Ngempikiswano mayelana Ukuhlolwa kwe-MIR okuphikiswana kakhulu emashumini eminyaka amuva nje Njengoba ukuguqulwa koMthetho Wohlaka kusaphila futhi kuqhubeka ngokugcwele, uMnyango Wezempilo ulahlekelwa ngomunye wabantu ababalulekile. UCelia Gómez, kuze kube manje onguMqondisi Jikelele Wezomthetho Wobungcweti, ushiya isikhundla sakhe ukuze athathe isikhundla somqondisi we-Foundation for Biomedical Research of the Principality of Asturias (Finba), isinyathelo esifika ngesikhathi esibucayi kakhulu senqubomgomo yezempilo yaseSpain.
Ukuhamba kwalowo obelokhu onesibopho ngqo sohlelo lwe-MIR kanye nezingxoxo zeSimiso Sohlaka Lokhu kuza ezinsukwini ezimbalwa ngemuva kokuhlolwa kwe-Specialized Health Training (FSE) naphakathi kokunganeliseki okusabalele emkhakheni wezokwelapha. Ngenkathi uMnyango uphikelela ngokuthi lesi yisinqumo sokuzithandela esingahlobene nezingxabano zakamuva, abanye emkhakheni wezokunakekelwa kwempilo bachaza lolu shintsho njengolunye uphawu lokungezwani okuqongelelekile.
Indlela ebalulekile yokuphuma phakathi nenkinga yezempilo
Ukuhamba kukaGómez kuyingxenye yomongo we Ukuzwelana okukhulu phakathi koMnyango Wezempilo kanye nochwepheshe bezokwelaphaNgaphansi kobuholi bukaMónica García, i-General Directorate of Professional Regulation ibilokhu iphakathi kwezinkinga ezimbili ezishisayo kakhulu: ukuhlelwa kwe-MIR 2026 kanye nokuguqulwa okuyinkimbinkimbi kwe-Framework Statute yabasebenzi abasemthethweni be-National Health System (SNS).
Ngokusho kwemithombo yoMnyango, umqondisi jikelele wazisa ngesinqumo sakhe sokushiya isikhundla sakhe ukuze amukele isiphakamiso sikaFinba futhi abuyele esifundeni sakubo. Umnyango kaMónica García ugcizelela ukuthi ukwesula kwakhe kuyisimangaliso. Uzithandela futhi akaphenduli ekucindezelweni okuvela ekugxekweni kwe-MIR (Medical Residency Exam)., naphezu kokuthi isicelo salo nyaka sezicelo sidale ukunganeliseki okukhulu phakathi kwabafakizicelo bezikhundla zokuqeqeshwa kwezempilo ezikhethekile.
UNgqongqoshe Wezempilo ngokwakhe wayevumile obala emasontweni ambalwa edlule ukuthi uGómez ubandakanyekile ekuxoxisaneni ngoMthetho omusha Wohlaka. Engqungqutheleni yabezindaba ememezela isivumelwano nezinyunyana i-UGT, i-CCOO, i-CSIF, ne-Satse, kodwa ngaphandle kokusekelwa yizinhlangano zezokwelapha, uGarcía ubonge ngokusobala ithimba le-Professional Regulation ngomsebenzi walo, ikakhulukazi uMqondisi Jikelele walo, amncoma ngokuzinikela kwakhe kanye nokuqina kwakhe phakathi nezinyanga zemihlangano kanye nokubhala phansi.
Nokho, isinqumo sokushiya iNkonzo Yezempilo siza njengoba ukunganeliseki emphakathini wezokwelapha kukhula. UMthetho Wohlaka Olusha wasayinwa ngaphandle kwemvume yezinyunyana zodokotela, ezazithi Bakhala ngokuzizwa bencishwe amathuba enqubweni yokuxoxisana Baze baphakamisa nesimiso seziteleka nemibhikisho yezinyanga ezizayo. Lokhu kuhlanganiswa kwezici kwenza ushintsho kulesi simo esibucayi lube sezombusazwe kakhulu futhi lufanekisela lokho.
Impikiswano mayelana ne-MIR 2026 kanye nokuphathwa koMthethonqubo Wobungcweti
I-General Directorate of Professional Regulation, eholwa nguGómez, ibilokhu iyisizinda senhlangano ye Ukuhlolwa kwe-MIR kwalo nyaka, okungenye yezinto ezibuzwa kakhulu emlandweni wokuhlolwaEhlobo eledlule, ikomidi lochwepheshe elaliphethe ukuklama isivivinyo lasula ngobuningi ngenxa yokungavumelani noMnyango, iqiniso elalivele libikezela inqubo eyayizoshuba kakhulu.
