Open Day: Your Medical School Journey Starts Here 🎓
Learn about Italian medical school admissions on June 24th Online. Bring your parents along!
24 giugno 2026
10 minuti di lettura

The Public System vs. Private Entry Realities
Core Administrative Differences
Why Apply to Private Medical Schools?
Humanitas University & MEDTEC School
UniSR – Università Vita-Salute San Raffaele
Università Cattolica del Sacro Cuore
UniCamillus (Saint Camillus International University of Health Sciences)
Università Campus Bio-Medico di Roma (UCBM)
How to Choose: Personality & Career Matchmaker
Frequently asked questions (FAQ)
In Italy, entering medical school in English involves choosing between two entirely distinct academic pathways: the public university system and the network of highly reputable private institutions. Each path operates on fundamentally different admission timelines, test structures, and financial frameworks.
For public universities, the admission process is centralized under a single national exam: the IMAT (International Medical Admissions Test). Historically held in September, this unified exam allocates specific, strict quotas for both EU and non-EU candidates across all participating public faculties.
Private universities, by contrast, bypass the IMAT entirely. Each private medical school designs, schedules, and hosts its own independent entrance examination. The most critical advantage of this setup is the timeline: private entry tests are heavily front-loaded into the first quarter of the year, usually taking place between January and April.
For the 2026 admission cycle, the official test dates were scheduled as follows:
Every university publishes its own independent decree (bando) outlining registration portals, exact syllabi, and technicalities. Sitting these independent tests requires an additional financial investment; while the public IMAT registration fee floats around €130, private entrance exams cost between €170 and €300 per test, depending on the institution.
Securing a spot early in the year provides immense peace of mind, but the benefits extend beyond a safety net. Sitting a private exam in February or March serves as an invaluable diagnostic trial. It allows candidates to test their subject knowledge under real exam pressures, gauge their pacing, and master anxiety management months before facing the highly competitive public IMAT later in the year.
Beyond the examination calendar, public and private medical schools diverge sharply across three core operational areas: annual tuition fees, class sizes, and administrative handling.
Class sizes in private medical programs are deliberately streamlined, offering tighter student-to-professor ratios compared to heavily crowded public university lecture halls. This smaller scale translates directly into superior accessibility to simulation labs, research equipment, and clinical clerkships within affiliated hospital wards. (While this has historically been the case, in recent years private universities have been accepting more and more students into their Italian language courses, so the same administrative issues found within public institutions may be increasingly common in the private setting, especially around rotations and thesis availabilities)
The specific seat allocations for the current cycles illustrate these controlled class environments:

Navigating the complex matrix of Italian legal documentation is a notorious hurdle for foreign students. Private universities generally maintain dedicated, highly responsive international student offices. Because they manage independent enrollment systems rather than relying on standard, sweeping ministerial platforms, their bureaucratic pathways are significantly simpler. This efficiency speeds up document processing, provides direct communication channels for overseas students, and minimizes the risk of deadline-related disqualifications.
When you are aiming to study medicine in English in Italy, putting all your eggs in the public university basket is a massive, high-stakes gamble. Relying solely on the public system means staking your entire future on one single afternoon in September.
That is exactly why throwing private universities into your application strategy is a total game-changer. It is not just about having a backup plan; it is about taking control of your admission timeline.
Let’s be real about the public system: the IMAT is a brutal bottleneck. It happens once a year, and if you have a bad day, whether it’s a sudden spike of exam-day anxiety, a minor illness, or just a few unluckily worded questions, your dream of starting medical school is instantly pushed back by a full calendar year.
Private universities completely break this stressful cycle. Because institutions like Humanitas, San Raffaele, and Cattolica run their own independent entrance exams spread out between February and March, you get multiple distinct shots at securing a seat. If one exam doesn't go your way, you don't have to wait an entire year to try again; you can simply dust yourself off and sit a different test a few weeks later.
There is no better feeling than walking into the spring knowing your seat in medical school is already locked down. Securing an early acceptance at a top-tier private school completely changes your psychological game. It eliminates the terrifying "what if I don't get in anywhere?" anxiety, giving you a definitive, premium safety net before the public university registration pools even open.
