Abstract

LOZANO-SANCHEZ, Francisco S. MIR program. Where do we come from?. Angiología [online]. 2022, vol.74, n.3, pp.108-114.  Epub July 11, 2022. ISSN 1695-2987.  https://dx.doi.org/10.20960/angiologia.00369.

In 1976 the MIR training system (resident intern medical) was introduced in Spain. Its acceptance and results have been a success. However, we have experienced moments of uncertainty (e.g. failed implementation of the trunk project) and conflict (e.g. entrance exam, method of choice of places, etc.).

In times when it is considered to change the structure and/or contents of specialized medical training, it seems useful to remember where we come from. Knowing the prototype of the classic surgical residency allows you to reflect and make decisions.

The Spanish MIR system is an extrapolation of the North American model of “learn by working”. In 1889 the first modern surgical residency program was born, developed under the influence of William Stewart Halsted (1852-1922) at Johns Hopkins Hospital (Baltimore, Maryland, USA).

Halsted's concept of residence, greatly influenced by his experiences and personality, was very rigid (pyramidal system) and severe (many years and full time). However, he achieved excellent academic results among his disciples, many of whom surpassed the teacher; they spread the Hastedian model of residence throughout North America.

The adaptation of the residential model “Halsted type” has been the basis of the training programs of excellence that currently exist.

Keywords : Medical resident; Residency; Training; Surgery.

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