Resumo

MOTA, Alice et al. Exame do CREMESP como indicador da qualidade do ensino médico. Rev. Bras. Educ. Med. [online]. 2014, vol.38, n.01, pp.150-159. ISSN 1981-5271.

INTRODUCTION: Brazil is currently undergoing a period of growth in the number of its medical schools, accompanied by a reduction in the quality of teaching, precarious university and hospital installations and students who are poorly equipped for medical practice. In 2012, passing the exam set by the São Paulo State Regional Medical Council (Cremesp) became a requisite for obtaining a medical license. Of São Paulo's recent graduates, 54% received an unsatisfactory score for their answers to the questions on the basic fields of medicine. OBJECTIVE: To assess factors related to the low performance of these graduates in Cremesp's 2012 exam. METHODOLOGY: A bibliographical revision was undertaken based on data provided by Bireme, Scielo, PubMed and the Cremesp website. "Medical schools" and "medical education" were the terms used to describe health sciences. The report, entitled "54.5% of recent medicine graduates failed the Cremesp exam" formed the basis of the work. From March to April 2013, articles published as of 2007 were analyzed. RESULTS: In the previous decade, the number of doctors increased by 21%, while the general population only increased by 12%. Around 63% of students to have taken the Cremesp exam in 2012 stated that the medical course should be more demanding. At least 16 medical faculties registered a low or poor performance in the National Exam for the Assessment of Student Performance (Enade) for three years running. In a study developed among medical academics, 39% of universities were revealed to dedicate eight hours per week or more to extra-curricular activities. The precarious nature of the teaching of medicine in Brazil is due to a variety of factors. This may impact the increase in the number of cases of iatrogenic infections or in the questioning of the need to implant other methods of assessing medical schools, as progress tests. We therefore must realize that quality medical education helps ensure economic advances match social advances, and must rethink the existing model in order to attract political will and the effective management of investments.

Palavras-chave : Ethics; Medical Education; Health Services Evaluation; Medicine.

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