An analysis of the medical specialty training system in Spain

Freire, José Manuel; Infante, Alberto; Aguiar, Adriana Cavalcanti de; Carbajo, P. Castro

doi:10.1186/s12960-015-0038-y

Cited by 15 publications

(10 citation statements)

References 7 publications

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“…The use of an overall mean to compare above or below this mark is helpful to reflect the performance of eight different groups of test-takers that revealed to us which specialities had the students with the best scores. The ENARM global mean for the minimum score (from 2012 to 2019) was 69.133, a score above the previous observation made in a study by de la Garza-Aguilar [4]; this number is also above the mean for the last seven years for the test known as MIR (Medical Intern Resident) in Spain with 57.29 reported by the Ministry of Health [28,29]. Our findings showed that the clinical specialities whose applicants achieved scores above this mean were Internal medicine, Anesthesiology, Pediatrics, and Pneumology.…”

Section: Grouping Of Specialities Above or Below A Global Meanmentioning

confidence: 43%

Comparison between Mexican and International Medical Graduates’ scores in the ENARM Competing for Clinical Specialities in Mexico during 2012-2019: Data Visualization, Trends and Forecasting Analyses

Mendoza-Aguilar

Cedillo-Pozo

Roldan-Valadez

2021

ijsmr

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Objectives: Because there is heterogeneity in the ENARM scores obtained between Mexicans and International medical graduates (IMG) in the eight clinical specialities with direct-entry (Anesthesiology, and Emergency Medicine. Geriatrics, Internal Medicine, Medical Genetics, Pediatrics, Pneumology, Psychiatry), we aimed to evaluate those scores. We hypothesized that Mexican test-takers achieve higher scores than IMG with significant growth trends in their exam scores. Methods: This study was cross-sectional, used historical data from the annual public report of the ENARM for eight years (2012 to 2019). We compare the minimum (MinSco) and maximum (MaxSco) scores of each speciality using ANOVA. Mexican versus IMG scores were evaluated with an independent student t-test, trends with Spearman’s correlation coefficient, and a 5-years forecasting trend. Results: There was a significant difference among the MinSco for five surgical specialities; F (7, 115) = 26.611, p = < .001; the global mean of MinSco was 69.133; specialities above this mean were Internal Medicine, Anesthesiology, Pediatrics, and Pneumology. The global mean for MaxSco was 79.422; five specialities were above: Internal Medicine, Pneumology, Geriatrics, Psychiatry, and Medical Genetics. We did not find a significant difference in the MinSco between Mexicans and IMG, but a significant difference was found in the MaxSco between both groups. Conclusions: ENARM represents a market of high-performance test-takers across the clinical specialities. Mexicans and IMG achieved similar entrance scores, but Mexicans showed a higher MaxSco over IMG in all clinical specialities.

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Section: Grouping Of Specialities Above or Below A Global Meanmentioning

confidence: 43%

Comparison between Mexican and International Medical Graduates’ scores in the ENARM Competing for Clinical Specialities in Mexico during 2012-2019: Data Visualization, Trends and Forecasting Analyses

Mendoza-Aguilar

Cedillo-Pozo

Roldan-Valadez

2021

ijsmr

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“…Students with the highest exam scores on the MIR are given preference in choosing their specialty and location. 32…”

Section: Europementioning

confidence: 99%

Global variability in orthopedic surgery training

Sobel¹,

Hartnett²,

Hernandez³

et al. 2019

Orthop Rev (Pavia)

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Medical and orthopaedic training varies throughout the world. The pathways to achieve competency in orthopaedic surgery in other countries differ greatly from those in the United States. This review summarizes international educational requirements and training pathways involved in the educational development of orthopaedic surgeons. Understanding the differences in training around the world offers comparative opportunities which may lead to the improvement in education, training, and competency of individuals providing orthopaedic care.

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“…Table 2 shows the total specialization positions offered according to the medical specialty. Family and Community Medicine is by far the specialty with more positions offered, although it has been described its lack of success among medical graduates (Freire et al, 2015). The selective tests for those who intend to access the places of Medicine, Nursing, Pharmacy and other degrees consist of an exercise of 225 multiple choice questions, different for each of these tests, whose duration is five hours.…”

Section: Access To Postgraduate Training: Becoming a Specialistmentioning

confidence: 99%

Studying Medicine and being a doctor in Spain

Garcı́a-Estañ¹

2018

MedEdPublish

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In Spain, and probably around the world, the degree of Medicine is one of the most appreciated studies by the students. Not only the influence of job prospects, better than in other University careers, but also the study of a scientific career with many specialization areas or the joy felt by doctors when they manage to help a very sick patient, are some reasons to undertake the adventure to become a doctor. Since the demand to study Medicine is so high, it is not strange that most people with interest stay out of the process, since, at least in Spain, only the high school students with the best records are able to enter into a School of Medicine. But becoming a doctor is more than the study of a University Degree for 6 years. They need also a postgraduate specialization (MIR), in Hospitals of the National Health System, as a necessary step in order to be able to practice Medicine, either in public or private institutions. However, this road is not free from problems since there has been a decrease in the number of MIR specialization places offered without a similar reduction in the number of undergraduate positions. Moreover, the number of medical schools has not stopped growing and places Spain as one of the countries with the highest ratio of Medical Schools per inhabitant. This situation can lead to a scenario similar to that experienced in the 80s and 90s, where we witnessed an increase in the number of Specialist Physicians without Official Title (called MESTOS). As of November 2018, around 4,000 medical graduates cannot access specialized health training and may be forced into unemployment or emigration.

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An analysis of the medical specialty training system in Spain

Cited by 15 publications

References 7 publications

Comparison between Mexican and International Medical Graduates’ scores in the ENARM Competing for Clinical Specialities in Mexico during 2012-2019: Data Visualization, Trends and Forecasting Analyses

Comparison between Mexican and International Medical Graduates’ scores in the ENARM Competing for Clinical Specialities in Mexico during 2012-2019: Data Visualization, Trends and Forecasting Analyses

Global variability in orthopedic surgery training

Studying Medicine and being a doctor in Spain

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