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After an MD in Bulgaria: FMGE or NExT in India, the Indian Internship, or a Career in Europe

An MD from Bulgaria opens two roads. Back in India: the FMGE (to be replaced by NExT), then a 12-month supervised internship and registration. In Europe: the Bulgarian licence and EU recognition of the degree, with the language of each country as the real barrier.

Leonid Kurza, founder of Edumapple

Written by Leonid Kurza, founder of Edumapple
Updated 23 October 2026 · how we check facts

Road one: India

  1. Finish the six-year course, including the 310-day internship year and the state exams.
  2. Obtain proof that you are eligible for a licence in Bulgaria, as the NMC's 2021 rules require.
  3. Pass the FMGE, which NExT is due to replace.
  4. Complete the 12-month supervised internship in India and register with your state medical council.

Prepare for the FMGE from the clinical years: the exam follows the Indian syllabus, which does not match the Bulgarian one subject for subject.

Which Bulgarian medical university fits your NEET score and budget?

We reply by phone or WhatsApp on the next working day. Counselling is free.

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Road two: Europe

A Bulgarian MD is an EU qualification. Doctors who want to work in another EU country apply to that country's authority and pass its language test. Practising in Bulgaria needs Bulgarian and registration with the Bulgarian Medical Association. For specialisation, each country runs its own selection.

Which Bulgarian medical university fits your NEET score and budget?

We reply by phone or WhatsApp on the next working day. Counselling is free.

or WhatsApp us

Road three: other exams

Some graduates prepare for the USMLE in the United States or the PLAB in the United Kingdom. Both are long, expensive routes; start only if you are sure.

Questions about After MD in Bulgaria

What is the FMGE pass rate for Bulgaria?

In 2025, 21 of 73 Bulgarian graduates passed: 28.8%, against 21.5% for all foreign graduates. Results vary widely by university and session.

Can I work as a doctor in Germany after Bulgaria?

An EU degree is recognised in Germany, but you need German at the level required for doctors, usually B2 general and C1 medical, and a licence from the state authority.

Where these facts come from