Study Medicine in Štip (Goce Delčev University): Rules, Costs and Transfer (2026)
13.10.2026
Short answer
Study Medicine in Štip at Goce Delčev University: duration, fees, exam rules and how a transfer to another European university works. Free consultation.
Can you study medicine in Štip, and which programmes does the Faculty of Medical Sciences at Goce Delčev University offer?
In short: The Faculty of Medical Sciences is part of Goce Delčev University, a public university in Štip in eastern North Macedonia. It offers General Medicine, Dentistry and Pharmacy in Macedonian and in English, plus nursing, midwifery, physiotherapy and other health professions, taught in separate student groups.
Goce Delčev University is a public university based in Štip, a city in eastern North Macedonia. Both local and international students attend the Faculty of Medical Sciences, and the faculty runs separate versions of its main programmes: one with Macedonian as the language of instruction and one with English as the declared language of instruction.
The long, integrated programmes are General Medicine, Dentistry and Pharmacy. Alongside them run shorter first-cycle programmes such as nursing, midwifery, physiotherapy, optometry, medical laboratory technology and dental technology. This guide concentrates on the three professions that interest most of our readers.
There is no veterinary medicine in Štip. Veterinary faculties exist in other cities of the country and are covered in a separate article. If you want an overview of all health faculties in North Macedonia, read our comparison article on the country's universities.
How long do Medicine, Dentistry and Pharmacy take in Štip?
In short: General Medicine in Štip lasts six years, which means 12 semesters and 360 ECTS credits, with 30 ECTS per semester. Pharmacy is planned for 10 semesters. For Dentistry the national framework requires at least ten semesters, and you should confirm the exact length with the student office in writing.
The published English-language curriculum of General Medicine sets a six-year duration, twelve semesters and 360 ECTS credits, which is 30 credits per semester. The first year includes Anatomy, Biophysics, Medical Chemistry, Biology, Histology and Embryology, Basic Biochemistry, Human Genetics and First Aid. In the second and third year follow Physiology, Microbiology, Immunology, Pharmacology, Pathophysiology and Pathological Anatomy.
Years four and five cover the clinical subjects: Internal Medicine, Infectious Diseases, Radiology, Dermatology, Neurology, Psychiatry, Paediatrics, Surgery, Obstetrics and Gynaecology, Orthopaedics, Oncology and Anaesthesiology. The sixth year includes ENT, Ophthalmology, Forensic Medicine, Emergency Medicine and final clinical practice.
For Pharmacy in English, the admission announcement mentions ten semesters. For Dentistry we did not find a published number of semesters. The national higher-education law sets a minimum of ten semesters for dentistry, and the real length of each university follows from its own curriculum. Ask the student office for written confirmation for your intake year.
How much do Medicine, Dentistry and Pharmacy cost at Goce Delčev University?
In short: For the academic year 2026/27 the list prices are €6,000 per year for Medicine in English and €5,000 per year for Dentistry and Pharmacy in English. International students on the Macedonian-language programmes pay €1,500 plus €100 for laboratory costs. Prices are reviewed every year.
| Programme | Language | List price per year |
|---|---|---|
| General Medicine | English | €6,000 |
| Dentistry | English | €5,000 |
| Pharmacy | English | €5,000 |
| Medicine, Dentistry, Pharmacy (international students) | Macedonian | €1,500 plus €100 laboratory costs |
The prices refer to the 2026/27 list. The fee is paid in two equal instalments at the start of each semester. In earlier publications of the university, Medicine appeared at €4,000 per year, which shows that fees change and that it is worth checking the current year every time.
Add accommodation, living costs, laboratory materials and the cost of repeated courses to the tuition. The study regulations provide that each repetition of a course carries a financial charge set by the Senate. For a realistic estimate, always compare the total cost until graduation with alternatives in other European countries.
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Book a Free Transfer ConsultationWhat is the maximum study duration in Štip, and does the Greek n+ rule apply?
In short: The Greek n+ rule does not apply in Štip. It comes from Greek law 4957/2022, as amended by law 5224/2025, and concerns only Greek public universities. In Štip, the study regulations of the first cycle apply and allow you to finish within twice the normal duration, which is 12 years for Medicine.
Students from Greece know the n+ rule, which sets a maximum study period and leads to deletion when the limit is exceeded. That rule belongs to Greek legislation and does not apply at an institution in another country. Readers from other countries can ignore this point.
At Goce Delčev University, the provisions on progression, examinations and duration are in the regulations for first-cycle studies. They provide that students may complete their studies within twice the normal duration of the programme. For a six-year programme that corresponds to 12 years.
