Revalida: not even half of doctors trained abroad pass the 1st phase to validate their diploma in Brazil

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Examination is required to be able to practice the profession in the country. Data obtained via LAI show that, of the more than 36,000 candidates, 16,536 managed to move on to the second phase, or 45.5% of the total. According to Inep, only 45.5% of doctors were approved in the first phase of Revalida in 12 years in the country. 📋 Written test: Since 2011, when it was applied by the federal government, of the 36,322 candidates who took the written test at least once, 16,536 managed to move on to the second stage. They represent 45.5% of the total. 🩺 Practical test: Already in the second stage, which consists of a practical evaluation, the approval rate is higher: 80.5%. Of the 14,892 candidates who completed this phase, 11,988 were approved. Inep data on the National Examination for Revalidation of Medical Diplomas Issued by a Foreign Higher Education Institution were obtained by TV Globo production via the Access to Information Law (LAI). 👉 Did you know? Without Revalida, Brazilians or foreigners who have graduated in medicine in other countries cannot apply for registration with the regional councils of medicine. It is the so-called “CRM” that authorizes the doctor to work in the country. 🎯 First phase ‘sieves’ candidates According to Milton de Arruda Martins, professor at the Faculty of Medicine at the University of São Paulo (FMUSP) and specialist in medical training, the difference between the two rates reflects the objective proposed by Revalida. It’s easier for you to assess medical knowledge with well-done tests, with a written test. But with this test you cannot know if the person is really a doctor. You have to look at the doctor acting, talking to the patient. The second phase serves this purpose. Revalida has the lowest approval rate in 11 editions; doctors trained abroad point out flaws and ask for changes 📋 How is Revalida? Revalida has two stages: the first is a written test (with objective and discursive questions); and the second, practical, to test the physician’s clinical skills. The practical phase is divided into stations that simulate consultations in the Unified Health System (SUS) with the participation of actors. In total, there are 10 stations, covering five major areas of medicine: internal medicine, family medicine, pediatrics, surgery and gynecology and obstetrics. In each location, the doctor has 10 minutes to follow a set list of tasks and give the correct answers about the health of the “patient”, indicating diagnosis, treatment and referral, for example. With each hit, the doctor earns points, which are added to the end. At this stage, the candidate is not evaluated at the time of the test: everything is recorded on video for later correction. Revalida was created 12 years ago to centralize the validation of foreign medical degrees. Before, this was done directly at Brazilian public universities, but each one adopted its own methods. Revalida: in the practical test, at each station, doctors need to follow a list of tasks Inep/Reproduction Approved in Revalida since 2011 🎓 Brazilians are two thirds of the participants According to Inep, doctors of 88 different nationalities have participated since 2011, but the Brazilians represent almost two-thirds of both those who took the exams and those who passed the first and second phases. Of the nearly 12,000 who took both phases and were approved in both, 7,471 are Brazilians. Another 15,341 Brazilians took at least one of the Revalida tests at least once (regardless of whether or not they passed to the second stage), but did not manage to reach the end. Considering the total number of participants in some stage of the exam and the total number of people approved at the end of the tests, the pass rate among Brazilians is 33%. The second nationality with the most approved in absolute quantity is Cuban: 2,054 managed to pass the Revalida, and another 3,118 have ever taken at least one of the stages of the exam and failed. Compare, below, the number of Revalida candidates, according to the country of nationality and the result in the exam: Approved and failed Revalida by country 📉 Preparation for Revalida Milton de Arruda Martins, professor at USP, points out that part of the institutions that have received many Brazilians end up offering low-quality training, which explains the high failure rate of Revalida. Candidates, in turn, complain about the unfairness of the exams, and end up resorting to preparatory courses, some with prices of up to R$5,000 for two days of classes, to try to pass. Daniel Furini, from the interior of São Paulo, is 36 years old and is one of the Brazilians who left the country to study medicine, returned, did the Revalida and today have the CRM. In his case, medicine was the second career, which he decided to bet on at the age of 29 at a university in Argentina. Now, it’s his wife’s turn, also trained in Argentina, to take the exam. The second phase of the 2023 Revalida edition takes place on June 24 and 25. Of the 10,066 enrolled, 9,236 participated in the first phase and 1,216 passed the stage. One of the platforms she will use was precisely designed by her husband between January and February of this year, after he completed the second phase of the 2022.2 edition of Revalida, and before knowing whether it had been approved or not. “I saw that the main difficulty was not in the first phase, because it is universal. It is basically studying the theoretical basis. So, there are already many courses at this stage”, he explained. “The whole problem is how to study for the second phase. You need someone else, it’s not a method that studies alone.” Daniel Furini, from the interior of SP, graduated in medicine at the Universidad Nacional de Rosario, in Argentina, and passed Revalida on the first attempt in the second phase, having to attend to fictitious patients, played by actors hired by Inep. The site even allows a candidate to find another, in real time, to unite and practice together, taking turns and evaluating the performance of each one. “If the person does not have a partner, we add them to a group, and they organize themselves to train. We have 1,400 daily training sessions”, said the doctor, who says that the service has already earned R$ 180,000 since its launch. , at the end of February.

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