MECEE-PG is the Medical Education Commission’s common postgraduate entrance framework for multiple health-profession programs in Nepal. For applicants, the difficult part is not only the exam paper but also reading the right version of the rules. Search results still show older summaries alongside the revised 2025 official syllabus, and those pages do not always match the current official wording on merit rules or item distribution.
The revised 2025 MEC syllabus is the main source because it defines the paper format, the shared consensus rules, the eligibility criteria for each program group, and the subject weightage for the detailed categories. The MEC ERA portal then fills in the admission-side picture through notices, seat distribution access, login-based application pages, and a public status-check page.
This article is written for applicants who want one verified reference point for MECEE-PG. It focuses on what the official revised 2025 syllabus and the official MEC portal show, and it separates those verified points from items that change by cycle, such as dates, fees, seat matrices, and matching windows. This article is informational only; current MEC notices and institution-level instructions control dates, fees, seat allocation, and enrollment steps.
Summary
MECEE-PG is Nepal’s common postgraduate entrance system under the Medical Education Commission for multiple health-profession programs. The revised 2025 syllabus sets a 200-question single-best-response paper with four options, 3 hours, 0.25 negative marking, and a 50:30:20 Recall-Understanding-Application blueprint. The official merit rule is tied to the 50th percentile rank, while admission continues through official notices, result publication, seat information, and portal-based status checks.
Table of Content
- What is MECEE-PG?
- Which programs does the revised 2025 syllabus cover?
- What are the common official rules for all MECEE-PG papers?
- Who is eligible for each MECEE-PG program?
- What is the official syllabus and weightage by program?
- How does admission work after the exam?
- How should applicants use the blueprint for preparation?
- What causes confusion for applicants?
- Conclusion
- FAQs
Key Takeaways
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The revised 2025 MEC syllabus is the primary source for eligibility, exam pattern, and weightage.
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The official merit rule is based on the 50th percentile rank, not older 50% wording seen on some pages.
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The paper uses 200 MCQs, four options, 3 hours, and 0.25 negative marking.
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One year experience applies in some categories, not across the entire PG system.
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Council registration is generally required, with a stated exception for MPhil Clinical Psychology before course completion.
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The MEC portal shows notices, seat distribution access, login functions, and application-status tracking.
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Some annex-listed programs need live-cycle notice checks for detailed syllabus confirmation.
What is MECEE-PG?
MECEE-PG is the Medical Education Commission’s common entrance framework for postgraduate health-profession programs in Nepal. The revised 2025 syllabus explains that the common entrance system follows the National Medical Education Act 2075 and that MEC took responsibility for the postgraduate entrance examination after its board decision on 18 September 2019. The same document states that the common syllabus was prepared in 2020 through consultation with institutions, expert review, and workshops.
MECEE-PG is one framework, not one identical content paper for every applicant. The rules for paper structure are shared, but the eligibility and subject weightage change by program group. An MD/MS applicant, an MPH applicant, and an MOptom applicant all sit under the same entrance system, yet their detailed content blueprint is different.
Which programs does the revised 2025 syllabus cover?
The revised 2025 syllabus covers eleven detailed categories and also includes an annex of registered postgraduate programs. The detailed categories are MD/MS, MDS, MPH-family programs, MD Ayurveda, Master of Nursing/MSc Nursing/Midwifery, MPharm, MSc MIT, MSc Clinical/Medical Biochemistry and MSc Clinical/Medical Microbiology, MSc in Basic Medical Sciences, MPhil in Clinical Psychology, and MOptom.
Detailed categories in the revised syllabus
The detailed sections provide eligibility, exam format, and subject weightage for each category. That makes the revised 2025 syllabus the most useful official document for applicants who need to match their academic background with the correct entrance paper and subject distribution.
Annex-listed programs that need cycle-specific confirmation
The annex widens the official program picture. It lists MD/MS specialties, MDS specialties, Nursing variants, MPH-family programs, basic medical science streams, and other PG programs such as Master of Pharmacy/MSc Pharmacy, MSc MIT, Master of Optometry, MPhil Clinical Psychology, M.Sc. Clinical Psychology, Master in Physiotherapy, and Master in Medical Physics. The MEC application-status page also shows Master in Physiotherapy and Master in Medical Physics in the visible program list. The revised PDF, however, does not provide a separate detailed weightage table for every annex-listed program, so applicants in those streams should rely on the live-cycle notice or bulletin for the final syllabus file and admission instructions.
What are the common official rules for all MECEE-PG papers?
The common official rules are set out in the revised 2025 MEC syllabus. These rules define the paper type, time, question structure, and merit-list logic across the MECEE-PG framework.
