Medical criteria for the recognition of non-EU citizens

Tomás Cobo, from the General Council of Official Colleges of Physicians.

The General Council of Physicians (Cgcom) has produced a report on the recognition of foreign titles of specialists in Health Sciences with the aim of assessing said resolution and making contributions and proposals for improvement for the calls that may be published soon.

Ten years after the last resolution, this regulation promoted by the General Directorate of Professional Organization of the Ministry of Health responds to the problem of shortage of medical professionals in the National Health System, marking a turning point in the current context.
This situation, denounced for years by the Cgcom, is especially alarming in specialties such as Family and Community Medicine, Radiodiagnosis, Anesthesiology, Occupational Medicine and Psychiatry.

It should be remembered that a specialist title, valid in the non-EU doctor’s country of origin, cannot be directly recognized in Spain. Necessary homologate, first, the title of doctor and then that of specialist. The competences are differentiated and the Ministry of Health requires basic requirements in relation to each specialty, as a prerequisite for its recognition in Spain a minimum period of training program in the country of origin and subject to the norm that regulates said procedure. It must not be forgotten, however, that incorporating foreign doctors with an approved degree in Medicine, but without the specialty certified to practice as suchwhile they are processing their approval, it is a illegality in the National Health System.

Currently, there is not a specific agenda in relation to the theoretical-practical test to carry out in the calls for approval. Its content is based on the professional skills of the current Spanish training program for each specialty. The aforementioned resolution contains the setting of the general criteria of this professional recognition system and shows the “rules of the game” that must govern the corresponding calls.

In this sense, from the Cgcom, and based on the experience of the 2012 Resolution and its calls carried out, a series of proposals for improvement and reflection for the calls that can be published derived from the 2022 Resolution.

In said norm, no mention is made of relevant issues such as the preservation of the identity of the participants in the correction of the evidence by the body in charge of it; If the selection body will make public the list, once the process is over, of those who have passed it, with an indication, or not, of the score obtained or if a candidate who has not passed the tests in the two exercises of the same, having once only the first (or the second) has been passed, they could keep the proficiency mark in an exercise for the next call, as long as there was the necessary thematic identity in the proposed test.

In addition, in the second part, the elaboration of the response to the practical cases that arise, it would be convenient to mention the evaluative elementsas is done in other calls, regarding the consideration of analytical rigor, systematics and clarity of ideas in order to prepare a reasoned proposal. This last condition (reasoned) is the only thing that is mentioned.

It is also considered of interest to mention the period of professional practice in collaboration with the autonomous communities in the case of those declared fit, to which reference is made in the Second Section number 4 of the Resolution of November 2022. There are mentions that would be convenient, such as how long will it last?, what is its specific function? (although it is supposed to). Who designates the person responsible for said training? How will the declaration of sufficiency or insufficiency of each candidate be documented? etc. It must be recorded whether this period of professional practice, in a hypothetical case of notorious insufficiency, may bring with it the loss of the right of approval.

Although it may contain statements, data or notes from health institutions or professionals, the information contained in Redacción Médica is edited and prepared by journalists. We recommend to the reader that any health-related questions be consulted with a health professional.

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