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What are the best international medical schools in 2021 in Italy? Which med-school has the best admission chances? Which are the highest ranked? Did COVID-19 affect the admission process?
Different schools are right for different people. We, therefore, gathered all the most important and relevant facts and numbers about all international medical schools in Italy for you here, so that you could make the most educated choice to when it comes to medical school ranking, minimum entry IMAT score, tuition fees, and living expenses, and even curricular design โ€“ to see which are the best suited medical schools for you.

After youโ€™re done reading, you should also consider checking out our studentsโ€™ review page to see what current students say about each university! The page is continuously being updated, so come back every now and then to see if someone else wrote something new.

In this page you will find lists comparing IMAT thresholds, tuition fees and costs of living in Italy, the medical education offered, and independent rankings for all the English-language Italian med schools!

COVID-19 โ€“ How are Italian universities getting along?

In the wake of the worldwide pandemic, a serious issue arose โ€“ a large portion of IMAT applicants and students accepted to English-taught Italian med schools are international students and most of them do not have the possibility to reside in Italy or even in Europe at the moment of writing this update.

Two major questions came up among candidates:

  1. Would IMAT be held? (for the year of 2020)
  2. In case you got accepted, would the academic year of 2020/2021 be affected by the COVID-19?

Lo and behold, the 2020 IMAT exam did indeed take place without any delay on September 10th, 2020 like every other year. The necessary sanitary precautions such as masks and distancing were taken and students who could not attend last minute were offered a full refund.

As per possible changes through out the academic year, the situation was incredibly quickly dealt with and in a matter of weeks โ€“ an efficient online modality was implemented which allowed for lectures, exams, and even practical cases to be conducted from the comfort of your home! Currently a mixed modality is taking place โ€“ students are free to choose between online and on-premises lectures.

Hereโ€™s what this means for IMAT 2021: based on the quick reaction the Italian authorities displayed last year,  COVID-19 is unlikely to affect this yearโ€™s entrance exam. So buckle up and start preparing!





Minimum IMAT admission scores

There are huge differences in how difficult it can be to enter one Italian medical school compared to another. The difference in competition levels between each university is large, making it so that with the same IMAT score you can be sure to get into one medical school yet not even scratch the bare minimum passing threshold for another. So choosing the right medical schools can make the difference between getting in or having to skip a year.

One thing you must know before sending in your application is how competitive the universities you have chosen are, especially for non-EU students. There is no fixed IMAT passing score, because it all depends on how many students apply to the same university as you, how many places the university offers and how well the candidates perform on the IMAT.

What follows from this is that, firstly, you cannot foresee what the exact minimum IMAT entry score for each med-school will be next year, because it always changes as a function of these factors. Secondly, with the same IMAT score, you may or may not pass depending on which university you chose. But weโ€™ll say more about this later.

In the next table, you can find the number of seats available at each university, for EU and non-EU respectively. The figures are all different, but the main takeaway is that almost all universities offer slightly more seats to EU citizens than non-EU, with ratios on average between 60%-40% and 75%-25%. There is an important exception in this trend, however, in some of the southern universities: Campania Luigi Vanvitelli reserves an equal number of seats for EU and non-EU (40 each), as well as Messina (38 each). Napoli Federico II, on the other hand, is the only university to reserve more non-EU (25) spots than EU (15)!


Number of seats available:
2021202020192018

Available places 2020EuNon-Eu
Pavia Harvey10340
IMS Milan4525
Rome Sapienza3810
Rome Tor Vergata2510
Napoli Federico II1525
Napoli SUN/ Campania LV4040
Bari429
Turin7032
Bologna7020
Bergamo (Bicocca)2213
Messina3838
Padua4320
Piacenza6040
Siena (dentistry)2815

The total number of seats, however, doesnโ€™t say much about how competitive each medical school in Italy is. So what does?

The minimal entry score. Your IMAT score, relative to the other candidatesโ€™ scores in the ranking, is the sole determinant of whether youโ€™ll get a spot or not.

These numbers change every year, so you can never know what the IMAT minimum score will be for the next year. For example, you can take a look at the 2016 scores and see how different they are! The difficulty of the test and questions canโ€™t be known in advance. Therefore you cannot be sure that a certain number of points corresponds to a certain position in the ranking.


First round entry scores for Eu and Non-Eu:
202020192018

Keep in mind that Eu and Non-Eu ranking lists are organized differently. This is due to the fact that Non-Eu candidates have one choice of university, while Eu candidates can choose to apply to all 12 universities. Therefore, 1st round entry scores of Non-Eu ranking are a realistic predictor for a minimal entry score, while 1st round entry scores for Eu applicants are way higher than the minimal entry score for Europeans.