Paper format and scoring
The official paper format is a Single Best Response Type MCQ paper, also described as Type A, with four options for each question. The syllabus states 200 MCQs, 200 full marks, 0.25 mark deduction for each wrong response, and a 3-hour duration. It also says the stem or vignette should not exceed 60 words and the item-distribution ratio should be Recall: Understanding: Application = 50:30:20.
Merit-list rule
The official merit-rule language is percentile-based. In the general consensus section, MEC states that the entrance system uses a norm-referenced testing system with the 50th percentile rank as the qualifying pass mark for inclusion in the merit list. In the program-specific sections, the wording appears again as “upper 50th percentile rank” for eligibility to be in the merit list.
Council registration and exceptions
Professional council registration is generally required for applying to a postgraduate program. The stated exception is MPhil Clinical Psychology, where the general consensus section says professional council registration is done only after completion of the MPhil course.
Who is eligible for each MECEE-PG program?
Eligibility is program-specific and, in some categories, experience-specific. The revised 2025 syllabus should be read category by category rather than assumed across the whole PG system.
MD/MS and MDS
MD/MS requires MBBS or equivalent, registration in the respective professional council of the applicant’s country, and one year experience for Nepalese candidates, except for MDGP and MD/MS in Basic Medical Sciences. MDS requires BDS or equivalent, registration in the respective professional council, and one year experience for Nepalese candidates. Both categories also use the merit-list rule tied to the upper 50th percentile rank.
MPH-family programs, Ayurveda, and Nursing
The MPH-family group accepts MBBS, BDS, BPH, BN/BNS/BSc Nursing, BSc MLT/BMLT, BAMS, B Pharmacy, B Optometry, BASLP, or equivalent, with council registration. MD Ayurveda requires BAMS or equivalent, council registration, and one year working experience for Nepalese candidates. Nursing and Midwifery eligibility is BNS, BMS, BSc Nursing, or BSc Midwifery, with the note that BMS and BSc Midwifery are eligible only for the MSc Midwifery program; council registration and one year experience for Nepalese candidates are also stated.
MPharm, MIT, and lab-science programs
MPharm requires BPharm or equivalent and council registration. MSc MIT requires BSc MIT or equivalent and council registration. MSc Clinical/Medical Biochemistry and MSc Clinical/Medical Microbiology accept a related bachelor’s degree or BSc MLT, BMLT, BSc Laboratory Medicine, MBBS, BDS, or equivalent, along with council registration.
Basic Medical Sciences, Clinical Psychology, and Optometry
MSc in Basic Medical Sciences uses stream-specific degrees. Anatomy and Physiology accept BPT, BMIT, MBBS, BDS, BAMS, or equivalent. Pharmacology accepts BPharm, MBBS, BDS, BAMS, or equivalent. Microbiology accepts BSc Clinical Microbiology, BSc MLT, BSc Laboratory Medicine, MBBS, BDS, BAMS, or equivalent. Biochemistry accepts BSc Clinical Biochemistry, BSc MLT, BSc Laboratory Medicine, MBBS, BDS, BAMS, or equivalent. MPhil Clinical Psychology requires MA/MSc in psychology with clinical or counseling psychology as the special focus and coursework in psychological assessment, psychopathology or abnormal psychology, and counseling or psychotherapy. MOptom requires BOptom, Bachelor of Optometry and Vision Science, OD, BSc Optom, or equivalent, plus council registration.
What is the official syllabus and weightage by program?
The official syllabus is not uniform across all programs. The full marks stay at 200, but the subject mix shifts by category, so preparation should be based on the correct program blueprint.
MD/MS
MD/MS gives 115 marks to clinical subjects and 85 marks to basic medical science subjects. Clinical subjects are Medicine 18, Surgery 18, Obstetrics and Gynecology 12, Pediatrics 12, Orthopedics 10, Otorhinolaryngology 10, Ophthalmology 7, Anesthesiology 7, Psychiatry 7, Radiology 7, and Dermatology 7. Basic sciences are Anatomy 12, Physiology 12, Pathology 10, Pharmacology 10, Biochemistry 8, Microbiology 8, Community Medicine plus Research Methodology 10, Forensic Medicine 5, and mandatory CPD topics 10.