Kusukela lapho, kwalandela uchungechunge lwezinkinga: ukwehluleka ekubhalisweni kwabantu abazongenela ukhethoUkubambezeleka kokushicilela uhlu lwabantu abavunyelwe kanye namaphutha kulolo hlu kwaphoqa uMnyango Wezempilo ukuthi uvumele ngisho nababefake izicelo ababengavunyelwe ekuqaleni ukuthi bahlanganyele, uma nje befaka isikhalazo. Inqubo yokukhetha ekugcineni yenzeka phakathi kwesimo sokungathembani kanye nezikhalazo ezivela kubantu abazongenela ukhetho.
Ngesikhathi nangemva kokuhlolwa, abafakizicelo abaningi kanye nezikhungo zemfundo ephakeme bakhononda amaphutha okubhala emibuzweni, izithombe zekhwalithi ephansi, kanye nezinkomba zezincwadi ezinganeleLokhu kwakuhlanganisa ukubhekisela kokuqala eziqondisweni ezivela ezikhungweni zemfundo ezizimele, into uMnyango owayilungisa kamuva. Konke lokhu kuye kwakhuthaza umbono wokwenziwa kwezinto ezintsha kanye nokuntuleka kokucaca enkambisweni ebilokhu ibhekwa njengelawulwa kakhulu futhi ifuna izinto eziningi.
Emibuthanweni yobungcweti, amanye amaqembu axhumanise ukuhamba kukaGómez nalokhu kuqongelela kwezinkinga, yize ngokusemthethweni inguqulo ikholelwa ukuthi isinqumo singenxa yephrojekthi yakhe entsha e-Asturias kanye nezizathu zomuntu siqu nezomndeni. Kungakhathaliseki ukuthi imbangela iyini, iqiniso lihlala liwukuthi I-MIR kanye noMthetho Wohlaka manje sekuphethwe yithimba elisha ngesikhathi esibucayi kuzo zombili lezi zinkinga.
UMthetho Wohlaka, izivumelwano, ama-veto kanye nemingcele evulekile
Enye inkinga enkulu uCelia Gómez ayishiya ivulekile yi- ukuguqulwa koMthetho Wohlaka lwabasebenzi abasemthethweni be-NHSLolu hlaka oluyisisekelo lulawula izimo zokusebenza zamakhulu ezinkulungwane zabasebenzi bezempilo. UMnyango wafinyelela esivumelwaneni nezinyunyana eziningi eNkathini Yezingxoxo (i-CCOO, i-UGT, i-CSIF, ne-Satse, phakathi kwabanye), kodwa ngaphandle kokusekelwa ngabameleli abathile bodokotela, abenqaba umbhalo wamanje.
Izinhlangano zezokwelapha zigxeka inkundla yokuxoxisana akavumelanga ukwethulwa kwengxenye enkulu yezidingo zaboBagcizelela kakhulu ukubaluleka kwezindaba ezihlobene nokuqashelwa okuhlukile kobungcweti bezokwelapha, ukuthuthuka emsebenzini, ukuncipha komsebenzi wesikhashana, kanye nokuvumelanisa amashejuli omsebenzi kanye nemisebenzi yosuku lokusebenza namaqiniso okusebenza kwezokwelapha. Bakholelwa ukuthi, ngokwamukela lo mbhalo ngaphandle kokufaka kwabo, iqembu "lincishisiwe" ngempumelelo ngaphakathi kohlaka olufanayo oluhluleka ukubonakalisa izidingo zabo ezithile.
Lokhu kunganeliseki kuye kwavela nasezingeni laseYurophu. Abameleli be-State Confederation of Medical Unions (CESM) basanda kuvakashela iPhalamende laseYurophu ukuze bathole ukwesekwa futhi bahlole ezinye izinketho. izindlela zomthetho ngokusebenzisa izikhungo zomphakathiI-European Federation of Salaried Doctors (FEMS) iye yazamukela iziphakamiso zayo futhi iphakamise ukuthi kungaba khona indlela yezomthetho ngeHhovisi Lezikhalazo LePhalamende.
Okwamanje, eSpain, ukungavumelani noMthetho Wohlaka kuholele ekubizweni kuka Iziteleka zezokwelapha kanye nokumiswa komsebenzi ngezikhathi ezahlukene phakathi kukaFebhuwari noJuniNjengoba izinhlelo zokubhikisha sezimenyezelwe kakade, ukuhamba kochwepheshe oyinhloko kwezobuchwepheshe ezingxoxweni kunezela ukungaqiniseki ngokuthi isigaba sokugcina sokucubungula nokusebenzisa umthetho sizophathwa kanjani.
