The National Exit Test (NEXT) embodies a universally upheld principle – there can be no compromise on quality standards within the medical profession. Evidently, corruption had become rampant within the 88-year-old Medical Council of India (MCI). There was ample evidence suggesting that officials were involved in illegitimate activities at various levels, often in collusion with political leaders. Additionally, there was a lack of uniformity in the process of admitting new members to the medical profession, with foreign medical graduates required to undergo the MCI Screening Test while those from Indian medical universities were exempt. Moreover, it was widely acknowledged that the quality of medical education varied significantly worldwide, with notable disparities between government and private institutes. Major surveys had highlighted these discrepancies. Furthermore, there was a glaring absence of quality checks to assess a significant portion of the medical workforce entering the Indian healthcare sector. After thorough deliberation by the Government of India (GOI), the National Medical Commission Bill was enacted on September 25, 2020. This led to the dissolution of the MCI and the establishment of the National Medical Commission. A pivotal measure taken by the NMC was replacing the MCI Screening Test with the National Exit Test (NEXT). Regarding the NEXT Exam, it serves as the exit examination for MBBS, following the logic that NEET UG serves as the entrance exam. The purpose of the NEXT Exam in India is threefold: to confirm an MBBS graduate's eligibility to commence an internship, to determine their merit for medical PG seats based on their NEXT Exam score, and to grant them a license to practice in India, applicable to both foreign and Indian medical graduates. Essentially, the NEXT Exam amalgamates two separate exams – the NMC NEET PG and the MCI Screening Test, ensuring uniformity for all medical graduates practicing in India. The NEXT Exam comprises two stages – NEXT 1 and NEXT 2. NEXT 1 determines an aspirant's eligibility to commence an internship and assesses their knowledge and skill levels for securing Indian Medical PG seats. Conversely, NEXT 2 determines an aspirant's eligibility to practice in India. While NEXT 2 is purely qualifying, NEXT 1 serves dual purposes. It qualifies candidates for internship entry and competitively assesses them for medical PG admission. NEXT 1 is expected to include MCQs covering recall questions and clinical analytics, while NEXT 2 may focus exclusively on clinical skills assessment.