Jose Polo Garcia and Pilar Rodriguez Ledo.
the subpoena PEACE 2023 will have 119 more seats for the medical specialty family medicine, however, this increase of 5 percent since the last call does not solve the problem of the shortage of specialists who lives and will move on to more, the first level of care. Doctors welcome this increase in places, but it is a suppressed emotion because they predict there will be empty places again if joint improvement of working conditions in primary care.
It should be remembered that since the 2014-2015 call, the largest increase in absolute numbers corresponds to family medicine. This medical specialty, the most affected in the latest MIR call after the process ended with 93 vacancies, added Another 801 positions in the last eight years.
“The number of vacancies may increase, because supply is growing but not demand. The percentage of abandonment can be twofold. We hope this does not happen, because then there will not be enough generational change,” laments José Polo García, president of the Spanish Society of Primary Care Doctors (Semergen).
Some abandoned places that, according to the vice president of the Spanish Society of General and Family Physicians (SEMG), Pilar Rodríguez Ledo, “they will be there” until working conditions change: “Some isolated measures may have precise benefits in one year, but they are ethereal benefits. A global improvement needs to be made because, moreover, any isolated measure is not reliable at the moment.”
A comprehensive approach to avoiding voids
Aside from possible vacancies if no action is taken, doctors see the increase in supply as essential. “It is vacancies should be increased as a greater number of inhabitants is needed, but it is also necessary to make a comprehensive approach so that the places that are increasing are covered. For this, fair elections are important, which guarantee it and a improving conditions in the performance of the activity to want people to do Family Medicine,” explains Ledo.
An assessment shared by the president of Semergen: “Even last year there was an increase and that is positive, but the problem is that they were discovered and they have to analyze the reasons and find out how to boost coverage. We have been repeating for years that one of the pending issues is to improve the conditions in primary care and for the doctor to know the first level of care during his postgraduate training. If there are already vacancies this year, no matter how much we increase, they will not fill up next“.
Lower the border note and don’t make any more patches
For Ledo, the problem is so old and in such a limited situation that he even warns that without a comprehensive approach, health centers will function less and less. “We manage risk of places being abandoned again and if initially this is not the case, throughout the year they give up. If people join without much conviction and see a work environment they don’t want to have for the rest of their lives, they end up quitting the job. The solution is to do a integral approach of all elementary. It doesn’t support any more corrections.” – the doctor points out.
For his part, the president of Semergen believes that in addition to improving working conditions, several processes need to be improved in MIR elections. “One of the solutions is do not impose a minimum rating, as MIR is a borderline system and it can be scaled down to leave no people behind. It’s not about giving places with tension. can be reduced and do not offer vacancies to non-EU nationals that after the training period they leave,” says Polo.
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