This Monday is the day that future medicine residents have crossed out in red on the calendar. Applicants with better notes have chosen their MIR 2025 square, selecting their specialty, hospital and place to train. In recent years, Medical-Surgical Dermatology and Venereology It has established itself as one of the most demanded specialties in the MIR, while family and community medicine has been the least requested, largely due to the harsh working conditions it faces
Therefore, the Spanish Family and Community Medicine Society (SEMFYC) has launched a statement where you want to reaffirm your commitment to “the clinical excellence of primary care, the teaching of the specialty and the National Health System.” “These next weeks we would like to mark a crucial turning point for Spanish health, highlighting the importance of family and community medicine as a fundamental pillar of the National Health System (SNS),” says SemfyC.
In the call of 2025, most autonomous communities have maintained an offer of MIR places similar to that of the previous year, with some exceptions: Castilla-La Mancha adds 11 more places, Andalusia incorporates additional 4 and the Valencian Community, one. In contrast, Catalonia has cut its offer with four less places.
Likewise, family and community medicine stands out as the specialty with the largest number of places offered, with a total of 2,508. This figure far exceeds the second specialty with more squares, pediatrics and specific areas, which has 518 places, followed by anesthesiology and resuscitation and internal medicine. Family and community medicine not only fourplates the number of pediatrics places, but also quintuplies those of the following specialties.
«There are no 2,000 future residents who want to be pediatricians, internists, anesthetists or cardiologists«, Says Semfyc. The unions ensures that “the speech of vacancies is not consistent with the statistical reality of the specialty and should be mentioned that there are thousands who do express interest in the specialty.”
Commitment of institutions
Given the risk of vacancies, the SEMFYC wishes to underline, again, the «necessary»Commitment of all institutions and organizations involved to promote the specialty and the emergence of vocations for family and community medicine. For this reason, the organization explains that “it is necessary that there are several tacit agreements by the Administration, the councils of the Autonomous Communities, Medical Organizations and Teaching Organizations to promote different strategies.”
Among them, SEMFYC says it is «fundamental»Promote the specialty of family and community medicine through awareness campaigns that highlight their” importance “, the positive impact it has on the health of the population and the professional development opportunities it offers. “To promote vocations, it is essential that the students of the medical faculties have adequate resources and sufficient orientation, which requires incorporation into the curricula of a specific subject of at least 6 ECTS credits, entitled Family and Community Medicine, as well as the realization of clinical practices in primary care consultations throughout its training,” explains the organization.
In addition, the union explains that it is “urgent” Castilla y León, Galicia and Asturiaswhere more than 40% of family doctors in primary care are 60 years old or more.
On the contrary, in communities such as Valencian Community, Catalonia and Canary Islands“The risk of immediate deficit is lower”, so measures adapted to the reality of each territory must be implemented to guarantee equity and quality of care.
Finally, SemfyC ensures that it is “necessary” to promote “innovation” in primary care not only through the implementation of the new “Official Program of the Specialty”, which updates the process of acquiring competencies, but also “providing time and space for research in consultations”, promoting the profiles profiled for tutoring and supporting the initiatives that promote teaching vocations among specialists.
