Sanitary shortages and remains PHOTO: J. COLMENERO
health complaints. And of other species that fly about. Good times do not come because of the next elections, some of the participants of the reason seriously complain, without any doubt, nor the intentions or better, the events of others. I understand that the unions, having the primary role in the untimely intention of the hours for which they are used, the principals of the service, lead objections on the condition of the Primary Care and, although the situation is not at all comparable. I do not refer to the Madrid data in any extreme, as it is evident, by means of the toy “impose.”
whether there is a lack of teachers
Political authors repeat it like a slogan and add by way of justification that the problem is all over Europe. In June 2021 there were 136,344 doctors working in the System. 31% is attributed to Primary Care (42,114) and 59.5% to specialists (81,112), and 9.5% to other specialties or functions (13,118), of which 80% work in emergencies and needs, since either in hospitals or primary care centers. The number of active doctors in Spain to 192,484. This means 406.13 per 100,000 inhabitants. Spain is the sixth country in the number of doctors, according to the OECD.
resources are lacking
Sources from private academies claim to be interested. It is also the second country with the most medical schools, only surpassed by South Korea. However, its increase does not agree with the doctors who, in many cases, lack the accreditation mandated by the National Agency for Quality Assessment and Accreditation of Spain (Aneca).
The discreet and silent minister of universities, Joan Subirats, has chosen to give each teaching associate a new position in public schools in medical schools created to carry out clinical work with 55,000 European funds. The decision is a reluctance among professors, who, at this point, I can imagine them fighting to get the most tickets for that lottery and focusing on their friends and family, with or without proven professional experience, about the opportunity that is offered. to them., he offers Members of the local community at the usual university.
The measure would increase the number of student places in 37 public facilities by up to 10%, up to 6,705. A long dozen private facilities that this October will offer 1,857 places in the first year have already been contemplated. In the last decade, the number of graduates has increased by more than 40%, many of them originating from private institutions, in which a minimum entry level is not required, but a strong financial outlay is required. Let each one conclude his own, for I lack space.
Lack of planning
It was important when the number of degrees coincided with MIR’s offerings. In the Zapatero government, more places were brought to the fore, which facilitated the influx of foreign professionals who came to specialize. With Rajoy’s approach to Moncloa and with the cuts, the trend has changed downwards. As of the call 2018-2019, we witness a change and in the academic year 2019-2020 again a positive intermediate between the positions MIR called (7,615) and audit (6,574). In the meeting in January there were 8,550 places for doctors and the remaining pharmacists and nurses up to 10,793 approved, 91.78% of those presented, who must choose a place at the end of March.
Returning to the girls – 61% will be female – who will enter the faculty in October, within six years they will become doctors who generally want to specialize, for which the Ministry of Health must mobilize the same number. of plazas They are four years later and now ten, eight thousand or so microphones will hit the market.
The supply-needs report for Medical Specialists 2021-2035, prepared by the EcoSalud team of the University of Las Palmas de Gran Canaria, warns that fewer paediatricians and more specialists will be needed to treat chronic and complex polypathological patients, and that Family Medicine and Internal Medicine will be more essential parts, if possible, the health system. Looking forward from this study, we must imagine that within six years the offer of specialization will take into account these recommendations and promote Family and Community Medicine, Anesthesiology and Resuscitation, Geriatrics, Psychiatry and Radiodiagnosis, which are currently lacking in doctors, with a disadvantage. Dark Analysis, and Biochemistry, Cardiovascular Surgery, Thoracic Surgery and Obstetrics and Gynecology.
Also, let us not forget, these doctors, when they are resident, will need a tutor, an expert doctor, that is, with the increase of new MIR students, it is necessary with the increase of tutors who are responsible for the education that it requires. incentives for teachers.
too precarious
At Osakidetza They do not complain about economic conditions. Now we all know that doctors and pediatricians have terrible working conditions and high levels of precariousness and workload. They tell me, and I believe them, that the system of their actions resists and prevents them from spending time more effectively on clinical practice with training, teaching, research, community activities or the incorporation of new techniques such as minor surgery or ultrasound. to increase the quality of care. As usual Poor communication and clumsy HR management. Asturias must learn from the other autonomies receiving teachers.