MDS
MDS gives 130 marks to clinical dental science subjects and 70 marks to basic medical science subjects. The clinical side includes Oral Medicine and Radiology 15, Oral and Maxillofacial Surgery 15, Periodontics 15, Conservative Dentistry and Endodontics 15, Orthodontics and Dentofacial Orthopedics 15, Pedodontics and Preventive Dentistry 15, Prosthodontics and Maxillofacial Prosthetics 15, Public Health Dentistry plus Community Medicine and Biostatistics 10, Oral Pathology and Microbiology 10, and Dental Implantology 5. The remaining marks cover Anatomy, Physiology, Pathology, Pharmacology, Biochemistry, Microbiology, Oral Biology, Dental Materials, Forensic Odontology, General Medicine, General Surgery, Anesthesia, and mandatory CPD topics.
MPH-family programs
The MPH-family paper is weighted most heavily toward Biostatistics and Epidemiology, with 30 marks each. Health Promotion and Education and Food and Nutrition carry 20 each, while Research Methodology carries 12. The remaining areas, each at 8 marks, include Basic Medical Science, Demography and Health Informatics, Public Health and Primary Health, Environmental and Occupational Health, Family and Reproductive Health, Global and International Health, Sociology and Anthropology, Public Health Administration and Management, Health System Management, Project Planning/Development/Implementation/Evaluation, and Health Economics and Health Financing.
MD Ayurveda
MD Ayurveda divides the paper into 66 marks for basic Ayurveda medical sciences and 134 marks for clinical subjects. The basic block includes Maulika Sidhanta 10, Shareera Rachna 8, Shareera Kriya 8, Dravyaguna Vigyana 10, Rasa Shastra avam Bhaishjaya Kalpana 10, Roga Vigyana avam Vrikriti Vigyana 8, Swasthavritta 6, and Agadhatantra avam Vyavahara Ayurveda 6. The clinical block assigns 28 each to Kaya Chikitsa and Shalyatantra, and 26 each to Shalakyatantra, Kaumarbhritya, and Prasutitantra avam Striroga.
Nursing and Midwifery
Nursing and Midwifery assigns 106 marks to Nursing Subjects, 20 marks to Integrated Health Science Subjects, and 74 marks to Nursing Core Subjects. Nursing Subjects include Adult Nursing 20, Midwifery 20, Pediatric Nursing 20, Community Health Nursing 20, Psychiatric Nursing 20, and Geriatric Nursing 6. Integrated Health Science Subjects include Anatomy 6, Physiology 4, Pharmacology 4, Biochemistry 2, Microbiology 2, and Pathology 2. Nursing Core Subjects include Educational Science 16, Nursing Concepts and Ethical Aspects 16, Nursing Leadership and Management 16, Social and Behavioral Science 6, and Nursing Research and Biostatistics 20.
MPharm
MPharm spreads 200 marks across 11 areas. Biopharmaceutics and Pharmacokinetics carries 20 marks. Industrial Pharmacy, Physical Pharmacy, Instrumental Analysis, Quality Assurance, Pharmacology and Toxicology, Pharmaceutical Jurisprudence, Pharmacotherapeutic, Clinical Pharmacy, Hospital Pharmacy, and Pharmacy Practice each carry 18 marks.
MSc MIT
MSc MIT is split into Basic Health Science Subjects 70, Core Subjects 80, and Radiological and Imaging Physics Subjects 50. Anatomy and Physiology carries 30, Microbiology/Biochemistry/Pathology/Pharmacology 20, and Biostatistics and Research Methodology 20. Core subjects are Radiographic Technique 20, Fluoroscopic Procedures 20, CT Procedures 20, and MRI Procedures 20. Physics subjects are General Radiography 10, Fluoroscopy 8, CT 8, MRI 8, Ultrasonography 8, and Radiation Protection 8.
MSc Clinical/Medical Biochemistry and Microbiology
This paper gives the largest weight to Biochemistry 50 and Microbiology 50. The remaining marks are Hematology 20, Histopathology 12, Cytopathology 8, General Pathology 10, Anatomy 14, Physiology 16, Basic Pharmacology 8, and Biostatistics and Research Methodology 12.
MSc in Basic Medical Sciences
MSc in Basic Medical Sciences distributes the paper evenly across core sciences. Anatomy, Physiology, Pathology, Biochemistry, Microbiology, and Pharmacology each carry 30 marks, while Biostatistics and Research Methodology carries 20.
MPhil in Clinical Psychology
MPhil Clinical Psychology gives 80 marks to General Psychology, 80 marks to Clinical Psychology, and 40 marks to Research Methods in Clinical Psychology. General Psychology includes Emotion/Motivation/Learning 16, Cognitive processes 16, Developmental Psychology 16, Social/Cross-cultural Psychology 16, and Personality plus major psychological theories 16. Clinical Psychology includes Biological/Physiological Psychology 20, Psychological Testing/Assessment 20, Psychopathology/Abnormal Psychology 20, and Counseling/Psychotherapy 20. Research Methods is split into Qualitative 20 and Quantitative 20.
