Through the report of the National Conference of Deans of Medical Faculties (CNDFM), the Forum of the Medical Profession presented the current state of health education in medicine and the work environment as a result of proposals from the ministries of universities and health to increase places for new student enrollments at the Medical School by 15%.
Except to clarify that in Spain there is not a shortage of doctors but of specialists listed in specialties such as family and community medicine, anesthesiology and resuscitation, geriatrics, psychiatry and radiodiagnostics, remember that Spain is the sixth country in the world for the number of doctors (OECD data), and others with more faculties per population.
Training offer
As for the training offer, there was in Spain increased the number of graduate students with a degree in medicine from 167% from 2005-2006, when 4343 students left the classroom compared to 7264 in the year 2020-2021. Similarly, there is 164% increased number of abilities that offer a medical degree in the last decade, from 28 to the current 46 faculties.
However, the Forum condemns this increase in powers was carried out without a consequent increase in teaching staff. It is estimated that it exists a shortage of 3,800 teachers to teach the 44 medical degrees currently being taught.
Incorrect planning of vacancies in MIR
The Forum organizations also emphasize that there was a clear wrong planning of MIR vacancies which justifies part of the problem of the lack of specialists: not only were more places not offered in proportion to the increase in population, but more than 4,000 specialists stopped training during these years.
If 3,732 doctors without a place in the last call were added to this number, a solution would already be found for the health care problem of the predicted deficit of 9,000 doctors for the year 2027 (according to the Report on supply and needs for published Medical specialists 2021-2035).
work conditions
Another key point of the current situation is working conditions and wages specialist in Spain, with the abuse of temporaries and the figures of intermediate temporaries and the average salary far from that of neighboring countries, which is aggravated by the long-term loss of purchasing power.
With these premises on the table, the Professional Forum reminds that a increase in student enrollment in colleges, without increasing accredited teaching staff and without improving working conditions and salaries in public health, it only benefits the countries of the European environment to which graduates emigrate or the private health system.
Suggestions for improvement
Las suggestions for improvement they go through final startup Register of health workerswhich still does not work, a increasing the number of places offered in the MIR systemespecially the next 2-3 years ia improvement of working conditions and wages of public health to make it attractive to young doctors so that they do not find better conditions in other countries.