Misura Compensativa MEDICI · Sapienza Università di Roma

Misura Compensativa.
Written and oral. We cover both.

Europrep is the only platform that prepares you for the Misura Compensativa required by Italy's Ministero della Salute for physicians who earned their degree in a non-EU country. The prove attitudinali are held at the Facoltà di Medicina e Psicologia of Sapienza Università di Roma: a computer-based written test (30 questions per subject, 40 min) and an oral exam, across five clinical subjects, in clinical Italian. Train for both with an AI examiner.

Start free →What is the Misura Compensativa
✓ No credit card required✓ 100% Italian platform✓ Instant access
europrep · simulazione orale · Modo Banca
Prof. Marini
Commission · Pediatrics
«Mi descriva l'approccio iniziale a un lattante con sospetta sepsi neonatale precoce. Cosa fa nei primi novanta minuti?»
Hold to speak
Modo Banca · /30
410+
Clinical Q&A approved by the Euromed team
2,164
Objective questions · 73 historical exams
11
Years of exams · 2016 → 2026
14
Countries of origin of active physicians
The exam

What is the Misura Compensativa?
Two exams. Five subjects. 18/30 pass threshold.

The Misura Compensativa is the aptitude test that Italy's Ministero della Salute imposes, via a decreto dirigenziale di attribuzione, on physicians who earned their qualifying degree outside the European Union. It is held at the Facoltà di Medicina e Psicologia of Sapienza Università di Roma (via di Grottarossa 1035), in Italian, across five clinical subjects.

The official format · MEDICI session
Written exam
30 questions
per subject · multiple choice, computer-based
Time
40 min
per subject, on the written exam
Pass threshold
18 / 30
per subject, on both written and oral
Final result
Idoneo / Non idoneo
you pass only if you clear both exams
Note: if you don't pass, the aptitude test must be repeated in full — both written and oral — and you can only retake it after at least six months.
The only dedicated platform

Europrep is built specifically for physicians who receive from the Ministero a decreto dirigenziale di attribuzione della misura compensativa. Not for the Italian Esame di Stato. Not for ECFMG, USMLE or PLAB. For the prove attitudinali — written and oral — that you must sit in Rome.

You have the decreto dirigenziale. The session is approaching.
The Sapienza calendar is fixed: online enrolment by an official deadline, exams on published dates. If you're not already in the game when the decree arrives, you lose a session.
Written and oral are two different races.
The written exam demands clinical automatism and speed: 40 minutes per subject, 18/30 pass mark. The oral exam demands fluent reasoning in Italian in front of the commission. Two training tracks, not one.
You know the clinic. Explaining it in Italian in front of the commission is another job.
The oral is in clinical Italian. Thinking in Spanish or Portuguese slows you down. Europrep trains you exactly this way, with the examiner's voice and avatar.
The product

The two phases of the exam.
Covered one by one.

The Misura Compensativa for MEDICI consists of a computer-based written test and an oral exam. You start free with the Simulatore Oggettivo for the written. When you're ready to play the real match — the oral exam in front of the commission — you unlock the Modo Banca.

Free · Written exam

Simulatore Oggettivo

Starting point, no credit card. Train the computer-based written test (30 questions per subject, 40 min, 18/30 pass mark) and gauge your level before moving to the Modo Banca.

europrep · simulazione · Pediatria
Question 8 / 30⏱ 22:14
Lattante di 14 mesi sviluppa orticaria diffusa, edema labiale e dispnea subito dopo l'assunzione di amoxicillina. PA 70/40, FC 168. Qual è la prima condotta?
AAdrenalina 0,5 mg IM nella regione anterolaterale della coscia✓
BIdrocortisone 200 mg EV in bolo✕
CAntistaminici per via orale
DPosizione di Trendelenburg e attesa
ENebulizzazione con salbutamolo
  • 2,164 questions across 73 historical MEDICI exams · 11 years
  • Format identical to the real exam: 30 questions, 40 min/subject
  • Dashboard to gauge yourself before the oral
  • Anchor cycle — retry only the ones you got wrong
Start free →
Premium · Oral exam

Modo Banca · Banca Orale IA

Training for the oral exam: conversational simulation with a virtual examiner, natural Italian voice, scoring out of 30.

europrep · simulazione orale · Modo Banca
Prof. Marini
Commission · Pediatrics
«Mi descriva l'approccio iniziale a un lattante con sospetta sepsi neonatale precoce. Cosa fa nei primi novanta minuti?»
Hold to speak
Modo Banca · /30
  • Live simulation with realistic voice and avatar
  • Training mode with immediate feedback
  • Exam mode — final score out of 30, pass mark 18/30
  • Clinical evaluation across 4 dimensions
See the Premium plans →
Modo Banca · AI oral exam

It's not a quiz.
It's the Sapienza oral exam, simulated.

