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This study evaluated a near-peer-facilitated preparatory program in a medical at a medical school in Indonesia to enhance final-year medical students' readiness and performance for the Indonesian National Licensing Examination for Indonesian Medical Doctors (NLEIMD). Our study applied a quasi-experimental, one-group pretest and post-test design with 66 participants. We assessed readiness via surveys and performance through a school-based MCQ exam and NLEIMD scores. Results indicated a significant improvement in Cardiovascular system readiness and a significant increase in examination performance before the program. Our linear regression found that medical students’ readiness significantly and positively predicted NLEIMD score. These findings suggest that peer-facilitated programs effectively improve student readiness and NLEIMD outcomes, highlighting readiness as a significant predictor of NLEIMD success