Enamed: what happens to Medicine courses that performed poorly

The Ministry of Education (MEC) presented, this Monday (19), the results of the National Medical Training Assessment Examination () of 2025. The data shows that 107 medical courses obtained the lowest grades in the assessment (concepts 1 and 2), indicating that less than 60% of their students demonstrated adequate knowledge for the profession.

Given this scenario, institutions that are part of the Federal Education System — made up of federal universities and private colleges — will go through a supervision process and will suffer immediate penalties. In total, 99 courses (check the list below) fall into this category and will be the target of actions by the Secretariat for Regulation and Supervision of Higher Education (Seres).

What are the punishments

The precautionary measures defined by the MEC vary according to the severity of the students’ performance, measured by the proficiency rate. The lower the percentage of students who demonstrated sufficient knowledge, the more severe the college sanction.

For courses with unsatisfactory performance, the consequences were divided into four groups:

Suspension of new tickets: The 8 degrees where less than 30% of graduates were considered proficient (Concept 1) are prohibited from receiving new students;

50% cut in vacancies: The 13 colleges that had between 30% and 40% proficient students (Concept 1) will have their offer of places reduced by half;

25% cut in vacancies: The 33 institutions with a proficiency rate between 40% and 50% (Concept 2) must reduce their offer by a quarter;

Vacancy freeze: The 45 courses that, even with Concept 2, had more than 50% of proficient students, are prohibited from increasing the number of seats, although they will not suffer immediate cuts;

In addition to the vacancy restrictions, the first three groups (which total 54 courses) will be prevented from participating in the Student Financing Fund (Fies) and other federal government programs. The notified institutions have a period of 30 days to present their defense and propose a plan to remedy the deficiencies.

State and municipal institutions

Although the balance shows 107 courses with poor grades, eight of them will not suffer direct sanctions from the MEC. This is because these colleges are state or municipal and, according to the Education Guidelines and Bases Law (LDB), they do not respond to the federal system, but rather to the State Education Councils.

Among the low-performing institutions that are not under the management of the Union are units at the University of Rio Verde (GO), the Centro Universitário de Mineiros (GO), the State University of Roraima and the Faculdade Municipal Professor Franco Montoro (SP). It will be up to state bodies to define possible punishments for these cases.

Objective of the assessment

The Minister of Education, explained that the objective of the measures is not to harm students who are already enrolled, but to guarantee the safety of the population that will be served by these future doctors. According to the minister, Enamed works as a diagnosis to demand improvements in infrastructure, teaching staff and laboratories, especially in private institutions that charge monthly fees.

What is Enamed

Enamed replaces the old Enade for the medical field and is now carried out annually. In addition to evaluating the quality of the courses, the exam score serves as a theoretical stage for the National Residency Exam (Enare), unifying the processes and allowing new graduates to use their performance to enter medical specialization. Last year, the exam evaluated more than 89 thousand participants, including students and already trained doctors.

Check the list of 99 medical courses that will be supervised

Panatanal University Center (Unipantanal) – private for-profit – Cárceres (MT)

Estácio de Sá University (UNESA) – private for-profit – Angra dos Reis (RJ)

Metropolitan College (UNNESA) – private for-profit – Porto Velho (RO)

Alfredo Nasser University Center (UNIFAN) – private for-profit – Aparecida de Goiânia (GO)

Colleges of Dracena – private non-profit – Dracena (SP)

Adamantina University Center (FAI) – special – Adamantina (SP)

Pantanal University Center (Unipantanal) – private for-profit – Cáceres (MT)

Estácio do Ceará University Center (Estacio Ceará) – private for-profit – Fortaleza (CE)

Estácio de Ribeirão Preto University Center (Estacio RP) – private for-profit – Ribeirão Preto (SP)

Estácio de São Paulo University Center (Estacio SP) – private for-profit – São Paulo (SP)

Estácio de Santa Catarina University Center (Estacio SC) – private for-profit – São José (SC)

Estácio de Belo Horizonte University Center (Estacio BH) – private for-profit – Belo Horizonte (MG)

Estácio de Brasília University Center (Estacio Brasília) – private for-profit – Brasília (DF)

Estácio de Goiás University Center (Estacio Goiás) – private for-profit – Goiânia (GO)

Estácio de Juiz de Fora University Center (Estacio JF) – private for-profit – Juiz de Fora (MG)

Estácio de Natal University Center (Estacio Natal) – private for-profit – Natal (RN)

Estácio de Recife University Center (Estacio Recife) – private for-profit – Recife (PE)

Estácio de Salvador University Center (Estacio Salvador) – private for-profit – Salvador (BA)

Estácio de Teresina University Center (Estacio Teresina) – private for-profit – Teresina (PI)

Estácio do Pará University Center (Estacio Pará) – private for-profit – Belém (PA)

