Become Job Ready with CollegeDekho Assured Program
Learn More

What to Do if You Don't Qualify FMGE 2022?

Shruti ChatterjeeUpdated On: June 06, 2022 06:18 pm IST

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 FMGE? Find out here!

What to do if you are not qualified in FMGE

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. FMGE is conducted biannually and its syllabus is as per the MBBS course for clinical, para-clinical, and preclinical students. 

Unfortunately in the past few years, the passing rate for the FMGE exam has gone down to less than 18% which includes a number of 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?

There are various reasons for such a big number of foreign medical graduates failing to pass FMGE. Some of the most common reasons are differences in the medical standards between various countries, different medical procedures and use of medication, quality of education provided in other countries, the language of studying MBBS, etc. The biggest reason is the difference in curriculum followed by foreign medical schools and that followed by Indian medical schools. 

No defined syllabus

Another reason why more than 80% of the students appearing for FMGE tend to fail the exam is the lack of a defined syllabus which students can use when preparing for the exam. This makes cracking the exam even more difficult and daunting. The NBE does not prescribe any particular books for exam preparation. 

Careers Options for FMGE 2022 Failed Candidates 

Given below are some popular options for students who do not qualify FMGE 2022. Candidates can opt for a suitable choice depending upon their preference, aptitude, and future plans.

Pursue a PG Degree in the UK

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


  • Internal Medicine
  • Cardiology
  • Dermatology
  • Oncology
  • Orthopaedics
  • Respiratory Medicine


  • 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 need of appearing 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 exam:

Course Name

Course Duration

Average Course Fees

BSc Radiology

3 years 

INR 2 LPA to 10 LPA

Bachelor of Physiotherapy

4.5 years


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


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 of receiving training and guidance from world-class faculties and update their existing knowledge from some of the best universities and research institutes. In order to be eligible for the Membership of the respective Royal College, a candidate must acquire at least 1 year of experience in the respective speciality. IMGs receive clinical training under these postgraduate courses which are up to the 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) in order to gain Membership in the concerned Royal College. 

International Medical Graduates can also appear for 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 the GMC registration. The best thing about GMC registration is 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 FMGE exam for that. 

Prepare Better for Retaking FMGE 

Candidates who are still willing to pass the FMGE exam in order to gain a medical licence 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 diligently and practise previous years' question papers in order to successfully pass the FMGE. 

Reasons behind the Introduction of FMGE

It was around 1998-99 when the former NBE executive director Dr. Vipin Batra came up with the idea of setting up a screening exam. It was earlier a diplomatic window as the government nominated students for studying their post-graduation medical examination in the former USSR and Commonwealth of Independent States (CIS countries). Later 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 derecognise foreign medical graduates in a resolution passed by the authorities.

However, on the 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. 

To know more about FMGE 2022, stay tuned to CollegeDekho! If you have any doubts, send them to us through the Q&A Zone or call on the toll-free student helpline number 1800-572-9877.


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 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. 

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 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.

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 other career options can FMGE failed candidates pursue?

FMGE 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 failed candidates reappear for the exam?

Yes, candidates who have failed to clear the FMGE 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.

View More

Be the First to Know

Get Access to Latest Updates

Do you have a question? Ask us.

  • Typical response between 24-48 hours

  • Get personalized response

  • Free of Cost

  • Access to community

Subscribe to CollegeDekho News

By proceeding ahead you expressly agree to the CollegeDekho terms of use and privacy policy
Apply Now

Medical Related News

Top 10 Medical Colleges in India

View All

Join us and get exclusive education updates!