The Ministry of Health of Castilla y León has taken a step back with the proposal to hire doctors without MIR in "extraordinary" circumstances to alleviate the lack of specialists in the medical centers of the Leon community. The counselor, Antonio Sáez Aguado, presented to the regional medical sector a document dated January 24 and signed by the director of the Regional Health Management in which he proposed the hiring of graduates without specialty for a period of six months extendable, "if The circumstances that gave rise to the appointment persist, "for the specialties of primary care as well as emergencies and emergencies.
Sources of the counseling assure that the measure "is not going to apply" and that they study other alternatives, such as offering three-year contracts to doctors who finish their residency this year and improve the remuneration for accumulation of hours worked. After the medical collectives showed on Tuesday a resounding rejection, Sáez contacted the main presidents of said entities to inform them that he would not continue with this initiative.
The Spanish Society of Primary Care Physicians (Semergen) has shown its "satisfaction" with the rectification of the counseling and has transferred to the counselor his willingness to advise him in the future with the aim of solving the lack of professionals. Semergen has underlined that one of the possible measures that can solve the current problem is increase the number of MIR places in the most demanded specialties: family doctors, pediatricians and specialists in emergencies and emergencies. The society of doctors has informed that the counseling has assured them "that it will not raise the possibility of hiring professionals without specialty".
"Hiring doctors without MIR is a crazy measure and, fortunately, since the counseling they have been able to rectify, as an example if other autonomous communities were considering this measure." We remember that, as a reference society of Primary Care, we open our doors to health ministries to collaborate and help in the search for solutions to the critical situation of primary care, "said Francisco Martínez, president of Semergen in Castilla y León.
To practice in public health, the Spanish and European legislation includes that, in addition to having a medical degree, it is mandatory to have a specialist qualification –which is obtained after four or five years of tutored training in hospitals, the MIR (acronym for internal resident doctor) -. However, some councils that have confessed to hire doctors without MIR ensure that it is possible to do so in "exceptional circumstances", an event that, they argue, appears ratified in a Supreme Court ruling.
The Confederation of Medical Unions warned again Tuesday that these irregular contracts are still occurring in most communities and that they have warned "of said illegality" for several years.
Only three of the 17 communities consulted by EL PAÍS have admitted that "sporadically" non-MIR graduates have been hired. Seven have denied these practices and the rest have not even answered. The Forum of Primary Care Physicians, in which the organizations representing this specialty participate, has convened this Thursday a news conference "to express their outright opposition" to these initiatives.