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Everything about IMAT

Your complete guide to the IMAT from exam format, updated syllabus, step by step timeline for Non-EU Students and how to register for it.

Your gateway to Medicine in Italy — in English

IMAT stands for International Medical Admission Test. It is a once-a-year exam conducted by MIUR, the Italian Ministry of Education and Research, that gives you entry to study Medicine and Surgery, Dentistry, and Veterinary Medicine in English at Italian public universities. University fees in Italy range between €156 and €1,000 per year for non-European students, making it one of the most affordable medical education systems in the world.

Unlike most countries where you first complete a separate undergraduate degree before applying to medicine, Italy offers single-cycle Master's programmes. This means you go directly from school into a six-year combined Bachelor's and Master's degree. The only requirement to apply is 12 years of completed schooling from any country in the world.

Beyond the low fees, many universities offer regional scholarships that can cover tuition entirely. The degree is fully EU-recognised, valid across Europe and accepted in most countries worldwide including USA, Australia and the UK.

Once/year
Exam frequency
Sept 2026
Next exam
6 years
Degree duration
EU degree
Globally recognised
Courses accessible through IMAT
  • Medicine and Surgery
  • Dentistry
  • Veterinary Medicine

All three are Single-Cycle Master's programmes (Bachelors + Masters in one). Duration: 6 years for Medicine and Dentistry, 5 years for Veterinary Medicine. Degrees are fully EU-recognised.

How the exam is structured

60 multiple-choice questions, 100 minutes, one sitting per year. Each question has 5 answer choices, only one correct.

Subject Questions Max Score Weight
Biology
23 Qs 34.5 pts Highest weighted section
Chemistry
15 Qs 22.5 pts Second largest section
Physics & Mathematics
13 Qs 19.5 pts Combined section
Logical Reasoning
5 Qs 7.5 pts Fewest questions
Reading Skills & General Knowledge
4 Qs 6 pts English comprehension + GK
Total 60 Qs 90 pts 100 minutes
+1.5
Correct answer
−0.4
Wrong answer
0
Unanswered

What you need to study

Full topic breakdown per subject — based on official MIUR guidelines.

