Highlights of Next Exam meeting held on 23rd July 2023

Highlights of Next Exam meeting held on 23^rd July 2023

Next Step 1 – Objective

· The Next Step 1 will be a comprehensive computer- based examination based on high-quality Multiple-choice Questions (MCQs) ensuring objectivity and following nation-wide delivery and conduction with robust fidelity in a secure manner.

· The MCQ items would address higher domains of knowledge aligned to competencies expected of an India Medical Graduate or a graduate practicing modern system of medicine, especially in India.

Next Step 1- Distribution of items and knowledge level of Questions (approx..)

MCQ Item	Distribution percentage
Problems -solving and analytical skill types	60-70%
Comprehensive type	20-30%
Recall type	5-15%
Competencies acquisition	Level of knowledge
Must know	60%
Nice to know	30%
May Know	10%

Next Step 1- Papers and distribution of subjects

· The Next step 1 examination will have six subject papers with respective weightage in items and time allocation.
· Applied aspects of all other subjects of MBBS including Forensic Medicine and Toxicology (FMT) and community Medicine will be mainstreamed into the relevant clinical subjects.
· In each paper 10% items will pertain to applied aspects to related subjects.
· The following Table 1 provides the subjects in each paper with respective weightage in items and time allocated with the provision of the items distributed.

Papers	Subjects	No of items	Duration
1	Medicine & allied subjects	120 items	3.0 hours
2	Surgery & allied subjects	120 Items	3.0 hours
3	Obstetrics & Gynaecology	120 Items	3.0 hours
4	Paediatrics	60 Items	1.5 hours
5	Otorhinolaryngology	60 Items	1.5 hours
6	Ophthalmology	60 Items	1.5 hours

Next Step 1 – Proposed time schedule of papers (Table 2)

The below schedule is only indicative subject to feasibility and logistics

Day	Subject	Duration	Break	Subject
1	Medicine & allied subjects	3.0 hours	2.0 hours	Pediatrics	1.5 Hours
2	Rest Day no examination
3	Surgery & Allied subjects	3.0 hours	2.0 hours	Otorhinolaryngology	1.5 hours
4	Rest Day: No examination
5	Obstetrics & Gyanecology	3.0 Hours	2.0 hours	Ophthalmology	1.5 Hours

Next Step 2 – Objective

· The Next Step 2 shall be a comprehensive practical / clinical examination to be conducted after completion of internship that evaluated competencies in clinical diagnosis, patient examination and clinical decision-making, practical and communication skills necessary for practice of modern system of medicine especially in India.

Next Step 2 – Evaluation Methods

· Each examination would comprise of:-

o Actual cases

o Objective structured Clinical Examination (OSCE)

o Simulations if possible

· Depending on the ability of satisfactory or unsatisfactory performance there shall be only two level of grading “Competent or “pass”/ “Not Competent” or “Fail.”

Next Step 2 – Distribution of subjects

· The following subjects shall be evaluated during Next Step2:

o Medicine and allied subjects

o Surgery and allied subjects

o Obstetrics and Gyanecology

o Paediatrics

o Otorhinolaryngology

o Ophthalmology

o Orthopedics and Physical Medicine & Rehabilitation (PMR)

Next Step 2 – Time schedule

· The time schedule and modalities of Next step 2 shall be decided by the National Medical commission and the respective authorized Universities / institutions after completions of internship and prior to the admission process for the Postgraduate Courses of that year.

Tentative time schedule of Next examination and associated events

· The time schedule of the entire process of Next examination internship and admission to broad specialty Postgraduate courses shall be announced by the commission and other bodies authorized by the commission.

S. No	Event	Date of exam/ commencement	Date of result/ completion
1	Next Step 1	May / November	1^st week of June / December
2	III MBBS /Final MBBS part 2 practical / Clinical university examination	1^st week of June/ December	3^rd week of June/December
3.	Internship	1^st January/July	31^st December/30^th June following year
4	Next Step 2 Regular	3^rd week of June /Dec.	4^th week of June /Dec.
5	Next step 2 supplementary	1^st week Sep/March	3^rd Week Sep/March
6	Post Graduate Admission	May-June (counselling)	30^th June
7	Postgraduate course	1^st July/1^st week January	———–

Note: There shall again be a counselling in the month of December for the seats which remain vacant after earlier counselling held in May-June.

Conduction of Mock/ Practice Test

· It is decided to conduct a mock/ practice test on 28^th July 2023.

· Registration for the same will start on 28^th June 2023.

· This examination will be conducted by AIIMS Delhi as a designated authority for Next Step 1.

· Only final year students pursuing M.B.B.S. courses in the medical colleges/ institutions are eligible for such mock/practice test.

· Aim of such test is to familiarize the prospective candidates with the Computer Based Test (CBT), software interface and process flow in the examination center. The sample questions in the Mock/Practice will only exemplify pattern and format of the Next Step 1 examination. Still, they may not represent the complete Next Step I examination/syllabus coverage.

Disclaimer: Complete details of the Next examination is being notified through regulation separately. So, anything containing or spoken in this presentation will be superseded by such regulation.

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