# Brazil ENAMED medical assessment disputes > Live situation record from CLSTR: https://clstr.news/situations/brazil-enamed-medical-assessment-disputes > Updated: 2026-08-21T20:00:00.000Z. Sources: 33. Developments: 4. The implementation of the National Medical Education Assessment (ENAMED) in Brazil has moved from administrative planning to intense legal dispute. Following the introduction of Provisional Measure 1370/2026, academic institutions began discussing curriculum adaptations to comply with new two-stage national assessment requirements. Following the release of assessment results, which identified 107 medical courses with insufficient scores, the Ministry of Education (MEC) initiated supervision processes and potential penalties for 99 courses, primarily at private institutions. A federal judge, Maria do Carmo Cardoso of the Federal Regional Court of the 1st Region (TRF-1), initially issued a preliminary injunction suspending these sanctions. The court's decision followed arguments from the Brazilian Association of Higher Education Maintainers (Abmes) and the Brazilian Association of Colleges (Abrafi) regarding undisclosed grading methodologies. However, the Superior Tribunal de Justiça (STJ) has since overturned that injunction, reinstating the sanctions. STJ President Herman Benjamin ruled that suspending the penalties “inviabilizes quality control” of medical education and creates an unfair environment for the 243 institutions that achieved satisfactory performance. Benjamin further argued that the previous injunction prevented the government from investigating deficiencies and could impact the quality of healthcare provided to the population, particularly within the Unified Health System (SUS). The reinstated sanctions affect 107 institutions, including the Universidade de Cuiabá (Unic) and the Centro Universitário Estácio do Pantanal (Unipantanal) in Mato Grosso. Penalties include the suspension of student slots linked to the Fies and Prouni programs, reductions in authorized student numbers, and the suspension of new entrance exams. The MEC maintains these actions are necessary to protect public health, noting that approximately one-third of the 351 medical courses assessed in the 2025 evaluation received insufficient scores (levels 1 and 2). Abmes is currently reviewing the decision through its legal counsel. ## Claims - The STJ reinstated MEC sanctions against 107 higher education institutions due to low performance in the Enamed exam. (corroborated by 21 sources) - The STJ decision overturns a previous injunction by the TRF-1 that had suspended the Enamed results and sanctions. (corroborated by 21 sources) - The Enamed exam is used to evaluate the proficiency of medical students and the quality of undergraduate courses. (corroborated by 20 sources) - The MEC maintains that supervision is necessary to ensure the right of the population to services provided by well-trained professionals. (corroborated by 20 sources) - The Brazilian Association of Higher Education Maintainers (ABMES) challenged the MEC sanctions through a civil public action. (corroborated by 7 sources) - STJ President Herman Benjamin ruled that the previous injunction prevented the government from investigating medical education deficiencies. (corroborated by 6 sources) - In the 2025 Enamed evaluation, 107 out of 351 medical courses received insufficient scores (levels 1 and 2). (corroborated by 2 sources) ## Timeline ### 2026-08-21: STJ reinstates sanctions on 107 medical programs in Brazil Brazil's STJ reinstated sanctions against 107 higher education institutions following low scores in the 2025 National Medical Education Assessment (Enamed). 3 sources. https://clstr.news/cluster/stj-reinstates-sanctions-on-107-medical-programs-in-brazil ### 2026-08-19: STJ reinstates sanctions on 107 Brazilian medical courses over low Enamed scores The STJ reinstated MEC sanctions against 107 medical courses in Brazil following low scores on the 2025 Enamed exam, suspending student funding and new entrance exams to ensure educational quality. 23 sources. https://clstr.news/cluster/brazils-stj-reinstates-sanctions-against-underperforming-medical-schools ### 2026-08-09: Brazil judge suspends penalties for low-performing medical courses A Brazilian federal judge suspended Ministry of Education sanctions against universities with low-performing medical courses following challenges to the Enamed assessment methodology. 5 sources. https://clstr.news/cluster/brazil-judge-suspends-penalties-for-low-performing-medical-courses ### 2026-08-03: Federal University of Goiás Medical School plans changes to ENAMED exam FM‑UFG’s medical school met with university leaders on 3 Aug to prepare for the two‑stage ENAMED exam introduced by Provisional Measure 1370/2026, which will become mandatory for CRM registration. 2 sources. https://clstr.news/cluster/federal-university-of-gois-medical-school-plans-changes-to-enamed-exam --- Cite as: Brazil ENAMED medical assessment disputes. CLSTR, https://clstr.news/situations/brazil-enamed-medical-assessment-disputes