The scientific societies of family doctors and doctors tremble every year or so for the same dates: when the new MIR chooses specialty. The process has started this week –With hugs, tears and flowers live after four years doing it alone online – and will last until the end of the month.
There is something unfair to the dominant story these days. Family medicine has remained the ugly duckling of the specialties as it is the only one that leaves without covering places. That there are resources to train residents and vacancies are very not very efficient, but if we scratch a little more what is behind the numbers, reality acquires another dimension.
Family medicine expands throughout Spain by corners to which any hospital specialty would never come. There is his enormous value and also his conviction. The Health centers network is so wide that almost 27% of the MIR places available this year are to train family professionals. 2.508 of 9.007, compared to 131 that are offered in dermatology – the ‘popular’ of the institute – or 55 for plastic, aesthetic and repair surgery.
60 applicants have opted in the first batches for family and community medicine. The specialty It has been more chosen than many othersas psychiatry (55), neurology (30), intensive medicine (23) or cardiovascular surgery (7). But it seems that journalists are looking for those strange beings, a kind of working class heroes, that they will spend the next five years of his life learning in a health center (surely) overloaded.
The First Plaza Mir in the Specialty was chosen in Soria. The emptied Spain. The third, in Vallecas, a working area of southern Madrid. Violeta, a 24 -year -old Madrid girl, is the owner of that position and we talk to her 24 hours after making the decision. During the interview she reflected on whether we should applaud those having practically all the options at their disposal chose this. As is your case. “There is a debate about that. My turn was applauded a lot to number 11 because it opted for pathological anatomy. To me normal because 200 before and everyone was tired.” The next day we exchanged messages and said: “I am neither an eminence nor a specialist in the field. I have only chosen something because I like it.”
To what extent are they a good reference that can encourage others and others to follow the same path (it is needed, judging by the numbers) or we undermine the image, already harmed, of whom they choose the health center against the hospital? Anyway, it has made me think this week.
While you were other things …
- Two Spanish hospitals have achieved A medical milestone: Save a girl with an autoimmune disease using Car therapy. The patient was in a very serious situation and a year later her pulmonary ailment is still referring.
- There are programs that seem to always exist but are much more recent than we think. Breast cancer screening was implemented in public health only 20 years ago. This is the history how it got here (and what still remains).
- Reverse in the judicial fight for pharmaceutical transparency: The National Court supports that the price paid by public health for innovative medicines is not known.
Can you end smoking just prohibiting?
The National Committee for Tabaquismo Prevention (CNPT) organized an annual congress on Friday to sit down to reflect at a crucial moment. After 15 years without new regulations, the Ministry of Health on a reform of the law to restrict smokeless spaces and some measures to put the vopemers cage, although none of them is still approved.
-What has been done so far has paid off. Tobacco consumption has fallen in the last three decades – yes, more in men and more in well -off classes – but in recent years the curve has softened and even hesitated, Except for a sudden descent in 2023. However, the new tobacco products – colors and flavors – Young people have been huntingamong those who have a much greater success than traditional cigarettes.
The psychologist in charge of giving the inaugural conference, José Antonio Giménez, has spent his entire professional life by prevention: or directly with the community or forming at the university other specialists who will do it. In your experience, influencers Or one day’s talks in the institute help quite little and ask for time – and resources – to change the motivations that lead young people to smoke (or vapor, in most cases). The prevention, he says, should begin in the first children’s courses so that when the substance is named, he has learned to say no.
“Steps are being taken to start considering this device just like tobacco in terms of prohibitions, limitations, sale … that is great, but at the same time you have to work with the kids because they have great reasons to test these devices: by image, for pleasure, for avoiding boredom, of abandonment of smoking, out of curiosity, for flavors, due to environmental pressure. All these motivations are not worked, they are not changed.
So far. A nice weekend passes.
Hugs,
Sofia
