Things You Will Learn in Your First Year of Medical School in Nigeria (MBBS Guide)
Discover what you will learn in your first year of medical school in Nigeria. From anatomy and physiology to dissection, exams, and student life, here is what every MBBS fresher should expect.
Your first year of medical school in Nigeria will change you.
From your very first lecture as an MBBS student to your first anatomy practical, everything feels intense, fast, and overwhelming. Many students enter medical school excited and confident. Within weeks, they realize medicine is not just a course, it is a lifestyle.
If you are preparing to study medicine in Nigeria, this guide explains exactly what you will learn academically, practically, and personally in your first year.
Understanding the MBBS Degree in Nigeria
In Nigeria, the medical degree awarded is the Bachelor of Medicine, Bachelor of Surgery.
Medical training typically lasts six years in most universities and is divided into:
- Pre-clinical years
- Clinical years
Your first year falls under the early pre-clinical phase. This is where your foundation in medicine begins.
There are over 40 accredited medical schools regulated by the Medical and Dental Council of Nigeria, which ensures similar standards across institutions.
Academic Subjects You Will Study in First Year
Although curricula differ slightly across schools, most Nigerian universities follow a similar structure.
1. Human Anatomy
Anatomy is widely regarded as the toughest subject in first year MBBS.
You will learn:
- Bones, muscles, and joints
- Nerves and blood vessels
- Organs and their relationships
- Anatomical terminology
You will spend long hours in the dissection hall studying cadavers. At first, it may feel overwhelming. Over time, it becomes part of your routine.
Anatomy requires heavy memorization and spatial understanding. Many students struggle initially because of the volume of information.
2. Physiology
Physiology focuses on how the human body functions.
You will learn:
- How the heart pumps blood
- How the lungs exchange gases
- How the kidneys regulate fluid balance
- How hormones control body systems
Many students find physiology more relatable than anatomy because it explains real-life body functions.
3. Biochemistry
Biochemistry studies chemical processes within the body.
Topics include:
- Carbohydrate metabolism
- Protein synthesis
- Enzymes
- Vitamins and minerals
- Molecular biology basics
This subject connects chemistry to medicine. It can be abstract, especially if your chemistry foundation is weak.
4. Premedical or Basic Sciences (in Some Universities)
Some schools include introductory courses in:
- Medical physics
- Basic biology
- General chemistry
- Use of English or communication skills
These courses help bridge secondary school knowledge with medical training.
Practical Skills You Will Develop
First year is not just about theory.
Dissection and Laboratory Work
You will participate in:
- Cadaver dissections
- Histology practicals using microscopes
- Biochemistry laboratory experiments
Dissection teaches respect for the human body and helps you understand anatomical relationships beyond textbooks.
Learning Medical Terminology
You will quickly become fluent in medical abbreviations and terminology. Words that once sounded complex will become normal in everyday conversation.
Study Habits You Will Learn
Medical school forces you to change how you study.
You will learn that:
- Passive reading is not enough
- Writing notes repeatedly improves retention
- Drawing diagrams helps understanding
- Studying daily is better than cramming
Time management becomes essential. Falling behind even for a week can be difficult to recover from.
You will also learn that sleep is important. Many students discover that resting before an exam improves performance more than late-night cramming.
Examinations You Will Face
Assessment in first year typically includes:
- Continuous assessments
- Practical exams
- Written theory exams
- Oral examinations
In many Nigerian schools, progression to the next level depends on passing major professional exams such as the First MBBS.
These exams can be intense and are often the first major test of resilience for medical students.
Personal Growth and Emotional Lessons
First year medicine is not just academically challenging. It is emotionally demanding.
You will learn:
- You cannot know everything
- It is okay to say "I do not know"
- Everyone struggles at some point
- Comparison is unhealthy
You may question your decision at least once. Almost every medical student does.
But you will also develop resilience, discipline, and confidence.
Social Life in First Year
Medical school can affect your lifestyle.
You may experience:
- Reduced free time
- Fewer social outings
- Increased caffeine intake
- Late nights in the library
You will likely form close friendships with classmates who understand your stress.
Balancing academics and personal life becomes a critical skill.
Is First Year the Hardest Year?
Many students consider first year difficult because of the sudden academic shock.
However, others argue that third year, when clinical rotations begin, is harder due to hospital responsibilities.
The truth is that each year has its unique challenges.
Does MBBS Have First Class in Nigeria?
Unlike BSc or BA degrees, the Bachelor of Medicine, Bachelor of Surgery is a professional degree.
It is not classified as:
- First Class
- Second Class Upper
- Second Class Lower
Instead, students may graduate with distinctions in specific subjects.
Admission into Medical School in Nigeria
To study medicine in Nigeria, you must pass:
- The Joint Admissions and Matriculation Board examination
- WAEC or NECO
- Post-UTME of your chosen university
Top institutions offering medicine include:
- University of Ibadan
- University of Lagos
- Ahmadu Bello University
Admission is highly competitive.
Conclusion
Your first year of medical school in Nigeria will stretch you mentally, emotionally, and physically.
You will memorize more than you thought possible. You will question yourself. You will adapt.
Most importantly, you will grow.
If there is nothing else you would rather do than become a doctor, you will survive first year and come out stronger.
FAQs
What do you learn in first year med in Nigeria?
In first year MBBS, you study Anatomy, Physiology, Biochemistry, and basic medical sciences. You also participate in laboratory practicals and dissections.
Which subject is toughest in first year MBBS?
Anatomy is generally considered the toughest due to the volume of information and time spent in the dissection hall.
Is there First Class in Medicine in Nigeria?
No. MBBS is a professional degree and is not graded using First Class or Second Class categories.
Which is the hardest year of medical school?
Many students consider third year hardest because clinical rotations begin. However, first year can feel overwhelming due to academic adjustment.
How old is the youngest doctor in Nigeria?
There is no officially fixed record, but most Nigerian doctors graduate between ages 23 and 26 depending on when they started university and whether there were delays.
About the Author

Mohammad-Jamiu B. Balogun, GMNSE
Founder of MonoEd
First-Class Telecommunications Engineer (BUK) | Full Stack & AI Developer
Mohammad-Jamiu graduated with First-Class honors from Bayero University, Kano. He built MonoEd to make school life easier for students from SIWES logbooks and reports to final year projects and professional CVs — all in one platform built for students. His tools have helped over 10,000 students across Nigeria save time and reduce stress.

