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The basis of the paper’s allegations that the WTO will present to the Ministry of health have been established in the meeting the last weekend by the seat of physicians in formation of the WTO and have participated all the representatives of residents of different groups,Social policy and equality before the September 25.

Among the proposals for the MIR to the Royal Decree of core subjects, they emphasize that development of RD 183/2008 which is yet to be approved in several communities will be critical in the creation of backbone teachers units and the appointment of new trustees for them, it is essential that such development will be linked to the rigorous accreditationclear and decisive centres, professionals and professional recognition of the latter.

They consider that the system of evaluation, both within the core period during the specific, must be one of the pillars which sustain the new model. The definition of the models used to assess both resident tutors and teaching units shall ensure improvement in the quality of specialized medical training.

For the MIR, importantly, establish a choice alternates from each of the representatives to the core national commissions, based on the current system, i.e., annual election of a representative for a period of two years of nominations, which would ensure greater continuity in the representation to facilitate the transmission of experience among residents preserving the democratic value that gives the election of representatives of a group for the rest of his teammates. The MIR considered inappropriate to leave the election of representatives to the core national commissions to draw, because they believe that, if the argument that there uses to justify this measure is to prevent the vacancies in national commissions should highlight that the elections passed to these of the 104 seats of vowels for 52 specialtiesonly 2 had to be covered by the system of draw, in particular for the specialty of physical medicine and sport and endocrinology. Furthermore, while it is true that all the squares of vowels, is automatically covered by lot not required, however, to remain in the post, which is why the resident chosen by lot could resign at any time if he had no interest No.

The rules governing access to specialized medical training test should be excluded from this Royal Decree, given the change that it may suffer with age in relevant issues such as the weight of the transcript on the selective test or percentage of non-EU foreigners. The current system, annual reporting, guarantees as it has done in recent years, that it can adapt to the circumstances of the moment without having to modify a law.

Despite this, the MIR consider that it is important that it be reflected entrance exam is one and the allocation of square trunk and specialty will be held in a single act at the beginning of the training.

They understand that the respec opens the door to a labour market very interesting and attractive to both the medical and health administration. However there are several aspects which are not clarified in this project which is difficult to be able to develop her, including the origin of the squares of respec, who and where aspiring reespecializarse may occur and if this new route eliminates the current why any doctor can access a new specialty (although belonging to the same trunk) by repeating the test access.

For the MIR specialists formed before the establishment of the Decree of core subjects have the same rights to have access to the places of respec than the rest of professionals trained under the new system.

Another of the aspects which are not clear, according to the MIR, is the mechanism for the award of these places and on the basis of what criteria are assigned. For the MIR, within five years of active professional period which must elapse for accessing the respec contravenes the spirit of the rule and seems to close the doors to professionals and for any reason not be licenced actively, avoiding this way seeking an exit professional that perhaps in the specialty exercise is closed.

Other considerations that were revealed at its meeting is areas of specific training (ACE) to open a new range of professional development highly demanded by professionals and society alike. Its development is for doctors in training, perhaps, the more innovative and, therefore, consider that there are few the ACE presented in this project, though they understand that their future development may increase.

The development of these areas of specific training should be careful in the same aspects that have already been mentioned in the respec and backbone training: accreditation of educational units and assignment of tutors. It will be important – feel – knowing how to develop training programmes and the establishment of training centres, as well as the appointment of the first tutors should be made objectively and rigorously.

Evaluation of professionals will also be very important, and in this sense, the MIR do not understand why, after a negative assessment, professional not can be re-assessed.

Therefore, the seat of physicians in formation of the WTO and all representatives of residents of different groups that they have participated in the meeting to develop the paper’s allegations, they have expressed the need to start work towards the change of our specialized medical training model.

For the MIR model of core subjects is a remarkable breakthrough in the system of specialized health training that exists in Spain since 1978, and urged health authorities to not let pass the opportunity to do something good for the future of the Spanish health system and that it will have its greatest impact on the health of citizens, with the contribution of all stakeholders. Why the College medical organization (WTO) and its seat of doctors in training will continue to work to build the best model for specialized medical training.