Even if your heart is 100% set on a low-cost public university, paying the registration fee to sit a couple of private exams early in the year is one of the smartest investments you can make. Think of it as the ultimate diagnostic dress rehearsal:
If you are looking for a medical school on the outskirts of Milan, Humanitas University (Hunimed) in Rozzano is easily one of the most international options you can choose. The university gives you two very different routes into medicine: the traditional Medicine & Surgery program and the highly specialized MEDTEC School, a joint degree run with the Politecnico di Milano that lands you a double degree in Medicine and Biomedical Engineering.
The best thing about the campus is its layout. It is built right next to the IRCCS Istituto Clinico Humanitas, a massive private research hospital, meaning you walk straight from lectures into clinical life. The campus feels like a self-contained student village surrounded by green spaces, broken down into five main buildings:
For the 2026 admission cycles, Humanitas streamlined its process into a unified entrance test. This means you sit one exam, but you can choose to apply for the classic Medicine track, the MEDTEC program, or even both at the same time.
The exam is computer-based, taken completely online from home with remote proctoring. You have to answer 60 multiple-choice questions in 120 minutes, split into three distinct, timed sections:
⚠️ The Section Cutoff Trap: Pay close attention to this. Humanitas sets strict minimum score thresholds for each of the three sections. If you bomb one section, you are automatically disqualified from the ranking—even if you get a perfect score on the other two.
The registration fee is around €170 to €200 (non-refundable), but it actually gives you a double shot. The fee covers two separate testing rounds (usually scheduled in early and late March). If you choose to sit the test both times, the system will automatically drop your lower score and use only your best attempt for the final ranking.
To keep things fair for EU students, Humanitas scales its tuition fees based on your family's financial situation using an internal economic indicator called the ISEP Index:
Humanitas stands out for its heavy focus on oncology and translational research, which is just a fancy way of saying they are obsessed with taking discoveries from the lab and turning them into real-world patient treatments fast. Even though the university is relatively young (founded in 2014), it has already established a strong track record. Their graduates have excellent placement rates, easily securing highly competitive residency spots inside Italy, across Europe, the UK, and the United States.
Moving deeper into the Milanese private medical scene, Università Vita-Salute San Raffaele (UniSR) represents one of the most prestigious and established non-public pathways in the country. It offers a highly competitive International Medical Doctor Program (IMDP) designed specifically to foster global clinical and research careers.
Unlike newer campuses, UniSR has a long-standing history of training international doctors. The university’s absolute superpower is its immediate physical integration with the Ospedale San Raffaele, a world-renowned biomedical research powerhouse and hospital giant. If your career interests lie heavily in neurosciences, gene therapy, molecular medicine, or infectious diseases, UniSR is arguably the top clinical research hub in Italy. You will be learning directly from scientists and clinicians who regularly publish pioneering papers in global journals.
The UniSR admission test is held completely online as a home-based proctored computer exam, usually offering two distinct testing rounds across February and March.
The structure of the exam is notoriously fast-paced. You are given 60 multiple-choice questions to complete in just 80 minutes. This leaves you with an average of just 1 minute and 20 seconds per question, meaning time management and pacing are the ultimate make-or-break factors.
What sets the UniSR test apart from the IMAT is its thematic balance: it is heavily skewed toward logical reasoning and cognitive agility, rather than deep scientific fact memorization:
The scoring system follows standard competitive penalizations: you earn +1 point for every correct answer, lose -0.25 points for an error, and receive 0 points for any blank response. The entry fee sits at around €200 and handily covers your registration for both testing sessions. Just like other premium private tracks, sitting both rounds allows you to hedge your bets, as the final ranking ignores your weaker performance and registers only your absolute highest score.
⚠️ The C1 English Language Trap: While you do not need to show proof of language proficiency just to sit the entrance exam, UniSR enforces a strict administrative requirement at the moment of official enrollment. To secure your seat, you must present an official C1-level English language certificate (such as IELTS, TOEFL, or Cambridge). If you pass the test but fail to produce a verified C1 certificate within the university's tight enrollment window, your acceptance will be voided, and your spot will pass to the next candidate in the ranking.
Unlike public universities or income-based bracket models, UniSR operates on a predictable, flat-rate tuition fee system for all international medical students.