The difference has practical meaning. A student who has learned to calculate "n+2" must not carry those numbers over to Štip. At the same time, a long limit does not mean that progress is free of pressure, because moving from one year to the next depends on the credits you have collected.
How are exams graded and how many times can you retake a course in Štip?
In short: The grading scale runs from 5 to 10 and the pass mark is 51 out of 100 points. A student who has collected 42 points from activities before the exam may take it up to three times with the lecturer, and a fourth time in front of a three-member committee.
The regulations state that the final grade is built from 100 points. The activities before the final exam are worth up to 70 points and the final exam 30 points for full-time students. The conversion is: 91 to 100 points give a 10, 81 to 90 a 9, 71 to 80 an 8, 61 to 70 a 7, 51 to 60 a 6, and 50 points or fewer mean a fail.
A student who reaches 42 points before the exam may take it up to three times before the lecturer. If the student asks for it, the fourth attempt takes place in front of a three-member committee of lecturers from the same or a related field, without the lecturer who examined the student before. A student who does not reach 42 points has to repeat the course the following year, and the old points do not count.
There are three main exam periods, February, June and September, with possible additional periods in April, October and December. A student who has passed a course can ask within four months to repeat the final assessment for a higher grade, but the lower new grade is final. Attendance of at least 60% of the scheduled lectures and tutorials is required to earn the corresponding points.
What do you need to move up to the next year in Štip?
In short: To enrol in the second year you need 36 ECTS, for the third year 90, for the fourth year 150 and for the fifth year 210. Integrated programmes provide an exception for the eleventh semester with 210 ECTS and a validated tenth semester. A semester is validated when all lecturers sign.
| Enrolment in | ECTS required |
|---|---|
| Year 2 | 36 |
| Year 3 | 90 |
| Year 4 | 150 |
| Year 5 | 210 |
| Semester 11 (integrated programmes) | 210 and a validated semester 10 |
These numbers come from the study regulations and matter a great deal in practice. A Medicine student who does not collect the ECTS credits for the second year does not progress and enrols again in the same year. A semester is validated only when all lecturers have signed the electronic student record.
The maximum load is 30 ECTS per semester and 60 ECTS per year. A student who has accumulated backlog therefore cannot make it up within a single year. Backlog works like a snowball, which is why the first warning sign, a semester without validation, deserves immediate attention.
What is a pause in studies and when are studies considered interrupted?
In short: A pause is granted on request for reasons such as pregnancy, a child under one year, illness lasting more than six months, family reasons or inability to cover the costs, and the dean approves it. If you do not enrol or activate the pause on time, your studies count as interrupted.
The regulations recognise that some circumstances justify a pause. They include pregnancy, a child up to one year old, illness longer than six months, family reasons, certain exchanges, professional practice of at least six months, membership of a national team and the inability to meet financial obligations. The dean approves the pause.
During a pause the student may take outstanding exams that allow enrolment in the next year. The pause has to be activated within 30 days of the end of the deadline for the reasons that justify it. If that does not happen, the period counts as an interruption of studies.
To regain student status after an interruption, the student applies to the vice-rector or the head of the unit, who decides which exams are recognised and which have to be repeated. This decision is critical for any future planning and cannot be predicted in advance.
How is clinical training organised in Štip Medicine?
In short: In the English-language Medicine programme the twelfth semester is devoted entirely to clinical practice: General Medicine 8 ECTS, Internal Medicine 5, Surgery 5, Obstetrics and Gynaecology 4, Paediatrics 4 and an elective clinical course of 4 ECTS. Ask the student office where the training takes place.
Clinical training is where Medicine is decided in practice. In the Štip curriculum the clinical subjects begin with Propaedeutic Internal Medicine in the third year and continue in years four and five with the large specialties. The final semester is devoted to practical training in six areas.
- General Medicine: 8 ECTS
- Internal Medicine: 5 ECTS
- Surgery: 5 ECTS
- Obstetrics and Gynaecology: 4 ECTS
- Paediatrics: 4 ECTS
- Elective clinical course: 4 ECTS
One of the published versions of the programme also provides a thesis of 10 ECTS in the twelfth semester. The exact obligations differ depending on the version of the curriculum for your intake year, so it is useful to ask for the current curriculum in writing.
Questions worth putting to the student office: in which hospitals and with which groups does the training take place, how many students share each clinical group, and in which language are you taught at the bedside? The answers will show you what experience you will actually gain.