Since Eu applicants can apply to so many universities, depending on their score, at first they may be offered a spot in one of the less desired universities they applied for. In this case, they need to decide whether to take the spot or to resign it, and wait to get into some of their top choice universities. The updated ranking is released each week and this goes on for months until all spots are filled. Yes, your maths is right: an Eu candidate could get accepted way after the beginning of the 1st year โ€ฆ even sometimes at the end of it!

So, the 1st Eu ranking score is way higher than the final minimal score for acceptance. Down below youโ€™ll find last yearโ€™s ranking progression to get an idea:

Eu ranking scores progression:20202019

Eu rankings 20201st ranking
(14.10.2020)
6th ranking
(16.11.2020)
10th ranking
(18.12.2020)
22st ranking
(26.03.2021)
Pavia Harvey54.546.245.445.3
IMS Milan57.846.645.445
Rome Sapienza53.746.746.746.7
Rome Tor Vergata52.94543.642.1
Napoli Federico II56.444.743.542
Napoli SUN/ Campania LV51.943.242.140.3
Bari5142.842.140.3
Turin53.44543.942.3
Bologna55.347.247.247.2
Bergamo (Bicocca)57.546.946.244.6
Messina50.442.341.439.5
Padua5545.845.445.1
Siena (dentistry)51.242.841.739.4

Furthermore, you should not base your choice entirely on how easy it is to get in. There are several other variables involved, and weโ€™re here to guide you through the process of deciding which are the best medical schools in Italy โ€“ for you!

Scroll down to take a look at the different cities where you might be studying soon.

If everything weโ€™ve said so far made you think that IMAT can be really competitive and you wish to expand your choices, perhaps youโ€™d like to take a look at the private international medical schools in Italy, like UniCamillus, Humanitas, the Cattolica, or San Raffaele!

Italian medical schools โ€“ the cities

Choosing a university is not only about which are the best international medical schools in Italy. Youโ€™re choosing a city where youโ€™ll live for the next six years of your life, so you need to think about the kind of place that suits you best. Luckily for you, we at MEDschool.it are always here to give you every small bit of information there is.

First of all, what are the options?

Two words: Italy, beautiful Italy. This country is characterized by huge differences between the north and the south, the plains and the seaside, the mainland and the islands; and you can find an international medical school in each of these sites!

Our next table gives you an overview of the different cities where the Italian medical schools are located. Now think of your ideal destination, and weโ€™ll take you there.

Do you see yourself in a small, student-friendly city? Then Pavia might be your thing, with a population of 70,000, of whom almost one-third are students; this university was the first to open an English-language medical school.

Perhaps youโ€™d rather live in a big, metropolitan city: the International Medical School in Milan is in the pulsating heart of the Italian economy, Lombardy. Itโ€™s one of the richest cities in Italy. If on the other hand, you want more old architecture, there are two public universities (La Sapienza and Tor Vergata) in Rome, the Italian capital and most populous city, with its beautiful monuments and history.

Say you want to live in a large city, with museums and plenty of sightseeing spotsโ€ฆ but on the seaside! Impossible, right?

Wrong! Moving south, there are two med schools in the Naples area (Federico II and Campania Luigi Vanvitelli); you may want to consider these if youโ€™re more accustomed to warmer climates, and going to the beach on weekends.

Youโ€™ll find similar landscapes, but in smaller, more accessible cities, if you send your application to other universities such as Messina and Bari. Among the cities hosting new medicine in English courses, you can find also TurinBergamo, Bologna, and Padova. Turin is known for its Baroque architecture and spacious squares, while Bologna offers an impressive balance between thriving student life, gastronomic heaven, and a delightful outlook. Padova is the last city to have offered an English medical program but intriguingly was the one to open the first-oldest medical university in Italy, all the way back in 1222!

As a final note, if your goal is to study dentistry in Italy in English, the only course available so far is in Siena, a small, medieval city surrounded by the picturesque hills of Tuscany.

Bottom line:

The best international medical schools in Italy are also the ones where you can live a happy and rewarding life. Take some time and explore the alternatives and make sure you also know something about the city you will move to. If you wish to have some inside information, you may also wish to check our studentsโ€™ blogs to read about personal experiences from different universities.

Or just keep reading here! We still have a lot of exploring to do.

