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Background: Leadership is increasingly recognized as a core competency for physicians which extends beyond clinical care, including team coordination, informed decision-making, and contribution to health system performance. As per NMC guidelines, the competency-based medical education recognizes leadership as an important role of the Indian Medical Graduate. In spite of the guideline’s, limited data is available on how prepared is the undergraduate medical student to take Leadership roles Methods: A cross-sectional study was conducted among first-year MBBS students at a private medical college in Navi Mumbai. Universal sampling was employed. Participants completed a pre validated, self-administered online questionnaire that has leadership awareness, perceived leadership attributes, understanding of Indian Medical Graduate roles, self-perceived preparedness for leadership responsibilities, and attitudes toward leadership training in undergraduate medical education. Data was entered into Microsoft Excel, and descriptive statistics were used to summarize the variables as frequencies and percentages, which were presented in tables and charts. Results: Out of 50 eligible students, 49 participated. Majority of the students were female 71.4%, and most of them were from urban backgrounds (96%). Majority (94%) of them considered leadership skills were essential for medical graduates. Leadership was most frequently understood as the ability to motivate individuals toward a common goal (91.8%). While fewer than half of the students (44.9%) felt somewhat prepared to assume leadership roles, 89.8% felt that leadership training was very important and to be included in the undergraduate curriculum. Teamwork, accountability, decision-making, and conflict management were commonly identified as core leadership attributes. Conclusion: First-year MBBS students understand the importance of leadership concepts and recognize the relevance of leadership training in medical education. However, their readiness to undertake leadership roles remains limited. These findings show the need to incorporate structured leadership competency in undergraduate competency-based medical education curriculum to perform their roles of Indian Medical Graduates as per NMC guidelines. Keywords: Medical leadership, Undergraduate medical education, Indian Medical Graduate, Competency-based curriculum, Leadership training.