García Blasco Lourdes, Camblor Álvarez Miguel, Ferrer García Juan Carlos, Botella Romero Francisco
Servicio Endocrinología y Nutrición, Hospital General Universitario de Albacete, Albacete, España.
Unidad de Nutrición Clínica, Hospital General Universitario Gregorio Marañón, Madrid, España.
Endocrinol Diabetes Nutr (Engl Ed). 2019 May;66(5):291-296. doi: 10.1016/j.endinu.2019.03.003. Epub 2019 Apr 7.
In Spain, the system used to select a medical specialty is the MIR (internal resident physician) exam. The MIR selection number may reflect the interest in a given specialty. Our study objective was to confirm the increase in the selection number and to analyze possible factors influencing the decision.
To analyze change over time in the MIR number with which this specialty is chosen and to compare it with other related specialties, as well as the reasons why it is preferred using an anonymous survey to 108 MIRs of endocrinology.
The average number of MIR for Endocrinology and Nutrition has gradually increased to 2336 in year 2018, a trend that coincides with an increase in the number of places offered but is more marked as compared to other medical specialties. Respondents weighed different factors when choosing specialty. When asked about the most positive aspects of the specialty, the highest rated was that day to day activity was "less intense". The most commonly mentioned negative aspect was the low number of techniques. When asked if the specialty had met their expectations, respondents gave an average score of 8.7, although the perceived prestige of the specialty scored only 6.7 points.
There is an obvious deterioration of the MIR selection number of our specialty that it is not so marked in other specialties.
在西班牙,用于选拔医学专业的系统是住院医师规范化培训考试(MIR)。MIR选拔人数可能反映了对某一特定专业的兴趣。我们的研究目的是确认选拔人数的增加,并分析影响这一决定的可能因素。
分析选择该专业的MIR人数随时间的变化,并将其与其他相关专业进行比较,同时通过对108名内分泌科住院医师规范化培训学员进行匿名调查,了解他们选择该专业的原因。
内分泌与营养专业的住院医师规范化培训平均人数在逐年增加,到2018年已增至2336人,这一趋势与提供的培训名额增加相吻合,但与其他医学专业相比更为明显。受访者在选择专业时权衡了不同因素。当被问及该专业最积极的方面时,得分最高的是日常工作“强度较小”。最常提到的消极方面是技术数量少。当被问及该专业是否符合他们的期望时,受访者给出的平均分为8.7分,不过该专业的声誉得分仅为6.7分。
我们专业的住院医师规范化培训选拔人数明显下降,而其他专业则没有如此明显的下降。