For the current cycles, the annual tuition is fixed at €20,140 per year (taking in consideration a minor regional enrollment tax of €140). To make the financial layout manageable for families, the university structures this annual payment into three distinct tranches:
If your dream is to experience clinical training in one of the most high-volume, globally recognized hospitals in Europe, Università Cattolica del Sacro Cuore (UniCatt) is a prime choice. Its Faculty of Medicine and Surgery is permanently anchored to the Policlinico Universitario A. Gemelli in Rome, an institution consistently ranked by Newsweek as the absolute best hospital in Italy and a top tier player on the world stage.
While the main clinical hub and traditional campus are situated in Rome, UniCatt also runs a secondary, highly integrated track in Bolzano for theoretical lectures and laboratory training. Whichever campus you select, you will be joining a historic institution boasting an international faculty and a massive global alumni network.
The entry test for the English-taught Medicine and Surgery program is a home-based, remotely proctored computer examination, typically scheduled around late March.
The defining characteristic of the UniCatt test is its speed. You have to answer 65 multiple-choice questions in exactly 65 minutes. Having exactly 1 minute per question means you cannot afford to get stuck on complex calculations. You need to identify difficult questions immediately, skip them, and bank easy points first.
The 65 questions (each providing 5 response options) are strictly balanced across the following subjects:
The scoring system rewards accuracy and penalizes guessing: you get +1 point for a correct answer, lose -0.25 points for an error, and receive 0 points for blank responses. The entry fee sits at €250, which is non-refundable but grants you access to the university's official online simulation platform containing a massive archive of practice questions.
⚠️ The Ethical-Religious Wildcard: Do not underestimate the 5 ethical-religious culture questions. While 5 points might seem small, entry rankings at UniCatt are decided by razor-thin margins. These questions focus heavily on bioethics and institutional encyclicals. Skipping your preparation on these specific documents can easily cost you your admission spot.
The financial framework at UniCatt varies significantly depending on your citizenship status, matching income-based fairness with a premium private structure:
If you are passionate about global health, international cooperation, and medical equity, Saint Camillus International University of Health Sciences (UniCamillus) in Rome stands out as a unique choice. It is a highly specialized private institution with a deeply ingrained humanitarian ethos, specifically profiling its curriculum to address the health challenges of developing nations and global tropical pathologies.
Despite being a younger university, the medical program is thoroughly international, with a multicultural campus hosting students from over 70 countries. The university utilizes an independent entrance examination, completely bypassing the national ministerial IMAT system.
The admission test for the English-taught Medicine and Surgery program is a home-based, remotely proctored computer exam. The registration fee is €180.
The exam is explicitly split into 51 multiple-choice questions that you must complete in a tight 60-minute window. The points are straightforward: you get +1 point for every correct answer, and 0 points for blank or wrong answers (there is no negative penalty for guessing, which means you should absolutely answer every single question).
The 51 questions are divided into three equal sections that test your mental agility and critical thinking rather than rote scientific memorization:
⚠️ The Strategic Lesson: Unlike the IMAT, this written test doesn't ask you high-school biology or chemistry definitions. It is a pure test of logic and cognitive speed. Because you have just over a minute per question, practicing speed-tactics and pattern recognition is the only way to score high.
Following the written test an oral examination will be held.
Unlike some private medical schools that utilize progressive financial brackets, UniCamillus operates on a unified flat-rate tuition framework for its English-taught program.
To help offset costs for domestic and European applicants, UniCamillus offers a targeted merit-based scholarship path right from the first year:
While the theoretical lectures and technical simulation labs are anchored at the modern Rome campus, UniCamillus partners with a diverse network of regional hospitals, accredited local health units (ASL), and specialized clinical institutes across the Lazio region to handle its mandatory hands-on clinical rotations. It is an excellent match for adaptive students who want to experience a mix of diverse public and private clinical environments while keeping an eye on a future career in global medicine.
If you are looking for a medical school with a tight-knit community feel and highly modern facilities, Università Campus Bio-Medico di Roma is a premier option. Just like Humanitas, UCBM offers two distinct pathways taught entirely in English: the traditional Medicine and Surgery program and the innovative MedTech track. The MedTech program combines foundational medical training with advanced engineering skills, such as biomedical data analysis, artificial intelligence, and applied bioengineering, run in close collaboration with the university's Faculty of Engineering.