This syllabus is based on the official MIUR guidelines for IMAT 2025. The IMAT syllabus remains largely consistent across years. The official 2026 syllabus will be released in July/August 2026. Minor changes may occur.
Biochemistry
  • The chemistry of living things
  • The biological importance of weak interactions
  • Organic molecules present in organisms and their functions
  • The role of enzymes
Cell Biology
  • Basic concept of the cell and cellular theory
  • Cell dimensions
  • Prokaryotic and eukaryotic cells
  • Animal and plant cells
  • Viruses
  • Cell membrane: structure, function, and transport
  • Cell organelles and their specific functions
Cell Cycle
  • Mitosis and Meiosis
  • Chromosome set and mapping
Reproduction
  • Life cycle
  • Sexual and asexual reproduction
Genetics and Inheritance
  • Mendelian genetics: Mendel's laws and applications
  • Chromosomal theory of inheritance and inheritance patterns
  • Structure and replication of DNA, genetic code, protein synthesis
  • DNA of prokaryotes and eukaryotic chromosome structure
  • Genes and regulation of gene expression
  • Human genetics: mono- and multifactorial transmission
  • Autosomal and X-linked hereditary diseases
Evolution
  • The genetic basis of evolution
  • Mutations
  • Natural and artificial selection
  • Evolutionary theories
  • Heredity and environment
Biotechnology
  • Basic concepts of Biotechnology
  • Recombinant DNA technology and its applications
Anatomy and Physiology
  • Animal tissues
  • Digestive, Respiratory, Circulatory, Excretory Systems
  • Reproductive System
  • Neural regulation
  • Chemical regulation (Hormones)
  • Immunity
Bioenergetics
  • ATP — the energy currency of cells
  • Oxidation-reduction reactions in living things
  • Photosynthesis
  • Glycolysis
  • Aerobic respiration
  • Fermentation
Matter
  • Constitution of matter and states of aggregation
  • Heterogeneous and homogeneous systems
  • Compounds and elements
  • Ideal gas laws
Atomic Structure
  • Elementary particles
  • Atomic number and mass number
  • Isotopes
  • Electronic structure of atoms
Periodic Table
  • Groups and periods
  • Transition elements
  • Atomic radius, ionization potential, electron affinity, metallic character
  • Relationships between electronic structure and element properties
Chemical Bonding
  • Ionic, covalent, and metallic bonds
  • Binding energy
  • Polarity of compounds and electronegativity
  • Intermolecular bonds
Inorganic Chemistry
  • Nomenclature and properties of oxides, hydroxides, acids, salts
Reactions and Stoichiometry
  • Atomic and molecular mass
  • Avogadro's number and the mole concept
  • Stoichiometric calculations and balancing reactions
  • Types of chemical reactions
Solutions
  • Solvent properties of water
  • Solubility
  • Concentration: Molarity, Molality, Mole Fraction, Normality
  • Equilibria in aqueous solution
Oxidation, Acids and Bases
  • Oxidation number, oxidants and reducers
  • Balancing redox reactions
  • Concept of acid and base, pH
  • Hydrolysis and buffer solutions
  • Elements of chemical kinetics and catalysis
Organic Chemistry
  • Bonds between carbon atoms and structural formulas
  • Isomerism
  • Aliphatic, alicyclic, and aromatic hydrocarbons
  • Functional groups: alcohols, ethers, amines, aldehydes, ketones
  • Carboxylic acids, esters, amides — nomenclature and properties
Physical Quantities and Measurement
  • Fundamental and derived quantities, unit systems
  • Scientific notation and unit conversions
  • Scalar and vector quantities, vector operations
Kinematics
  • Motion description, velocity and angular velocity
  • Acceleration and centripetal acceleration
  • Rectilinear and accelerated motion
  • Uniform circular motion
  • Harmonic motion
Dynamics
  • Newton's three laws of motion
  • Weight force, elastic force, friction forces
  • Impulse, momentum and conservation of momentum
  • Torque and angular momentum
Work and Energy
  • Kinetic and potential energy
  • Conservative forces
  • Conservation of mechanical energy
  • Power
Fluid Mechanics
  • Density and compressibility of fluids
  • Pascal's, Stevino's, and Archimedes' principles
  • Continuity equation and flow rate
  • Bernoulli equation for ideal fluids
  • Viscous forces in real fluids
Thermodynamics
  • Temperature, heat, and calorimetry
  • Heat capacity and specific heat
  • Changes of state and latent heats
  • Ideal gas laws
  • First and second law of thermodynamics
Electricity and Electromagnetism
  • Electric charges, Coulomb's law
  • Electric field, potential, capacitors
  • Resistivity, resistance, Ohm's law
  • Kirchhoff's laws, Joule Effect
  • Magnetic fields and electromagnetic induction
Numerical Sets and Algebra
  • Natural, integer, rational, and real numbers
  • Operations, properties, proportions, and percentages
  • Powers, radicals, combinatorics
  • Polynomials, factorisation, algebraic fractions
  • First and second degree equations and inequalities
  • Systems of equations
Logarithms
  • Logarithms (base 10 and base e)
  • Properties of logarithms
Functions
  • Domain, codomain, sign, continuity, maxima and minima
  • Algebraic, exponential, logarithmic, and trigonometric functions
  • Composite and inverse functions
  • Trigonometric equations and inequalities
Geometry
  • Polygons, circumference, circle, areas and volumes
  • Angles in degrees and radians
  • Sine, cosine, tangent and trigonometric formulas
  • Cartesian plane: lines, circles, parabolas, hyperbolas, ellipses
  • Pythagorean theorem and Euclid's theorems
Probability and Statistics
  • Frequency distributions and graphical representations
  • Random experiments and events
  • Probability and frequency
What is tested
  • Ability to logically complete an argument consistent with stated premises
  • Problems stated in symbolic or verbal form
  • Abstract problems requiring different forms of logical reasoning
Types of questions
  • Deductive reasoning
  • Inductive reasoning
  • Pattern recognition
  • Verbal logic puzzles
  • Symbolic logic sequences
Reading Skills
  • Understanding abstract, uncommon, or specialised vocabulary in context
  • Identifying textual cohesion and coherence
  • Extracting and inferring specific information from a text
  • Short scientific non-fiction, classic and contemporary fiction, or current affairs texts
General Knowledge
  • Orientation in historical and cultural space and time
  • Knowledge of major national and international institutions
  • Phenomena relating to legal, economic, and citizenship fields
  • General culture including supranational context
  • Topics of contemporary public debate

Step-by-step: IMAT 2026 for Non-EU Students

The Non-EU process involves more steps than EU students. Start early — some deadlines arrive before you expect them.

1
Choose Your University
By end of May

You can only apply to one university per year, so choose carefully. Consider seat count, cutoff history, city, living costs, and connectivity. Universities with more seats in southern cities tend to have lower cutoffs — but cutoffs are never guaranteed and can shift year to year.

