He directs the Faculty of Medicine with the largest number of students in Spain. Are there enough medical professors to teach?
Physicians in all medical degrees are becoming alarmingly few, and especially in the basic sciences, fewer and fewer. We recognize that all health degrees are welcome as professors in this faculty and we are proud to have mathematicians, physicists, biologists, pharmacists, among others, but we also believe that it is important that doctors be a significant number. In clinical sciences, who wants to become a doctor, yes or yes, interest in university teaching is decreasing because the assumptions are complex, the training period is too long and when people reach a level of stability it is much more and in short The average life of a university professor is very short. Not so much that only a few enter, but only for a short time. Work is being done with the Ministry of Health and Education in this regard and trying to find alternatives, although it is difficult to find simple solutions to complex problems.
What would be the features that need further strengthening?
all. It is true that there is little recognition in family therapy, but it is a common problem. I am now on one of Aeneca’s assessment committees, the national agency for quality assessment and accreditation, and the number of doctors seeking to be accredited is far fewer than for other health degrees.
Classes are held in the building attached to the Clinical Hospital. Is the teaching organized?
this is madness. We have many problems due to separation of faculty and it is not working. In my case, my job is in a clinic. I have a class in the faculty in the third year and a class in the fifth year in the class, and above all they are followed. Not creating new faculty was a mistake, but those are decisions that are made. I understand the economic and financial difficulties of the University of Santiago, but I am the Dean of Medicine and with one part in San Francisco and one part in the classroom, it is not the best model. I know of other faculties that have built a new hospital as well as the faculty next door, but in Santiago we are different.
Galicia did not manage to cover all Mir positions, especially in family medicine. What is your opinion on this matter?
We train doctors, we don’t train specialists. If people choose Cardiology, Anesthesia or Surgery we put ‘graduate trained to do all medical specialties’ in the market and then a lot depends on what you want to do and where. I think we are facing an administrative problem in the choice of places and as a doctor I am sorry that there are vacancies. What is clear is that USC School of Medicine students do what they choose, independently. You don’t have to persuade them to do something. I always tell them that they don’t need to run the whole race here, that they take the risk and travel. That ‘they live in Santiago, that we rent them’ sounds backward to me.
In Galicia, there are more than 150 family doctors who will be 65 in 2022 and nearly 300 who are already over that age, according to a recent report by the Sargus General Directorate of Human Resources. How is generational change?
There are 8,000 doctors in Spain who are unemployed and cannot reach Mir. Why is there an obsession with saying there are no doctors? For just two years, there are more Mir vacancies than medical graduates in the country. In addition, a new Faculty of Medicine is being opened at this time. Some time ago we were 29 centers and now we are going to cross fifty.
Has there been a change in trend with respect to the most sought after specifications of barns?
There are characteristics that traditionally have very good numbers, but everything is very variable. Cardiology or Dermatology are usually the ones that always get marks. What I do not agree with is a debate that has taken place on social networks about the fact that the first place is taken by those specialties that have more private activity than others. I believe that a very small percentage of those who choose Mir are based on economic criteria. Also, it’s clear that some specialties are more attractive than others, but it wouldn’t depend on the professor who taught you because I don’t think professors in one field are better than others in all medical schools. It is traditionally said that the lesser-known specifications are left to the last, but I am not sure. The core is that students inform themselves, choose with freedom and wisdom, and take risks.
Do you think there could be another Faculty of Medicine in Galicia?
There is an agreement since 2015 in which three Galician rectors signed an agreement according to which Santiago would have the only degree in Galicia. As a doctor with some experience, I have an opinion, but here it matters little because here I have to direct the medical faculty as much as possible and follow the rules that come my way. There is only one faculty at the moment which, fortunately for the Galician university system, is the health resource of all the public health institutions in Galicia and we have all Sargas hospitals and health centers to better train the students. I am in favor of less and good that many and poorly financed, but I understand that there are other models and it is legitimate to debate and analyze them.