Elección de Medicina Familiar y Comunitaria en el MIR 2002-2023: un enfoque objetivo muestra que es una especialidad tan valorada como las hospitalarias

Pub Date : 2024-03-19 DOI:10.1016/j.semerg.2024.102198
M.P. Torres Moreno , R. Blanco Herrera , L. Vegas Fernández , J.J. Alfaro Martínez
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Abstract

Introduction

Currently there is a shortage of general practitioners (GP), and this is expected to increase in the coming years. Despite this need, it is a specialty that is supposedly little demanded, leaving specialized training places unfilled in recent years. The purpose of this study is to present new parameters to more objectively measure the demand and the relationship between supply and demand.

Methods

A database was used with the results of the places assigned in the MIR calls from 2002 to 2023. The calculated parameters were quoting index (CI), quote order, the order of top demand and the order of total demand of the GP specialty. The software R version 4.3.02 was used for statistical analysis.

Results

The specialty quotation and top demand have remained constant during the study period, while there has been a slight and progressive worsening of the total demand. Nevertheless, the total demand for Family Medicine in the last call for MIR exam was higher than that for specialties such as urology, neurology, ENT, endocrinology, oncology, intensive care medicine or neurosurgery, among others.

Conclusions

In contrast to the subjective perception of the worsening attractiveness Family Medicine in the last MIR calls, using objective parameters, we found that the attractiveness of the specialty, measured as quotation (supply/demand ratio) and demand, has remained stable (with a slight worsening of total demand).

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在《2002-2023 年中期报告》中选择家庭和社区医学:客观方法表明,家庭和社区医学与医院专科一样受到高度重视
导言目前,全科医生(GP)短缺,预计未来几年还会增加。尽管存在这种需求,但这一专业的需求量却很少,导致近年来的专业培训名额空缺。本研究的目的是提出新的参数,以便更客观地衡量需求量和供求关系。研究方法使用了一个数据库,其中包含 2002 年至 2023 年多边研究所分配的名额。计算的参数包括全科医生专业的报价指数(CI)、报价顺序、最高需求顺序和总需求顺序。结果在研究期间,专科的报价和最高需求量保持不变,而总需求量则略有下降,且呈逐渐恶化的趋势。尽管如此,在最近一次的 MIR 考试中,全科医学的总需求量仍高于泌尿科、神经科、耳鼻喉科、内分泌科、肿瘤科、重症监护医学科或神经外科等专科。结论在最近一次的 MIR 考试中,人们主观地认为全科医学的吸引力在下降,但通过使用客观参数,我们发现以报价(供需比)和需求量衡量的该专科的吸引力保持稳定(总需求量略有下降)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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