NRE Exam Pakistan: Requirements, Syllabus & Prep Guide

PMDC NRE Full Guide: Eligibility, Syllabus, Exam Pattern, Registration, Preparation & Results

The National Registration Examination (NRE) is an important licensing examination for eligible foreign medical and dental graduates who seek registration to practise in Pakistan. The examination is conducted under the Pakistan Medical & Dental Council (PM&DC) framework and assesses whether graduates have the knowledge and clinical competencies required for professional practice.

This complete MY TRKHAN guide explains the PMDC NRE from beginning to end, including who can take the examination, NRE Step-I, NRE Step-II, theory syllabus, clinical skills examination, passing criteria, attempts, validity, registration process, documents, preparation strategy, common mistakes, 2026 examination dates, and official resources. 

NRE Full Guide: Eligibility, Syllabus, Exam Pattern
NRE Full Guide: Eligibility, Syllabus, Exam Pattern

 

Important Notice: NRE rules, registration windows, examination dates and administrative requirements can change through PM&DC notices. The current information in this guide has been checked against official PM&DC sources available on September 25, 2026. Candidates should always verify the latest notice before submitting an application or making travel or financial arrangements.

What Is the PMDC NRE?

NRE stands for National Registration Examination. It is the licensing examination established under Section 18 of the Pakistan Medical & Dental Council Act 2022. PM&DC's NRE standards state that the examination is designed to assess the competence of eligible foreign medical or dental graduates for independent practice.

For medical graduates, the NRE has two principal components: a theory examination and a Clinical Skills Examination (CSE). Both components must be passed according to the applicable rules before the candidate can complete the relevant registration pathway.

The official PM&DC medical NRE syllabus describes the examination as an assessment of the ability of MBBS graduates to practise independently, while the dental NRE syllabus applies the same broad licensing principle to BDS graduates.

Key Point: NRE is not simply another academic university examination. It is part of the professional registration and licensing pathway for eligible foreign graduates.

Who Is the PMDC NRE For?

The NRE is primarily relevant to eligible graduates of foreign medical and dental institutions who need to meet PM&DC requirements for registration and professional practice in Pakistan.

The official NRE 2024 standards specify eligibility for candidates who have successfully graduated from a PM&DC-approved foreign medical college with an MBBS/MD or equivalent approved degree nomenclature and who hold the required PM&DC provisional licence. The dental standards similarly refer to graduates of PM&DC-approved foreign dental colleges holding a BDS or equivalent qualification and the required provisional licence.

Because recognition and licensing pathways can depend on the status of the foreign institution, qualification and other regulatory requirements, candidates should not rely only on the name of their university or country.

Foreign Medical Graduates

For MBBS or equivalent foreign medical graduates, the NRE assesses both applied medical knowledge and the clinical skills expected of a general medical practitioner.

Foreign Dental Graduates

For BDS or equivalent foreign dental graduates, the NRE includes a dental theory examination and a Clinical Skills Examination covering professional, clinical and dental procedural competencies.

Important: Graduation from a foreign institution does not by itself guarantee eligibility. Recognition of the qualification and institution, provisional registration/licensing requirements and other PM&DC conditions must be checked through official channels.

PMDC NRE at a Glance

Item Medical NRE Dental NRE
Examination National Registration Examination National Registration Examination
Relevant qualification MBBS/MD or approved equivalent foreign qualification BDS or approved equivalent foreign qualification
Main components Step-I Theory + Step-II CSE Step-I Theory + Step-II CSE
Theory paper 200 MCQs 200 MCQs
Medical theory distribution 70% clinical sciences + 30% applied basic sciences Dental-specific discipline distribution
Medical CSE 20 stations 18 stations divided into two sessions under the published 2024 structure
Theory passing criterion 60% under the published NRE standard 60% under the published NRE standard
CSE passing criterion 60%, with mandatory-station requirements Subject to the published NRE dental CSE requirements and any subsequently notified changes
Negative marking No negative marking under the published standard No negative marking under the published standard

PMDC NRE Step-I: Theory Examination

NRE Step-I is the theory component. For the medical NRE, the official standard specifies 200 multiple-choice questions. The paper is designed to assess the application of knowledge rather than simple memorisation.