 Approximate city populationRegion of ItalyGDP per capita (2018)European Regional Human Development Index Ranking 2012         
Pavia Harvey70,000Lombardy (north)โ‚ฌ24,000146
IMS Milan1,350,000Lombardy (north)โ‚ฌ50,000146
Rome La Sapienza2,850,000Lazio (middle)โ‚ฌ34,500184
Rome Tor Vergata2,850,000Lazio (middle)โ‚ฌ34,500184
Naples Federico II960,000 (Naples)Campania (southwest)โ‚ฌ18,000255
Naples SUN75,000 (Caserta)Campania (southwest)โ‚ฌ15,000255
Bari320,000Apulia (southeast)โ‚ฌ20,000243
Turin870,000Piedmont (north-west)โ‚ฌ30,000169
Bologna390,000Emilia-Romagna (north-east)โ‚ฌ39,000148
Bergamo (Bicocca)120,000Lombardy (north)โ‚ฌ30,500146
Messina230,000Sicily (south)โ‚ฌ17,000258
Padua214,125Veneto (north)โ‚ฌ28,500146
Siena (dentistry)55,000Tuscany (center-north)โ‚ฌ30,500156

Tuition fees, costs of living, and financing

If youโ€™re still wondering whether you should apply to medical school in Italy, our next table may help you settle the matter. Compared with other universities offering English-language medical courses, studying in Italyโ€™s public med schools is ridiculously cheap.

On one hand, not only are tuition fees at most of a few thousand euros per year (Rome Tor Vergata and the Pavia being the highest, at 5,200 and 4,500 respectively) but what you actually pay is almost always lower than the maximum, because tuition is adjusted on the basis of your familyโ€™s income and net worth.

The minimum fee, on the other hand, is less than 200 euros for most of the universities. These actually are not tuition fees, but a regional tax that everyone has to pay.

And check this out:

Some of the universities offer different tax regimens to Italian and foreign students, with the foreign studentsโ€™ taxation being generally lower than for Italian students. Furthermore, you will most likely have even greater chances of winning a scholarship and paying next to no fees! Everything is based on an indicator named ISEE.

You can find the maximum amount of fees in our table just below. The actual data are quite hard to find so they might not be 100% correct โ€“ but they shouldnโ€™t be too far from the truth either!

Is this all?

No, itโ€™s not! Because if you read through our table you will notice another great perk of studying medicine in Italy. Forget London, Dublin, New York: accommodation in Italy is not at all expensive when compared to other countries.

Prices are of course variable depending on your needs, but if you were to rent a student room in a shared apartment (the most common type of accommodation for students) in Rome, you end up spending on average less than 500 euros per month!

Inexpensive, right?

Furthermore, smaller cities like Pavia or Bari offer rooms for 200-250 euros. In Siena, where you can study dentistry in English, the cost for a room per month is around 300 euros. This is something we like very much about Italian universities, because it makes studying medicine accessible to a large slice of the population, regardless of their economic situation.

Education is not free, but very few countries with English-language medical courses are less expensive than this.

One little heads up: in Bologna, currently there are very few rooms available in the city, and the students are having a hard time finding one. Our advice is to look for accommodation as soon as possible. Otherwise, you might have to spend several weeks waiting for a room to become free.

A lot of international students were afraid of how would COVID-19 affects the rent prices but as of now, no significant changes have taken place. Weโ€™ve even noticed that apartment owners have shown great understanding, especially to foreigners, allowing students to leave their accommodation without the usual 3-months notice if need be.

Finally, another nice feature about this system, which offers a reduction in tuition fees on the basis of the family economic status, is that it includes meals at the university canteen โ€“ or, as theyโ€™re called in Italian, mensa.

Prices and details vary between the different universities, but for a few euros (4-5 in most of the cases), you can have a full meal every day. And if you have obtained a scholarship, the meal is often free.

Take some time to consider also the cost of living and the fees when deciding which the best medical schools in Italy are, in your opinion. You can also find more information about financing your studies in one of our pages. However, if youโ€™re all about rankings, the next section might be the right one for you.

Note: the โ€œaverage expensesโ€ per month indicates how much youโ€™re going to spend for living, rent included.