Izisusa zomuntu siqu kanye nokubuyela e-Asturias
Ezitatimendeni eziya kwabezindaba, uCelia Gómez ugcizelele ukuthi isinqumo sakhe asihlobene nempikiswano ye-MIR noma ingxabano mayelana noMthetho Wohlaka. Njengoba echazile, ngemuva amashumi amathathu eminyaka ethuthukisa umsebenzi wakhe wobungcweti kude ne-AsturiasWabona esicelweni esivela kubaphathi beFinba ithuba lokubhekana nenselele entsha ngenkathi ebuyela emphakathini wakubo.
UGómez uyavuma ukuthi, ngemva kweminyaka “yempilo yokuzulazula” ehamba emiphakathini eyahlukene ezimele, izici ezithile zazithinta kakhulu isinqumo sakhe. Izizathu zomndeni, ikakhulukazi isifiso sokuba seduze noninaosekhulile kakhulu. Okwengeziwe kulokhu, ngokusho kwakhe, ukukhanga kokuhola isikhungo esizinikele ocwaningweni lwezokwelapha endaweni ayazi kahle.
Ukuhlanganiswa kwephrojekthi yobungcweti "ekhuthazayo kakhulu" kanye nethuba lokubuyela ekhaya, ngamazwi omqondisi jikelele wangaphambilini, kwaba yimbangela yokwamukela ushintsho. Isitatimende sakhe sigcizelela isici somuntu siqu salesi sinqumo, ngenkathi egomela nokuthi isikhundla esisha sizomvumela ukuthi ahlale exhumene nemikhakha yezempilo kanye nokuphatha, yize ngokombono egxile kakhulu ocwaningweni nasekusunguleni izinto ezintsha.
Isizinda semfundo kanye nolwazi ekuphathweni kwezempilo
Umqondisi omusha weFinba une isizinda esiqinile kwezomnotho kanye nokuphathwa kwezempiloUneziqu ze-Economics and Business Administration ezivela e-University of Oviedo kanye neziqu ze-master in Health Economics and Management of Health Organizations, azithola e-University of Granada kanye nase-Andalusian School of Public Health.
Iphrofayili yakhe yezemfundo igcwaliswe nge Ubuchwepheshe Kwezempilo Yomphakathi kanye Nobulili eSikoleni Sikazwelonke Sezempilo Yomphakathi eMadrid, kanye nangohlelo lobuDokotela kwezomnotho, ukuphathwa kanye nokulawulwa kwezinhlangano zomphakathi kanye nezinqubomgomo eNyuvesi yaseGranada. Lokhu kuhlanganiswa kolwazi lwezomnotho kanye nezempilo kuye kwathonya kakhulu umsebenzi wakhe wobungcweti ekuphathweni komphakathi.
Ngaphambi kwesikhathi sakhe eMnyangweni Wezempilo, uGómez wayengumqondisi ophethe we- Isevisi Yezempilo yaseCantabrian kanye nesevisi Yezempilo ye-Principality of Asturias (Sespa)Lokhu kumvumele ukuthi aqoqe ulwazi oluningi ekuphathweni kwezinsizakalo zezempilo zesifunda. Ngakho-ke, ufika eFinba enolwazi olukhulu ekuhleleni, ekuxhumaniseni ezempilo, kanye nobuholi beqembu emkhakheni womphakathi.
Ngaphezu kwalokho, ubambe izikhundla ezinhlanganweni zemikhakha yangaphandle kanye nezinhlangano ezihlobene nekhwalithi nokulingana. Phakathi kwezinye izindima, ube ngumphathi we-Women's Foundation kanye nomqondisi wezobuchwepheshe kanye nezinsiza ze-Andalusian Health Quality Agency Foundation, okuqinisa ulwazi lwakhe nge isakhiwo esiyisisekelo kanye nokuphathwa kwezinhlangano zezempilo.
Ukuqokwa ngazwi linye ukuhola iFinba
I-Foundation for Biomedical Research of the Principality of Asturias ibambe umhlangano weBhodi Labaphathiswa bayo lapho bavume ngazwi linye ukuqokwa kukaCelia Gómez njengomqondisi omusha, ethatha indawo kaFaustino Blanco. Lesi sinqumo siphetha inqubo yokukhetha ehlelekile, lapho kwahlolwa khona abantu abayi-15 abazongenela ukhetho.
