Blasco Casares F J, Valero Milián J, Pinsach Elías L
Servicio de Urología, Hospital Municipal de Badalona, Barcelona.
Actas Urol Esp. 1996 Feb;20(2):103-8.
At present the only official way for training and obtention of a degree of specialist in Urology is through the Resident In-house Physician (MIR) program. Although in general terms, the MIR program offers the best way to train specialists, we believe a review and self-evaluation of this system aimed both to elucidate the existing problems and to improve the programme would be useful and necessary. Three different questionnaires were prepared and sent to the Heads of Training Services, to the Residents in all the Urology Services where certified training is being given, or has been given over a five-year period, and to a random sample of Heads of Services who have no Residents appointed. The objective was to get to know the state of opinion on the specialization system, the attitude with regard to other possibilities, as well as to shape a resident's profile, make an evaluation of the professional and working environment, and obtain a general objectivization of the Spanish hospitals. Although the level of response was not consistent in all three groups, it was sufficient to be able to state that the system is considered good and the training correct. However, not all centres fulfill the requirements to have a Teaching Service. Training is not as consistent as it should be in a MIR-type system.
目前，培训和获得泌尿外科专科医生学位的唯一官方途径是通过住院医师（MIR）项目。尽管总体而言，MIR项目为培训专科医生提供了最佳途径，但我们认为对该系统进行审查和自我评估，以阐明现存问题并改进该项目，将是有益且必要的。我们准备了三份不同的调查问卷，分别发送给各培训服务部门负责人、所有正在或在过去五年内开展过认证培训的泌尿外科服务部门的住院医师，以及一个未指定住院医师的服务部门负责人随机样本。目的是了解对专科培训系统的看法、对其他可能性的态度，以及塑造住院医师形象、评估专业和工作环境，并对西班牙医院进行总体客观化评价。尽管三组的回复率并不一致，但足以表明该系统被认为是良好的，培训也是正确的。然而，并非所有中心都满足设立教学服务部门的要求。在MIR类型的系统中，培训的一致性不如应有的程度。
