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Rev Assoc Med Bras (1992). 2013 Nov-Dec;59(6):583-8. doi: 10.1016/j.ramb.2013.06.010. Epub 2013 Nov 9.

Proposal for a unified selection to medical residency programs.

[Article in English, Portuguese]

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Programa de Pós-graduação em Engenharia de Produção, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil; Universidade Estadual de Londrina, Londrina, PR, Brasil. Electronic address:



This paper proposes the unification of entrance exams to medical residency programs (MRP) in Brazil. Problems related to MRP and its interface with public health problems in Brazil are highlighted and how this proposal are able to help solving these problems.


The proposal is to create a database to be applied in MRP unified exams. Some advantages of using the Item Response Theory (IRT) in this database are highlighted.


The MRP entrance exams are developed and applied decentralized where each school is responsible for its examination. These exams quality are questionable. Reviews about items quality, validity and reliability of appliances are not common disclosed.


Evaluation is important in every education system bringing on required changes and control of teaching and learning. The proposal of MRP entrance exams unification, besides offering high quality exams to institutions participants, could be as an extra source to rate medical school and cause improvements, provide studies with a database and allow a regional mobility.


Item Response Theory; Medical residency; Processo seletivo; Residência médica; Selection processClassical Test Theory; Teoria Clássica do Teste; Teoria de Resposta ao Item

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