The National Center for Public Hospital Personnel Management (CNG), which administers medical internship entrance exams in France, has denied allegations of fraud after an anonymous letter surfaced online. The letter, obtained by the Associated Press (AFP), claims that exam topics and grading criteria were leaked beforehand, allowing "hundreds of students" to gain thousands of positions in the rankings. The author of the letter, who claims to be part of the group that benefited, provided what he says are the actual exam topics and grading grids as evidence. The CNG, which operates under the Ministry of Health, explained that the distribution of exam topics and grading grids to medical teaching and research units (UFR) was done according to established procedures. The organization conducted a detailed analysis of results and ranking changes for the 2024, 2025, and 2026 exam sessions. It found "no significant discrepancies" that would suggest widespread fraud. The CNG also dismissed the claim that "hundreds of students" gained between 4,000 to 6,000 places in the rankings, stating that less than 2% of candidates advanced more than 2,000 positions after the oral exams. Thibault Patey, president of the National Association of French Medical Students (ANEMF), acknowledged that the CNG's statistical analysis makes some of the accusations "less likely." However, he emphasized that the analysis does not fully address the concerns raised by students. The ANEMF has called for further investigations and stronger safeguards for future national exams. This year, the ECOS exams—introduced for the first time in 2024—were taken by over 10,500 students, marking a significant expansion of the selection process. The CNG has stated that it is treating the allegations seriously, but at this stage, it is not possible to confirm the authenticity of the letter. The organization has not yet provided further details on its next steps but has reiterated its commitment to ensuring the integrity of the exam process. The situation has sparked debate over transparency and fairness in medical education admissions in France.