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In a recent study conducted by the USP School of Medicine (University of São Paulo) and the AMB (Brazilian Medical Association)it was revealed that Brazilian doctors trained in Venezuela, bolivian, Cuba and Paraguayan have the highest percentage of failure in the first phase of the revalidation. This test recognizes medical training obtained abroad for medical practice in Brazil.

I agree with you data presented90.7% of doctors trained in Cuba who took the exam failed to pass it. Of the 300 doctors who took the test, 272 failed to pass.

The study also highlighted that Venezuela leads the list with a 94.6% disapproval rate, followed by bolivian with 93.5% and Paraguayan with 85.6%. The general failure average was 87.3%.

Mario Shefferteacher of the USP School of Medicine and one of the authors of the study, pointed out that it is essential to consider not only the individual performance of doctors, but also the origin of the diploma and the quality of the graduation course abroad. He added that the high failure rate cannot be attributed solely to the degree of difficulty of the test, since some schools consistently have worse results than others in the last editions of the test. revalidation.

He INEP (National Institute of Educational Studies and Research Anísio Teixeira) explained that the test revalidation evaluates five areas: clinical medicine, surgery, gynecology and obstetrics, pediatrics, and family and community medicine. They recognized that the questions have different levels of difficulty, but assured that the preparation and revision of the exam items are carried out exclusively by professors of Brazilian medicine courses.

The high standard of the test has been a matter of debate among foreign-trained physicians. Joao Gabriel Rocha Fonsecaphysician trained in Argentinamentioned that the test is designed to pass as little as possible and that it lacks criteria in its formulation and correction.

Given the growing need for physicians in regions such as the amazon and the inside of Northeastsome professionals suggest that validation should be done at least in areas where local doctors do not wish to work.

The situation poses a challenge for the Brazilian health system, which must balance the need for doctors with the guarantee that those who practice in the country have the necessary training and skills to provide quality care.

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