Best International Medical Schools in Italy (2021 comparison)


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 – to see which are the best suited medical schools for you.

After you’re done reading, you should also consider checking out our students’ 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 – How are Italian universities getting along?


In the wake of the worldwide pandemic, a serious issue arose – 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 – 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 – students are free to choose between online and on-premises lectures.

Here’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 year’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 we’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)!

The total number of seats, however, doesn’t say much about how competitive each medical school in Italy is. So what does?

The last two rows of the table tell you which minimal IMAT score would have been sufficient for you to be admitted at each university during the first and sixth admissions round of 2019. The fact that non-EU applicants can effectively choose only one university (although they list three), while EU applicants can put down more choices, makes the matter even more complicated.

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 can’t be known in advance. Therefore you cannot be sure that a certain number of points corresponds to a certain position in the ranking.

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

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

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

CriteriaPavia HarveyIMS MilanRome SapienzaRome Tor VergataNapoli Federico IINapoli SUN/ Campania LVBariTurinBolognaBergamo (Bicocca)MessinaPaduaSiena (dentistry)
Places for non-EU, 201935 (+5 Marco Polo)1610101040930 (+1 Marco Polo)1513309
Minimal IMAT EU, 1st round entry 202054.557.853.752.956.451.95153.455.357.550.45551.2
Minimal IMAT EU, 1st round entry 201951.353.949.648.448.946.846.649.
Minimal IMAT EU, 10th round entry, 2020 (December 18)45.445.446.743.643.542.142.143.947.246.241.445.441.7
Minimal IMAT EU, 10th round entry 2019 (December 19)40.742.143.639.939.338.238.739.841.44137.640.627.7
Minimal IMAT non-EU 202041.849.242.33431.730.827.8445043.728.527.541
Minimal IMAT non-EU 201946.654.245.436.934.333.130.44843.337.117.94831.4


Italian medical schools – the cities


Choosing a university is not only about which are the best international medical schools in Italy. You’re choosing a city where you’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 we’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 you’d rather live in a big, metropolitan city: the International Medical School in Milan is in the pulsating heart of the Italian economy, Lombardy. It’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 spots… 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 you’re more accustomed to warmer climates, and going to the beach on weekends.

You’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 Turin, Bergamo, 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 students’ blogs to read about personal experiences from different universities.

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


CriterionPavia HarveyIMS MilanRome La SapienzaRome Tor VergataNaples Federico IINaples SUNBariTurinBolognaBergamo (Bicocca)MessinaPaduaSiena (dentistry)
Approximate city population70,0001,350,0002,850,0002,850,000960,000 (Naples)75,000 (Caserta)320,000870,000390,000120,000 230,000214,12555,000
Region of ItalyLombardy (north)Lombardy (north)Lazio (middle)Lazio (middle)Campania (southwest)Campania (southwest)Apulia (southeast)Piedmont (north-west)Emilia-Romagna (north-east)Lombardy (north)Sicily (south)Veneto (north)Tuscany (center-north)
GDP per capita (2018)€24,000€50,000€34,500€34,500€18,000€15,000€20,000€30,000€39,000€30,500€17,000€28,500€30,500
European Regional Human Development Index Ranking 2012146146184184255255243169148146258146156

Tuition fees, costs of living, and financing


If you’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 Italy’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 family’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 students’ 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 more information on this page by IMS-Milan.

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 – but they shouldn’t be too far from the truth either!

Is this all?

No, it’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. We’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  (you can find more info here), is that it includes meals at the university canteen – or, as they’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 you’re all about rankings, the next section might be the right one for you.

Note: the “average expenses” per month indicates how much you’re going to spend for living, rent included.


