How Intrazero’s iTest Powers the Egyptian Medical Licensing Exam (EMLE) For MOHP & EHC
The digital transformation of the Egyptian Medical Licensing Exam (EMLE) is more than a technical milestone—it’s a strategic leap forward in Egypt’s national healthcare reform. At the heart of this transformation stands Intrazero, an Egyptian-founded software company, whose flagship product iTest has enabled the secure, large-scale, and feature-rich digital assessment system now used across multiple healthcare professions.
A National Imperative for Healthcare Standardization
The EMLE is not just a policy initiative—it is a cornerstone of Egypt’s healthcare modernization agenda. The exam was established through Law No. 153 of 2019, signed by President Abdel-Fattah El-Sisi, mandating that all medical graduates—whether from Egyptian or international institutions—must pass a standardized national exam to obtain a license to practice.
This reform replaced the previous credential-based system with one that emphasizes merit and continuous professional development. A major change was introduced: medical licenses are no longer lifetime credentials. Instead, they are valid for five years and must be renewed—ensuring that healthcare professionals remain up to date with the latest medical knowledge.
A Fully Digital, Standardized Examination
From its inception, the EMLE was designed to be digital. Candidates complete 100 multiple-choice questions (MCQs) in a three-hour exam session, administered biannually in February and September.
Registration takes place through emle.academy. The EMLE is now the single, non-negotiable gateway to obtaining a medical license in Egypt, providing a consistent and transparent path into the healthcare workforce.
iTest: A Homegrown, High-Stakes Assessment Platform
To meet the challenge of delivering this national exam securely, efficiently, and at scale, the government partnered with Intrazero—a strategic move to empower domestic innovation. The result was the deployment of iTest, a platform purpose-built for national-level assessment systems.
Key Capabilities:
AI-Based Remote Proctoring
Candidates must keep their webcams on throughout the exam. iTest uses AI for real-time identity verification, facial recognition, and misconduct detection.
Advanced Question Bank & Authoring Tools
Educators can build and randomize unique exams from validated question banks, ensuring fairness and minimizing bias.
Scalability and Load Management
iTest supports over 23,459 concurrent users and can handle more than 500,000 exam sessions annually—a critical requirement for multi-profession assessments.
From Mock Exams to Multi-Disciplinary Expansion
The rollout began with a mock exam in October 2020, followed by the first live assessment in February 2021, where 9,397 doctors participated—an astounding 98.9% attendance rate.
Since then, iTest has scaled to support:
- 50,000+ students annually (2020–2023)
- 137,000 students per year (2024 onward)

iTest EMLE Student Enrollment Comparison - Five healthcare professions: medicine, pharmacy, nursing, dentistry, and physiotherapy

The Medical fields that iTest Exams
More Than a Platform: A Strategic Asset for Egypt
The success of the EMLE project is not only operational—it’s deeply strategic. As part of the "Digital Egypt" strategy, the initiative demonstrates how Egypt is using technology to digitize essential public services, enhance workforce readiness, and build technological independence.
The ICT sector is now the fastest-growing contributor to Egypt’s GDP, with the government aiming to grow digital exports to USD 9 billion annually by 2026. Intrazero’s selection for this critical infrastructure project signals confidence in Egypt’s ability to cultivate and elevate local tech champions capable of leading not just nationally, but regionally.
Conclusion: A Model for Digital Sovereignty
The digitization of the EMLE through Intrazero’s iTest platform showcases what’s possible when policy vision, national strategy, and local innovation converge. It is a case study in transforming regulation into scalable reality and positions Egypt—and Intrazero—as digital leaders in healthcare.
As Egypt sets its sights on expanding its digital infrastructure, iTest stands as a flagship success, proving that homegrown technology can compete, deliver, and lead.
Want to learn how iTest can support your organization’s high-stakes assessment needs?
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