The medical theory paper is divided into 70% clinical sciences and 30% applied basic sciences. The dental examination has its own subject distribution based on the BDS curriculum.

Medical NRE Step-I Pattern

Component Questions Share
Applied Basic Sciences 60 30%
Clinical Sciences 140 70%
Total 200 100%

Medical Applied Basic Sciences Weightage

The published NRE medical syllabus gives the following distribution for the applied basic sciences portion:

Subject MCQs
Applied Pathology 11
Applied Anatomy 11
Applied Physiology 10
Clinical Pharmacology 8
Applied Biochemistry 6
Community Medicine 6
Forensic Medicine & Toxicology 4
Total 60

Medical Clinical Sciences Weightage

Clinical Discipline MCQs
Medicine and Allied 52
Surgery and Allied 48
Obstetrics & Gynaecology 14
Paediatrics 14
Ophthalmology 6
Otorhinolaryngology (ENT) 6
Total 140
Preparation Insight: Medicine and Surgery together account for 100 of the 200 medical theory questions in the published distribution. However, this does not mean the remaining subjects can safely be ignored. The examination covers the complete specified syllabus, and a balanced preparation strategy is important.

Medical NRE Step-I Syllabus

The NRE syllabus is broader than a list of isolated facts. The official document is organised around applied knowledge and clinical sciences. Candidates should therefore study concepts in a way that connects basic science with diagnosis, investigation and management.

Applied Anatomy

  • Clinically relevant regional anatomy
  • Anatomical relationships relevant to diagnosis and procedures
  • Neuroanatomical and vascular correlations
  • Applied anatomy relevant to surgery and clinical examination

Applied Physiology

  • Cardiovascular physiology
  • Respiratory physiology
  • Renal physiology
  • Endocrine physiology
  • Gastrointestinal physiology
  • Neurophysiology
  • Physiological principles relevant to disease

Applied Biochemistry

  • Metabolic pathways and clinical application
  • Electrolytes and acid-base concepts
  • Nutrition-related biochemical disorders
  • Clinical interpretation of biochemical abnormalities

Applied Pathology

  • General pathological mechanisms
  • Inflammation and repair
  • Neoplasia
  • Haematological disorders
  • Systemic pathology
  • Pathological interpretation of clinical conditions

Clinical Pharmacology

  • Mechanisms of commonly used drugs
  • Indications and contraindications
  • Adverse effects
  • Drug interactions
  • Clinical prescribing principles
  • Emergency and practical pharmacology

Community Medicine

  • Epidemiological concepts
  • Prevention and screening
  • Public health principles
  • Health promotion
  • Common community health problems

Forensic Medicine & Toxicology

  • Medico-legal principles
  • Injury and poisoning concepts
  • Identification and documentation
  • Common toxicological emergencies
  • Professional and legal responsibilities

Medical Clinical Sciences: What to Study

Medicine and Allied

Medicine represents the largest single clinical component in the published medical NRE distribution. Preparation should cover common presentations, diagnosis, investigations, differential diagnosis and management.

  • Cardiovascular disorders
  • Respiratory diseases
  • Gastrointestinal and hepatobiliary disorders
  • Neurological disorders
  • Endocrine and metabolic diseases
  • Renal diseases
  • Haematology
  • Rheumatology
  • Infectious diseases
  • Emergency presentations

Surgery and Allied

  • General surgical conditions
  • Trauma and emergency surgery
  • Abdominal and gastrointestinal surgery
  • Urology
  • Orthopaedic principles
  • Vascular and related conditions
  • Perioperative care
  • Surgical complications
  • Basic procedural knowledge

Obstetrics & Gynaecology

  • Antenatal care
  • Normal and complicated pregnancy
  • Labour and delivery
  • Obstetric emergencies
  • Postpartum problems
  • Common gynaecological disorders
  • Reproductive health

Paediatrics

  • Neonatal care
  • Growth and development
  • Common childhood illnesses
  • Paediatric emergencies
  • Nutrition
  • Infectious diseases
  • Common congenital conditions

Ophthalmology

  • Common eye diseases
  • Red eye
  • Visual problems
  • Eye emergencies
  • Basic examination principles
  • Common conditions requiring referral

ENT

  • Ear disorders
  • Nose and sinus disease
  • Throat and laryngeal disorders
  • Hearing-related problems
  • ENT emergencies
  • Basic examination principles

PMDC NRE Step-II: Clinical Skills Examination

NRE Step-II is the Clinical Skills Examination (CSE). The medical CSE is designed in a format similar to an Objective Structured Clinical Examination (OSCE).

