Global Grand Medicine Challenge × Smart-Le · 2026
One exam built on the hardest clinical cases we've seen in clinical practice, open to every medical student and doctor on the planet. Sit it once, any time from 1 to 10 December, and discover where you stand in your country and in the world.
Entry
£10
One-time secure payment
Exam window
1–10 Dec
Select a time and sit one of the toughest medical exams in the comfort of your own home
Results
15 Dec
Rankings and detailed explanations
The final
Top 20
The top students will be invited to battle it out in a live viva in January 2027
The title
Could you be crowned world champion?
One exam. Every country. Doctors and medical students side by side, on real clinical cases, celebrating what human minds can do.
Real clinical cases, a world ranking, an award worth having, and a final with leading consultants.
01/ 05
Real cases. Real difficulty.
Every question is built on a real clinical case, and wow... are they tough. Go head-to-head with doctors and medical students from every corner of the world, see which country comes out on top, and find out who leads within yours.
02/ 05
Recognition that stays with you.
The highest scorers in each country receive a certificate of award recognising outstanding performance: proof that you stood out among your peers. The top 20 in the world go further, with special accreditation as Global Grand Medicine Challenge finalists.
03/ 05
Finish a better doctor than you started.
When results are released, every question comes with a detailed explanation helping you become a more learned doctor. Covers the full breadth of medicine from histopathology to surgery and pharmacology.
04/ 05
The top 20 go to the final.
The 20 highest scorers in the world are invited to a live viva with top consultants to decide the overall winner: a rare chance to be recognised and to build connections with leaders in medicine.
05/ 05
Human minds, no machines.
At a time when human knowledge is too easily undervalued next to AI, we still believe in human learning. This is a celebration of what doctors know, and it is meant to be fun.
Now
Tell us your country and stage so we can rank you fairly, choose your exam time, and pay the £10 entry fee. No account needed.
1–10 Dec
Your exam link is emailed to you on the day you chose. Sit it once, in one go, from wherever you are.
15 Dec
Your world and country rankings, how you compare with others at your stage, and an explanation for every question.
January 2027
The top 20 in the world meet leading consultants in a live viva to decide the overall winner.
Any medical student or doctor, in any country, at any stage of training.
Against everyone in the world, against everyone in your country, and against others at your stage: medical students, junior doctors, trainees, consultants and GPs.
A computer with a stable internet connection and a quiet place to sit the exam without interruption.
By card through Stripe, our secure payment provider. The fee is £10; your bank converts it if you pay in another currency.
On 15 December 2026, with your rankings and a detailed explanation for every question.
Global Grand Medicine Challenge×Smart-Le
Smart-Le has helped thousands of doctors and medical students around the world prepare for their exams. Now we're bringing them together for one global challenge.