Introduction: Foundation course has been added as an important part of MBBS curriculum since 2019 under new competency based medical education regulations. And since then continuous changes are going on in its conduct in order to improvising it and for making it more beneficial for the students. Recently according to new CBME gazette 2024, its duration has been reduced to 14 days for the academic year 2024 and further. The existing data showed that it is still in its infancy stage. Aim: To get perception of students about foundation course, their experience about it and further suggestions to improve it. Methods: This cross sectional, questionnaire based comparative study has been conducted between urban and tribal area government medical colleges of Chhattisgarh after taking approval from Institutional Ethics committee and informed consent from participants. A questionnaire in Google form was given to all students on the day of feedback session of foundation course after explaining its objectives to them. The responses were collected and data was analysed using descriptive statistics and qualitative analysis for open ended questions. Results: Response rate of students for urban and tribal medical colleges was 87.5% and 98.2% respectively. Majority of the students from both the medical colleges were satisfied with the conduction and sessions of the foundation course. The suggestions given by the students for inclusion of more sessions of hands on training on basic life support, personality development and language skills. Conclusion: A well designed and executed foundation course may play vital role in successful implementation of new CBME curriculum by acclimatising the students to new professional environment. It may help students to allay their anxiety and increase their interest in course which may proven as an important milestone in achieving the goal of Indian medical graduate.