The published medical NRE standard states that the CSE assesses essential clinical skills, including interpretation of clinical and diagnostic data, formulation of diagnosis, development of management plans, examination skills and key procedural skills.

Think of Step-II differently from Step-I: Step-I asks whether you can apply medical knowledge through MCQs. Step-II asks whether you can demonstrate appropriate clinical reasoning, examination, communication and practical skills in structured clinical stations.

Medical CSE Structure

Discipline Stations Status
Medicine and Allied 7 Mandatory discipline
Surgery and Allied 7 Mandatory discipline
Obstetrics & Gynaecology 2 Mandatory discipline
Paediatrics 2 Additional clinical stations
Ophthalmology 1 Additional clinical station
ENT 1 Additional clinical station
Total 20 CSE

The published structure describes approximately 3 hours and 30 minutes for the CSE including initial briefing, with each station assigned eight minutes and two minutes for changeover.

Mandatory Stations Matter: The medical NRE standard states that candidates must clear all three mandatory stations. A candidate who obtains an aggregate of 60% or above but fails even one mandatory station is declared unsuccessful in the CSE.

Dental NRE Step-I: Theory Examination

The dental NRE has its own theory structure designed around the BDS curriculum. The published PM&DC dental NRE document specifies 200 MCQs.

Dental Discipline MCQs
Science of Dental Materials 15
Pharmacology, including Dental Therapeutics 10
Community and Preventive Dentistry 15
General Surgery 5
General Medicine 5
Periodontology 20
Oral Medicine, Diagnosis & Radiology 25
Operative Dentistry, including Paediatric Dentistry & Endodontics 45
Prosthodontics 25
Oral Surgery 25
Orthodontics 10
Total 200

Dental NRE Step-II: Clinical Skills Examination

The dental CSE is also structured similarly to an OSCE and evaluates clinical interpretation, diagnosis, treatment planning, examination and relevant procedural skills.

Under the published 2024 dental NRE structure, the CSE is divided into two sessions with 15 stations in Session-I and 3 stations in Session-II.

Area Session-I Session-II
Professional & Multidisciplinary Skills 5 —
Periodontology 2 —
Operative Dentistry, Endodontics & Paediatric Dentistry 2 1
Prosthodontics 2 1
Oral Surgery & Oral Medicine 2 1
Orthodontics 1 —
Medical & Dental Emergencies 1 —
Total 15 3

PMDC NRE Passing Criteria

Under the published NRE 2024 standards, candidates must pass the theory and CSE components separately.

Component Minimum Criterion
NRE Theory 60%
Medical CSE 60% plus required mandatory-station performance
Negative marking None under the published standard

What Does 60% Mean in the Theory Paper?

For a 200-question theory paper, 60% corresponds mathematically to 120 correct answers out of 200. However, candidates should understand that the official standard also refers to the Angoff method for standardisation. Therefore, candidates should always rely on the officially published result and examination rules rather than treating a simple raw-score calculation as a guarantee of how a particular session will be processed.

Do not confuse subject weightage with separate passing marks. The published medical NRE standard specifies a 60% minimum pass percentage for the theory component. The 30% basic-sciences and 70% clinical-sciences distribution describes the composition of the paper; it should not automatically be interpreted as two separate passing examinations.

What Happens If You Fail the NRE?

The published medical NRE standard provides specific rules for candidates who pass theory but do not pass the CSE.

  • A candidate who passes the theory component but fails the CSE can reappear in the CSE component.
  • If a candidate fails the CSE in three consecutive attempts, the published standard requires the candidate to appear in both the theory and CSE components on the fourth attempt.
  • The same three-attempt cycle applies again according to the published standard.
Practical implication: Passing Step-I is important, but it does not mean the entire NRE has been completed. Candidates should begin clinical-skills preparation before reaching Step-II rather than treating the CSE as an afterthought.

How Long Is the NRE Theory Pass Valid?

