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About this exam

The Título de Especialista em Clínica Médica (TECM) is the specialist title in Internal Medicine offered by the Sociedade Brasileira de Clínica Médica (SBCM), a society affiliated with the AMB. It is aimed at physicians who have completed training in clinical medicine and want formal recognition of their expertise in the specialty. The SBCM's own site lists the Prova de Título em Clínica Médica under its Título de Especialista section, alongside the edital, the registration portal, the list of candidates approved to sit the practical exam, and the answer key and question booklet from the exam. The assessment has two parts: a multiple-choice written exam and a practical exam (prova prática); only candidates on the published list of aptos proceed to the practical stage. The exam covers Clínica Médica as a whole, so preparation should be broad rather than subspecialty-focused: build a study plan across the major clinical areas, work through the released question booklets and answer keys to learn the style of the questions, and rehearse case-based reasoning and oral or practical presentation. Because the edital is the binding document, candidates should read the current edital and any errata published on the SBCM site before registering. This page is an independent study resource and is not affiliated with or endorsed by the SBCM.

What you'll study

Common questions

About TECM Clínica Médica preparation

Who administers the TECM exam?

The Sociedade Brasileira de Clínica Médica (SBCM), which is filiada à AMB. The society publishes the edital, the registration access, the list of candidates approved for the practical exam, and the answer key and question booklet on its website.

What is the exam format?

The SBCM site describes both a multiple-choice exam and a practical exam (prova prática), with a published list of candidates aptos a prestar a prova prática. The number of questions, time allowed, and weighting are set in the edital, which is not reproduced here.

How many questions are there and how long is the exam?

The SBCM homepage does not state the question count or duration. Those details appear in the edital for the exam year. Check the current edital and any errata on the SBCM site before planning your timing.

What score do I need to pass, and what does it cost?

Neither the passing score nor the registration fee is given on the SBCM homepage. Both are defined in the edital. Treat any figure you see elsewhere as unverified until you confirm it in the official edital for your exam year.

Can I retake the exam if I fail?

The SBCM homepage does not describe a retake policy. Retake rules, waiting periods, and any limits would be stated in the edital. Read the edital carefully and contact the SBCM directly if the document is unclear.

How long is the title valid?

The SBCM homepage does not state a validity period for the Título de Especialista em Clínica Médica. Do not assume a fixed number of years. Confirm validity and any renewal requirements with the SBCM or in the current edital.

How should I structure my study plan?

Start broad: cover the major clinical medicine areas before drilling deep into any one. Then use the released question booklets and answer keys to learn the exam's style and identify weak spots. Finish with timed practice and case-based rehearsal for the practical stage.

Where can I find past questions?

The SBCM site has a page titled GABARITO E CADERNO DE QUESTÕES under the Prova de Título em Clínica Médica section. Working through those booklets and answer keys is the most reliable way to understand the question style.

What is the practical exam, and who takes it?

It is the second stage, taken only by candidates who appear on the published list of candidates aptos a prestar a prova prática. The SBCM homepage does not describe its content or format; the edital is the authoritative source.

What are the most common ways candidates lose points?

Typical failure modes include narrow subspecialty preparation, poor time management on the written paper, and weak structure when presenting cases in the practical stage. Reading the edital and any errata carefully also prevents avoidable procedural mistakes.