Tier 1 — Major Cities
Milan (Statale, Bicocca), Rome (Sapienza, Tor Vergata), Bologna
Tier 2 — Academic + North
Pavia, Parma, Padova, Turin
Tier 3 — Lower Cutoffs
Catania, Messina, Marche/Ancona, Cagliari, Bari, Campania LV, Federico II (Naples)
These tiers are solely based on cutoff history, not academics. The quality of medical education is more or less the same across all Italian public universities. Think about timetables, weather, connectivity, living expenses, and the vibe of the city — you will be living there for 6 years.
2
Pre-Registration / Pre-Enrolment
June – July 2026

Pre-enrolment on the Universitaly website is mandatory for all Non-EU students. Deadlines vary by university — typically June or July. Some universities remain open until the day of the exam.

Mandatory pre-registration (separate from Universitaly) was required for Messina, Marche, and Pavia in 2025. For Messina, a minimum of 70% in your schooling is required to be eligible.

Documents needed for both pre-enrolment and pre-registration:

  • Valid Passport
  • High school certificate proving 12 years of schooling
  • MOI (Medium of Instruction certificate) or IELTS — not compulsory for pre-enrolment but useful. Compulsory for Final Enrolment.
3
Apply for Regional Scholarship
June – August (region dependent)

Regional scholarships can cover tuition fees partially or entirely depending on your income and region. Applications are handled by the regional agency (DSU) of your chosen university's region. Deadlines and requirements vary — check your specific region early.

  • Documents needed: Family composition and income certificate
  • Property certificate
4
Book Your IMAT Slot
Usually first week of September

IMAT slot booking is done on universitaly.it. Your pre-enrolled university should be your first choice university while booking your slot. The booking fee is €120. This is separate from pre-enrolment — both are required as a Non-EU student.

Do not confuse pre-enrolment with slot booking. They are two different steps on the same platform.
5
Sit the IMAT Exam
17 September 2026

The exam takes place on the same day across all exam centres. 60 questions, 100 minutes. Results and rankings are published within a few weeks.

6
DOV / CIMEA — Education Verification
After results

DOV (Dichiarazione di Valore) or CIMEA is an official statement by Italian authorities confirming that your 12 years of education is comparable with 12 years of Italian schooling. This is required for enrolment.

  • DOV — obtained through the Italian Embassy in your country. Free of charge.
  • CIMEA — online alternative, costs approximately €300 (33,000 INR)
7
Student Visa Application
After enrolment confirmation

Once you receive your enrolment confirmation, you apply for an Italian student visa at your local Italian Embassy or Consulate. Key documents include:

  • Cover letter explaining your purpose of study
  • Sponsorship letter — justifying your source of income and funds
  • Financial proof (for Indian students) — approximately €7,000/year × 6 years = €42,000 in demonstrated income and funds
  • Bank statement (last 6 months) — must show healthy, consistent transactions
The bank statement should reflect steady transactions, not a lump sum deposited right before the application. Consulates look at transaction history, not just the balance.

How to register for IMAT

IMAT registration involves two separate steps on the same platform — both are required.

1

Create your Universitaly account

Go to universitaly.it and create an account with your personal details and a valid email address.

2

Complete Pre-Enrolment

Submit your pre-enrolment application for your chosen university. Upload your passport and school certificate. This step is mandatory for Non-EU students and has its own deadline — typically June/July.

3

Book your IMAT slot

Between 2–12 September 2026, return to Universitaly to book your exam slot. Pay the €120 registration fee. Your exam location will be at your pre-enrolled university.

4

Confirm your booking

You will receive a confirmation email with your exam details, date, time, and location. Save this — you will need it on exam day along with a valid photo ID.

Important things to know
  • Pre-enrolment and slot booking are two different steps. Pre-enrolment opens earlier and has an earlier deadline.
  • You can only register for one university per year. Choose carefully — you cannot switch after registering.
  • The €120 slot booking fee is non-refundable. Only pay once you are fully committed to sitting the exam.
  • Some universities have mandatory pre-registration separate from Universitaly (Messina, Marche, Pavia). Check your university's specific requirements.
  • Deadlines change every year. Always verify current dates on the official MIUR and Universitaly websites.

See how Udit did it

Watch Udit's journey from being a pre-medical student to scoring 77.9/90 in IMAT 2024 and getting into Medicine in Italy.

Watch Udit's Journey →