Pilar Rodriguez Ledo, first vice president and head of Teaching and Medical Education at SEMG, and José Polo García, president of Semergen.
Alleviate the current and future deficit of family doctors It is one of the main headaches for those responsible for Primary Care in each autonomous community. A structural problem that affects all autonomous health systems and whose leaders are trying to solve. Among the possible solutions, some communities refer to the celebration of an extraordinary MIR that incorporates more professionals to a scarce labor market. Something that the Family sees with good eyes as long as it is accompanied by a set of measures that determine who will enter, how will they enter and how will they train.
“There is no magic solution. The measures taken cannot be improvised and the effects they may have must be weighed. The extraordinary MIR is one more measure to be adopted within a group. Complex problems never have easy solutions ”, he explains to Medical Writing Pilar Rodríguez Ledo, first vice president and head of Medical Education and Teaching of the Spanish Society of General and Family Physicians (SEMG).
The doctor, who is also part of the National Commission of the Family Medicine Specialty, believes that the solution to the root problem does not involve holding an extraordinary MIR, but it does could be viable as an urgent measure. “If we have tutors, residents and conditions to do the training, it would be ideal. We need more Family and Community specialists. If we do it suddenly the result will not be good, you have to think very well who is going to enter, how they are going to enter and how they are going to be trained ”.
Along the same lines, the president of the Spanish Society of Primary Care Medicine (Semergen) is shown, José Polo García: “It would not be a definitive solution, it would be temporary. The professional deficit will continue to increase in the coming years given the number of retirements that are expected ”.
Despite this, Polo García welcomes the measure as long as it is framed within a set of actions, it is ensure adequate training and quality standards are maintained. Although he warns that the call may not have the expected success: “The problem is that Family with the current situation they live in is not attractive. The number of people they estimate may not show up”
No Guardians for Extraordinary Residents
Another of the main obstacles to an extraordinary MIR would be who to assign those extra residents to. Of the current resident promotions, the two closest to ending will end in May, the next in September, the next in July and the last to enter will do so again in May. “The tutors are busy with these promotions and the teaching units are at full capacity. When one promotion leaves, it leaves room for another, but if we have to tackle another one, we don’t have enough tutors ”, claims Rodríguez Ledo.
For Polo García the extraordinary MIR only makes sense if it is linked to an increase in tutors, since no matter how many residents there are, if there is no training, it is useless. “The situation of the teaching units should be analyzed to see if they can take on more residents. More could also be accredited, however, this is not so easy. In addition to bureaucratic obstacles, accreditation does not only depend on health centers but from area hospitals, and there are many hospitals that do not have all the services through which residents must rotate, “says the president of Semergen.
A absence of tutors that is also conditioned by lack of time and oversaturation of agendas. “The first thing to do is recognize the work of the tutor. This is something additional to the daily work and of a voluntary nature, and the voluntariness with the current situation is not very abundant “, explains the member of the Commission of the Family Medicine Specialty.
Past fears of generating inequalities between professionals
Rodríguez Ledo fears that mistakes of the past are repeated and become a “strainer”: “A kind of extraordinary MIR has already been held and one of the consequences was to generate first-rate and second-rate professionals. The image that remained is that anyone could access Family. The profession cannot be discredited any more. Family medicine is as important to any other specialty and must have minimum and serious access requirements ”.
For his part, the president of Semergen recalls that this was the “30-year war”. “A confrontation was generated between professionals, that if my title is worth more than yours. We must comply with the quality standards of training because if we do not we will be devalued Primary Care”, claims Polo.
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