The published medical NRE 2024 standard states that a passed theory component remains valid for five years from the date of passing the theory examination. The CSE must be passed within that period.

If the candidate repeatedly fails the CSE according to the rules described above, the requirement to retake the complete NRE can also affect the validity and progression of the examination pathway.

PMDC NRE 2026 Examination Dates

PM&DC published a 2026 NRE schedule on April 1, 2026. According to that official schedule, the two NRE sessions are arranged as follows:

Step First 2026 Session Second 2026 Session
NRE-I 17 May 2026 11 October 2026
NRE-II 27–28 June and 4–5 July 2026 28–29 November and 5–6 December 2026
Current registration status: As of September 25, 2026, the official NRE examination portal shows that registration for the October 2026 NRE Step-I session is closed and lists September 15, 2026 as the last date to apply. The October Step-I examination is scheduled for October 11, 2026 according to the published annual schedule.

The dates above are the published examination schedule, not a promise that every future session will follow the same dates. PM&DC can issue revised notices, so candidates should check the official portal before relying on a date.

How to Register for PMDC NRE

NRE registration is carried out through the official PM&DC examination portal. The portal provides account creation and examination registration functions for eligible candidates.

Step 1: Check Your Eligibility First

Before creating an application, verify that your foreign qualification, institution and PM&DC registration status meet the applicable requirements.

Step 2: Create an NRE Portal Account

The NRE portal's account-creation page asks candidates for information such as name, father's name, identification details, mobile number, graduation type, doctor type, email address and password.

Important: The NRE portal specifically warns applicants to enter valid information because information entered during sign-up may not be changeable afterward. Check your personal and identification information carefully before submitting it.

Step 3: Complete the Application

After creating an account, complete the relevant examination application according to the instructions displayed on the portal.

Step 4: Upload Required Information or Documents

Use the document requirements shown by PM&DC for the specific examination session. Requirements can differ according to the candidate's circumstances, qualification and registration status.

Step 5: Submit the Application

Review every field before final submission. Incomplete or incorrect applications may create delays or may be rejected under the applicable examination notice.

Step 6: Monitor the Official Portal

After applying, regularly check the official NRE portal and PM&DC announcements for registration confirmation, admit card or roll-number information, examination-centre information, changes in schedule and result announcements.

Documents and Information Candidates Should Prepare

The exact document list should always be taken from the examination notice and application portal for the relevant session. As a practical preparation checklist, candidates should keep their core identification, academic and PM&DC registration information organised.

  • Valid identification information used for the PM&DC account
  • Foreign medical or dental degree information
  • Academic records and supporting qualification documents
  • PM&DC provisional registration/licence information where applicable
  • Recent photograph in the required format
  • Valid email address and mobile number
  • Any verification, equivalence or institutional documents specifically requested by PM&DC
  • Payment information or proof where required by the relevant application process
Best practice: Do not prepare a document list from an old NRE registration cycle alone. Always compare your documents with the instructions for the specific session in which you are applying.

How to Prepare for NRE Step-I

A strong NRE Step-I preparation plan should combine conceptual revision, clinical reasoning, question practice and error analysis. Memorising isolated facts without understanding how they affect diagnosis and management is unlikely to be an efficient approach for a clinically oriented licensing examination.

1. Start With the Official Syllabus

Download the official PM&DC NRE syllabus and use it as your master checklist. Divide your preparation into basic sciences and clinical sciences for medical candidates, or into the published dental disciplines for BDS candidates.

2. Prioritise High-Weight Areas

Use the official distribution to allocate study time. For medical candidates, Medicine and Surgery have the largest individual allocations in the theory paper. This does not mean other disciplines should be abandoned; rather, the weightage can help you organise revision time rationally.

3. Study Through Clinical Cases

For each major topic, ask yourself:

  1. What is the most likely diagnosis?
  2. What findings support the diagnosis?
  3. What are the important differential diagnoses?
  4. Which investigation should be performed?
  5. What result would I expect?
  6. What is the immediate management?
  7. What is the definitive management?
  8. What complication must not be missed?

