title: Reorganization of medical specialization. Beyond the law of management of health professions.
abstract: More than 30 years after the creation of postgraduate medical training program in Spain supported by the MIR system, a thorough review of it becomes essential. This was the goal of the LOPS law enacted in 2003. The development of the LOPS is being slow and difficult to enforce, because master lines have to be achieved in order to develop the training of specialists in accordance with internationals standards and, simultaneously, with the reform that is taking place in the undergraduate education. The start up of the medical core will be the cornerstone of this project. The principles of the LOPS provide an opportunity for the training of competent physician in basic general medical practice followed by a progressive specialization supported on a solid foundation. And these principles have to prevail over corporate interests.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Bellvitge, Universitat de Barcelona, IDIBELL, Barcelona, España. Electronic address: ramon.pujol@bellvitgehospital.cat.
authors.forename: R
authors.initials: R
authors.lastname: Pujol
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario Gregorio Marañón, Madrid, España.
authors.forename: P
authors.initials: P
authors.lastname: Conthe
authors.affiliation: Área de Medicina, Agencia Sanitaria Pública Hospital Costa del Sol, Marbella, Málaga, España.
authors.forename: J
authors.initials: J
authors.lastname: Garcia Alegría
keywords: Assessment; Clinical competence; Common trunk; Competencia clínica; Evaluación; Health care professional's law; Ley para la salud profesional; Posgraduate medical training; Programa de formación médica posgraduada; Tronco común