The Ministry of Health abandons the idea of reforming the MIR system as the PP wanted (and how the party worked since before 2010). The call core was to unite the first two years of training of specialists by branches (the surgical trunk, the doctor … and so on up to 13) so that later they would be separated into a more specific formation (for example, branches of allergology, cardiology and pneumology, among others, came from the medical trunk). But this reorganization never got under way, and the head of the department, María Luisa Carcedo, said today, after the meeting of the Human Resources Commission of the National Health System, that this idea is discarded.
Instead, the ministry will prepare a royal decree that will determine the requirements to create a new medical specialty. This definition is not only an acknowledgment, but also ensures that there is specialized training in these fields, with teaching units and a group of doctors in training who occupy the current services in the future. In particular, there are two medical societies, the Infectious Disease and of Emergency medicine and emergencies who have been claiming the creation of the corresponding specialties for a decade. Although Carcedo has stated that the meeting with the representatives of the communities did not speak of any in particular, they are the ones that have struggled the most.
The commission has addressed the situation of health personnel. The ministry continues to pursue an old idea: to have a registry of all the professionals of the national health system. The head of Health has said that the technical problems were already solved so that the communities, which are the ones that hire and pay, dump their data.
Another recurring idea launched is the study of the supply and demand of medical specialists. The ministry already has the data, which it has sent to the communities. Carcedo said that, in general, the Spanish system has many doctors, but there are distribution problems, especially because there are places, such as rural, "unattractive", "remote" and "precarious temporary contracts." Although he has not given details, in the press release, primary care medicine and pediatrics are mentioned as deficient, followed by anesthesia and resuscitation, radiodiagnosis and urology.
Already in 2007, the corresponding study showed that there were 3,000 specialists missing when 108,000 professionals worked in public health, most of them in the same areas that are mentioned now: anesthesiology, general and digestive surgery, family and community medicine, pediatrics and radiology. Now there are about 192,000 assets in the country, said Carcedo, but not all are in the public. The data from the ministry itself suggest that these are about 140,000.
As in 2007, the first step in this regard is to increase the number of places for MIR training. If then they were about 6,000, now they are at 6,800. What you have to see from the study is whether they are enough to cover pensions.