4. Practise MCQs Actively

Do not simply count how many questions you answered. After each practice session, classify your mistakes:

  • Knowledge gap
  • Misread question
  • Confused two similar conditions
  • Incorrect interpretation of investigation
  • Management error
  • Changed a correct answer without justification
  • Time-management problem

5. Build an Error Notebook

Write down recurring mistakes and review them regularly. An error notebook is especially useful during the final revision period because it focuses your attention on areas that repeatedly cause problems.

How to Prepare for NRE Step-II CSE

The CSE requires a different preparation method from MCQ preparation. Reading textbooks alone does not adequately simulate a station-based examination.

Practise a Consistent Clinical Sequence

For history-taking and examination stations, practise a standard sequence so that you do not waste time deciding what to do next.

A useful general approach is:

  1. Introduce yourself appropriately.
  2. Confirm the patient or simulated-patient details.
  3. Explain what you intend to do.
  4. Obtain consent where appropriate.
  5. Perform the relevant history or examination systematically.
  6. Communicate your findings clearly.
  7. Interpret the relevant information.
  8. State your likely diagnosis or differential diagnosis when asked.
  9. Explain the appropriate management or next step.
  10. Close the interaction professionally.
Important: The sequence above is general preparation guidance, not an official PM&DC station script. The actual station instructions and marking criteria should always be followed on examination day.

Practise With a Timer

Because the published medical CSE allocates limited time to each station, practise completing tasks within the available time. Ask a colleague to act as the patient or examiner and provide only the information that a station would normally reveal.

Practise Speaking Out Loud

Silent preparation is not enough for a practical examination. Candidates should practise explaining:

  • What they are doing
  • Why they are doing it
  • What they have found
  • What the findings mean
  • What they would do next

Illustrative Example: Medical NRE CSE Station

The following is a fictional illustrative example created only to demonstrate how a candidate might practise clinical reasoning. It is not an actual PM&DC examination station and should not be treated as a leaked or predicted question.

Illustrative Example

Scenario

A simulated patient presents with shortness of breath. You are asked to take a focused history and explain your initial clinical approach.

A Strong Candidate Approach

  1. Introduce yourself and confirm the patient's identity.
  2. Ask when the breathlessness started.
  3. Clarify whether it is sudden or gradual.
  4. Ask about chest pain, cough, fever, wheezing and sputum.
  5. Ask about relevant past medical history.
  6. Ask about medication use and allergies.
  7. Identify important risk factors.
  8. Summarise the key findings.
  9. State the major differential diagnoses.
  10. Explain what examination and investigations would be appropriate.
  11. Identify any red flags requiring immediate management.

The purpose of this example is to demonstrate structured clinical reasoning, not to provide a memorised answer.

NRE Study Plan: A Practical Approach

There is no single study timetable that works for every candidate. A practical plan should depend on your starting knowledge, available study time and previous examination performance.

Phase Main Objective Suggested Activities
Phase 1 Syllabus coverage Review major subjects and identify weak areas.
Phase 2 Concept consolidation Study difficult topics and connect basic science with clinical practice.
Phase 3 Question practice Complete timed MCQ blocks and analyse errors.
Phase 4 Integrated revision Revise high-yield concepts and repeatedly missed areas.
Phase 5 Exam simulation Practise full-length timed papers and review performance.
Phase 6 Final revision Use concise notes, error logs and official syllabus checklists.

Common NRE Preparation Mistakes

1. Studying Only From Recalled Questions

Past recalls and practice questions may help identify common concepts, but relying exclusively on recalled questions can leave major syllabus areas unprepared.

2. Ignoring Basic Sciences

Medical candidates sometimes concentrate heavily on clinical subjects and neglect applied basic sciences. The official medical theory structure allocates 60 questions to the applied basic sciences.

3. Treating Surgery as a Memorisation Subject

Surgery requires understanding presentation, examination, investigations, indications, contraindications, complications and management principles.

4. Preparing for CSE at the Last Minute

Clinical skills improve through repetition. Candidates should practise examination sequences, communication and clinical reasoning before the CSE period.

5. Ignoring Mandatory CSE Requirements

Medical candidates must understand the mandatory-station rule instead of assuming that an overall score of 60% automatically guarantees a pass.

6. Using Outdated Rules

NRE policies have changed over time. Information from older NLE or NRE cycles should not automatically be treated as the current rule.

