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Final year MBBS and NEET PG: doing both at once

Final year brings Medicine, Surgery and OBG, the three subjects 2026 candidates rated heaviest, along with Paediatrics, five shorter subjects and your own university exam. Here is how recent toppers used the year, how to handle each subject, and when to sit your first Grand Test.

9Subjects in the final prof, allied ones included
83.7%PrepLadder 2026 survey respondents who rated OBG heavily weighted
AIR 12024 topper who began GTs at the start of final year
180Questions in NEET PG 2026

Updated October 2026 · Built from topper interviews, student resource videos and 2025–26 exam analyses

What this year is for

What final year is for, and how much NEET PG fits into it

Final year (Phase III Part II in the newer curriculum) teaches General Medicine, General Surgery, OBG and Paediatrics. Psychiatry and Dermatology are examined inside Medicine Paper 2, and Orthopaedics, Anaesthesiology and Radiodiagnosis inside Surgery Paper 2: nine subjects, one university exam.

Three of them are NEET PG's heaviest subjects. ReflexPrep's 2026 estimates, built from earlier papers and scaled to 180 questions, put Medicine at about 24–28 questions, Surgery at 18–22, OBG at 14–18 and Paediatrics at 8–12, more than a third of the paper before the short subjects are added. In PrepLadder's survey after the 2026 exam, OBG, Medicine and Surgery were the subjects candidates most often called heavily weighted. All such counts are estimates and vary between analyses.

This is the year many toppers did their main pass of the clinical subjects; DocTutorials' page on the 2025 toppers says most successful candidates prepare in final year or internship. Your university exam still comes first, and its long cases, viva and spotters are not something MCQs rehearse. If you feel late, INI-CET AIR 1 Dr Netresh Sharma, a self-described late starter, tells final-year students there is ample time and “you have not lost the game”.

Subject by subject

The nine final-year subjects and how to study each

Each card opens the full subject guide: question estimates, high-yield topics and the teachers students name.

The four major subjects: what to read for each exam
SubjectUniversity examNEET PG focus this year
MedicineDavidson's, with Harrison's to look things upOne system at a time with its Qbank; ECG tracings, stroke and seizures, DKA and thyroid emergencies
SurgerySRB's Manual or Bailey & Love; S Das for clinical methodsTrauma (ATLS), acute abdomen, breast, thyroid, hepatobiliary; CT, X-ray and specimen images
OBGDC Dutta's obstetrics and gynaecology textbooksPPH sequence, pre-eclampsia and magnesium sulphate, partograph and Bishop's score, contraception, scan timing
PaediatricsGhaiMilestones, the national immunisation schedule, neonatal jaundice, NRP; milestones may come as video questions

Textbooks from 2026 book lists (Medioks, DigiNerve); topics from PrepLadder's 2026 high-yield lists and recalls of the 2026 paper.

Revise a system's Pathology and Pharmacology in the same week as its Medicine; Marrow's review of INI-CET 2026 describes cases that combine all three in one question. Give OBG generous time too: DBMCI's analysis found it had the most questions of any subject in 2025.

The five short subjects. PrepLadder's January 2026 list expects roughly 5–10 questions each from Psychiatry, Dermatology, Orthopaedics, Anaesthesia and Radiology, and Dr Sahed (AIR 13, NEET PG 2025) told PrepLadder not to ignore short subjects such as Psychiatry and Anaesthesia. Two are picture subjects: about half of Dermatology questions use images, and PrepLadder's July 2026 radiology guide suggests 15–20 minutes of image drills each night.

A week that works

A weekly routine around postings, lectures and tests

Final-year days are full, so this routine runs in small blocks around the loop Cerebellum suggests: watch one topic, make short notes, solve its MCQs, revise within 48 hours.

  1. On the ward: see it, read it

    Read up on one patient from the day that evening, a tip from PrepLadder's older final-year guide. Dr Ravi Bansal (AIR 5, NEET PG 2024) went through Marrow's Pearls even during his postings.

