MIR 2025 election and the rise in hematology: “We are pioneers ….”

A new candidate to carry the crown broke into the MIR 2025 election and its particular annual ‘game of thrones’. With 10 places assigned at the start of the award, hematology and hemotherapy, it became a rival to consider for hegemonics dermatology and cardiology this season. The reasons behind this particular seem to be clear in the eyes of those who, at the time, have already bet on this specialty and now enjoy their ‘golden age’ as pregnant with the greatest advances in Precision medicinenew Chemotherapy free treatment strategies To cure the cancer and the rise of clinical research.

Three spearheads that, in turn, channel the growth of this area and that would have become true attractions for Future Internal Resident Physicianscapable of altering choice patterns. That is why this increase in interest does not surprise Raúl Córdoba as a member of the Board of Directors of the Spanish Hematology and Hemotherapy Society (SEHH).

Moreover, after the good results obtained in the MIR awards -when the first outbreaks of popularity that has been acquiring this area between the new generations- and being “one of the most chosen specialties” by medical students to base their Final Degree Work (TFG). “It was something that had been brewing in recent years and we thought we would also see it also reflected in these MIR numbers.”

Hematology is fashionable

“It is a field of the Medicine that is fashionable“, corroborates Adolfo Fernándezwith the conviction that the three years of training lived as a resident in the Hematology Service of the Salamanca University Hospital. Proof of this is that, “of a total of 350 personas 10 have chosen this path and most with very low order numbers, ”he highlights in this sense, his ‘homologous’ at the San Carlos Clinical Hospital, Paula Berigüete Regarding the first day of adjudication of MIR places.

Fernández points out that it is a very broad specialty because “it has the part of Oncological patientsthe Blood Bank Coagulation And it is a fact that hematology is integral, since the specialist diagnoses the patient and he decides what treatment to put. ”

The emergence of new advanced therapy treatments, such as the CAR-T or gene therapy, is one of the reasons why Fernández defends this change in trend. Not surprisingly, it has been the first specialty to incorporate new treatment strategies, such as Cell therapy with T lymphocytesahead of oncology or auction. “Hematology has been a pioneer and is probably the one who leads this field and coordinates it,” Vaticina Córdoba, highlighting, at the same time, the leadership of the specialty in the integration of new drug families, after incorporating into 2024 “strategies of Immunotherapy such as biespecific antibodies “that could” replace chemotherapy in the future. “

“We are the first that we are using these completely innovative drug families and this is something that is very attractive and very striking,” he says, when talking about the progress in the treatment of Hematological cancer with chemotherapy free schemes.

Leaders in Precision Medicine

Hematology also took the lead in terms of innovation. In fact, “it has been the medical specialties that have incorporated the most novelties and more has evolved in the precision medicine fieldboth in hematological cancer and in the Non -evil diseasesin the last 20 years, “according to Córdoba. He points out, as an example, the development of new biomarkers and the incorporation of new technologies based basically on molecular biology, capable of” guiding a much more precise and much more individualized treatment “and unchecking other specialties.

Thus, the results obtained with these last progress show, in the eyes of Fernández, “the great impulse that hematology is achieving in this field with increasingly more approaches personalized and that adapt to each patient “. A” growing “innovation that, as recognized, greatly motivates those in their formative position,” since in the end it is totally reflected in patients who before They had no treatment alternatives”.

The hematological ‘revolution

“Students perceive our passion and our enthusiasm in this Revolution era That we are living in the treatment of patients with blood diseases, “he says, in this regard Córdoba as an experienced hematologist.

Even without taking into account the latest advances, hematology is a very complete specialty since it combines a lot technique, laboratory e investigation”, Exalizes Berigüete. The scientific area is, in fact, the third attribute highlighted by Córdoba when talking about the success harvested by this specialty in a country like Spain, second in number of clinical trials of new medicines in hematology worldwide, only behind the US.” Hematologists integrate our care practice with research and see how in our exercise we have a lot of chemical research in the form of clinical trials. ”

Daily learning

Like R3, Fernández, affirms that, like his companions of your promotion or even younger, within the hematology service “everyone is very satisfied with the functions they perform and the learning that you earn every day”.

At the moment, the Salamanca Hospital He has achieved two hematology places, and MIR aspires that the positive trend continues to grow over the days: “Hopefully people know how to realize how beautiful the specialty is. It takes a few years when the quality of life is very prevailed, so that hematology is achieving great advances in this direction.”

“A MIR who has done the exam knows little about the specialty and I chose it for what they informed me. In these three years all residents have discovered many things of the specialty. As the years have passed, the specialty has been liking more and more,” explains Berigüete, who, without a doubt “would choose hematology again.”