In which language are the English-language programmes in Štip actually taught?
In short: The programmes are declared as English-language. In our experience, English-language programmes in North Macedonia are not always taught entirely in English, because lecturers with sufficient English are lacking. Parts of the material are taught in Macedonian or in a mix, and it is worth checking this.
The language of instruction is the first subject that students who think about leaving discuss with us. A programme with the label "in English" does not by itself mean that all lectures, practicals and exams take place in English. We mention this without judging individuals or institutions, as an observation from the cases we have seen.
The first-year curriculum already contains a course in the Macedonian language. That is not a problem in itself, because knowing the local language helps in clinical contact with patients. It becomes an issue when students expect full English-language teaching and discover that part of the material, the notes or the oral exams assume Macedonian.
Clinical practice in Medicine is particularly sensitive. The patient speaks the language of the country, and the student has to take a history, listen and explain. Before you decide, ask in writing what percentage of the courses of your year is taught in English and in which language the exams are held.
Why do some medicine students struggle or want to continue elsewhere than Štip?
In short: In our experience the reasons are the language of instruction, a shortage of lecturers who speak English well, limited capacity for practical training and difficulty with progression. They are rarely a question of the student's own ability, and they can often be addressed with an early decision.
In our experience, the quality of teaching at universities in North Macedonia is lower than at comparable European universities. We say this as a professional assessment from our daily work with students, not as a ranking, and it does not concern any individual lecturer. The students who write to us describe four recurring themes.
- Language of instruction: students expect a fully English-taught course and find that part of the material is taught in Macedonian or in a mix of languages.
- Staff: lecturers who are comfortable teaching in English are in short supply, so the material is passed on with less depth than students hoped for.
- Practical training: places in laboratories and clinics are limited compared with the number of students, and groups are large.
- Progression: courses pile up, exams are repeated and there is little academic guidance along the way.
Personal reasons often come on top: distance from family, the cost of living, or the wish to build a career in another European country. For anyone who plans to work abroad, the university that awards the degree matters in practice, because it decides which recognition procedures the graduate has to follow later.
None of this means that every student is unhappy or that every course is weak. It means that if you recognise several of these points in your own situation, it is sensible to look at your options calmly and early rather than at the last exam attempt.
Why do so many students transfer out of North Macedonia every year?
In short: In our experience, for the reasons described above, many students move every year through Medschool Experts to universities outside North Macedonia. They usually look for fuller English-language teaching, stronger clinical training or an EU degree, and every transfer is assessed individually.
Every year we accompany students from North Macedonian universities to other universities in Europe. This is not a statistic or a ranking. It is simply our daily work: the enquiries we receive and the files we prepare.
The motives vary. Some want to learn Medicine in an environment where teaching is consistently in English. Others look for more clinical exposure, better equipped laboratories or wider options for specialist training abroad. Others have fallen behind in their courses and need a fresh start.
A transfer does not mean that everything you have done is lost. The courses you have passed are reviewed by the receiving university, and in many cases part of them can be credited. There is no promise of recognition or admission, because the decision belongs to the university and depends on the case.
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Studying in Štip and looking for an alternative?
Medschool Experts works with 25+ partner universities in Europe and helps students transfer in difficult situations. We assess every case individually, depending on the case, and without promises. The first consultation is free.
Book a Free Transfer ConsultationHow do you decide between staying, pausing and transferring?
In short: The decision rests on three questions: how far you are from the degree, whether the problem is temporary or structural, and what your professional plan is. An early review of your options costs less in time and money than a late decision, and it lets you decide calmly.
There is no single right answer for everyone. A first-year student with one failed course has different options from a fourth-year student who is already facing clinical duties. Three questions help most.
- How far away is the degree? The more years you have completed, the more it is worth checking how a new university would credit your courses.
- Is the problem temporary or structural? A hard period may be solved by a pause in studies. The language of instruction or limited clinical training, by contrast, does not change from one semester to the next.
- What is your professional plan? If you want to work in another country, the university that awards your degree has practical consequences.
In every case the first move is to get the written facts in your hands: the regulations, your enrolment status and your transcript. Then compare the options calmly. Medschool Experts helps at exactly this stage, so that your decision rests on documents and not on rumours or time pressure.
How does a transfer from Štip to a European university work?
In short: The process starts with a review of your transcript and ECTS credits, continues with a selection of universities from the 25+ partners of Medschool Experts and ends with the preparation of your file. The receiving university always decides on credit recognition and the year of entry, depending on the case.
