The single-cycle degree foresees a programmed number of students, scheduled at national level and its access is governed by Ministerial Decree. The number of assigned positions, the date of the admission test, the content and the procedures for the selection are defined annually by Ministerial Decree and are indicated in the admission notice. The admission notice also reports the knowledge and skills defined annually by Ministerial Decree and the level of proficiency in English. In order to be admitted, a Secondary High School Diploma or other suitable recognized qualification is required. Candidates must pass an admission test in English (IMAT) and can proceed to registration according to the available positions, ranking and the achievement of a minimum score defined by the admission test. English proficiency is automatically recognized for native speakers. For non-native English students no certification is required because the scientific and technical terms used in the course access test (IMAT) are considered higher than the B2 level of competence, that is required for students wishing to undertake the course in Medicine and Surgery.