This article gives a comparison of the MBBS course that is being conducted by thethree universities in Nepal. The course started by the Institute of Medicine was thepioneering effort. The concepts were taken a bit further at the time that the medicalcourse at the B.P. Koirala Institute of Health Sciences (BPKIHS) was formulated.This teaching institution became partly responsible for the delivery of health care tocertain areas of the country thus meeting the goal that the producers of healthmanpower were also involved in the delivery of health services to the community aswell. With the starting of the medical course by Kathmandu University, this journeyin the field of medical education was taken one more step forward. The involvementof private institutions also in the field of medical education meant that it was no longerjust the responsibility of the government. Tribhuvan University also gave affiliationsto private institutions in the medical field. The stage has now been extended by thestarting of a medical course based totally on Problem Based Learning at the KathmanduUniversity Medical School or KUMS.Key Words: MBBS, medical education, community oriented, system based, integrated.