ENAM
Examen Nacional de Medicina (ENAM)
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Cheat sheet
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ExploreKey terms
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ExploreStudy plan
Give each week a clear focus.
ExploreCommon mistakes
Understand the traps and how to avoid them.
ExploreCase studies
Put your knowledge to work in context.
ExploreExam-day guide
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ExploreAbout this exam
The Examen Nacional de Medicina (ENAM) is the national medical examination organised by ASPEFAM, the Asociación Peruana de Facultades de Medicina, the association that represents Peru's medical schools and is recognised by the Peruvian State as an advisory body to the health sector on medical education. ASPEFAM states that it organises the ENAM annually, and the exam functions as an indicator of educational quality for participating faculties. It is aimed at medical interns and final-stage medical students who are about to enter or complete the internship year, and results are used both for individual performance reporting and for institutional comparison. ASPEFAM publishes a personalised academic performance report for each participant, which shows that the exam is intended as formative feedback as much as a ranking instrument. The content follows a Tabla de Especificaciones that ASPEFAM publishes separately for each administration; the source page does not enumerate the domains or their weights, so candidates should consult that table rather than rely on second-hand summaries. Two administrations appear in the 2026 calendar: an Extraordinary sitting on Sunday 5 July 2026 and an Ordinario sitting on Sunday 13 December 2026, whose Cronograma and Bases were published on 21 October 2026. Preparation should be built around the published specification table, the official Bases, and timed practice with clinical vignettes across the major specialties, with early attention to registration and payment deadlines in the cronograma.
What you'll study
About ENAM preparation
What exactly is the ENAM and who sits it?
The Examen Nacional de Medicina is ASPEFAM's annual national medical exam, taken by medical interns and students at the end of their undergraduate training. ASPEFAM describes it as an indicator of educational quality and publishes a personalised academic performance report for each participant after the sitting.
What is the exam format?
ASPEFAM's public pages do not state the number of questions, the time allowed, or the scoring rule. Those details belong in the Bases and the Tabla de Especificaciones published for each sitting, so download the documents for your specific date instead of relying on figures circulating informally.
When are the 2026 sittings?
Two 2026 dates appear on the ENAM page: an Extraordinary sitting on Sunday 5 July 2026 and an Ordinario sitting on Sunday 13 December 2026. The Cronograma and Bases for the 13 December Ordinario were published on 21 October 2026 and govern that administration.
Is there a registration deadline I can miss?
Yes, and it is the most common administrative failure. Each sitting has a Cronograma listing separate publication dates for registration, payment, observed participants, aptos, and venue and classroom assignment. For the 5 July 2026 sitting, registration opened 3 June 2026 and payment details appeared 24 June 2026.
What does 'aptos' mean and why does it matter?
Aptos is the published list of candidates admitted to sit the exam. If your name is absent, you cannot enter the venue regardless of having paid. For the 5 July 2026 sitting the aptos list was published 30 June 2026; check it as soon as it appears and resolve problems immediately.
Can I retake the ENAM if I do badly?
ASPEFAM runs both Ordinario and Extraordinary sittings, and the constancia download page lists multiple past administrations per year, including first and second Extraordinary sittings in some years. This shows repeat sittings occur, but eligibility rules are set in the Bases for each call, so read them.
How hard is the ENAM and what trips candidates up?
ASPEFAM does not publish a pass mark or difficulty index on these pages. In practice, candidates lose marks through poor time management on long clinical vignettes, shallow coverage of basic sciences, and misreading the question stem. Working through timed vignettes and reviewing every error is more effective than re-reading notes.
What should I study, and in what order?
Start with the Tabla de Especificaciones for your sitting, since it defines the blueprint ASPEFAM uses. Then prioritise high-volume clinical areas, integrate basic sciences into clinical reasoning rather than studying them in isolation, and finish with timed mixed practice under exam conditions in the weeks before the date.
How do I get my certificate afterwards?
Certificates are downloaded from ASPEFAM's constancia page by selecting the modality, document type and number. Note the stated limit: you may download your constancia only up to two times on the same date, after which the download is disabled. Download on a PC or laptop, as the page advises.
Where do I check results and my venue?
Results and administrative notices are posted on the ENAM page. For the 12 October 2025 sitting, venue and classroom information was published 8 October 2025 and results on 14 October 2025. Your registered email is the official channel ASPEFAM uses, so keep it current.