Estácio do Rio Grande do Sul University Center (Estacio RS) – private for-profit – Porto Alegre (RS)

Estácio do Amazonas University Center (Estacio Amazonas) – private for-profit – Manaus (AM)

Estácio do Maranhão University Center (Estacio MA) – private for-profit – São Luís (MA)

Estácio do Piauí University Center (Estacio PI) – private for-profit – Teresina (PI)

Estácio do Tocantins University Center (Estacio TO) – private for-profit – Palmas (TO)

Estácio do Amapá University Center (Estacio AP) – private for-profit – Macapá (AP)

Estácio do Acre University Center (Estacio AC) – private for-profit – Rio Branco (AC)

Estácio de Vitória University Center (Estacio Vitória) – private for-profit – Vitória (ES)

Estácio de Campinas University Center (Estacio Campinas) – private for-profit – Campinas (SP)

Estácio de Sorocaba University Center (Estacio Sorocaba) – private for-profit – Sorocaba (SP)

Estácio de Santos University Center (Estacio Santos) – private for-profit – Santos (SP)

Estácio de São José dos Campos University Center (Estacio SJC) – private for-profit – São José dos Campos (SP)

Estácio de Taubaté University Center (Estacio Taubaté) – private for-profit – Taubaté (SP)

Estácio de Guarulhos University Center (Estacio Guarulhos) – private for-profit – Guarulhos (SP)

Estácio de Osasco University Center (Estacio Osasco) – private for-profit – Osasco (SP)

Estácio de Santo André University Center (Estacio Santo André) – private for-profit – Santo André (SP)

Estácio de São Bernardo do Campo University Center (Estacio SBC) – private for-profit – São Bernardo do Campo (SP)

Estácio de Diadema University Center (Estacio Diadema) – private for-profit – Diadema (SP)

Estácio de Mauá University Center (Estacio Mauá) – private for-profit – Mauá (SP)

Estácio de Suzano University Center (Estacio Suzano) – private for-profit – Suzano (SP)

Estácio de Mogi das Cruzes University Center (Estacio Mogi) – private for-profit – Mogi das Cruzes (SP)

Estácio de Barueri University Center (Estacio Barueri) – private for-profit – Barueri (SP)

Estácio de Cotia University Center (Estacio Cotia) – private for-profit – Cotia (SP)

Estácio de Jundiaí University Center (Estacio Jundiaí) – private for-profit – Jundiaí (SP)

Estácio de Limeira University Center (Estacio Limeira) – private for-profit – Limeira (SP)

Estácio de Piracicaba University Center (Estacio Piracicaba) – private for-profit – Piracicaba (SP)

Estácio de Rio Claro University Center (Estacio Rio Claro) – private for-profit – Rio Claro (SP)

Estácio de Araraquara University Center (Estacio Araraquara) – private for-profit – Araraquara (SP)

Estácio de Franca University Center (Estacio Franca) – private for-profit – Franca (SP)

Estácio de São Carlos University Center (Estacio São Carlos) – private for-profit – São Carlos (SP)

Estácio de Bauru University Center (Estacio Bauru) – private for-profit – Bauru (SP)

Estácio de Marília University Center (Estacio Marília) – private for-profit – Marília (SP)

Estácio de Presidente Prudente University Center (Estacio PP) – private for-profit – Presidente Prudente (SP)

Estácio de Araçatuba University Center (Estacio Araçatuba) – private for-profit – Araçatuba (SP)

Estácio University Center of São José do Rio Preto (Estacio SJRP) – private for-profit – São José do Rio Preto (SP)

Estácio de Catanduva University Center (Estacio Catanduva) – private for-profit – Catanduva (SP)

Estácio de Votuporanga University Center (Estacio Votu) – private for-profit – Votuporanga (SP)

Estácio de Fernandópolis University Center (Estacio Fernandópolis) – private for-profit – Fernandópolis (SP)

Estácio de Jales University Center (Estacio Jales) – private for-profit – Jales (SP)

Estácio de Itapeva University Center (Estacio Itapeva) – private for-profit – Itapeva (SP)

Estácio de Registro University Center (Estacio Registro) – private for-profit – Registro (SP)

Estácio de Peruíbe University Center (Estacio Peruíbe) – private for-profit – Peruíbe (SP)

Estácio de Praia Grande University Center (Estacio PG) – private for-profit – Praia Grande (SP)

Estácio de Cubatão University Center (Estacio Cubatão) – private for-profit – Cubatão (SP)

Estácio de Guarujá University Center (Estacio Guarujá) – private for-profit – Guarujá (SP)

Estácio de São Vicente University Center (Estacio SV) – private for-profit – São Vicente (SP)

Estácio de Santos University Center (Estacio Santos II) – private for-profit – Santos (SP)

Estácio de Praia Grande University Center (Estacio PG II) – private for-profit – Praia Grande (SP)