The university campus is located in the green surroundings of the Decima Malafede nature reserve in southern Rome. The academic layout integrates directly with the Policlinico Universitario Campus Bio-Medico, giving you hands-on access to cutting-edge clinical wards and patient management right from the early years of your degree.
UCBM runs a highly rigorous selection process that takes place strictly in person in Rome (typically hosted at the spacious Nuova Fiera di Roma exhibition center). The entrance exam for the English-taught courses is held annually in mid-February.
⚠️ The Big Shift: If you have been reading older medical school guides, erase them from your memory. UCBM completely overhauled its test structure, eliminating logical reasoning and general knowledge entirely. The exam is now 100% science-based, designed to test your pure knowledge in biological and chemical-physical disciplines.
The test consists of 60 multiple-choice questions written entirely in English, to be completed within a strict 100-minute time limit, split equally across three areas:
The scoring criteria are designed to penalize blind guessing:
⚠️ No Second Chances: Unlike other private options like Humanitas or San Raffaele, UCBM does not offer multiple testing rounds or spring sessions. There is one single, definitive test date in February. If you do not pass, your only options are to wait until the following year or sit the public IMAT exam in September. Furthermore, if you want to compete for both the classic Medicine track and the MedTech track, you must submit two separate applications and pay two individual registration fees (around €170 per test).
Annual tuition fees for the English-taught programs do not follow the dynamic income brackets of state universities. Instead, they are set as flat university contributions.
Let’s be completely honest: choosing a medical school isn't just about comparing tuition fees or memorizing test structures. It is about finding the specific ecosystem where you will spend the next six years of your life, and figuring out what kind of doctor you actually want to become.
To help you cut through the marketing fluff, we have broken down the five major private players into distinct, real-world student profiles. Find your match below:
A: Yes, absolutely. In fact, this is the ultimate recommended strategy. Because the private university exams take place early in the year (February and March) and the public IMAT happens later (September), you can use the private system to secure a premium safety net. If you pass both, you have total freedom to choose where to officially register.
A: Yes, and you need to move fast. Private universities usually enforce a strict, non-negotiable 8-to-10 day window from the moment rankings are published to lock down your spot. You will need to pay a non-refundable down payment (typically the entire first installment, ranging from €4,000 to €7,000 depending on the school). If you later smash the IMAT in September and choose a public university, you will have to forfeit that deposit. Think of it as the price of your ultimate peace-of-mind insurance policy.
A: 100% yes. All the private universities listed grant an official Laurea Magistrale a Ciclo Unico in Medicina e Chirurgia. This degree is automatically recognized across the entire European Union and the UK. Furthermore, these institutions are fully accredited by the World Directory of Medical Schools (WDOMS), meaning you are completely eligible to sit international licensing exams like the USMLE for the United States or the PLAB/UKMLA for the United Kingdom.
A: For the first two years, not at all. Your lectures, textbooks, exams, and campus life are 100% in English. However, you cannot escape Italian forever. By the start of your 3rd year, you will step out of the lecture halls and onto the real hospital wards. Italian patients do not speak English, so you must be able to take medical histories and communicate fluently. To make sure you don't drown, every single one of these private schools bakes mandatory, intensive Italian language classes into your first two years of the curriculum.
A: The bureaucracy can be a minefield. Non-EU students must apply for a Declaration of Value (Dichiarazione di Valore) or a CIMEA Statement of Comparability to prove their high school diploma is valid for Italian entry. Furthermore, once you land in Italy, you have a strict 8-day window to file for your official Permesso di Soggiorno (Residency Permit). Miss that deadline, and your enrollment can be automatically frozen.
A: Yes, and this is a massive trap for unwary applicants. While schools like Humanitas and Cattolica assess your English during their own entrance tests, UniSR (San Raffaele) strictly requires an official C1 English Certificate (like IELTS or TOEFL) at the exact moment of enrollment. If you place first in their ranking but cannot upload a valid C1 certificate during the enrollment window, they will instantly cancel your acceptance and hand your seat to the next person in line.