¿Influye el examen «Médico Interno Residente» en la enseñanza de la medicina en España?

Abstract

Introduction and objectivesThe “MIR” (postgraduate medical education) exam is crucial for our students. Our aim was to analyze the possible influence of the MIR exam in the training/dedication of our medical students. Material and methodsAnonymous questionnaire in Google Forms, which was sent to 275 medical students in their 5th and 6th academic years in the Faculty of Medicine of the University of Cantabria and to 347 medical residents of the university hospital Marqués de Valdecilla with 9 generic questions and two more specific for residents. The first 5 questions, as well as the 2 exclusive for residents, analysed the possible influence of the exam preparation and the last 4 possible changes in the MIR exam. ResultsA total of 121 students (43%) and 133 residents (38%) answered the questionnaire. Globally, more than one-third of the students and one-fifth of the residents noticed a relevant influence of the exam in their medical training and dedication. This impact was lower in the 5th year students versus those in the 6th year, in whom the influence was relevant in the election/dedication to their end of degree project. The vast majority supported the exam, but around half thought that the time to the exam should be shortened and that the weight of the degree marks in the exam should be increased. ConclusionThe MIR exam preparation influences negatively the training and dedication of our medical students, particularly in the final year. These results indicate that it is necessary to open a serious debate to try to solve this problem.