  2. Each session: watch, mark up, solve

    One topic of the subject you are posted in. Annotate the notes as you watch, then solve that topic's questions the same day.

  3. Within 48 hours: revise

    Re-read the topic and copy every wrong answer or new fact into your notes, as the 2026 AIR 1 did with his Qbank.

  4. Daily, 20–30 minutes: older subjects

    Careers360 says this much keeps subjects such as Anatomy, Physiology, ENT and Ophthalmology from slipping. A short PYQ set does it.

  5. Weekends: test and tidy

    A subject test or a PYQ block on the week's topics, then update your mistake notebook.

  6. Monthly at first: a Grand Test

    Five sections of 36 questions in 42 minutes each, analysed the same day. Dr Naisargee Raval (AIR 4, NEET PG 2024) began with one a month and added more near the exam.

Before the university exam, give long cases, viva and spotters their own weeks and keep only the daily questions running. Resume the routine once it is over.

Platforms, books, Qbank, GTs

Resources at this stage: what students and toppers used

One main platform, borrowed extras

Most toppers keep one main platform for lectures, notes and the Qbank and borrow another provider's tests or revision series, which is why the same rank-holder often appears on several platforms' lists. Marrow is the platform named most in news and portal interviews; PrepLadder's 2025 list features rank-holders who used its Rapid Revision and Qbank; and BTR and Rapid Revision are what students raise most in 3,277 YouTube comments under NEET PG strategy and resource videos (October 2025 to October 2026). The platform comparison sets the courses side by side.

Names students attach to final-year subjects: Dr Deepak Marwah for Medicine, named by Dr Nishid (AIR 11, NEET PG 2025); Dr Thameem Saif's Medicine lectures, paired with Marrow notes in a well-liked comment; Dr Jai Arora's flowcharts for next-step Surgery questions; and the test-and-discussion sessions of Dr Pritesh Singh (Surgery) and Dr Deepti Bahl (OBG), which Dr Sanika Mahar used.

Books, Qbank and previous-year questions

Several toppers built on books first: Dr Vaibhav Garg (AIR 1, NEET PG 2024) started Marrow's Qbank on subjects he had finished from textbooks, and Dr Kavya used only books until final year. Treat early Qbank modules as learning, not scoring, and start previous-year questions now; the DBMCI blog quotes Dr Garg calling a whole Qbank in place of PYQs an unwise plan.

When to start Grand Tests

Earlier than most students expect. Dr Garg began at the start of final year and kept going through internship. Dr Devesh (INI-CET AIR 8, November 2024) also started in final year, as did Dr Naisargi (AIR 19, NEET PG 2025) according to DocTutorials. Dr Sonali (AIR 6, NEET PG 2024) used Grand Tests to see where she stood and to practise timing, not for the marks.

Printing tip. ECGs, skin photographs, X-rays and ultrasound print best in colour; text chapters are fine in black and white. Bind each subject separately so the one you are posted in fits in your bag, and ask for readable type and wide margins, two things one app reviewer of printed coaching notes asked for.
What toppers did

What recent toppers did in their final year

“I completed all the subject videos from Marrow in the final year itself”
Dr Vaibhav Garg, AIR 1, NEET PG 2024 — Careers360 interview · 25 Aug 2024
Covered every clinical subject in final year, videos with the Qbank alongside; the paraclinical subjects waited for internship.
Dr Saikumar, AIR 3, NEET PG 2024 — Careers360 interview · 24 Aug 2024
Read S Das and Bailey & Love for Surgery and made her own notes, having used Marrow in third and fourth year.
Dr Pallakshi, AIR 2, NEET PG 2026 — Careers360 interview · 25 Sep 2026
Used only books until final year, then moved to apps; BTR and weekly Grand Tests came later.
Dr Kavya, AIR 9, INI-CET Nov 2025 — Cerebellum interview
Mainly watched the main videos in college; serious question practice came after internship.
Dr Monish, AIR 1, NEET PG 2026 — Careers360 interview · 28 Sep 2026

Two routes show up. Early starters used final year to finish the clinical subjects and start testing. Later starters built a textbook or lecture base and did the heavy question work afterwards; Dr Monish needed a second attempt, moving from a rank of about 28,000 to AIR 1. Dr Kajal Pathak, AIR 3 in 2026, prepared across final year and internship, according to Udaipur Times.

