There are usually no vacancies for Internal Resident Physician (MIR). This year, of the 8,188 places offered, 218 have remained, 2.65%. Two hundred were from the specialty of Family and Community Medicine. They are concentrated in Asturias, Castilla y León, Catalonia, Extremadura and Galicia. In 2014 there were 218. In 2017 there were 62 and in 2016 two places. Since then, all covered.
To cover these places, the Ministry of Health has expanded the quota of non-EU MIRs to cover the vacant places not assigned within the Specialized Health Training election process.
The president of the General Council of Official Colleges of Physicians (Cgcom), Tomas Cobo, assures that this year’s vacancies are due to multiple factors, including the large number of doctors who had not accessed specialized training that have been caused by the pandemic. gone to private medicine, also to the demand for professionals in other countries and job insecurity, salaries _he says_ are higher in other countries.
“50% of our colleagues have a precarious contract. We don’t have time for continuous medical training and then the salaries are frankly lower than European ones”, summarizes Tomás Cobo.
Thomas Cob.
The General Council of Official Colleges of Physicians has just written a report on the causes of so many vacancies and which indicates that several studies carried out in different provinces have found that MIRs work more hours than legally established. Between 20-30%, depending on the province, do not take the mandatory post-shift breaks and there are significant pay differences between autonomous communities and specialties.
Among other proposals, the report proposes salary improvements, studying the problem of chronically less chosen specialties for economic reasons, displacement or difficulties in conciliation and proposes the establishment of an incentive system for vacancies and MIR specialties of difficult coverage, through formulas that financially compensate travel and accommodation.
The president of the General Council of Official Medical Associations also points out that in recent years there has been a shift in specialized medical training towards specialties such as ophthalmology and dermatology, before cardiology or surgery were the most requested. “Young people _he says_ choose more specialties that require less care stress, with less stressful shifts”.
Young people choose more specialties that require less care stress, with less stressful guards”
The group has been calling for new specialties for years. “Child psychiatry has accelerated and there is a historical request, that of urgent care and emergencies, it is one of those that are being considered,” says Cobo.
On the request of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC) that claims a specialty, arguing the growing importance of imported emerging diseases, diseases due to serious bacterial infections or the care of patients with antivirals in complex treatments or with prosthetic infections , Cobo maintains that infectious is a specialty that is hierarchical in hospitals.
“It depends on internal medicine, and when I said hierarchical, I mean there is a section chief, including the infectious disease service in many hospitals, which, yes, they will have to turn it into a specialty,” he says.
From his point of view, the infectious case is an issue of European fit and harmonization that has to fit the European directive of health specialties.
Medicine
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