In a significant clarification that brings relief to thousands of Indian medical students studying abroad, the National Medical Commission (NMC) has issued fresh guidelines impacting foreign medical graduates — particularly those who began BS medical courses abroad before the FMGL 2021 regulations came into effect.

What’s the Update?

The NMC has announced a one-time exemption for foreign medical students who were admitted to BS (pre-medical) courses abroad before November 18, 2021, even if the admission was done online. This means such students will not be governed by the stricter Foreign Medical Graduate Licentiate Regulations (FMGL) 2021 and will instead be eligible under the earlier Screening Test Regulations, 2002.

This clarification resolves a long-standing area of confusion over whether online admissions prior to the FMGL 2021 cutoff would qualify for exemption — the NMC has now confirmed that they do.

Mandatory Additional Internship in India

While exempted from certain FMGL 2021 rules, the NMC has introduced an important condition: **students benefiting from this exemption must complete an additional one-year internship in India before they can receive their permanent medical registration.

According to the Commission, this internship requirement is necessary to:

• Ensure adequate clinical exposure to the Indian healthcare system.

• Align training with national treatment protocols.

• Maintain uniform standards of patient care for all medical practitioners in the country.

This means that after completing their foreign degree and clearing the requisite qualifying exam (such as the Foreign Medical Graduate Examination [FMGE]/NExT), eligible students must undertake one year of internship in India before they can be fully registered to practice.

Who Does This Impact?

This notification primarily affects:

• Indian students who began BS medical courses abroad before November 18, 2021, regardless of whether their classes were physical or online.

• Students who were uncertain whether online admission would be valid under previous regulations.

For these students, the relief means they can continue their medical career path without being subjected to the newer FMGL 2021 requirements — provided they complete the additional Indian internship.

Why This Matters

This development brings clarity and a fair opportunity for many aspiring doctors who faced confusion about eligibility due to changing regulations. It bridges the gap between older screening rules and newer FMGL requirements, while still emphasizing strong clinical experience within India’s healthcare context.

For students and families navigating foreign medical education pathways, understanding these norms is critical to planning academic timelines, internship completion, and future practice eligibility in India.