The AI asks the question with a natural Italian voice. You answer by speaking or typing. A calibrated clinical model scores your answer on four dimensions — core, completeness, reasoning, Italian — and returns a mark out of thirty, just like the Misura Compensativa commission in Rome.

26/30
Final score
Core9 / 10
Completeness7 / 8
Reasoning6 / 7
Clinical Italian4 / 5
europrep · simulazione orale · Modo Banca
Prof. Marini
Commission · Pediatrics
«Mi descriva l'approccio iniziale a un lattante con sospetta sepsi neonatale precoce. Cosa fa nei primi novanta minuti?»
Hold to speak
Modo Banca · /30
The method

Built on cognitive evidence, not on intuition.

Every mechanic in the simulator is anchored in the literature on medical learning and long-term memory. No gimmicks. What actually works.

01
Retrieval practice
You reformulate the answer from memory, not by recognising it from a list. The cognitive literature shows 3–5× higher retention than passive re-reading.
02
Spaced repetition
Questions you've mastered come back at 3, 7, 15 and 30 days. The ones you got wrong come back sooner, until consolidation.
03
Settimana della Prova
When your session approaches, the engine aligns your training with the commission's hot topics. Recent written-exam questions become the basis to build oral-exam answers.
04
Desirable difficulty
No childish gamification. No infinite loops on impossible questions: when progress stalls, the system sends you back to the textbooks.
The subjects

Five subjects. The exact ones at Sapienza.
Programma di orientamento allo studio — MEDICO.

These are the five subjects of the programma di orientamento allo studio for recognition of the qualifica di MEDICO. The subjects FARMACOLOGIA, IGIENE, MICROBIOLOGIA and NEUROLOGIA — previously included — are no longer part of the exam by decision of the Conferenza dei servizi. Exemptions in your decreto dirigenziale are managed in your profile.

Clinica medica
117 Q&A · live exercises
Clinica chirurgica
106 Q&A · live exercises
Clinica ostetrica e ginecologica
113 Q&A · live exercises
Clinica pediatrica
115 Q&A · live exercises
Medicina legale
109 Q&A · live exercises
Flagship feature

The Settimana della Prova knows Sapienza's topics before you do.

When the commission publishes the session topics, our team uploads the PDF and a vision model extracts the hot topics, validating them against our clinical vocabulary. From that moment the engine focuses training on those topics: recent written-exam questions become the basis to build oral-exam answers.

  • Updated within 24h of Sapienza's publication
  • Automatic mix between Settimana topics and your error profile
  • Works both in Training and in Modo Banca
  • Gold banner at the top of the simulator when active
⭐
Settimana della Prova active
Session ME14 · 21 May 2026
Train on the topics →
Hot topics extracted from the official PDF
sepsi neonataleembolia polmonarepreeclampsiaocclusione intestinaleshock anafilatticomeningite battericalesione personale colposaipoglicemia neonatalepancreatite acuta
Pricing

Start free. Move to Premium when you're ready.

Premium is the only plan that unlocks the Modo Banca — the oral exam simulation with AI voice and avatar. You pay once, access the platform for six months, no auto-renewal. It costs less than the session you lose if you're not ready.

Free · No card

Simulatore Oggettivo

€0/month

The best way to start: train the written exam, gauge your level and decide whether to move to the Modo Banca. No expiry.

  • 2,164 questions across 73 historical exams · 11 years
  • Performance dashboard by subject
  • Anchor cycle (retry only the wrong ones)
  • Starting point before the oral exam
Create your account
Euromed client
Premium · Modo Banca

Oral Exam · Euromed

€594  one-off

One-off payment · 6 months of full access. Reserved for those already mentored by Euromed.

  • Conversational Modo Banca with AI — voice and avatar
  • Training mode with immediate feedback
  • Settimana della Prova inside Modo Banca
  • Clinical evaluation across 4 dimensions, score /30
  • Full Simulatore Oggettivo included
Activate Premium →
Automatic Euromed-client verification at signup.
Premium · Modo Banca

Oral Exam · External

€894  one-off

One-off payment · 6 months of full access. For physicians outside the Euromed programme.

  • Conversational Modo Banca with AI — voice and avatar
  • Training mode with immediate feedback
  • Settimana della Prova inside Modo Banca
  • Clinical evaluation across 4 dimensions, score /30
  • Full Simulatore Oggettivo included
Activate Premium →
One-off payment · 6 months of access · no auto-renewal.
Frequently asked questions

Everything physicians ask before they start.

