Once you change the choice of specialty is predictable that there will be fewer dropouts and, if any, is easier said recirculation penalizaciónLa has become a phenomenon MIR, as shown by data from the last call: 7.5 percent of all specialists in training who chose to place last May and have left the post to return to the exam MIR next Saturday 23 January.
Arcadi Gual, Director of Medical Education Foundation, believes that it is "a sensitive issue" in both the MIR and the system are parts of reasoning: "The first has found his happiness in another specialty, while the second loses resources and time. " An important recipe to curb such neglect, by Gual, will be the next decree of stemness, "Once you change the choice of specialty at the end of the second year of residence, after having completed two years of the trunk, it is predictable that there will be less recirculation, and if There, it is easier to argue that, directly or indirectly, the resident be penalized. " In his opinion, "the maximum liability of the drop is related to the immaturity of MIR themselves, regardless of the sins of the University. It would be a good service to the training of specialists not get into bickering and minor issues openly defend the decree of stemness. Naturally, there are many detractors on this, but the philosophy will be a clear improvement in postgraduate training. 
Manuel Carmona, a member of Doctors in Training Medical Association, notes that the problem is significant especially in family medicine, against what he thinks the president of the National Specialty, Veronica Casado. Therefore, he stressed that "the improvement of social and working conditions of these specialists would prevent a significant number of dropouts due to the precarious future. "
Looking to the University
President of the deans of Medicine, Joaquín García-Tin agrees that recycling is "really a serious problem." He believes that the cause of these withdrawals is that "there are too many places on offer for what people demand. Not that take balls out, but the fault lies not with the university. Perhaps it would have to interview those who leave his term. However, Casado always blame the medical schools and understand that in a system of supply and demand this is what you get. " Asher Garcia speaks with the experience of having completed a year residency.
The pediatrician and former spokesperson for the Association of Residents of Madrid expects the eminently practical of which is to give the race "will serve to enhance accountability that determines learning. This would help guide the and future residents. " Moreover, a commitment to "establish some kind of penalty for avoiding or reducing dropouts. The system failure is not only the University", adds he.
MORE AND BETTER INFORMED CONSENT
Alfonso Moreno, president of the National Council of Specialties in Science Health, believes that "the abandonment of a specialty to choose another is a difficult problem." He believes that "the circulation to fill those vacancies is not possible, since it would make new offer of these squares, which would generate new jobs constantly deserts." Moreno said that "adopt some form of penalty, like a stop MIR your place can not be submitted to the next call, have serious drawbacks and can even conflict with the right of freedom of each person. "
President of the Council of Specialties disagree with these data signify a failure of University, but stresses that the introduction of certain subjects in grade, as Family Medicine, encourage your claim with more knowledge. He agrees that the core curriculum does help to have more information about the different specialties, because the choice will be made after this time and after common trunk rotations and specialties.
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