First Enamed Exposes Training Gaps as MEC Prepares Sanctions for Low-Performing Medical Courses

Overview

• In the inaugural Enamed on November 19, 2025, 87,035 students from 262 institutions were tested across 200 cities with a 60-point proficiency cutoff.
• Pediatrics, gynecology and mental health recorded the highest error rates, and a routine severe dengue management question drew only 66% correct responses.
• Inep and MEC data list 99 courses with low performance subject to measures such as seat restrictions, suspension from federal programs and possible deactivation, while separate reporting cites 107 of 351 programs as unsatisfactory.
• Private university group ANUP has initiated legal action challenging the exam’s criteria, arguing flaws in the assessment method.
• Medical leaders highlight infrastructure shortfalls and suggest strengthening residency programs, and the Federal Council of Medicine supports Profmed, a post-graduation licensing test that supporters say is advancing in the Senate.