CriteriaPavia HarveyIMS MilanRome SapienzaRome T.V.Napoli Federico IINapoli SUNBariTurinBolognaBergamo (Bicocca)MessinaSiena (dentistry)
Tuition fee minimum (€/year)156156400156510137136196156156236156
Tuition fee maximum (€/year) - Italians446037352925525026002710202528053410352019052690
Tuition fee maximum (€/year) - Foreigners 4656
Rent of a room (singola) (€/month)260400450450300350220300400300240300
Average expenses (€/month)700800800800650650450750800700500500
Mensa full meal (€/meal)3-7 (income-based)3.302.20-7.70 (income-based)2.20-7.70 (income-based)2-3 (income-based)2-3 (income-based)3-6 (income-based)2.50-5.60 (income-based)5.801.05 (hospital canteen)1.50-6 (income-based)2.80-4.50 (income-based)
Buses etc (€/year)15200 if <26y
300 if >26y
250 (income-based)250 (income-based)180 (income-based)180 (income-based70158-258 (income-based)18020030200-250 (income-based)
Beer in Bar (€/0.5L)44.50554.54.53.554.54.543
Unemployment (%) 20176.
Regional poverty (%)

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 you’d be better off making a choice according to other parameters, but we’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 OrganizationPaviaMilanRome - La SapienzaRome - Tor VergataNaples - Federico IICampania Luigi VanvitelliBariTurinBolognaMilan-Bicocca (Bergamo)MessinaPaduaSiena (dentistry)

Censis-La Repubblica newspaper 2020 - medicine and surgery

2 in Italy3 in Italy18 in Italy16 in Italy33 in Italy29 in Italy31 in Italy17 in Italy3 in Italy1 in Italy27 in Italy5 in Italynot ranked

Censis-La Repubblica newspaper 2019 - medicine and surgery

2 in Italy4 in Italy17 in Italy15 in Italy30 in Italy31 in Italy33 in Italy16 in Italy3 in Italy1 in Italy26 in Italy5 in Italynot ranked

US News & World Report, 2020 - clinical medicine

13 in Italy, 273 worldwide5 in Italy, 164 worldwide2 in Italy, 114 worldwide12 in Italy, 243 worldwide7 in Italy, 192 worldwide53 in Italy, 1056 worldwide22 in Italy, 378 worldwide8 in Italy, 217 worldwide1 in Italy, 112 worldwide15 in Italy, 281 worldwide43 in Italy, 750 worldwide2 in Italy, 114 worldwide21 in Italy, 367 worldwide

US News & World Report, 2018 - clinical medicine

13 in Italy, 263 worldwide1 in Italy, 71 worldwide5 in Italy, 141 worldwide14 in Italy, 279 worldwide6 in Italy, 178 worldwide28 in Italy, 520 worldwide20 in Italy, 390 worldwide3 in Italy, 123 worldwide2 in Italy, 94 worldwide8 in Italy, 194 worldwidenot rankednot ranked18 in Italy, 349 worldwide

QS World University Rankings, 2020 - life sciences and medicine

301 worldwide83 worldwide135 worldwide315 worldwide227 worldwidenot ranked389 worldwide180 worldwide94 worldwide348 worldwidenot ranked114 worldwidenot ranked

QS World University Rankings, 2019 - life sciences and medicine

296 worldwide74 worldwide130 worldwide279 worldwide216 worldwidenot ranked401-500 worldwide177 worldwide96 worldwide360 worldwidenot ranked112 worldwide451-500 worldwide

Academic Ranking of World Universities, 2020 - all subjects

401-500 worldwide151-200 worldwide151-200 worldwide501-600 worldwide301-400 worldwide701-800 worldwide401-500 worldwide 601-700 worldwide201-300 worldwide301-400 worldwide801-900 worldwide201-300 Padua601-700 worldwide

Academic Ranking of World Universities, 2019 - all subjects

301-400 worldwide151-200 worldwide151-200 worldwide501-600 worldwide301-400 worldwidenot ranked501-600 worldwide201-300 worldwide201-300 worldwide401-500 worldwide801-900 worldwide201-300 worldwide501-600 worldwide

Academic Ranking of World Universities, 2020 - clinical medicine and pharmacy

301-400 worldwide101-150 worldwide151-200 worldwide401-500 worldwide301-400 worldwide401-500 worldwide201-300 worldwide201-300 worldwide76-100 worldwide201-300 worldwidenot ranked151-200 worldwide301-400 worldwide (dentistry)

Academic Ranking of World Universities, 2019 - clinical medicine and pharmacy

301-400 worldwide151-200 worldwide201-300 worldwidenot ranked201-300 worldwidenot rankednot ranked201-300 worldwide201-300 worldwide401-500 worldwide701-800 worldwide201-300 worldwide701-800 worldwide (dentistry)

Times Higher Education, 2021 - all subjects

401-500 worldwide351-400 worldwide201-250 worldwide401-500 worldwide401-500 worldwidenot ranked401-500 worldwide401-500 worldwide167 worldwide351-400 worldwide501-600251-300 worldwide401-500 worldwide

Times Higher Education, 2019 - all subjects

401-500 worldwide301-350 worldwide251-300 worldwide401-500 worldwide401-500 worldwidenot ranked401-500 worldwide401-500 worldwide180 worldwide401-500 worldwidenot ranked201-250 worldwide351-400 worldwide

Medical Education in Italy


Let’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 don’t really know how to tell them something new.