  Tuition fee minimum (โ‚ฌ/year)Tuition fee maximum (โ‚ฌ/year) – ItaliansTuition fee maximum (โ‚ฌ/year) – ForeignersRent of a room (singola) (โ‚ฌ/month)Average expenses (โ‚ฌ/month)Mensa full meal (โ‚ฌ/meal)Buses etc (โ‚ฌ/year)Beer in Bar (โ‚ฌ/0.5L)Unemployment (%) 2017Regional poverty (%)
Pavia Harvey156446046562607003-7 (income-based)1546.85.5
IMS Milan156373514564008003.3200 if <26y
300 if >26y
4.56.55.5
Rome Sapienza400292511564508002.20-7.70 (income-based)250 (income-based)59.58.2
Rome T.V.156525052504508002.20-7.70 (income-based)250 (income-based)59.58.2
Napoli Federico II5102600356?3006502-3 (income-based)180 (income-based)4.523.924.4
Napoli SUN137271027103506502-3 (income-based)180 (income-based4.523.924.4
Bari136202515802204503-6 (income-based)703.515.421.6
Turin196280528053007502.50-5.60 (income-based)158-258 (income-based)59.46.8
Bologna156341034074008005.81804.55.14.6
Bergamo (Bicocca)15635207563007001.05 (hospital canteen)2004.54.25.5
Messina23619057502405001.50-6 (income-based)30424.829
Siena (dentistry)1562690variable3005002.80-4.50 (income-based)200-250 (income-based)39.45.9

Italian medical schools rankings

This next section takes into account a number of domestic and international rankings updated to 2019. We at MEDschool.it advise you against making your choice solely on the basis of one of these rankings because, as you can see, the results and the methodologies differ vastly for every institute. Furthermore, you should choose a school for the city and the educational program, rather than just by its rankings

If you wish, you can read more regarding this in one of our posts.

According to domestic (Censis) rankings, Milan-Bicocca (Bergamo) medical school is the best in Italy, whereas QS World University Rankings puts the IMS Milan in the first position. Some universities, like Bologna, tend to be near the top on all lists.

We believe that youโ€™d be better off making a choice according to other parameters, but weโ€™re here to give you all the information you might need and guide you through this process step by step.

So, the next section will take you inside the practical aspects of teaching in the various medical schools in English in Italy.

Scroll down to learn more about the Italian curricular design, in practice.

Ranking OrganizationDOMESTICCensis-La Repubblica newspaper 2020 – medicine and surgeryDOMESTICCensis-La Repubblica newspaper 2019 – medicine and surgeryINTER-NATIONALUS News & World Report, 2020 – clinical medicineINTER-NATIONALQS World University Rankings, 2020 – life sciences and medicineINTER-NATIONALQS World University Rankings, 2019 – life sciences and medicineINTER-NATIONALAcademic Ranking of World Universities, 2020 – all subjects       
Pavia2 in Italy2 in Italy13 in Italy, 273 worldwide301 worldwide296 worldwide401-500 worldwide
Milan3 in Italy4 in Italy5 in Italy, 164 worldwide83 worldwide74 worldwide151-200 worldwide
Rome – La Sapienza18 in Italy17 in Italy2 in Italy, 114 worldwide135 worldwide130 worldwide151-200 worldwide
Rome – Tor Vergata16 in Italy15 in Italy12 in Italy, 243 worldwide315 worldwide279 worldwide501-600 worldwide
Naples – Federico II33 in Italy30 in Italy7 in Italy, 192 worldwide227 worldwide216 worldwide301-400 worldwide
Campania Luigi Vanvitelli29 in Italy31 in Italy53 in Italy, 1056 worldwidenot rankednot ranked701-800 worldwide
Bari31 in Italy33 in Italy22 in Italy, 378 worldwide389 worldwide401-500 worldwide401-500 worldwide
Turin17 in Italy16 in Italy8 in Italy, 217 worldwide180 worldwide177 worldwide601-700 worldwide
Bologna3 in Italy3 in Italy1 in Italy, 112 worldwide94 worldwide96 worldwide201-300 worldwide
Milan-Bicocca (Bergamo)1 in Italy1 in Italy15 in Italy, 281 worldwide348 worldwide360 worldwide301-400 worldwide
Messina27 in Italy26 in Italy43 in Italy, 750 worldwidenot rankednot ranked801-900 worldwide
Padua5 in Italy5 in Italy2 in Italy, 114 worldwide114 worldwide112 worldwide201-300 Padua
Siena (dentistry)not rankednot ranked21 in Italy, 367 worldwidenot ranked451-500 worldwide601-700 worldwide

Medical Education in Italy

Letโ€™s say now that you decided which cities you would like to live in, you made sure that you can afford to study there for six years, and then in September you take the IMAT and you pass.

Wow, congratulations! Now what?

