The announcement of more places for medicine is “falling rain” for the medical profession

The draft of the general budget for 2023 has brought to the fore the problems with the training of doctors in Spanish universities, which in recent weeks has already attracted the attention of the Forum of the medical profession.

The €50 million position announced for this purpose by Finance Minister María Jesus Montero will be used to enable universities to increase the number of first-year medicine places by 1,000. An announcement that did not sit well with the medical profession, which doesn’t believe this is the solution.

Gabriel from the well.

In an interview with MEDICINE VESTNIK, Gabriel del Pozo, General Secretary of the State Confederation of Medical Unions, confirms the position expressed by the Forum only a few days ago andRemember the shortage of 3,800 medical professors which includes the year-to-date report published by the National Conference of the Deans of Medicine. “We are concerned about the increase in medical vacancies in faculties due to the ongoing faculty shortage,” he says.

The spokesperson emphasizes that “it seems ineffective to increase the educational offer in medicine if there are not enough teaching staff to certify quality education. Creating faculties that do not meet the academic and health criteria, or increasing the number of students, if we do not increase this number, is not feasible.” “We are doing badly because we will not be able to maintain the quality of this training,” he notes.

Along with the shortage of professors, Del Pozo recalls that there are more and more professors in the faculties who are not doctors, “but biologists, veterinarians … non-medical professors.” “How can teaching be increased if we have no one to teach it?” he asks, concluding by pointing out that “in the end it’s not about quantity, it’s about quantity with quality”.

Funnel in access to FSE

The CESM spokesperson did not discount the risk of funneling subsequent access to specialist health education venues. Squares, which on the other hand cannot be improvised either.

This should be linear, they are communicating vessels. If we teach medical degrees, it is because we need doctors. If we need specialists to be able to work in the state system, we should have an equal attraction at least between graduates and entrants. We must be able to offer the places by specialty, if not, we are going in a bad way”, he specified.

“This measure does not cover the hole in the pipe, because doctors do not act like fools”

Gabriel del Pozo, Secretary General of CESM

If it is not resolved, Del Pozo adds, “we have created this situation that we had with 30,000 doctors who were in some bags when 600 MIR places were offered for the 30,000 who showed up,” he alludes to the problem of the place. The lack of coordination, moreover, has a pronounced impact because it “degrades the system,” in his view.

In any case, the CESM spokesman emphasizes that at the moment the main burden or concern is related to the shortage of doctors, who in any case will not be on the street for more than a decade. “This measure does not cover the hole in the pipe, because doctors do not act like churros. We need teachers who can “cook the dough” and that’s what we don’t have. We also have a problem with training at MIR, with the teachers, because they don’t take care of themselves”. complaint. “Quantity alone without quality is useless,” he concludes.

Aneca earrings

The publication of the new National Agency for Quality Assessment and Accreditation (Aneca) criteria for teacher education is being closely watched by the State Council of Medical Students (CEEM), which is holding a meeting in the coming weeks to renew the board of directors.

According to his vision, which Álex Boada, Vice President of External Affairs of CEEM, explains to MEDICAL GAZETTE, the lack of professors is one of the problems that is aggravated by the creation of new faculties. “We’re waiting to see those benchmarks and whether they imply an improvement in capability,” he points out.

“Fighting for a single entry system for access to a medical degree”

Alex Boada, Vice President of CEEM

Boada explains that he participated earlier in the week in a meeting of the Ministry of Universities working group where these issues were discussed, together with technicians from the ministry and representatives of the chancellors and deans of medicine, among others.

“It was about commenting on several points about changes to the entrance to the university. We are fighting for a single registration system, for real equality in access to medical researchand another of the issues we wanted to raise was access to the degree, places to access medicine through Ebau, as well as to normalize the places that exist in access to specialized health training,” he elaborates.

At this meeting, he emphasizes, everyone agreed on several points. Perhaps the main one is that “any type of position that is created must have minimum requirements”. Something difficult, on the other hand, in a context like the current one. “These are training requirements, hospital infrastructure, center saturation, some minimum elements that are no longer being met,” they warn.

Two examples of inconsistency

The CEEM spokesperson cited as an example the situation at the University of Córdoba, whose students, given the hospital infrastructure, also have access to hospitals in Jaen. “If it’s implanted in Jaen, we’ll have to see what happens to those students, if more than one student doctor has to go, if they have to fight for the hospital,” he warns.

Another example is happening in the community of Valencia, where the University Jaume I also has to share with the Faculty of Medicine of the CEU Cardenal Herrera for an internship. “This is what happens when these places increase without considering the impact on the SNS,” he says.

“Increasing the places in MIR should be done according to the capacity of the structures of the health system to receive residents and according to the demographic needs”

Alex Boada, Vice President of CEEM

The student spokesperson criticized the way these situations were handled. There is a tendency to associate that if in five to ten years we are going to have a shortage of doctors, as announced, it is to train more doctors and open more places,” he points out. In this sense, Boras acknowledges that “Increasing these places by 10 or 15 percent is media attractivebut the main difficulty is that to access SNS we have to go through FSE”.

The students also warn about the risk of increasing the “funnel” when switching to profiled health training, but they also do not want a systematic increase in MIR places. “This should be done according to the capacity of the structures of the health system to receive residents and according to demographic needs,” he points out.

For this reason, and in line with the historical discourse of this group, they require interdepartmental coordination between universities, health and finance to finance these newly created places. “It is essential to ensure that those who take the EBAU test and aspire to study medicine can gain access to the degree, then become residents and finally work in the NHS to avoid a drain on professionals.“, he concludes.

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