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letter" "titulo" => "Professional situation of young medical specialists at the end of their residency in Barcelona" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "230" "paginaFinal" => "231" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Adriana Bataller-Bassols, Mónica Terán Díez, Anna Romaguera Piñol, Berenguer Camps i Fondevila" "autores" => array:5 [ 0 => array:3 [ "nombre" => "Adriana" "apellidos" => "Bataller-Bassols" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 1 => array:3 [ "nombre" => "Mónica" "apellidos" => "Terán Díez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] ] ] 2 => array:3 [ "nombre" => "Anna" "apellidos" => "Romaguera Piñol" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "e" "identificador" => "aff0025" ] ] ] 3 => array:4 [ "nombre" => "Berenguer" "apellidos" => "Camps i Fondevila" "email" => array:1 [ 0 => "bcamps@comb.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "f" "identificador" => "aff0030" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 4 => array:1 [ "colaborador" => "on behalf of the Sección MIR del Col·legi Oficial de Metges de Barcelona" ] ] "afiliaciones" => array:6 [ 0 => array:3 [ "entidad" => "Servicio de Anestesiología, Hospital Quirón-Teknon, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Sección MIR del Col·legi Oficial de Metges de Barcelona, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Junta del Col·legi Oficial de Metges de Barcelona, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Medicina Familiar y Comunitaria, Centre d’Atenció Primària Maragall, Barcelona, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Psiquiatría, Fundación para la Investigación y Docencia María Angustias Giménez (FIDMAG), Barcelona, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Servicio de Ocupación del Col·legi Oficial de Metges de Barcelona, Barcelona, Spain" "etiqueta" => "f" "identificador" => "aff0030" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Situación profesional de los jóvenes médicos especialistas al acabar la residencia en Barcelona" ] ] "textoCompleto" => "The economic crisis and the reductions applied to the health system have prolonged during 2013, with budget reductions affecting the medical community.<a class="elsevierStyleCrossRef" href="#bib0035">1</a> According to the Spanish Public Employment Service,<a class="elsevierStyleCrossRef" href="#bib0040">2</a> the total number of unemployed specialist physicians registered in June, 2013 was 2.886, that is to say, 20.1% higher than 2012. In addition, that same month, the number of licensed physicians seeking for a job has amounted to 5.253, excluding the number of internal medicine residents (IMR) who graduated in May. The Col·legi Oficial de Metges de Barcelona (COMB) monitors the employment situation of physicians who completed their internal medicine residency, in order to support the specialists who join the labour market in times of economic turmoil. A study was conducted on the initiative of the IMR Professional Group, and by means of the Employment Service of the COMB, in order to assess the professional situation and labour insertion perspective of young specialists. Its main goal was to reveal the labour situation progress relate to this community.The study subjects were specialised physicians who completed their medical residency in the province of Barcelona in 2006, 2011, 2012 and 2013. Thanks to the professional group database, it was possible to identify those specialists who had completed their residency during the years mentioned above, and to prepare a structured questionnaire to facilitate sociodemographic, academic and labour data collection. The questionnaire was sent by email and courtesy reminder phone calls were made in order to gather as much information as possible. A descriptive analysis was used for the statistical study, and a bivariate one was used for the contingency tables. The statistical analysis was made with SPSS® version 17.0. There was a sample error of 1.95%, on the basis of normal distribution, maximum uncertainty and a 95% confidence level.The number of young specialists who answered the questionnaire was 1.217 (52%) out of a total of 2.338 study subjects. Two-thirds of these specialists were female, and the vast majority of them were between 28 and 33 years old. The employment situation of physicians by the time of completing their IMR is seen in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>. The percentage of foreign physicians who completed their IMR went from 1.8% in 2006 to 32.3% in 2013. There were no relevant differences registered gender-wise regarding labour insertion. However, there were significant differences registered in terms of labour insertion regarding the origin of the university issuing the professional degree: Spanish (76.0%) or foreign (54.5%). There was also disparity regarding labour insertion rates in terms of groups of speciality. Thus (2013 data), the labour insertion rate in medical-surgical specialities was 82.0%, whereas it was 71.7% in surgical specialities, 67.2% in medical specialities, 59.1% in central services, and 62.7% in family and community medicine. The level of labour insertion in obstetrics and gynaecology was the best for 2013 (87.5%). The number of specialists who became employed doubled within the private sector, rising from 9.3% in 2006 to 20.5% in 2013. The concentrated sector went from 44% (2006) to 32% (2013). The public sector remained stable between 2006 (49.3%) and 2013 (47.5%). The highest proportion of indefinite work agreements (28.3% in 2013) was observed in the private sector; temporary work agreements decreased in terms of duration, and the number of annual work agreements decreased as well (from 33.7% in 2006 to 23.9% in 2013). The economic retribution suffered a drastic reduction between 2006 (43.8% declared receiving an income higher than 2.000 € a month) and 2013 (the amount dropped 19.5%).<elsevierMultimedia ident="tbl0005"></elsevierMultimedia>Labour insertion for physicians who completed their IMR course remained considerably high,<a class="elsevierStyleCrossRef" href="#bib0045">3</a> with reasonable insertion levels compared to other graduate degrees.<a class="elsevierStyleCrossRef" href="#bib0050">4</a> According to our analysis, the origin and speciality variables were determining factors for the professional situation. The worst overall results in the IMR exam were seen among physicians with foreign university degrees,<a class="elsevierStyleCrossRef" href="#bib0055">5</a> who were forced, in some cases, to choose specialities with the worse prospects of employment, not considering all the red tape hindering their labour insertion.The significant increase in labour instability was also revealed: there was a reduction in the number of indefinite work agreements, and the duration of temporary work agreements decreased. The situation may have been partly alleviated by the increase in the proportion of workers employed by the private sector. The economic and budget scenarios in Catalonia<a class="elsevierStyleCrossRef" href="#bib0060">6</a> do not seem to indicate a promising reversal of this situation in the near future. In view of the aforesaid, the professional future of young specialists seems to point in the direction of more difficulties to attain insertion in a labour market with a growing employment instability. It must also be borne in mind that a population's health depends on the improvement of conditions offered to physicians for their career path development.FundingThis work has been made with means and resources from COMB, without external additional funding." "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "xack194698" "titulo" => "Acknowledgements" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Bataller-Bassols A, Terán Díez M, Romaguera Piñol A, Camps i Fondevila B, Sección MIR del Col legi Oficial de Metges de Barcelona. Situación profesional de los jóvenes médicos especialistas al acabar la residencia en Barcelona. Med Clin (Barc). 