Many students, with good reason, focus only on the IMAT. They wonder what the exam dates are, they want to look at past papers, and they want to know how the scrolling works; in the end, they know so much about the exam that even we donโ€™t really know how to tell them something new.

And thatโ€™s fair because you need to pass the IMAT to get into med school in Italy. However, just so you can make a more informed decision, we present you with this last table, trying to describe how medical education in Italy works.

We interviewed students from several med schools and we managed to answer some of the questions which might influence your choice, such as:

  • โ€ฆwhat is the class size?
  • โ€ฆdo students take oral or written exams?
  • โ€ฆis attendance in lectures mandatory?
  • โ€ฆdo students have the possibility for cadaver work?
  • โ€ฆhas the school announced it is applying for California accreditation, to facilitate US residencies after graduation?

One thing you might want to know is that, unlike many other countries, Italian professors like to assess the knowledge of students via oral examinations rather than written ones. The universities with fewer oral exams, if you do not like that sort of testing method, appear to be Pavia, Milan, and Bicocca.

Most European universities outside Italy provide a maximum number of attempts at an exam. If you fail all these exams, you have to repeat the year. This is generally not true in Italy, where often you can repeat an exam as many times as you wish. Only in Pavia is there an actual limit of three attempts per examination.

Attendance in class is in most cases compulsory, with on average 70% of presence required, so take this into account when you plan your future studies in Italy. Truth be told, not all professors apply this rule, so itโ€™s a case-by-case situation.

Now things get interesting:

On a regular basis, we are asked if there is the possibility of studying anatomy on cadavers in Italy, with the wildest hypotheses being made about why it is prohibited and why it isnโ€™t. Thatโ€™s why we went and interviewed medical students from all universities with respect to this topic.

Whatโ€™s the real deal?

It depends. Some Italian universities, such as IMS Milan and the University of Bologna, do in fact integrate anatomic studies into their curriculum. As opposed to these, Campania Luigi Vanvitelli or Milan-Bicocca  (Bergamo) make no mention of it throughout the course (at least so far).

Most other faculties allow students to participate in dissections, made for legal or other purposes, in their forensic medicine departments.

 Class sizeOral or written exams?How many chances at tests?Mandatory attendance at lectures?Possibility for cadaverWhich hospitals for clinical rotations?Foreign research affiliations
Naples Fed. IIabout 40MixedunlimitedYes; 75%Policlinico Federico II
Padovaabout 60Mostly written, some oral5Yes, 70%Policlinico Universitario,
Ospedale Giustinianeo,
Ospedale Santโ€™Antonio
Siena (dentistry)about 30Mixed3Yes, 75%NoneMost likely in Hospital Le ScotteCoimbra and several others
Rome-Tor Vergataabout 35Mostly oral with few writtenunlimitedYes; 66%Autopsy observation only, independent of academic programPoliclinico of Tor Vergata, Bambin Gesรน hospital, and othersNetwork of Universities from the Capitals of Europe
Naples, Campania Vanvitelliabout 80Mostly oral with few writtenunlimitedOften; 75%NonePoliclinico Vecchio,
Caserta Civil Hospital
Only Erasmus+
Bariabout 50MixedunlimitedYes; 66%Some demonstrations as part of AnatomyMostly Policlinico Giovanni XXIIIOnly Erasmus+
Turinabout 100Mixed?Yes, 75%None, but there’s a simulation lab??
Bolognaabout 90MixedunlimitedYes, 66%Extensive and ntegrated in course (Year 2)Not yet availableCoimbra and several others
Bergamo-Bicoccaabout 30Mostly written, some oralunlimitedYes, 70%Nothing so farClinica San Francesco and hospital Papa Giovanni XXIIIUniversity of Surrey
Messinaabout 75Mostly oral, some writtenunlimitedYes, 75%There is a Skills LabSo far, Policlinico G. MartinoOnly Erasmus+
Harvey-Paviaabout 110Mostly oral with few written3Yes; 75%Autopsy observation only, independent of academic programMostly at 1 hospital (San Matteo) with a few rotations at 2 other hospitals in PaviaCoimbra Group
IMS-Rome-La Sapienzaabout 50Mostly oral with some writtenunlimitedYes; 66%Some demonstrations as part of AnatomyMostly at Umberto I with some rotations at St. AndreaNetwork of Universities from the Capitals of Europe
IMS-Milanabout 60Mostly written and oralunlimitedYes; 66%Yes (Year 1) – didactical post-mortem, integrated into academic programSpread around about 9 hospitals, mostly at PoliclinicoLeague of European Research Universities

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