7. Relying on Social Media for Official Dates

Social-media posts can be useful for discussion, but the final authority for registration windows, examination dates and regulatory requirements should be the official PM&DC announcement and examination portal.

NRE vs NLE: Are They the Same?

Students sometimes search for the examination using the older term NLE, while the current official examination is referred to as the National Registration Examination (NRE) under the PM&DC framework.

For current applications and official communication, candidates should use the terminology appearing on the PM&DC website and NRE portal rather than assuming that information from older NLE material is still applicable.

Important: If you find an old article using the terms NLE, PMC or an older passing threshold, check the date and compare the information with the current PM&DC rules before relying on it.

What Is the Role of NUMS in NRE?

PM&DC has stated that the National University of Medical Sciences (NUMS), Rawalpindi, has been entrusted with conducting the NRE. A January 2026 PM&DC press release stated that NUMS is responsible for examination-related functions including paper setting, examination conduct, evaluation, compilation and declaration of results for NRE Step-I.

PM&DC remains the regulatory authority, while the examination is conducted under the arrangements described by PM&DC.

How to Check NRE Results

Candidates should use the official PM&DC results section or the examination portal when results are announced.

PM&DC maintains an online results area that includes NRE Step-I results. Candidates should avoid relying on unofficial screenshots or social-media announcements when checking their official status.

If You Believe There Is an Error

PM&DC has provided mechanisms for candidates to seek re-totalling in applicable examination sessions. The exact procedure, fee and deadline should be taken from the notice issued for that particular result.

How to Choose an NRE Preparation Strategy

Instead of asking which single book, academy or question bank is "best," evaluate your preparation resources according to what they actually provide.

Resource What It Should Help With
Official PM&DC syllabus Defines the examination scope and subject distribution.
Standard medical/dental textbooks Builds conceptual understanding.
Question banks Develops MCQ reasoning and identifies weak areas.
Timed mock exams Builds speed, endurance and time management.
Clinical practice sessions Develops CSE communication, examination and procedural skills.
Peer practice Provides realistic history-taking and OSCE practice.
Error log Targets recurring mistakes.

NRE Preparation Checklist

Before the examination, use the following checklist:

  • ☐ I have checked my eligibility through official PM&DC information.
  • ☐ I have confirmed that my foreign institution and qualification meet the applicable recognition requirements.
  • ☐ I have reviewed the official NRE syllabus.
  • ☐ I understand the Step-I examination structure.
  • ☐ I know the subject distribution relevant to my discipline.
  • ☐ I have completed sufficient timed MCQ practice.
  • ☐ I have analysed my repeated mistakes.
  • ☐ I understand the CSE structure.
  • ☐ I have practised clinical stations with a timer.
  • ☐ I have practised history-taking and examination sequences aloud.
  • ☐ I understand the medical CSE mandatory-station rule if I am a medical candidate.
  • ☐ I have checked the latest PM&DC examination notice.
  • ☐ I have checked my application and identification information carefully.
  • ☐ I know how and where to obtain my official examination information.

Important Things to Verify Before Applying

Because NRE is a regulatory examination, candidates should verify more than just the examination date.

  • Whether the foreign institution is recognised under the applicable PM&DC framework.
  • Whether your degree nomenclature is accepted.
  • Whether you hold the required provisional PM&DC registration/licence.
  • Whether your personal information is correctly recorded.
  • Whether your examination category is correct.
  • Whether the registration window is currently open.
  • Whether the examination date or centre has subsequently been changed.
  • Whether any new PM&DC notice has changed the applicable requirements.

Why Official PMDC Information Matters

Foreign medical and dental graduates frequently encounter different versions of NRE information online. Some sources discuss earlier NLE arrangements, older passing criteria, previous registration windows or previous examination schedules.

This is why the safest approach is to use unofficial preparation resources for study assistance but use PM&DC for regulatory requirements, official dates, eligibility, examination notices and registration instructions.

Frequently Asked Questions About PMDC NRE

1. What does NRE stand for?

NRE stands for National Registration Examination.

2. Who needs to take the PMDC NRE?

The NRE is relevant to eligible foreign medical and dental graduates who need to fulfil PM&DC's examination and registration requirements for professional practice in Pakistan.

