Vázquez-Díaz José Ramón
Unidad Docente Multiprofesional de Atención Familiar y Comunitaria «La Laguna-Tenerife Norte», Islas Canarias, España.
Aten Primaria. 2024 May;56(5):102935. doi: 10.1016/j.aprim.2024.102935. Epub 2024 Apr 10.
Family and Community Medicine is the most offered and chosen specialty in the MIR (Spanish medical residency examination), however, every year its attractiveness is questioned due to not all offered positions being filled and a certain number of resident doctors deciding not to continue in this specialty once started. In this context, some of the proposals to address the problem focus on increasing the supply when the facts show that the challenge lies in addressing the demand by making the specialty and its professional scope more attractive. The problem and its determinants are analyzed in this context by focusing on four elements that may be influencing it: the vocational aspects of medical graduates who pursue specialization, the characteristics of the specialty program and the teaching units where training is carried out, the presence of family medicine in the university as a key element for knowledge and affinity to this specialty from undergraduate studies, and finally, the situation of primary care as the space where training is materialized and the priority setting for the professional practice of future specialists.
家庭与社区医学是西班牙住院医师资格考试(MIR)中开设最多且被选择最多的专业。然而,由于并非所有提供的职位都能招满,且有一定数量的住院医生在开始后决定不再继续从事该专业,其吸引力每年都受到质疑。在这种背景下,一些解决该问题的提议聚焦于增加供给,而事实表明挑战在于通过使该专业及其职业范围更具吸引力来满足需求。在此背景下,通过关注可能影响该问题的四个要素来分析问题及其决定因素:追求专科化的医学毕业生的职业方面、专科项目及进行培训的教学单位的特点、大学中家庭医学作为本科阶段对该专业知识和亲和力的关键要素的存在情况,以及最后,初级保健作为培训得以实现的空间以及未来专科医生职业实践的优先事项设定的情况。