A study transfer is a complex process, because it combines credit recognition, the right year of entry, documents from two countries and deadlines. The experts at Medschool Experts have almost ten years of experience with study transfers worldwide and take over the whole process.
- Review: we examine your transcript, ECTS credits, curriculum and study history.
- Selection: we suggest universities from our 25+ partners in Europe that fit your profile and your budget.
- File: we prepare the documents, the translations and the communication with the receiving university.
- Decision: the receiving university decides on credit recognition and the year of entry, depending on the case.
Do not wait until you have used up every semester or every exam attempt before asking for information. The earlier the review, the more options you have and the more calmly you can decide without time pressure.
How do you read your transcript and ECTS credits when you think about a transfer?
In short: The transcript with ECTS credits is the key document of any transfer. The receiving university compares the courses you have passed with its own curriculum. The clearer and more complete your file, the more accurate the assessment of your possible year of entry will be.
A transcript lists every course you have taken, the grade, the ECTS credits and the semester. In a transfer, the receiving university does not only look at the total number of credits. It examines the content of each course, the number of hours and the level.
For this reason it is useful to ask the student office not only for the transcript but also for the description of the courses you have passed. Basic subjects such as anatomy, physiology and biochemistry are usually credited more smoothly when the content and the workload are documented.
Failed attempts, pauses and repeated courses also appear in your history. They are not a reason for concern, but information that has to be presented correctly and clearly. Our experts help with the precise wording of the file.
What do professional recognition and Directive 2005/36/EC mean for you?
In short: Directive 2005/36/EC regulates the recognition of professional qualifications for degrees awarded in EU and EEA member states. For degrees from third countries, separate national procedures apply in each country. Anyone who plans to work abroad should think about this at the start, before choosing a university.
Directive 2005/36/EC governs the recognition of professional qualifications between the member states of the European Union and the European Economic Area. For professions such as doctor, dentist and pharmacist it sets minimum training requirements, which allow a degree to be recognised under common rules.
North Macedonia is not a member state of the EU. For degrees awarded there, each destination country applies its own procedure with its own conditions, which may include an additional check of documents or examinations and differ considerably from country to country. We do not judge any programme here. We describe the framework.
If you know early on that you want to work in a particular country, it makes sense to check whether the university that will award your degree falls under the common European framework. That is one of the reasons why students consider a transfer to a university in an EU member state.
What can you do if you have lost your student status?
In short: Ask in writing for the decision and your transcript, and ask the student office how your student status can be restored. In parallel, Medschool Experts examines alternative routes at European universities and prepares your file. There is no promise of re-enrolment or admission.
If your studies in Štip have been interrupted or you have lost your student status, the first step is to find out exactly what happened. Ask the university in writing for the decision, its legal basis and your transcript, and ask whether there is a procedure for appeal, review or reactivation and which deadline applies.
In parallel, we look at alternative routes with you. First, we check which courses you have passed and which years you have completed. Second, we look for universities in Europe where your case can be examined. Third, we prepare the file and take over the communication with the institutions.
We cannot promise re-admission, admission to another university or the recognition of all your courses. In some cases the new route starts in a lower year than you would like, and it is important to know that from the beginning. In our experience, students who ask for help early have more options.
Free study-transfer consultation
Have you lost your student status?
Medschool Experts checks your case individually and prepares a file for universities in Europe. There is no promise of re-enrolment or admission, depending on the case. The first consultation is free and non-binding.
Book a Free Transfer ConsultationWhich documents do you need and which mistakes should you avoid before you decide?
In short: For the first review we need your transcript with ECTS credits, the curriculum, an identity document and your school-leaving certificate. Avoid waiting for the last exam attempt and enrolling elsewhere without checking credit recognition. A transfer is best prepared with time.
- Transcript with courses, grades and ECTS credits
- The current curriculum for your intake year
- Identity card or passport and your school-leaving certificate
- Certificates of validated semesters and any certificate of a pause
- The university's decision, if your student status has been interrupted
Ask the student office to issue the documents in English and with a stamp. You do not have to have everything ready before you contact us, because we guide you step by step.
The usual mistakes: waiting until all attempts are used up, giving up your student status before an alternative exists, deciding on the basis of rumours or verbal assurances, and paying a deposit to a new university before the year of entry and the total cost have been checked. A calm, early review of your options saves time and money.
Free study-transfer consultation
Talk to us before you decide
Medschool Experts examines every case individually and without promises. The first consultation is free and non-binding.
