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The National Exit Test (NExT) is planned to have a nationalised uniform assessment system for Indian medical graduates. This, being a new concept in India, the preparedness of students for such assessment needs to be under consideration. USMLE is a time-tested model in the United States of America. NBME test scores in the USA are intended for summative assessment of medical students and closely mimic the USMLE scores. We propose a model of nationalised formative and summative assessments as a preparedness tool for NExT that can be adapted by the NMC to have uniform and high-quality holistic assessment tools for Indian medical graduates.