The FMGE June 2026 exam is being called one of the toughest in recent years, with a difficulty level students are describing as "top notch." In the middle of that difficulty spike stands the story of Dr. Vanshika Thakur, a student who had every reason to lose confidence after her first attempt, but instead used it as the turning point of her preparation.
Speaking with Dr. Sudha Sitaram, Faculty of Ophthalmology on the PW MedIQ platform, Vanshika walked through the exact journey that took her from a heartbreaking score to a cleared exam.
Vanshika didn't wait until after graduation to start her FMGE prep. She completed her MBBS from Bishkek in 2025, but her FMGE journey had already begun years earlier, right from her college years.
"Ma'am, actually, right from the college itself I studied there. There were also online classes; you also attended our college, so I joined that also, and it was like I started from third-fourth year itself."
Starting preparation during MBBS helped Vanshika build a strong foundation. However, her first attempt taught her that concepts alone aren't enough without exam temperament and revision.
In her first attempt, Vanshika scored 148, a result she describes simply as devastating. She hadn't expected it at all.
"Mam, I didn't expect ki mera nahi hoga. I was like, mera toh hona hi hai. Then, after the result, I was so devastated, and I don't know where to talk, whom to talk to."
Looking back at what went wrong on exam day itself, she points to something every student can relate to - a single bad day undoing months of preparation.
"Mam, us din thoda tensed out ho gayi, panicked, aur thodi tabiyat bhi kharab si thi. Us din se bahut hi kharab ho gaya din, matlab it was not my day actually."
It wasn't a lack of knowledge that hurt her that day - it was nerves, an off day, and a paper that didn't go her way. But rather than dwelling in that disappointment, she gave herself a short window to process it before getting back to books.
"Then I just shifted... maine exam ki taiyari shuru kar di thi waise hi, uske baad hi result aaya, phir kuch paanch-das din baad hi I just continued."
That five-to-ten-day pause - to talk to people close to her, clear her head, and reset - became the bridge between her setback and her comeback.
Once she was back in preparation mode, Vanshika leaned heavily into PW's MedIQ resources - not randomly, but with a structured, topic-first approach. Her method was simple: study a topic, then immediately test it.
"Mam, actually I used to do whatever topic I had just read; I just used to solve the Qbank on the same topic the same day itself... after a few days I used to make customs, like tags of a like PYQ only, and sometimes I used to add clinical also, because nowadays clinical is also maximum, question clinical hi the is baar."
Her daily practice volume grew steadily over the course of her preparation - starting small and scaling up as her confidence built.
"Ma'am, it was like, sometimes I used to... from the start I started with 100, 150, then also 200, 300, and also 400 also."
Every wrong question in the Qbank was treated as a lesson, not just a mistake to move past.
"Ma'am, I just read the explanation only, ma'am. I knew that topic, but I just thought I just shifted to my notes also; whatever I just did mistake, I just shifted to that also."
Grand Tests played their own role - not just as scorecards, but as a way to manage time pressure and stay exam-ready mentally.
"Mam, for time management also, for the concept - sometimes we used to get new questions so that we won't be panicked at the time that we are giving exam. They are so much helpful."
The FMGE Predictor series became her final consolidation tool. She didn't rely on the videos as much as she relied on solving the book itself, cover to cover.
"I didn't watch the videos, just I guess one video I just watched, but earlier I just have solved most of the book…there was two parts and one was fully completed by me and the second, it was like half."
She had her own system for flagging what she was likely to forget - highlighting tricky questions and coming back to them right before the exam.
"Mam, some questions were easy and some questions are moderate, and some mam I used to highlight the question - whatever I just felt that I would forget that thing, then I just, during the exam, before the exam, I just shifted like - yes mam, I scroll through this."
She also credited her teachers by name for how closely the questions aligned with what was taught in class.
"I would like to thank you - top the question, basically similar to your theory."
"They were easy questions also... a few questions that are from out of the box and some are we know all, and I just - I would like to thank Prasanna sir, Siraj sir also, and also Rajeev sir also, Sachit sir."
For subjects she felt less confident in, she turned to marathon-style revision videos to consolidate everything quickly.
"Kuch subjects ka aapka dekha hai, aur ENT ka dekha tha aur ek Gynae ka dekha tha... woh toh pseudo confidence hota hai ki aapne padh liya hai, toh uske baad thoda confidence aata hai."
In her last 10 days before the exam, Vanshika combined two approaches depending on the subject - watching quick revision videos for topics she was likely to forget, and flipping through her own notes for the rest.
"Ma'am, some used to read the notes and some used to watch the video. I was like both mam - jo jo subject mujhe lagte the ki mujhe thode yaad nahi rahenge, toh main unki woh laga deti, one-shot job ke bhi dekha hai maine, aur baaki kaafi subject ke toh main unke notes ko aise flip karti thi."
Exam day itself came with its own unexpected challenge - conditions completely outside her control.
"Mam, actually exam wale din aapko bahut confidence rakhna chahiye. First of all, second of all, aapki jo conditions hongi woh aapke according nahi hongi. Us din main gayi wahan pe AC nahin tha, it was like cooler aur cooler aur pankha tha. Usmein mam hawa bhi nahi aa rahi thi, it was like sweating, sweating, but we have to study."
Instead of letting that rattle her, she went in with a mindset she now passes on to every junior preparing for FMGE - accept that no one knows everything, and don't let the unknown questions shake your confidence in the ones you do know.
"Toh maine jitna ho sake, maine aisa kiya tha ki jo bhi question aayega main uspe dhyaan doongi, jo question nahi aata kisi ko bhi nahi aata. Toh maine bas wahi mark kiya jo mujhe lag raha tha. Matlab darna nahi hai kyunki saare question kisi ko nahi aate, kisi ke 300 nahi aayenge."
Vanshika is clear that today's FMGE is not an exam you can clear with last-minute cramming or one-liners. The paper has shifted toward concept-heavy, clinical-heavy questions - and her preparation reflected that shift.
"Ma'am, actually aajkal aisa nahi raha hai ki one line question de denge; it was like it's conceptual, we have to study the whole, kyunki main have watched the main videos also in my college times also. So it was like main have the concepts, but main have to just replenish my concepts. So main just watch the videos again, and we have to study again and again. Matlab mere last one month mein fourth revision ho gaya tha mam."
That single line - a fourth revision in her final month - captures the entire philosophy behind her comeback: start early, build concepts in college, revise relentlessly, and trust that repeated practice is what finally sticks.
From a heartbreaking 148 to clearing one of the toughest FMGE papers in recent memory, Dr. Vanshika Thakur's journey is proof that one bad attempt doesn't define the outcome - it's what you do in the days and months after it that does. For every FMGE aspirant currently sitting with a disappointing score, her story is a reminder: pick yourself up, get back to your books, and trust the process - because it works.