The MEC (Ministry of Education), together with the Ministry of Health, announced this Friday (19) a provisional measure that transforms Enamed (National Medical Training Assessment Examination) into a mandatory requirement for practicing medicine in Brazil.
According to the new rules, students who enter medical courses after the measure is in force will need to obtain a performance considered proficient, above 60 points, on Enamed to receive professional registration with the Medical Councils.
Currently, presenting a diploma is sufficient to obtain CRM.
According to the Secretary of Labor Management and Health Education at the Ministry of Health, Felipe Proenço, the change seeks to guarantee greater security for the population and strengthen control over health.
“What changes is that now there is a test that assesses whether the student can practice medicine or not. This brings more quality to the person being served by this professional, because they want to know if this professional performed satisfactorily to practice medicine”, he said.
The government states that the requirement will only apply to students who enter undergraduate studies after the publication of the provisional measure.
Those who are already registered will continue to be able to obtain professional registration with just their diploma.
Failure does not prevent another attempt
According to the MEC, students who do not reach the minimum level of proficiency will be able to retake the exam in subsequent editions, which will take place every six months.
The minimum passing score will be 60 points on a scale of 0 to 100. According to Inep (National Institute of Educational Studies and Research Anísio Teixeira), statistical methodologies will be used to ensure that the score maintains the same meaning in different editions of the exam.
In the first edition of the Exam, held in 2025, only 60% of those completing medical training achieved the minimum of 60 points. The result indicates that to practice the profession.
Exam becomes permanent policy
In the government’s opinion, the provisional measure transforms Enamed into a permanent State policy and expands its use beyond the evaluation of medical courses.
The exam will continue to serve to monitor the quality of graduations and support supervision processes at educational institutions.
Furthermore, the Revalida theoretical test, aimed at doctors trained abroad, will be replaced by Enamed.
The first edition under the new rules is scheduled to take place on September 13, 2026, with results to be released on December 4.
The MEC’s expectation is to surpass the mark, including students in the fourth and sixth year of medicine.
