Lula Makes Enamed Mandatory for Medical Registration

Overview

• President Luiz Inácio Lula da Silva signed the provisional measure on June 19 that immediately makes approval on the national Enamed exam a legal condition to register with Regional Medical Councils and practice medicine in Brazil.
• The law requires semestral testing by Inep with two mandatory moments: a diagnostic exam at the end of year four and a proficiency exam at course completion in year six that must reach 60 out of 100 to qualify for registration.
• The rule applies only to students who enter medical school after the MP was published so existing students will take Enamed for evaluation and residency selection but are exempt from the registration barrier.
• Individual Enamed scores will feed the Conceito Enade used to regulate courses and can trigger measures such as reduced vacancies, suspension of new admissions or course deactivation while the MP creates new oversight bodies including Sinares.
• Practical effects will phase in over years because the registration block affects future graduates, the first Enamed under the new timetable has registrations open until June 29 for a September 13 test, and the MP must be ratified by Congress within 120 days or expire.