Saudi Medical Licensing Examination (SMLE): A Complete Guide
Enests
April 9, 2025
Saudi Medical Licensing Examination (SMLE): A Complete Guide

The Saudi Medical Licensing Examination (SMLE) is a mandatory online prometric exam for medical graduates who wish to practice as a physician in the Kingdom of Saudi Arabia. This exam is conducted by a governing body by the name of The Saudi Commission for Health Specialties (SCFHS).This exam aims to assess the competence of the candidate competency and his/her readiness to provide an effective and safe health service. Whether you are a local health graduate or an international health professional with the aim to aim to work in The Kingdom of Saudi Arabia, understanding the syllabus, structure, and preparation strategies for the SMLE is vital.

What is the SMLE?

The SMLE is a standardized examination procedure designed by SCFHS in order to evaluate a medical graduate of clinical knowledge and decision-making skills. Passing SMLE is a mandatory requirement for obtaining a practicing medicinelicensein The Kingdom of Saudi Arabia. The format of the exam follows a multiple-choice format which is aligned with international standards to ensure the competency and the quality of medical professionals.

Who Needs to Take the SMLE?

The SMLE is a mandatory requirement for:

• Medical graduates from the Kingdom of Saudi Arabian universities seeking medical licensure.

• International medical graduates (IMGs) who wish to practice inside the Kingdom of Saudi Arabia.

• Foreign-trained doctors applying for residency programs inside the kingdom.

SMLE Exam Structure

The SMLE consists of 300 multiple-choice questions (MCQs), which are divided into three sessions.

The questions assess various

-Medical disciplines

-Clinical skills, and

-Professional judgment.

This exam is computer-based, conducted at designated Prometric testing centers in side Saudi Arabia and other worldwide locations.

Exam Duration

The SMLE is conducted on a single day with three sessions, each session is composed of100 MCQs/questions.

Allocated time for the exam is 6 hours, with scheduled breaks. Format of the Questions

• Each question presents a clinical scenario with multiple answer choices.

• Candidates must select the most appropriate answer based on his/her knowledge ,clinical reasoning and evidence-based skills.

• The exam follows the single-best-answer (SBA) format, there is only one correct response for each MCQ.

Breakdown of SMLE Syllabus

The SMLE syllabus covers all major disciplines of medicine.

The distribution of questions is as follows:

  1. Emergency Medicine: 8%-10%

  2. Internal Medicine: 18%-20%

  3. Surgery: 12%-14%

  4. Obstetrics and Gynecology: 10%-12%

  5. Pediatrics: 12%-14%

  6. Family Medicine: 10%-12%

  7. Ophthalmology, ENT, and Dermatology: 6%-8%

  8. Psychiatry and Behavioral Sciences: 6%-8%

  9. Public Health and Ethics – 5%-7%

Each question is formatted in order to assesse candidate’s ability to diagnose, manage, and treat patients in an effective, ethical way with professional guidelines.

Eligibility Criteria for SMLE

To register for the SMLE, candidates must meet the following requirements:

• Recognized medical degree (MBBS or equivalent) from an accredited institution.

• Completion of one year internship (for local graduates).

• Dataflow and the SCFHS accreditation of all the educational certificates of International Medical Graduates (IMGs)

How to Apply for the SMLE

Step 1: Create an SCFHS Account

Visit the Saudi Commission for Health Specialties (SCFHS) website.LINK FOR SCFHS MAMARIS PLUS: SIGN UP Here

• Register for an account and submit the necessary documents.

Step 2: Credential Verification

• International candidates must go through the DataFlow process to verify their medical degrees and experience.

• Upload required documents such as medical degree, internship certificate, and passport copy.

LINK FOR DATAFLOW:

Step 3: Exam Registration

• After verification, candidates can register for the upcoming exam through the portal of SCFHS Mumaris Plus.

• Select an exam date and location. Of your own choice.

• Exam fee, ranges from SAR 1,100 to SAR 1,300. Pay on line.

Step 4: Schedule the Exam

• The SMLE is conducted at Prometric testing centers.

• Candidates should book their exam slots in advance because of limited available seats.

SMLE Preparation Tips

1. Understand the Exam Format

Candidate must familiarize them with the style and topicsof the examination by reviewing past papers and sample papers.

2. Use Recommended Study Resources

Some of the best available study materials for SMLE preparation learning material includes:

• Toronto Notes

• First Aid for the USMLE Step 2 CK

• Kaplan Medical Series

• UptoDate and Medscape for recent clinical guidelines

• SCFHS Blueprint and Official Guidelines

3. Practicing Question Banks

Online question banks such as UWorld, Pastest, and Lecturio are recommended for practicing high-yield questions.

4. Take Mock Exams

Simulating real exam situation with Mock tests help candidates to improve their confidence and time management.

5. Study Groups

Collaborating with other students who are preparing for the prometric exam through study groups or online forums can enhance learning experience and provide positive motivation.

Passing Score for SMLE

The passing score for SMLE is atleast 560 out of 800. However, this score is subject to a change based on the difficulty index and scoring system by SCFHS.

What Happens After Passing the SMLE?

After passing the exam

1. Apply for Licensing:

Candidates apply for a medical SCFHS license through the portal of SCFHS Mumaris Plus.

2. Residency Application (for IMGs):

Those aiming for a residency program inside the Kingdom of Saudi Arabia can apply through the Saudi Matching Program (Tawteen or Mumaris Plus).

3. Medical Practice:

Candidates can start their practice in hospitals or clinics all over the kingdom after obtaining the license.

Conclusion

The SMLE is a crucial step for health professionals seeking licensure in the Kingdom of Saudi Arabia. Thorough understanding of the format of exam, well-structured study plan, and diligent practice is the key to the success. By preparing strategically and utilizing authenticated right learning resources, candidates can achieve a high score and peruse their medical careers in the Kingdom of Saudi Arabia.

For the latest updates and guidelines, visit the official SCFHS website.

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