
1. Paper Leak Allegations Shake Trust
Following the September 22, 2024 MDCAT in Sindh, serious allegations surfaced regarding a paper leak. The Young Doctors Association (YDA) claimed that a staggering 184 out of 200 questions matched leaked versions circulated prior to the exam. Disturbingly, some students alleged they received the leaked paper around 11 PM the night before the test.Dawn+2Dawn+2
2. Judicial Action & Court-Mandated Probe
The Sindh High Court (SHC) responded rapidly to petitions challenging the validity of the exam:
- On October 2, 2024, the SHC issued notices to PMDC, DUHS, the health secretary, and the FIA to respond to demands for nullifying the exam and ordering a retake.Dawn
- On October 10, the court placed a temporary halt on result publication, citing “significant discrepancies.” A probe committee was formed comprising federal agencies and provincial officials to investigate and assign both civil and criminal liabilities within 15 days.DawnNation
- By October 27, it emerged that the inquiry found the test procedure compromised. The SHC ordered a province-wide retake within four weeks, supervised by IBA Karachi and IBA Sukkur, with no new fees imposed.RedditNationDawn
3. Mismanagement at the Testing Grounds
Beyond allegations of paper leaks, the examination was marred by chaotic logistics:
- In Karachi, Delhi University of Health Sciences (DUHS) and NED University test centers saw hours-long queues in scorching heat, alternating with severe parking and traffic bottlenecks.PhoneWorld
- In Larkana, students faced similar ordeals, with some fainting or desperately trying to climb walls to enter exam halls on time.PhoneWorld
- Protests erupted, with MQM-P and the YDA condemning the lack of centers and poor student care, while accusing the paper leak of being widespread.PhoneWorldDawn

4. Calls for Reform and Stronger Oversight
Medical professionals and student groups demanded systemic change:
- The Pakistan Medical Association (PMA) urged a full retake of the MDCAT and stressed transparency, including exposing individuals involved in the leak.Dawn
- Sindh’s government sought help from the Federal Investigation Agency (FIA), requesting Grade-18 officers be deployed at examination centers to curb cheating and leaks.Nation24 News HD
- The Pakistan Medical and Dental Council (PMDC) initiated a move toward standardization, planning to develop a centralized question bank in consultation with IBCC and HEC to ensure equitable difficulty across regions in future tests.Dawn
5. Legal Consequences and Accountability
The fallout extended to legal proceedings:
- In December 2024, six suspects linked to the paper leak were arrested. A judicial magistrate denied their post-arrest bail, stating that the case falls under the Anti-Corruption Act, owing to the involvement of DUHS public officials.Dawn
6. On-the-Ground Sentiments: A Student Perspective
Reddit users—many of whom experienced the exam—expressed their frustration and disillusionment:
“I just gave my mdcat today and I heard it was leaked… that exact same leaked paper was conducted… There is no point of this exam anymore.”Reddit
“They said 75% of the questions were leaked… 42 staff members were involved in printing, binding, sorting… the system is beyond repair.”Reddit
Such firsthand accounts underline the emotional toll the saga has taken on students already under immense pressure.
Summary Table: Key Developments
| Issue | Status / Action Taken |
| Paper Leak Allegations | Widespread leaks prior to exam; YDA reported 184 identical leaked questions. |
| Legal Response | SHC stayed results, formed probe, ordered province-wide retake without additional fees. |
| Test Mismanagement | Students faced delayed entry, heat exposure, and chaotic logistics at Karachi and Larkana centers. |
| Reforms Initiated | PMDC planning centralized question bank; FIA involvement in monitoring exam centers. |
| Accountability Actions | Six individuals were arrested; anti-corruption laws invoked due to involvement of DUHS officials. |
| Student Impact & Reaction | Widespread emotional burnout and loss of trust in the system. |
The unfolding MDCAT drama in Sindh lays bare a deeply flawed process:

Conclusion: A System Needs Overhaul
- Security lapses, both procedural and ethical, undermine the credibility of medical admissions.
- Logistical chaos emphasizes the lack of preparedness and care for student welfare.
- Slow systemic reform suggests the need for strong institutional overhaul, from test design to execution.
- Accountability remains the only way forward, ensuring those involved face rightful consequences and preventive measures are enforced.


