The UPSC CMS 2026 written exam syllabus is entirely based on the MBBS curriculum as prescribed by the National Medical Commission (NMC). Both papers test clinical knowledge across pre-clinical, para-clinical, and clinical subjects.
Paper I Syllabus (Pre-Clinical & Para-Clinical Subjects)
| Subject | Key Topics |
|---|---|
| General Medicine | Cardiology, Respiratory Medicine, Nephrology, Gastroenterology, Neurology, Endocrinology, Infectious Diseases, Haematology, Rheumatology |
| Paediatrics | Neonatal care, Growth & development, Vaccine-preventable diseases, Paediatric emergencies, Nutrition disorders, Congenital abnormalities |
Paper II Syllabus (Clinical Subjects)
| Subject | Key Topics |
|---|---|
| Surgery | General Surgery (Trauma, GI, Hepatobiliary, Vascular), Orthopaedics, Urology, Neurosurgery basics, ENT Surgery, Ophthalmic Surgery basics |
| Gynaecology & Obstetrics | Normal labour, Complications of pregnancy, Gynaecological disorders (PCOS, fibroids, malignancies), Family planning, Neonatal resuscitation |
| Preventive & Social Medicine (PSM) / Community Medicine | Epidemiology, Biostatistics, National Health Programmes (NHP), Environmental Health, Occupational Health, Primary Health Care, Demography, Health Policy |
Detailed Subject-Wise Topic Weightage (Both Papers)
| Subject | Paper | Approx. Questions |
|---|---|---|
| General Medicine | Paper I | 60–70 |
| Paediatrics | Paper I | 55–60 |
| Surgery | Paper II | 55–60 |
| Gynaecology & Obstetrics | Paper II | 40–45 |
| PSM / Community Medicine | Paper II | 40–45 |
Important Preparation Notes
- UPSC CMS questions are clinical scenario-based – not just rote-memorisation of facts
- National Health Programme data (immunisation schedules, malaria, TB, AIDS programmes) is heavily tested in PSM
- Recent MCI / NMC guidelines and evidence-based medicine updates are tested in General Medicine
- Paediatric vaccine schedules (IAP and GoI schedule) frequently appear in both Paediatrics and PSM