ArticleRevista da Associacao Medica Brasileira (1992)2026
Factors associated with unsatisfactory ratings among medical courses in the 2025 Brazilian National Medical Education Assessment Exam: a cross-sectional study.
Article in Revista da Associacao Medica Brasileira (1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis study considers institutional and contextual characteristics in an analysis of factors associated with unsatisfactory ratings among medical courses in the 2025 Brazilian National Medical Education Assessment Exam.
methodsWe analyzed secondary data from participating medical courses, with an interest in unsatisfactory ratings (1 or 2 out of 5). To measure associations of unsatisfactory ratings with course characteristics (i.e., institution type, location, existence duration, applicant-vacancy ratio, student-faculty ratio), logistic regression models estimated crude and adjusted odds ratios, with 95%CIs.
resultsOf 350 courses (119 public, 231 private), one third (n=107) underperformed. More public (95.8%) than private (55.8%) courses performed satisfactorily. In the multivariate model, courses in the 2nd and 3rd quartiles of the applicant-vacancy ratio had lower odds of receiving an unsatisfactory rating (aOR 0.47; 95%CI 0.23-0.93 and aOR 0.32; 95%CI 0.15-0.67). Courses with less than 10 years of existence had higher odds of an unsatisfactory rating (aOR 2.13; 95%CI 1.01-4.47). Higher odds were observed in the North (aOR 5.41; 95%CI 1.70-17.18), whereas lower odds were found in the South (aOR 0.39; 95%CI 0.15-0.98), compared with the Southeast. Private courses had higher odds of an unsatisfactory rating (aOR 10.93; 95%CI 2.68-44.53).
conclusionResults showed inequalities in medical course ratings by institution type, existence duration, applicant-vacancy ratio, and geographical location, indicating the need to improve regulatory policies and processes for evaluating medical education in Brazil.
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