DNA replication, vitamins, enzymes, metabolism, Enzyme kinetics & inhibition |
Physiology | Cardiac cycle, acid-base balance, V/Q mismatch, renal physiology, GIT hormones, reflexes, sensory pathways |
Anatomy | Foramina contents cranial nerves, embryology, histology, brain blood supply, Brachial plexus and lesions |
Microbiology | Immunology, Gram +ve/-ve organisms, TB, HIV, malaria, Candida, superficial/systemic mycoses, lab diagnosis techniques |
Pharmacology | Autonomic drugs, antimicrobials, ADRs and antidotes, chemotherapy, anti-hypertensives, antibiotics (MOA & resistance) |
Pathology | Acute/chronic inflammation, neoplasia, blood disorders, cellular injury, glomerulonephritis, hypersensitivity reactions, systemic diseases |
Forensic Medicine | Types of injuries, poisoning (OPC, arsenic), post-mortem changes, IPC/CrPC, identification techniques |
Community Medicine | Vaccines (NIS), health indicators, RCH, NHM initiatives, family planning, Epidemiological studies & statistics, health committees/programs |
Surgery | Hernias, trauma protocol (ATLS), thyroid surgery, appendicitis, gallbladder diseases, burns, types of shocks, fluid therapy, |
Pediatrics | Growth milestones, vaccines, neonatal jaundice/sepsis, malnutrition, pediatric infections |
Ophthalmology | Cataract, glaucoma, refractive errors, conjunctivitis, corneal ulcers diabetic retinopathy |
ENT | CSOM, otitis media, nasal polyps, laryngeal anatomy, epistaxis, laryngeal disorders, Ear anatomy & hearing tests, tonsillitis |
Dermatology | Urticaria, psoriasis, eczema, tinea, scabies, drug eruptions (SJS/TEN), bacterial/viral/fungal infections |
Psychiatry | Defence mechanisms, and substance withdrawal, depression, schizophrenia, bipolar disorder, substance abuse & detox drugs |
Radiology | Contrast studies, anatomy on images, ground-glass opacities, barium studies, Imaging basics (X-ray, CT, MRI), pneumothorax, contrast studies |
Anaesthesia | CPR basics, airway management, spinal vs general anaesthesia, General/regional anesthesia, CPR, BLS/ACLS, spinal & epidural blocks, airway management |
Orthopedics | Osteomyelitis, rickets, RA vs OA, bone tumours, Fractures (Colles’, supracondylar), bone tumors, infections, arthritis & osteoporosis |
Obstetrics and Gynaecology | Gynecological cancers, preeclampsia/eclampsia, ANC protocols, partograph & fetal monitoring, contraception & MTP Act |
Also Read:
What is a Good Score in FMGE 2025?
The FMGE 5 Year Trend Analysis shows variations brought on by external factors such as changing exam patterns and variations in the quality of medical education during the pandemic. The difficulty level of the FMGE exam is one of the key reasons that lets many candidates struggle to qualify. However, with thoughtful preparation, anyone can achieve success in the FMGE exam. Candidates have a higher chance of succeeding if they set aside enough time to study, make use of relevant study resources, and take mock tests.
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FAQs
Yes. The FMGE exam has now become more difficult as it focused more on clinically and application-based questions.
FMGE passing percentages showed fluctuations between 2021 and 2025, which include higher passing percentages in 2021 and 2022. However, there has been a slight drop in 2023 and a slight recovery in 2024. Again, there is a dip in June 2025.
Yes. One needs to pass the FMGE to practice in India if they earned their MBBS from a foreign country.
The FMGE passing percentage has been low, usually between 10-30% due to the difficulty level of the exam. However, it fluctuates every year, sometimes below 15% and sometimes around 25%.
FMGE results can be affected by external factors, including changes to the exam syllabus, individual preparation, as well as external disturbances such as the COVID-19 pandemic.
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