MOptom
MOptom weightage is Basic Science and Organ Systems 8, Ocular Anatomy and Physiology 16, Physical and Geometrical Optics 10, Visual Science 16, Ocular Disease 16, Diagnostic and Investigative Optometry 20, Ophthalmic and Dispensing Optics 20, Paediatric Optometry and Binocular Vision 20, Contact Lens and Ocular Prosthesis 20, Low Vision and Visual Rehabilitation 20, Community Optometry 10, Geriatric Optometry and Vision Care 10, Research Methodology and Biostatistics 8, and Ethics and Practice Management in Optometry 6.
How does admission work after the exam?
Admission continues through the official MEC portal system after the paper stage. The public ERA pages show notices, a seat distribution section, a syllabus section, login access, and an application-status page.
What the official portal shows
The ERA home page works as the public notice board for the entrance system. On the visible current page, the portal shows public notices and menu links including Seat Distribution, Syllabus, Government School Format, and Login. That structure shows that the entrance paper is only one stage in a larger official workflow.
Merit list, result notices, and seat information
The revised syllabus ties merit inclusion to percentile rank, and the portal carries result and notice updates after the examination. One visible official example is the MECEE-PG 2025 result notice for MPhil Clinical Psychology, MPH, and MSc MIT, published on 16 February 2025. The portal also has a seat distribution section, and search results for that section indicate category-based seat information pages, including foreign applicant sub-categories.
What applicants should keep ready
The official Check Application Status page shows the practical information applicants may need to track an application. The public form asks for nationality, level, program, contact number, date of birth in BS or AD, voucher number last six digits or payment transaction number, and a security code. The visible program list also confirms that applicants should select the correct PG stream at the portal stage, including categories such as MD/MS with experience, MD/MS without experience, MDS, MPH-family programs, Nursing, MD Ayurveda, MPharm, MSc MIT, MPhil Clinical Psychology, MOptom, Master in Physiotherapy, and Master in Medical Physics.
How should applicants use the blueprint for preparation?
Preparation should begin with the official weightage and the common question blueprint. The revised 2025 syllabus gives enough structure for applicants to set priorities without relying on guesswork.
Start with weightage
The first planning step is to allocate time according to marks, not according to habit. An MPH-family applicant should treat Biostatistics and Epidemiology as major scoring areas because together they carry 60 marks. An MSc in Basic Medical Sciences applicant should plan broad coverage because six subjects carry the same 30-mark weight. A Nursing applicant should keep the 106-mark Nursing Subjects block at the center of preparation.
Prepare for the 50:30:20 item mix
The revised official ratio is Recall 50, Understanding 30, and Application 20. That means preparation should include factual revision, conceptual linkage, and question practice that tests applied judgment. Memory alone does not match the full paper design.
Give attention to CPD areas
MD/MS and MDS both include 10 marks from mandatory CPD topics. The general consensus section names medical ethics, basic and advanced cardiac life support, communication skills, rational use of medicines, and infection prevention, while the MDS section also includes medical emergencies in dental practices and practice management in dentistry. Those marks are part of the official blueprint, not an extra note.
What causes confusion for applicants?
Most confusion comes from reading older summaries as if they were current rules. The revised 2025 official syllabus should take priority over older copies and third-party summary pages.
50th percentile rank versus older 50% wording
The revised 2025 official syllabus uses percentile-based wording for merit inclusion. Older search-result pages still repeat “minimum 50% marks” or similar wording. Applicants should rely on the revised official wording when interpreting qualification for the merit list.
Revised 50:30:20 versus older 30:50:20
The revised 2025 official syllabus states Recall: Understanding: Application = 50:30:20. Some older pages still display a different ratio, including 30:50:20. That mismatch is another reason to read the revised official document first.
Programs listed in the annex without detailed tables
The annex and the portal show a wider program environment than the detailed pages in the revised PDF. Master in Physiotherapy and Master in Medical Physics appear in the annex and in the visible portal program list, but the revised PDF does not show a separate detailed weightage table for them. Applicants in those categories should wait for the current cycle’s official notice or bulletin before fixing a study blueprint.
Conclusion
MECEE-PG is easiest to understand in three parts: the shared entrance rules, the program-specific syllabus weightage, and the admission workflow that continues through official notices and portal functions. The revised 2025 MEC syllabus is the main source for the first two parts, while the ERA portal shows how results, seat information, and status tracking fit into the third. For applicants, the sound approach is to read the correct program section in the revised official syllabus and then follow the current MEC notice for cycle-specific instructions.
