Area: 504,750 km², population: 64 million (as of 2008).
17.80 % are older than 65, 67.80 % are between 15 and 64 years old, 14.40 % are younger than 14. The capital is Madrid. The official language is Spanish; officially recognised regional languages are Aranese, Basque, Catalan/Valenican and Galician.
Spain has a national healthcare system, which is mostly financed by taxes. It is administered by the Institut Insalud (Instituto Nacional de Gestión Sanitaria). The healthcare system guarantees free medical treatment for every Spanish person. Each of the 17 autonomous regions is individually responsible for the organisation of the healthcare system in their area.
The study of medicine takes six years. After its completion, students are „Licenciado en Medicina y Cirugia“. Before they can continue their further training, they have to pass an exam called the “MIR” (medicao interno residente system / sistema – medical internship system). This exam is organised each year by the Ministry of Education and Science and is held only in Spanish. The better the result, the more one can be sure of a position in the MIR. The internships take about three to four years, depending on the specialisation. In Spain there are 49 areas of specialisation, 45 of which are clinical specialisations.
To be able to begin specialist training, students first have to pass the MIR exam. To be eligible to take the exam, students have to be licensed to practice medicine. More information at: www.mec.es
Medical doctors have to register with the medical institute of the province (Colegio de Medicos de la Provincia) in which they want to practice and with the Ministry for Education and Science.
Experience report - Madrid, Spain
by Raphael Reinecke
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