Roberto Mayado: The mud of the MIR

Roberto Mayado: The mud of the MIR
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Mud, mud and more mud. In kilos. By shovelfuls. To trucks. It is never enough to muddy everything until the problems that matter and affect citizens become stranded between the parallel reality that those in suits and ties have created. While we witnessed, astonished, Pedro Sánchez’s maneuver of egocentrism and his particular conception of the intrigue, it was confirmed that Castilla y León is left without filling 47 MIR training places in the specialty of Family Medicine, that is, without 47 future doctors who Learn the profession by caring for patients in the community. And that was after the play-offs because the initial number shot up to 81.

That’s good mud, the kind that sticks to your boots and traps you magnetically. But our politicians, more in favor of waiting for the ground to crack, do not want to wallow in that quagmire. Obviously, the problem has many vertices. To begin with, medical graduates are eager for experiences and Primary Care does not have the best reputation, especially in the rural world. Spending the day traveling miles to care for the residents of various towns is not among the white coats, who are more in favor of training in large hospitals, where it is very possible that they will not receive the same attention, neither from their mentors nor from their patients. .

We could start with a survey to discover the reasons that lead them to reject these positions. Pure clinical logic: know the symptoms to decide the diagnosis and apply the treatment. You don’t have to be Hippocrates. There are recipes that sound interesting, such as allowing medical graduates who do not pass the MIR to practice in Primary Care; 7% of them fall by the wayside and we are not here to waste personnel.

Not to forget the well-worn demand that students from Castilla y León have access, at least, on equal terms to the Faculties of Medicine. Something has been achieved by opening the hand in the EBAU qualification, but the Baccalaureate grades continue to weigh down too much and it would not be surprising another ‘homogenization’ of the level with the rest of the country, which amounts to lowering the bar. More students and more possible MIRs with attachment to the land. The Universities of León and Burgos have seen the option of fishing in troubled rivers by demanding new faculties of Medicine but the Board is not in charge of opening one more territorial melon; That’s what airports are for. And in that there is also mud; and the good one.

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