Enamed is a victory – 01/20/2026 – Elio Gaspari

The bad news came last week. The National Association of Private Universities (Anup) wanted to block the publication of the results of the National Medical Training Assessment Exam in court (). Soon after, the good news came: , and on Monday the Enamed data.

Anup’s behavior is equivalent to that of a doctor who refuses to show the patient the results of a test ordered by the laboratory.

It did what was expected: in general, the best courses are from public universities (free) and (paid).

A guild wanting to stifle the results of an exam is a bad sign. If these results are related to the proficiency of doctors, the behavior of the association of private universities becomes a public problem.

The guild argued that releasing the data carries “risks of irreparable harm to students and higher education institutions.” Those who bring risks and irreparable damage to society are the colleges that charge monthly fees of up to R$15,000 to train students without the necessary capacity to practice medicine.

Renowned doctors, such as surgeon Raul Cutait, have been fighting for years for public authorities to evaluate medical schools. There are around 400 of them and there are another 300 asking to work. Brazil is experiencing an epidemic of new medical schools. By the way, in the next decade Brazil could reach the mark of 1 million doctors. It remains to be seen whether this doctor is capable of diagnosing a case of diabetes. In a 2023 exam, the percentage of those incapable was high.

The Enamed that the guild wanted to suppress revealed that 3 out of every 10 medical courses that measure the quality of training. This education costs the family of a private college student close to R$1 million. According to Enamed, half of the students do not have the necessary proficiency to practice the profession.

In 2023, 13% of courses were unsatisfactory, in 2025 it was 20%. The situation got worse and probably the doctors from the private college guild suspected it. Six out of 10 private colleges had unsatisfactory results. 351 medical courses were evaluated and around 90 thousand students were interviewed.

When the guild of private colleges tries to stifle the Enamed result, the idea of ​​one for law students becomes stronger. The college trains bachelors, but only those who have passed the OAB exam are lawyers. If such a selection filters out lawyers, there are more reasons to create a filter for doctors.

An incapable doctor, due to stupidity or political interest, was President Costa e Silva’s doctor in 1969. After having lost the ability to speak twice, the marshal asked him: “Isn’t that a stroke?”

“No,” replied the palace doctor.

It was cerebral ischemia that in a few hours rendered the president silent and paralyzed his right side, incapacitating him.


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