[REVISION HISTORY]

Brazil ENAMED medical assessment disputes

Updated 6 times since CLSTR started tracking revisions of this situation.

What changed

2026-08-21 11:47 UTC → 2026-08-22 14:59 UTC · added ~~removed~~

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 ~~53 private colleges and one federal university, involving restrictions on new student admissions~~ 107 institutions, including the Universidade de Cuiabá (Unic) and ~~participation~~ the Centro Universitário Estácio do Pantanal (Unipantanal) in ~~federal financing and access programs. These measures~~ 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). ~~The Brazilian Association of Higher Education Maintainers (Abmes)~~ Abmes is currently reviewing the decision through its legal counsel.

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