Chart 1. Changes in CNRM resolutions on the evaluation of resident physicians. Source: authors.

ITEM	PREVOUSLY (2006)	CURRENTLY (2023)
Assessment frequency	Quarterly	Every four months
Responsibility for residence supervision	Professors with a Medical Residency certificate in the specialty area, or with a higher degree, or with equivalent qualification, according to COREME	Supervisor and set of preceptors; joint evaluation between programs from other institutions in the same modality is prohibited
Evaluation methods	Written, practical, or performance test by attitude scale	Multiple methods and instruments of summative and formative assessments in 3 modalities: 1) Cognitive (theoretical), 2) Psychomotor (practical), and 3) Affective-Professional. Structured feedback
Evaluation concepts	Post-Evaluation: concept of sufficiency defined by COREME by the average value of the conducted evaluations	Pre-Assessment: concept of sufficiency defined in the preparation of the assessment, representing the expected performance for the evaluated domains
Can be included in the Evaluation System by COREMEs	Monograph and/or presentation or publication of a scientific article at the end of training.	- Record of procedures and activities: Logbook, portfolio, and Scientific Research during training; - Progress Test (120 to 200 questions) prepared by the Specialty Society.
Resident Approval for the following year	- Full compliance with the program’s workload; - Approval by the average value of the evaluations conducted at the discretion of COREMEs.	- Full compliance with the workload and evaluations of the program; - Mandatorily achieve a minimum score of 7 in the 3 cognitive evaluations; - “Satisfactory” concept of the quadrimester evaluations in the psychomotor and affective-attitudinal components; - EPAs could serve as bases for verifying progress at the levels of supervision and autonomous practice.
Program Certification	- Full compliance with the program’s workload; - Approval by the average value of the evaluations conducted at the discretion of COREMEs.	- Full compliance with the program’s workload; - Full compliance with the criteria of periodic evaluations; - Full compliance with the promotion criteria in all years of residency; - Presentation of the final work for the conclusion of the course