3. How many questions are in NRE Step-I for medical graduates?

The published medical NRE standard specifies 200 MCQs, with 70% from clinical sciences and 30% from applied basic sciences.

4. What is the medical NRE passing percentage?

The published NRE standard specifies a minimum 60% pass percentage for the theory component. The CSE also has a 60% aggregate requirement, together with the mandatory-station requirement.

5. Is there negative marking in NRE?

The published NRE standard states that there is no negative marking in both components.

6. How many stations are in the medical NRE CSE?

The published medical structure specifies 20 stations. Medicine and Allied has seven, Surgery and Allied seven, Obstetrics & Gynaecology two, Paediatrics two, Ophthalmology one and ENT one.

7. Are all medical CSE stations equally important?

All stations contribute to the CSE, but the published medical standard identifies three mandatory disciplines: Medicine and Allied, Surgery and Allied, and Obstetrics & Gynaecology. Candidates must clear all three mandatory stations.

8. Can I take Step-II without passing Step-I?

Under the published medical NRE structure, only candidates who qualify in the theory component are eligible for the CSE.

9. How long is the theory pass valid?

The published medical NRE standard states that the theory pass remains valid for five years from the date of passing, within which the CSE must be passed.

10. What happens after three consecutive CSE failures?

Under the published medical NRE standard, a candidate who fails the CSE in three consecutive attempts must appear in both the theory and CSE components on the fourth attempt.

11. Is the NRE only for MBBS graduates?

No. PM&DC has separate NRE standards for medical and dental graduates. BDS graduates follow the dental NRE structure and syllabus.

12. Where should I check the latest NRE registration dates?

Use the official PM&DC website and the official NRE examination portal. Registration windows can be different from the examination dates and may be extended or changed through official notices.

Official Sources / Official Resources

1. Pakistan Medical & Dental Council — Official Website
https://pmdc.pk/

2. PM&DC — Official NRE Examination Portal
https://nre.pmdc.pk/

3. PM&DC — NRE Medical Standards, Structure & Syllabus 2024
Official Medical NRE Syllabus PDF

4. PM&DC — NRE Dental Standards, Structure & Syllabus 2024
Official Dental NRE Syllabus PDF

5. PM&DC — 2026 NRE Examination Schedule
Official NRE 2026 Schedule Notice

6. PM&DC — Public Announcements
Official PM&DC Public Announcements

7. PM&DC — Press Release on NRE Standards and Conduct
Official NRE Press Release

Final Thoughts

The PMDC NRE should be approached as a professional licensing examination rather than simply another university test. The most important first step is to establish your eligibility and understand the current regulatory requirements. After that, preparation should be based on the official syllabus, the published examination structure and repeated practice.

For medical graduates, the theory paper contains 200 MCQs divided between applied basic sciences and clinical sciences, while Step-II uses a 20-station clinical skills format with mandatory disciplines. Dental graduates follow a separate 200-MCQ theory structure and a dental CSE covering professional, clinical and procedural skills.

The strongest preparation strategy is therefore balanced: understand the syllabus, build clinical reasoning, practise questions under timed conditions, analyse mistakes and prepare deliberately for the clinical examination. Most importantly, verify every time-sensitive requirement directly through PM&DC because examination dates, registration windows and administrative rules can change.

MY TRKHAN

Learn. Prepare. Achieve.

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Disclaimer

This article is provided for general educational and informational purposes only. PM&DC rules, eligibility requirements, examination schedules, registration procedures, fees, documents, licensing pathways and other regulatory requirements may change. While this guide has been prepared using official PM&DC information available at the time of publication, candidates should verify important and time-sensitive information directly through the official PM&DC website, official NRE portal and the latest examination notices before applying, travelling or making financial decisions.

MY TRKHAN does not represent PM&DC, NUMS or any other examination authority and does not guarantee examination results, registration approval or licensing.

MUHAMMAD Taimur Khan
Founder & Editor, MY TRKHAN

Muhammad Taimur Khan is the founder and editor of MY TRKHAN, an educational platform covering scholarships, admissions, study abroad, academic opportunities, exams, and student resources. MY TRKHAN provides practical and research-based guidance to help students make informed academic decisions.

MY TRKHAN — Learn. Prepare. Achieve.
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