Avoid

Final-year mistakes toppers and students name

Before internship

Checklist before you start internship

Frequently asked

Final year and NEET PG: questions students ask

When should I start Grand Tests in final year?

As early as the start of final year, which is when the 2024 AIR 1 began; he kept taking them through internship. Others began monthly and stepped up in the last few months. Early tests show you your gaps and give you practice with the 42-minute sections, so don't judge yourself by the score.

For Psychiatry, Dermatology, Orthopaedics, Anaesthesia and Radiology, should I watch main videos or only rapid revision?

Published resource lists lean on revision courses. Dr Sanika Mahar (INI-CET AIR 155) used BTR alone for Radiology and Psychiatry, and Marrow Rapid Revision with BTR for the other three. If you are posted in the subject, watch its main lectures once during the posting, then finish with its PYQs.

Can I prepare for NEET PG and my university exam together?

Yes; the subjects are the same and only the format differs. Keep a daily question habit, read up on the cases you see, and give long cases, viva and spotters their own weeks before the prof.

I'm in final year and haven't started NEET PG preparation. Is it too late?

No. Dr Kavya used only books until final year and later ranked 9 in INI-CET, and Dr Kajal Pathak (AIR 3, 2026) prepared across final year and internship. Start with the subject you are posted in, add its Qbank, and sit an early Grand Test to see where you stand.

Writing notes from every main video is exhausting. Can I annotate printed notes instead?

Yes, toppers have. Dr Soumyaditya (INI-CET AIR 2) marked up his printed Marrow notes while watching and added only the extra points, and Dr Pallakshi underlined and highlighted as she went. Save your own writing for a short notebook of facts you keep getting wrong. To get yours printed, send the PDF on .

Which textbooks should I read in final year?

For the university exam, 2026 book lists most often name Davidson's (Medicine), SRB's Manual or Bailey & Love (Surgery), DC Dutta (OBG) and Ghai (Paediatrics). NEET PG preparation itself ran mostly on platform notes and the Qbank for the toppers in this guide.

Order your final-year notes printout

Send your final-year PDFs on WhatsApp: Medicine, Surgery, OBG, Paediatrics or the short subjects, from any platform or your own handwritten notes. ECG, skin and X-ray pages go in colour, each subject is bound on its own, and we deliver to your hostel or home anywhere in India.

Keep reading

More NEET PG guides

What this page is based on

Topper interviews, student resource videos and comments, book lists and 2025–26 exam analyses, read in October 2026.

  1. Careers360: Dr Vaibhav Garg, AIR 1 2024 — 25 Aug 2024
  2. DBMCI blog: NEET PG 2024 topper — 29 Aug 2024
  3. Careers360: Dr Saikumar, AIR 3 2024 — 24 Aug 2024
  4. Careers360: Dr Pallakshi, AIR 2 2026 — 25 Sep 2026
  5. Careers360: Dr Monish, AIR 1 2026 — 28 Sep 2026
  6. Cerebellum: Dr Kavya, INI-CET rank 9
  7. Cerebellum: Dr Netresh Sharma, INI-CET AIR 1
  8. PrepLadder: NEET PG 2025 toppers' success mantra — 22 Aug 2025
  9. ReflexPrep: subject-wise weightage 2026 — 3 Aug 2026
  10. PrepLadder: NEET PG 2026 exam analysis — 1 Sep 2026
  11. PrepLadder: most expected topics 2026 — 21 Jan 2026
  12. YouTube: Dr Sanika Mahar's resource list — 13 Jul 2026
  13. Medioks: best books for final year MBBS — 23 Apr 2026
  14. Udaipur Times: Dr Kajal Pathak, AIR 3 — 28 Sep 2026