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An analysis of the medical specialty training system in Spain.

Freire JM, Infante A, de Aguiar AC, Carbajo P - Hum Resour Health (2015)

Bottom Line: In this paper, we analyse the medical specialty training system in Spain (the so-called "residency system").In order to do so, we a) summarize its historical evolution; b) describe the five major architectural pillars on which the system is currently based; c) analyse the special contract of the specialist-in-training; d) discuss the three major challenges for the medical specialist training future: the evolution and expansion of the residency system to other health professions, the issue of grouping specialties with a common core trunk and the continuity of the learning process; and e) draw four conclusions that may be relevant for those who are in the process of developing or revising their own medical specialization systems.

View Article: PubMed Central - PubMed

Affiliation: National School of Public Health/Institute of Health Carlos III, Madrid, Spain. jmfreire@isciii.es.

ABSTRACT
In this paper, we analyse the medical specialty training system in Spain (the so-called "residency system"). In order to do so, we a) summarize its historical evolution; b) describe the five major architectural pillars on which the system is currently based; c) analyse the special contract of the specialist-in-training; d) discuss the three major challenges for the medical specialist training future: the evolution and expansion of the residency system to other health professions, the issue of grouping specialties with a common core trunk and the continuity of the learning process; and e) draw four conclusions that may be relevant for those who are in the process of developing or revising their own medical specialization systems.

No MeSH data available.


Evolution of medical schools intakes and specialist training posts in Spain
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Fig2: Evolution of medical schools intakes and specialist training posts in Spain

Mentions: The accreditation granted to a specialty training unit includes the maximum number of training posts, in compliance with the EU requirements that require for a qualification of medical specialist to be accepted all over the EU, that training should be developed in posts “recognized by the competent Authorities”. In July 2013, 183 health centres were accredited, encompassing 2800 accredited services for specialists training. Fig. 1 shows the evolution during the last 10 years of the number of financed training posts of medical specialists in training (MIR), including Family and Community Medicine (general practice) and other medical specialties Fig. 2 shows the lack of correlation between the annual number of MIR training posts and the number of admissions in Spanish medical schools, a fact that could explain the high number of foreign medical graduates (mostly from Latin America) that have entered into the Spanish MIR system during this period.Fig. 1


An analysis of the medical specialty training system in Spain.

Freire JM, Infante A, de Aguiar AC, Carbajo P - Hum Resour Health (2015)

Evolution of medical schools intakes and specialist training posts in Spain
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4469408&req=5

Fig2: Evolution of medical schools intakes and specialist training posts in Spain
Mentions: The accreditation granted to a specialty training unit includes the maximum number of training posts, in compliance with the EU requirements that require for a qualification of medical specialist to be accepted all over the EU, that training should be developed in posts “recognized by the competent Authorities”. In July 2013, 183 health centres were accredited, encompassing 2800 accredited services for specialists training. Fig. 1 shows the evolution during the last 10 years of the number of financed training posts of medical specialists in training (MIR), including Family and Community Medicine (general practice) and other medical specialties Fig. 2 shows the lack of correlation between the annual number of MIR training posts and the number of admissions in Spanish medical schools, a fact that could explain the high number of foreign medical graduates (mostly from Latin America) that have entered into the Spanish MIR system during this period.Fig. 1

Bottom Line: In this paper, we analyse the medical specialty training system in Spain (the so-called "residency system").In order to do so, we a) summarize its historical evolution; b) describe the five major architectural pillars on which the system is currently based; c) analyse the special contract of the specialist-in-training; d) discuss the three major challenges for the medical specialist training future: the evolution and expansion of the residency system to other health professions, the issue of grouping specialties with a common core trunk and the continuity of the learning process; and e) draw four conclusions that may be relevant for those who are in the process of developing or revising their own medical specialization systems.

View Article: PubMed Central - PubMed

Affiliation: National School of Public Health/Institute of Health Carlos III, Madrid, Spain. jmfreire@isciii.es.

ABSTRACT
In this paper, we analyse the medical specialty training system in Spain (the so-called "residency system"). In order to do so, we a) summarize its historical evolution; b) describe the five major architectural pillars on which the system is currently based; c) analyse the special contract of the specialist-in-training; d) discuss the three major challenges for the medical specialist training future: the evolution and expansion of the residency system to other health professions, the issue of grouping specialties with a common core trunk and the continuity of the learning process; and e) draw four conclusions that may be relevant for those who are in the process of developing or revising their own medical specialization systems.

No MeSH data available.