2015;144:230–231." ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "Data expressed in percentage." "tablatextoimagen" => array:2 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Employment situation by the time of IMR completion \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2006 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2011 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2012 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2013 \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Employed \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">88.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">65 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">72.4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">69.1 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Seeking employment \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">23.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">19.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">20 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Master, postgraduate degrees, etc. \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">9.3 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Starting another IMR \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.6 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab943134.png" ] ] 1 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Type of work agreement for internal medicine residents who find a job</th></tr><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">First work agreement by the time of IMR completion \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2006 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2011 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2012 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2013 \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Temporary employment \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">27.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">36.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">42.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">42.1 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Indefinite employment \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">27.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">20.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">12.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10.8 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Substitutions \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">19.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">18.5 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">On-call schedule \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">11.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">12.2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">11.2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Interim \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4.6 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Scholarship \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.9 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Self-employed \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.8 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab943133.png" ] ] ] ] "descripcion" => array:1 [ "en" => "Employment situation by the time of medical residency completion and type of work agreement for internal medicine residents who find a job." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Specialty choice in times of economic crisis: a cross-sectional survey of Spanish medical students" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.E. Harris" 1 => "B. González López-Valcárcel" 2 => "V. Ortún" 3 => "P. Barber" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bmjopen-2012-002051" "Revista" => array:5 [ "tituloSerie" => "BMJ Open" "fecha" => "2013" "volumen" => "3" "paginaInicial" => "e002051" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23408072" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0040" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Junio camufla el paro médico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. 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Estudio de la inserción laboral de la población titulada de las universidades catalanas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Agencia para la Calidad del Sistema Universitario de Catalunya (AQU Catalunya)" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2011" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0055" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Los resultados del MIR 2012/2013 clasificados por facultades" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.M. Romeo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2013" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0060" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Presupuestos de la Generalitat. Presupuestos 2014" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Departamento de Economía y Conocimiento. Generalitat de Cataluña" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "5 November 2013" ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack194698" "titulo" => "Acknowledgements" "texto" => "Thanks to Farmers Llimona for their support in the field work completion, from the professionals’ assistance unit (COMB). Thanks to Empar Gil, Mari Ortiz and Patricia Pérez, from the COMB Employment Service, for their contribution in processing data. Thanks to the COMB Governing Board, for their support to this initiative from resident physicians." "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014400000005/v1_201511080018/S2387020615000820/v1_201511080018/en/main.assets" "Apartado" => array:4 [ "identificador" => "43311" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Scientific letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014400000005/v1_201511080018/S2387020615000820/v1_201511080018/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020615000820?idApp=UINPBA00004N"]

ISSN: 2387-0206

Launched in 1943, Medicina Clínica is a fortnightly journal aimed at the promotion of clinical research and practice among internal medicine and other specialists. The key characteristics of Medicina Clínica are the scientific and methodological rigor of its manuscripts, the topicality of its contents, and, especially, its practical focus with highly useful information for clinical practice. Medicina Clínica is predominantly interested in publishing original research manuscripts, which are rigorously selected according to their quality, originality, and interest, and also in continued medical education-oriented manuscripts, which are commissioned by the journal to relevant authors (Editorials, Reviews, and Diagnosis and Treatment). These manuscripts contain updated topics with a major clinical or conceptual relevance in modern medicine. The journal adheres to the standards of academic research publications in all aspects including peer-review and ethical principles. Medicina Clínica is included in the General and Internal Medicine category of Thomson Reuters.

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