Njengoba isisekelo ngokwaso sichazile, ukukhethwa kwenziwe ngemuva kwezigaba eziningana lapho kwahlolwa khona izici ezilandelayo: ukuhambisana nezidingo ezichazwe esicelweni sezicelo, ulwazi lwemveloIkomidi lokukhetha liphinde lacabangela ulwazi lukaGómez lwangaphambilini ezikhundleni eziphezulu kanye nokufaneleka kwephrofayili yakhe ezidingweni zesu likaFinba. Ekugcineni ikomidi lahambisa isiphakamiso sokuqoka uGómez kwiBhodi Yabaqondisi, eyasivuma ngazwi linye.
Isivumelwano sinikeza ukuthi umholo womqondisi omusha kufanele ulingane nowomphathi wendawo yezempiloLokhu kuhambisana namazinga omthwalo wemfanelo kanye nezidingo zesikhundla. Kuwukulungiswa okuhloswe ngakho ukubeka abaphathi beFinba ezingeni elifanayo nezinye izikhundla zokuphatha eziphezulu ngaphakathi kohlelo lwezempilo lomphakathi.
Ukufakwa kukaGómez kuzokwenzeka ngokushesha, ngesikhathi isikhathi esingaba yizinsuku eziyishumi kusukela ekuvunyelweni kokuqokwaInhloso ukuqinisekisa ukuthi ubuholi besisekelo bushintsha kahle futhi kuvinjelwe ukuphazamiseka kwamaphrojekthi aqhubekayo. Le nhlangano igcizelela ukuzethemba kwayo ukuthi ubuholi obusha buzofaka isandla esigabeni esisha sokukhula nokuhlanganiswa kocwaningo lwezokwelapha lwase-Asturian.
I-Finba, iminyaka eyishumi ikhuthaza ucwaningo lwezokwelapha e-Asturias
UFinba ungumuntu isisekelo esingenzi nzuzo esasungulwa ngo-2014 Ngesinyathelo soMnyango Wezempilo we-Principality of Asturias. Ibhodi Labaphathiswa bayo lihlanganisa neNyuvesi kanye noMkhandlu Wedolobha lase-Oviedo, kanye nezinhlangano eziningana ezizimele ezisebenza njengabaxhasi: i-Cajastur Foundation, i-Caja Rural Foundation, i-EDP Foundation, i-TSK Group, ama-Transinsa Ambulances ase-Asturias nase-Lacera, phakathi kwezinye.
Kuyo yonke iminyaka yayo eyishumi yokuqala, isisekelo sigcine ukugxila kwaso okuyinhloko, ukukhuthaza, ukusekela, ukuphatha kanye nokusabalalisa ucwaningo, intuthuko yesayensi nezobuchwepheshe kanye nokusungula izinto ezintsha kwezokwelapha emphakathini. Umsebenzi wayo uhambisana nemigomo yenqubomgomo yezikhungo ebekwe yi-Asturian Administration ukuqinisa indima yesayensi kanye nokusungula izinto ezintsha njengabaqhubi bentuthuko yesifunda.
UFinba ugcizelela ukuthi ukuqokwa kukaGómez kuqinisa ukuzibophezela kwesikhungo ku- ubuhle, ukucaca kanye nokuqinisa ucwaningo lwezokwelaphaInhlangano ikholelwa ukuthi ulwazi lomqondisi omusha ngohlelo lwezempilo yomphakathi kanye nendawo yase-Asturian luzoba yisihluthulelo sokuqinisa ubudlelwano phakathi kwezibhedlela, amanyuvesi, izikhungo zocwaningo kanye nezinkampani.
Ngalolu shintsho ebuholini, inhlangano ihlose ukuqinisa isikhundla sayo njenge umlingisi weqhinga ohlelweni lwezempilo lwesayensi lwe-Principality, ukukhuthaza kokubili ucwaningo lokuhumusha kanye namaphrojekthi angahumushela ngqo ekuthuthukisweni kwezempilo kanye nekhwalithi yokuphila kwabantu.
Ushintsho lwesikhundla sikaCelia Gómez, kusukela emgqeni ongaphambili wenqubomgomo yezempilo kahulumeni kuya esiqondisweni sesisekelo esibalulekile ocwaningweni lwesifunda, lubonisa ukuthi kanjani Ukungezwani kwamanje okuphathelene ne-MIR (Medical Residency Exam) kanye noMthetho Wohlaka kuhambisana nesidingo sokuqinisa isayensi kanye nokusungula izinto ezintsha kwezempilo.Ngenkathi uMnyango Wezempilo uhlela kabusha isakhiwo sawo ukuze ubhekane nezinyanga ezimbalwa eziyinkimbinkimbi nochwepheshe bezokwelapha, i-Asturias ithola isibalo esinolwazi olukhulu lokuhola ithuluzi layo eliyinhloko locwaningo lwezokwelapha.