FAQs
What is MECEE-PG in Nepal?
MECEE-PG is the Medical Education Commission’s common postgraduate entrance examination framework for registered health-profession programs in Nepal. The revised 2025 syllabus shows that MEC developed a common PG entrance system for multiple program groups under one examination structure.
Who is eligible for MECEE-PG?
Eligibility depends on the program. The revised 2025 syllabus lists separate criteria for each group, such as MBBS for MD/MS, BDS for MDS, BAMS for MD Ayurveda, BNS/BMS/BSc Nursing or BSc Midwifery for Nursing and Midwifery, and a wider mix of backgrounds for MPH-family programs, including MBBS, BDS, BPH, Nursing, MLT, BAMS, Pharmacy, Optometry, and BASLP. Most categories also require registration in the respective professional council of the applicant’s country.
What is the official MECEE-PG exam pattern?
The official pattern is a single best response MCQ paper with four options per question. The revised 2025 syllabus states 200 questions, 200 full marks, 3 hours, and a 50:30:20 Recall-Understanding-Application blueprint, with 0.25 deducted for each wrong answer.
How many questions are in MECEE-PG?
MECEE-PG has 200 multiple-choice questions according to the revised 2025 MEC syllabus.
What is the negative marking in MECEE-PG?
The official negative marking is 0.25 mark deducted for each wrong response. That rule appears in the revised 2025 syllabus across the program sections.
What is the MECEE-PG syllabus for MD/MS?
For MD/MS, the paper gives 115 marks to clinical subjects and 85 marks to basic medical science subjects. The main distribution includes Medicine 18, Surgery 18, Obstetrics and Gynecology 12, Pediatrics 12, Orthopedics 10, Otorhinolaryngology 10, Ophthalmology 7, Anesthesiology 7, Psychiatry 7, Radiology 7, Dermatology 7, Anatomy 12, Physiology 12, Pathology 10, Pharmacology 10, Biochemistry 8, Microbiology 8, Community Medicine plus Research Methodology 10, Forensic Medicine 5, and mandatory CPD topics 10.
What is the MECEE-PG syllabus for MPH-family programs?
For MPH, MSc PH, MPHN, MHPE, MPH(HPE), and MPH(PHSM), the heaviest subjects are Biostatistics 30 and Epidemiology 30. Health Promotion and Education and Food and Nutrition carry 20 each, Research Methodology carries 12, and the remaining areas such as basic medical science, demography and health informatics, public health, environmental health, family and reproductive health, global health, sociology and anthropology, administration and management, health systems, project planning, and health economics carry 8 each.
How does MECEE-PG admission work after the examination?
After the exam, admission continues through the MEC Entrance Registration Application portal. The public portal shows application-status tracking, seat-distribution pages, and PG stream selection options, which indicates that applicants move from exam result and merit position into seat information, status checking, and the cycle-specific admission process published by MEC.
Is MECEE-PG one identical paper for all postgraduate programs?
No. MECEE-PG uses a shared exam framework, but the detailed syllabus and weightage change by program category. The revised 2025 syllabus gives separate sections for MD/MS, MDS, MPH-family programs, Nursing, Ayurveda, MPharm, MIT, Clinical/Medical Biochemistry and Microbiology, Basic Medical Sciences, MPhil Clinical Psychology, and MOptom.
Is the official qualifying rule 50 percent marks or 50th percentile rank?
The revised 2025 official syllabus uses the 50th percentile rank for inclusion in the merit list, and the detailed sections repeat the “upper 50th percentile rank” wording. Older web pages may still show 50% wording, but that does not match the revised official document.
Is one year experience required for all MECEE-PG applicants?
No. One year experience is required in some categories, such as MD/MS, MDS, MD Ayurveda, and Nursing, but not in the same form across the whole PG system. MD/MS also states exceptions for MDGP and MD/MS in Basic Medical Sciences.
Does MPhil Clinical Psychology require council registration before applying?
The general consensus section states that professional council registration is required for postgraduate application except for MPhil Clinical Psychology, where registration is done only after completion of the MPhil course.
Are Master in Physiotherapy and Master in Medical Physics part of the MECEE-PG system?
They appear in the annex of the revised 2025 syllabus and also in the visible program list on the official application-status page. The revised PDF, however, does not show a separate detailed weightage table for them in the reviewed pages, so applicants should check the live-cycle official notice or bulletin for the final detailed syllabus.
Download MECEE-PG Syllabus from Here.PDF
