The Government yesterday gave the green light to the creation of the new medical specialty of emergencies and emergencies, with a royal decree that facilitates the path for double qualifications with family medicine and contemplates the access of doctors from other disciplines who meet a minimum of experience and training.
The Ministry of Health estimates that the first mir positions in this new specialty will begin to be offered in 2025, so that the first class of residents can be occupying them in the spring of 2026. This new specialty will last four years, like family medicine, with which you will share a common training period of two. Both specialties will follow training programs, which will be “specific and in accredited emergency medicine teaching units” for the first, and in accredited multiprofessional family and community care units, in the case of the second.
Family and primary care doctors demand that investment in other areas not be reduced
The royal decree also regulates the obtaining of the new title for specialists in both disciplines, for which a new training program for emergencies and the adaptation, where appropriate, of that of family and community medicine will be created.
Finally, those doctors who can prove a period of professional practice of five years, “at least”, will be able to obtain the title of the other specialty through a competency evaluation test and a training period in the new one.
Until today, care for hospital emergencies and emergencies was provided by professionals with different degrees as specialists in health sciences or by people with degrees in Medicine with authorization to practice general medicine. In practice, the vast majority came from family and community medicine, which aggravated the existing deficiencies in primary care.
Following the Government’s announcement, the Spanish Society of Family and Community Medicine (semFYC) assured that it represents “a turning point for the improvement of the National Health System, contributing to the different areas of care being able to develop to their maximum level of competence.” The semFYC warns that “it should not imply a reduction in investment in the rest of the healthcare areas and even less a decapitalization of specialists or future specialists in all areas of the system.
For its part, the Spanish Society of Primary Care Physicians (Semergen) has demanded “professional and institutional recognition” of family doctors – the majority in emergency services – and has also demanded that the common training period “does not hinder or interferes with the training of family medicine residents. “The family training program has borne fruit for 30 years, resulting in quality doctors. We oppose those measures that may interfere with this training and we demand that the new specialty program, for which allegations have already been made, be approved. We do not understand the delay in its publication,” he criticizes in a statement.
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