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What UTME Combo Do You Need for Medicine?

By Tueri Prep Team · 25 August 2026

Medicine and Surgery is the single most competitive course to gain admission into through JAMB in Nigeria, and the subject combination is fixed and non-negotiable across virtually every university that offers it.

The Required Subjects

Every university requires English Language, Physics, Chemistry, and Biology for Medicine and Surgery. There is no substitution — you cannot swap Biology for Agricultural Science, or Physics for Further Mathematics. If you're targeting Medicine, these four subjects need to be your strongest, full stop.

Just How Competitive Is It?

Medicine and Surgery consistently has the highest cutoff marks of any course in the country. At top federal universities, departmental cutoffs frequently sit at 280–320+ out of 400, and even that only earns you a shot at the post-UTME screening — it doesn't guarantee admission. Private universities with tuition-based admission tend to have somewhat lower JAMB thresholds but charge accordingly.

The Post-UTME Is Where Admission Is Actually Decided

Because so many high-scoring candidates apply for Medicine, your JAMB score functions mainly as a filter to shortlist you for the university's own screening exam. That screening — usually weighted heavily on Biology, Chemistry, and Physics — combined with your O-level results and sometimes an interview, is what actually determines the final admission list. Treat JAMB prep and post-UTME prep as two separate, sequential exams, not one event.

O-Level Requirements Matter as Much as JAMB

Medicine admission requires a minimum of five credits including English, Mathematics, Physics, Chemistry, and Biology — usually in one sitting, and usually requiring at least a C6 or better, though some universities demand higher grades. A strong JAMB score doesn't compensate for a weak O-level result in these core subjects.

Consider Direct Entry Timelines

Because competition is so high, many strong candidates don't get admitted on their first attempt and either retake JAMB or pursue a related science degree with a view to transferring later. This isn't a sign of weakness — it reflects how tight the national admission slots for Medicine actually are relative to demand.

FAQ: Can I study Medicine with a Biology-Chemistry-Mathematics combo instead of Physics?

No — Physics is a required subject for Medicine and Surgery at essentially every Nigerian university that offers the program, alongside Chemistry and Biology.

FAQ: What JAMB score guarantees admission into Medicine?

There's no fixed guaranteed score — cutoffs shift yearly based on applicant numbers and available slots. Historically, scores below 250 rarely get shortlisted for post-UTME screening at competitive federal universities, though newer or less-demanded universities may screen from lower.

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