PNA (Internato Médico)

Prova Nacional de Acesso (PNA) - Internato Médico

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About this exam

The Prova Nacional de Acesso (PNA) is the national access examination that gates entry into the Internato Médico, Portugal's postgraduate medical training programme. It is aimed at holders of the licenciatura/mestrado integrado in Medicina who wish to enter Formação Especializada; the ACSS describes the Internato Médico as a theoretical and practical specialised training process designed to qualify the doctor for technically differentiated practice in a given area of specialisation. Under the regime described by the ACSS, entry happens through a single annual concurso, opened in the third quarter of each civil year, which simultaneously covers candidates for Formação Geral, Formação Especializada, changes of specialisation or reassignment, and re-entry. The Prova Nacional de Acesso, where applicable, is held in the fourth quarter of the civil year at the location indicated in the application forms, and the bibliography is published on the ACSS website sufficiently in advance - so preparation should be anchored to that published list rather than to generic material. Candidates who intend to complete only Formação Geral are exempt from the Prova. Ordering of candidates is based on the Prova classification, with the normalised classification of the academic qualification certificate as tie-breaker. The ACSS states that there are currently 48 areas of specialisation listed in Annex I of the Regulamento do Internato Médico, and the legal framework comprises Decreto-Lei n.º 13/2018 and the Regulamento approved by Portaria n.º 79/2018.

What you'll study

Common questions

About PNA (Internato Médico) preparation

Who has to sit the Prova Nacional de Acesso?

Candidates seeking entry into Formação Especializada sit the Prova where applicable. The ACSS states that candidates who intend to complete only Formação Geral are exempt from sitting the Prova Nacional de Acesso. The single annual concurso also covers candidates for change of specialisation, reassignment and re-entry, under the terms of the law.

When does the exam take place?

According to the ACSS, the Prova Nacional de Acesso is held in the 4th quarter of each civil year, at the location indicated in the application forms. The concurso itself opens in the 3rd quarter of the civil year, and the timetable, deadlines and formalities for each phase are set out in the Aviso de Abertura published beforehand in Diário da República (2.ª Série) and on the ACSS website.

What is the exam format?

The ACSS source does not specify the number of questions, item format, or duration of the Prova Nacional de Acesso. It states only that the exam takes place in the 4th quarter and that the bibliography is published on the ACSS website sufficiently in advance. Candidates should confirm format details in the Aviso de Abertura and the ACSS pages for the current year.

How is the ranking decided?

Candidates are ordered by their classification obtained in the Prova. The tie-break criterion is the normalised classification of the academic qualification certificate. For candidates who began their study cycle in the 2018/2019 academic year, seriation uses the harmonised classification, combining the Prova classification with the normalised classification of the academic qualification certificate.

When do choices and placement happen?

The choice process runs between October and November of the civil year following the opening of the respective concurso. If a specialisation vacancy is obtained, entry takes place in January of the following year, with effects from its first day. Postponement of the start date is possible to safeguard justified circumstances, under the terms of the law.

How should I organise my study?

Start from the bibliography published on the ACSS website for the current exam, since the ACSS states it is released sufficiently in advance. Build your plan around that list rather than around older material, and align revision with the 4th-quarter exam date. Confirm the applicable legal framework - Decreto-Lei n.º 13/2018 and the Regulamento approved by Portaria n.º 79/2018.

How many specialisation areas are there?

The ACSS states that there are currently 48 areas of specialisation, listed in Annex I of the Regulamento do Internato Médico. The ACSS website also publishes the training programmes for each area, which set out total duration, programme content, sequence of placements, and continuous and final assessment methods.

Is there a retake policy or validity period?

The ACSS source does not state a retake policy, a limit on attempts, a fee, or a validity period for the Prova Nacional de Acesso. These details are not confirmed by the available source and should be checked directly with the ACSS ([email protected]) or in the Aviso de Abertura for the year in question.

What happens after I finish training?

After completing Formação Geral with approval, autonomous practice of medicine is recognised. After completing Formação Especializada with approval, which presupposes homologation of the final classification, the Grau de Especialista is awarded in the respective area. The ACSS issues supporting documents such as the declaration of Prova classification and the specialist degree certificate.