Government and CFM dispute control of proficiency exam in medicine in the Senate
The Brazilian Senate's Social Affairs Committee is revisiting the creation of a proficiency exam for newly graduated physicians.
The Brazilian Senate's Social Affairs Committee (CAS) is set to discuss the establishment of a proficiency exam for recent medical graduates. This meeting occurs on Wednesday, the 25th, and focuses on two primary proposals: the creation of a new exam dubbed Profimed (National Proficiency Exam in Medicine) or the continuation of the Enamed (National Examination for the Assessment of Medical Training) for assessing the qualifications of graduates.
The proposal for the new exam originates from Senator Marcos Pontes (PL-SP) and aims to grant the Federal Council of Medicine (CFM) the authority to credential physicians, similar to the function of the Brazilian Bar Association's exam for lawyers. This proposal received an initial approval in late 2025, passing by a small margin of 11 votes to 9, but in order to advance, it requires a second-round vote within the committee. The rapporteur, Hiran GonΓ§alves (PP-RR), has the discretion to amend the report to include or reject suggestions made by his fellow senators.
Should the CAS successfully pass the proposal, it will then be sent to the Chamber of Deputies for further consideration. This debate is critical as it could shape the future of medical licensure in Brazil and determine how medical professionals are evaluated before entering practice, potentially impacting the quality of healthcare in the country.