The 2050 MIR model: specialties and operation

Tomas Cobo and Tomas Toranzo.

“We must have a perspective for the future,” he says. Tomas Cobo about the planning of sanitary templates. The president of the General Council of Official Colleges of Physicians (Cgcom) points out that specialties will be increasingly “dynamics”and warns that although it is still early to predict which of them will gain weight, the boost of technology will be decisive in this “transformative” process of the sector.

Because medical specialties, says Cobo, “they are changing”, so that they will gradually adapt to the needs of society. By way of example, he points out that the revitalizing effect of technologies such as CAR-T can give rise to a “lower incidence” of subspecialties such as colorectal surgerywhich will tend to automation.

A similar position defends Thomas Toranzoresponsible for the State Confederation of Medical Unions (CESM), who agrees that the evolution of specialties constitutes a “dynamic process” in which many factors will intervene.


“At some point, the specialties that exist will have to be reviewed, but perhaps they are the ones that are least thought of now,” says Toranzo.


“There is none that is expected to be able to to vanishbut it can cause some to merge, as has happened with Biochemistry and Clinical Analysis”, he emphasizes.

In this sense, he affirms that “some of the existing ones will have to be reviewed at some point, but maybe they are the ones that are least thought of now.” “This arises when a technique allows them to even be separated, as happened recently with Child and Adolescent Psychiatry”, indicates Toranzo, who reiterates, in any case, that this phenomenon “will not happen in the short or medium term”.

New medical specialties

Despite this, after the recent approval of the Royal Decree on Specialties the ‘rules’ for the promotion of new medical disciplines have been established. The most pressing for the group continues to be that of Emergencies and Emergencies, which, as Cobo himself indicated to Redacción Médica, “will be a reality shortly”.

Despite the fact that there are several medical disciplines waiting to be created, the president is clear that this has to be the one that launches the new format devised by Health. “It must be the first without a doubt. Now, with this new Royal Decree, the rules of the game are established and they are the ones that we must follow in order for the procedure to begin ”, he explains.

However, there are others like Respiratory physiotherapy They also have the support of the Spanish Society of Pneumology and Thoracic Surgery (Separ) and the General Council of Colleges of Physiotherapists (Cgcfe), which could present the necessary documentation to the Ministry of Health this year.

“Our goal is to have the application ready in the first semester of 2023. We have quite a lot of work aheadbut we have to wait for a series of procedures”, indicate sources involved in its drafting.

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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