And that’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:

  • …what is the class size?
  • …do students take oral or written exams?
  • …is attendance in lectures mandatory?
  • …do students have the possibility for cadaver work?
  • …has 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 of the cases compulsory, with on average 70% of presence required, so take this into account when you plan your future studies in Italy. Truth to be told, not all professors apply this rule, so it’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 isn’t. That’s why we went and interviewed medical students from all universities with respect to this topic.

What’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.


 IMS-MilanHarvey-PaviaIMS-Rome-La SapienzaRome-Tor Vergata Naples Fed. IINaples SUNBariTurinBolognaBergamo-BicoccaMessinaSiena (dentistry)
Class sizeabout 50about 100about 50about 30about 30about 60about 30about 100about 60about 30about 60about 30
Oral or written exams?Mostly written and oralMostly oral with few writtenMostly oral with some writtenMostly oral with few writtenMostly oral with few writtenMixedMixedMixedMostly written, some oralMostly oral, some writtenMixed
How many chances at tests?unlimited3unlimitedunlimitedunlimitedunlimited?unlimitedunlimitedunlimited3
Mandatory attendance at lectures?Yes; 66%Yes; 75%Yes; 66%Yes; 66%Often; 75%Yes; 66%Yes, 75%Yes, 66%Yes, 70%Yes, 75%Yes, 75%
Possibility for cadaverYes (Year 1) - didactical post-mortem, integrated into academic programAutopsy observation only, independent of academic programSome demonstrations as part of AnatomyAutopsy observation only, independent of academic programNoneSome demonstrations as part of AnatomyNone, but there's a simulation labExtensive and ntegrated in course (Year 2) Nothing so farNothing so farNone
Which hospitals for clinical rotations?Spread around about 9 hospitals, mostly at PoliclinicoMostly at 1 hospital (San Matteo) with a few rotations at 2 other hospitals in PaviaMostly at Umberto I with some rotations at St. AndreaPoliclinico of Tor Vergata, Bambin Gesù hospital, and othersVecchio and Nuovo Policlinico, Cardarelli, Monaldi, MarcianiseMostly Policlinico Giovanni XXIII?Not yet availableClinica San Francesco and hospital Papa Giovanni XXIIISo far, Policlinico G. MartinoMost likely in Hospital Le Scotte
Foreign research affiliationsLeague of European Research UniversitiesCoimbra GroupNetwork of Universities from the Capitals of EuropeNetwork of Universities from the Capitals of EuropeOnly Erasmus+Only Erasmus+?Coimbra and several othersUniversity of SurreyOnly Erasmus+Coimbra and several others





We just presented you with a whole lot of information about IMAT and living in Italy, but what is the take-home message?

To wrap everything up, we want to show you a few graphs putting together some data regarding the most important points of this page, notably “What are the entry cutoffs for medicine in Italy in English?” and “What is the cost of living in Italy?” Take a look.


Graph: Minimal IMAT score necessary for first-round entry into a medical school in 2020
Legend: EU-Candidates, Non-EU Candidates
Graph: Minimal and maximal tuition fees (€/year)

Legend: Minimal , Maximal

Graph: Price (€/month) of a room in a shared apartment


That was it, everyone! We hope you managed to find all the information you needed to find the best international medical schools in Italy for you. If you liked this page remember to subscribe to our newsletter in order to receive IMAT updates directly in your email, and take one step further towards passing the IMAT.

Did we miss something? Do you have any request? Come to our Facebook page and ask us or the rest of the community. And if you know something we don’t, make sure to contact us through the link just below.

Study well, and good luck!


Can you help us complete some details above? Have corrections or ideas? Make sure to contact us!
Stefano Doria (Pavia)