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One regulator. One exam. One portal.
For doctors planning general practice in Saudi Arabia through the SMLE.
Saudi Arabia has the simplest route to describe in the region. A single commission licenses every health professional in the country, through a single portal, using a single examination.
It is also the largest health system in the Gulf, which means the highest patient volume and the widest clinical exposure available to a doctor starting out here.
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Eligibility
What you need before you begin
- A medical degree from a recognised institution
- A completed internship
- Primary Source Verification through DataFlow, which is compulsory
- A professional classification granted through the Mumaris Plus portal, which confirms the category you may sit
- No IELTS and no OET. There is no separate English examination for the licence
Confirm your exact category in Mumaris Plus rather than assuming it. Classification decides which examination you sit and which title you may hold, and it is settled before the examination, not after it.
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The SMLE at a glance
- Regulator Source: SCFHS
- SCFHS, the Saudi Commission for Health Specialties
- Portal Source: SCFHS
- Mumaris Plus
- Examination Source: SCFHS
- SMLE, delivered through Prometric
- Format Source: SMLE Blueprint 2026
- 200 questions, in two sections of 100, with 120 minutes for each section and a scheduled 30 minute break
- Scoring Source: SMLE Blueprint 2026
- A scaled score from 200 to 800. The pass mark is 560
- Attempts Source: SMLE Blueprint 2026
- Up to 4 within a year, and no two sittings in the same testing window
- Result validity Source: SCFHS
- 2 years, within which registration must be completed
- Personal income tax Source: PwC, 2026
- None
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The blueprint
What the examination actually covers
The SMLE is published against a clear blueprint, which is a considerable advantage: you are not guessing at the weighting. Questions are clinical scenarios in single best answer format, testing diagnostic reasoning and management decisions rather than recall.
Internal medicine
About 30 per cent
Source: SMLE Blueprint 2026
Obstetrics and gynaecology
About 25 per cent
Source: SMLE Blueprint 2026
Paediatrics
About 25 per cent
Source: SMLE Blueprint 2026
Surgery
About 20 per cent
Source: SMLE Blueprint 2026
Each weighting may vary by about five percentage points between sittings. The practical instruction is straightforward: medicine and the two large child and maternal health areas carry most of the paper, so build your preparation around them rather than spreading effort evenly.
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Step 1
Documents, then Mumaris Plus
Gather your passport, degree, transcripts, internship certificate, council registration, experience letters and certificate of good standing. Confirm that the name is identical across all of them, because a mismatch is the most common reason a file stops moving.
Then create your Mumaris Plus account. Use one email address for everything connected to this application, and keep it accessible for the next two years.
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Step 2
Classification, and verification
Apply through Mumaris Plus for classification and registration, upload your documents and pay the fee. As an international graduate you are then directed to DataFlow for Primary Source Verification, where your credentials are confirmed directly with the institutions that issued them.
Verification commonly takes several weeks. This is the correct time to begin studying, not the time to wait.
Typical verification time
About 25 to 35 working days
Source: DataFlow guidance
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Step 3
Eligibility, then booking
A successful verification produces your eligibility, and with it you book the examination through Prometric. Centres are available internationally, so you can sit the SMLE without travelling to Saudi Arabia.
Book early. Popular dates at popular centres are taken well in advance, and a delayed booking can add a month for no reason.
Examination fee
Shown in Mumaris Plus when you apply. Applicants commonly report SAR 1,200 to 1,400
Source: SCFHS Mumaris Plus
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Step 4
After you pass
Your result remains valid for two years, and within that period you complete Professional Registration through Mumaris Plus. Once approved, you hold the licence that allows you to practise as a general practitioner.
There is one more point worth understanding early, because it changes how seriously you take your score.
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Worth knowing
The score matters after the pass
For most licensing examinations, passing is the entire objective and the number is forgotten. The SMLE is different. Your score carries weight in residency selection later, so the examination that opens the door to general practice also influences whether the specialty door opens afterwards.
If specialty training is anywhere in your long term plan, prepare for a strong score rather than for a minimum pass. It is the same examination and the same preparation period, and the difference in the number can matter for years.
Improvement attempts
After passing, further attempts are available to improve the score for residency selection purposes
Source: SMLE Blueprint 2026
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The life
A Tuesday in Riyadh
Work begins early and clinics are busy. The system is large, the patient volume is real, and in one year you are likely to see more variety than in three years in a smaller setup. That exposure is the strongest professional argument for starting a Gulf career here.
Outside the hospital, the country is changing quickly: new districts, new facilities, new entertainment and cultural options that did not exist a few years ago. Family life is well supported, housing is spacious by regional standards, and the cost of living is moderate compared with Dubai or Doha.
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The money
What the arithmetic looks like
There is no personal income tax on your salary. Government and large private employers typically include housing or a housing allowance, annual flights home, medical insurance and end of service benefits, and these components often matter more than the basic salary.
Personal income tax
None
Source: PwC Saudi Arabia, 2026
Indicative GP range
SAR 15,000 to 30,000 a month, varying by employer, sector and experience
Source: Job advertisements and salary surveys, checked August 2026
Salary figures are indicative and taken from current job advertisements. Packages vary widely by employer, sector and experience, and allowances often matter more than the basic figure. Treat these as a range, not a promise.
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Common questions
Is the SMLE harder than the other Gulf examinations?
It is longer, at 200 questions across two sections, and it is scored on a scale rather than a simple percentage. It is also the most clearly published, which makes preparation more precise. Longer is not the same as harder when you know exactly what is being assessed.
What does a scaled score of 560 mean in percentage terms?
It does not translate neatly, and that is deliberate. The scale accounts for differences in difficulty between question sets, so a raw percentage from a practice test does not predict a scaled score directly. Use full length mock examinations under timed conditions to judge readiness.
Can I sit the SMLE from India or another country?
Yes. The examination is delivered through Prometric centres internationally.
Do I need to speak Arabic?
The examination is in English and clinical work is conducted in English in most settings. Learning basic conversational Arabic will help your patient relationships considerably, but it is not a licensing requirement.
How long does the full process take?
Commonly three to eight months from first document to licence, depending on how quickly verification completes and how ready your documents were at the start.
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Know where you stand before you plan.
A route is easier to walk when you know your starting point. Take one baseline mock for your chosen exam, see which subjects are actually weak, and build the plan around that instead of around guesswork.
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Rules change. We will tell you when they do.
Leave your email or join the updates channel and we will write to you if the requirements on this page change.
Sources
- SCFHS SMLE Blueprint 2026
- SCFHS applicant guidance and Mumaris Plus
- DataFlow verification guidance
- PwC Saudi Arabia tax summary, 2026
Last verified: 12 August 2026, against the regulator's own pages.
We check every figure on this page against the regulator or an official tax summary. If a rule changes and we have not caught it yet, please tell us and we will correct it the same week.
Rules change, and sometimes they change quietly. If you have sat this exam recently and something here does not match what you experienced, write to us and we will check it against the regulator and update this page.