Book a Free Transfer ConsultationThe author's view
I started dental medicine in Sofia in 2015, at 24, and graduated in 2021. Most of my classmates were five years younger, and I often felt late. That feeling is common among students who see their plans change halfway through their studies.
I am the founder and owner of Medschool Experts and a federally recognised dentist. In my experience, students who contact us rarely lack ability. Behind the problem there is usually the language of instruction, a lack of guidance or limited practical training. The earlier you look at your options, the more you keep in your own hands.
Summary
The Faculty of Medical Sciences at Goce Delčev University in Štip offers Medicine (six years, 360 ECTS), Dentistry and Pharmacy, with list prices of €5,000 to €6,000 per year on the English-language programmes. The Greek n+ rule does not apply. The university's own regulations apply, with a grading scale from 5 to 10, up to three exam attempts per course and a time limit of twice the normal duration.
In our experience, some students look for fuller English-language teaching and stronger practical training. For anyone who is thinking about it, or who has already lost their student status, Medschool Experts examines the options for a transfer to European universities individually.
Conclusion
A difficult moment in Medicine is not the end of the road. Know your rules, ask the student office for written answers and talk to us before the next critical decision. Book your free consultation.
Study Medicine in Štip: 10 questions and answers
How long does Medicine take in Štip?
Six years, which means 12 semesters and 360 ECTS credits, according to the published General Medicine programme.
Are Dentistry and Pharmacy offered in Štip?
Yes. The Faculty of Medical Sciences offers both programmes, in a Macedonian-language and an English-language version. There is no veterinary medicine in Štip.
How much does Medicine in English cost in Štip?
The list price for 2026/27 is €6,000 per year. Dentistry and Pharmacy in English cost €5,000 per year. Prices are reviewed every year.
Does the Greek n+ rule apply in Štip?
No. The n+ rule concerns Greek public universities. In Štip, the study regulations of the university apply, which allow you to finish within twice the normal duration.
How many times can I take an exam?
A student who collects 42 points before the exam may sit it up to three times with the lecturer and, on request, a fourth time before a three-member committee.
How many ECTS do I need to move up a year?
36 ECTS for the second year, 90 for the third, 150 for the fourth and 210 for the fifth.
Are all courses taught in English?
The programmes are declared as English-language. In our experience, teaching is not always entirely in English. Ask for the language breakdown by course in writing.
Can I transfer to a university elsewhere in Europe?
In many cases there are options, depending on your history and your file. The receiving university decides on credit recognition, and it cannot be secured in advance.
What can I do if I have lost my student status?
Ask for the decision and your transcript in writing, ask about the reactivation procedure and contact us. We examine alternative routes at European universities, with no promise of re-enrolment or admission.
Who helps with a study transfer from Štip?
Medschool Experts. We work with 25+ partner universities in Europe, and the first consultation is free and non-binding.
Further reading
What students say about Medschool Experts
Over 500 placements at 25+ partner universities across 10+ countries. See how our students experienced their path into medical school abroad in our student stories.
About the author

Marcel Kloos
Founder and owner of Medschool Experts, federally recognised dentist
Marcel Kloos is the founder and owner of Medschool Experts, a placement agency for medicine, dentistry, veterinary medicine and pharmacy degrees abroad. Since 2021 the team has secured more than 500 study places at 25+ partner universities in Europe and worldwide.
Study medicine abroad: Marcel's own path
Born in Stuttgart, Marcel started his degree late: at 24 he enrolled at the Medical University of Sofia, Faculty of Dental Medicine, and graduated in 2021 from the English-language programme. He went through the same steps his clients face today — nostrification of school certificates, entrance interviews, finding a flat in Sofia and later the recognition of a foreign degree. He is a federally recognised dentist.
What Marcel does at Medschool Experts
Today Marcel lives in Bern and runs Medschool Experts full-time. He visits every partner university in person, negotiates placement agreements directly with faculties and deans, and leads the free consultations in which applicants learn at which university they can start next semester. His YouTube channel on studying medicine abroad has helped thousands of applicants compare universities, costs and recognition.
Topics Marcel writes about
- Study medicine abroad independent of your high school diploma grades: universities, costs and admission
- Study dentistry, veterinary medicine or pharmacy in Europe in English
- Tuition fees and living costs at medical schools in Europe and worldwide
- Recognition of foreign medical degrees in the EU, Switzerland, the UK and the US
- Transferring between medical schools and returning home into a higher semester
All articles by Marcel Kloos are based on first-hand visits to the universities and conversations with current students. Book a free consultation to discuss your own path.
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