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Background For the students in Medical School, the end goal after the long battle of studying is to be able to pass the Licensing Test. The undergraduate program of bachelor of medicine requires its students to complete 24 blocks within 4 years. It should be able to foresee the number of failures of that occur during the National Board of Examination test. Aim The aim of this research is to explore the correlation between the results of a students block examination during their four years of study with failure on the licensing test. Method This is a retrospective study. Three cohorts of students (from the classes of 2009, 2010, and 2011) were used in this study. The total students were 335. Failure on the block exam that is referred to in this study is failure during the first attempt of the exam. We analyzed the multiple choice exams (MCQ) of the block and the MCQ of the licensure test. The data was analyzed using MANOVA and Pearson Correlation. Result Students who failed in the licensing test had average 10.1 (sd=3.8) of failed in MCQ block exam. There was a strong, positive correlation between the MCQ score in block exam and MCQ in licensing exam. There was statistically significant difference in block exam score test prior the failure in the licensing test. Conclusion Failure in almost half of the block exams is a bad sign for the future of the students. Medical educationalist should be able to create a predictive learning process item and design an early warning system. Therefore, schools will able to conduct the appropriate procedures regarding the future of the students education during their early stages of study.