What exactly is the Misura Compensativa?
The Misura Compensativa is the aptitude test that the Italian Ministero della Salute may require, via a decreto dirigenziale di attribuzione, from physicians who earned their qualifying degree in a country outside the European Union. It is one of three possible outcomes of the Ministero's review, alongside direct recognition and a denial decision. The exam is held at the Facoltà di Medicina e Psicologia of Sapienza Università di Roma.
Is the exam written or oral?
Both. For MEDICI candidates the Misura Compensativa consists of a computer-based written test (30 multiple-choice questions per subject, 40 minutes per subject) and an oral exam, on separate days. Only those who pass the written test reach the oral. Europrep covers both phases: the Simulatore Oggettivo trains for the written, the Modo Banca for the oral.
What is the pass threshold for the Misura Compensativa?
For each subject, both in the written and oral exam, you need at least 18/30. The misura compensativa is considered passed only if you clear both exams. The final outcome is expressed as "idoneo" or "non idoneo".
What happens if I don't pass the exam?
If you fail, the aptitude test must be retaken in full — both written and oral — and can only be sat at least six months after the previous attempt. This is exactly why Europrep exists: to reduce the chance of losing a session and having to wait half a year.
Where is the Misura Compensativa held?
At the Facoltà di Medicina e Psicologia of Sapienza Università di Roma, via di Grottarossa 1035. The venue is stable; the exam sessions change (e.g. April 2026 session).
Who must sit the Misura Compensativa?
All candidates who earned the physician's qualifying degree in a country outside the European Union, regardless of citizenship: non-EU citizens, EU citizens, Swiss Confederation citizens and European Economic Area citizens (Norway, Iceland, Liechtenstein). The exam is triggered only when you receive a decreto dirigenziale di attribuzione della misura compensativa from the Ministero.
Which subjects are currently required?
The five subjects of the programma di orientamento allo studio for recognition of the qualifica di MEDICO: Clinica medica, Clinica chirurgica, Clinica ostetrica e ginecologica, Clinica pediatrica, Medicina legale. By decision of the Conferenza dei servizi, the subjects FARMACOLOGIA, IGIENE, MICROBIOLOGIA and NEUROLOGIA — previously required — are no longer examined.
Does Europrep also prepare for Medical Specialists?
Not yet. Europrep covers the programma di orientamento allo studio for recognition of the qualifica di MEDICO — the five general clinical subjects. For MEDICI SPECIALISTI candidates the exam format is different (written and oral on the same day, oral only for those who pass the written) and the content is specialised. Under evaluation.
What legislation governs degree recognition?
The procedure is regulated by DPR no. 394 of 31 August 1999, the European Parliament and Council Directive 2005/36/CE of 7 September 2005, and Legislative Decree no. 206 of 9 November 2007. The competent office is the Direzione Generale delle Professioni Sanitarie of the Ministero della Salute (DGPROF — Ufficio 2 — Riconoscimento qualifiche professionali sanitarie conseguite all'estero).
When are the sessions held?
Sapienza publishes the session calendar in advance. Example for the April 2026 session: MEDICI written exam on 15 April, oral exam on 22 and 23 April. Enrolment is done exclusively online through the dedicated platform, with a fixed deadline (for April 2026 the deadline was 5 March).
How long does the Ministero take to respond?
Four months from the submission of the complete documentation (Modello D1 — Medico, Allegato D1, €16 marca da bollo). During those four months you can and should already be training: if the decree imposes the Misura Compensativa, you need to be in the game, not starting from scratch.
Do I already need the Ministero's decree to sign up for Europrep?
No. Europrep is a preparation platform: you can start training before, during or after the Ministero's review. You need the decreto dirigenziale di attribuzione to enrol for the Sapienza exam; to train on Europrep you don't.
Do I already need to be a Euromed client to use the simulator?
No. The Simulatore Oggettivo is free and open to anyone who signs up. The discounted Premium plan (€594 instead of €894) does require being an active Euromed client — the check is automatic at signup.
What changes between the free and Premium plans?
The free plan includes the Simulatore Oggettivo, training for the written exam: historical exams, performance dashboard, Anchor cycle. Premium adds the Modo Banca — the oral exam simulation with AI, natural Italian voice, realistic avatar and scoring out of 30.
In what language is the simulated exam?
Everything in Italian. Questions, alternatives, AI feedback, examiner voice, final score: every element is in authentic clinical Italian, because the Misura Compensativa is held exclusively in Italian in front of the commission.
Can I practise only on the subjects that interest me?
Yes. Your profile lets you indicate which of the five clinical subjects you must take. Subjects from which you are exempted never appear during training.
How does the Premium payment work?
Premium plans are one-off (una tantum) payments that grant full access to the platform for six months. Euromed clients pay €594; external physicians pay €894. At the end of the six months access ends without auto-renewal — there's nothing to cancel.
Do you have a mobile version?
The entire platform is optimised for mobile and desktop. The oral exam works best with headphones, but is playable on phone. For speech recognition we use the Web Speech API with Whisper as fallback.

A failure costs you six months of waiting.
Training costs you two clicks.

If you don't pass the Misura Compensativa, the decree requires waiting at least six months before retaking — and the exam is repeated in full. Start now with the free Simulatore Oggettivo. When you're ready to speak in front of the commission, the Modo Banca is waiting.

Start free →See the Premium plans