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MIR Internal Medical Residency Program

Find all the paediatric specialties at SJD Barcelona Children's Hospital

The SJD Barcelona Children's Hospital’s philosophy for Resident Doctors or MIR in our centre is based on the essential elements listed below:

  • To provide quality training, as a professional and as a person.
  • To reinforce the values of hospitality, respect, and teamwork.
  • To respect the personal interests of each resident.
  • To adapt the training to the needs of society.
  • To encourage and facilitate continuing education and training, from the beginning of the residency to the end of the programme.

According to the 2018 satisfaction survey (in Spanish) 95% of our MIR considered that training at SJD Barcelona Children's Hospital helped their job prospects when they finished their training. 

Our teaching experience

A total of
28
accredited tutors
Simulation sessions
200
every year
Increase in complex patients by
47%
since 2004

Questions about the MIR at SJD Barcelona Children's Hospital

How many on-calls do you do per month during the MIR?

At the teaching level,  SJD Barcelona Children's Hospital recommends an average of 5 on-calls per month per resident, which is respected in the different medical specialities. 

How heavy is the workload of the on-calls at SJD Barcelona Children's Hospital?

SJD Barcelona Children's Hospital is a centre with a large volume of patients and the healthcare teams are sized proportionally. The work of the resident is supervised, and the degree of supervision depends on the year of residency, so residents take on responsibilities gradually. According to the satisfaction survey conducted in 2017, 80% of our residents considered the on-calls they did during their years of residency to be helpful in terms of their professional development.

Do you have the day-off after being on-call?

Yes, the on-call day-off is applied at the Hospital.

How many and what type of clinical sessions do MIR attend?

SJD Barcelona Children's Hospital holds a monthly general clinical session (last Thursday from 2.00 p.m. to 3.00 p.m.), which is attended by all healthcare professionals from the centre’s different specialities. 

In addition, residents  attend the clinical case, literature, research and protocol sessions organised by each specific unit. Several of the sessions are held by video conference to facilitate the participation of other centres.

Are there opportunities to attend courses and congresses during your residency?

SJD Barcelona Children's Hospital holds a monthly general clinical session (last Thursday from 2.00 p.m. to 3.00 p.m.), which is attended by all healthcare professionals from the centre’s different specialities. Our residents present two sessions a year and actively participate in this activity.

In addition, residents attend the clinical case, literature, research and protocol sessions organised by each specific Unit. Several of the sessions are held by video conference to facilitate the participation of other centres.

Can we do external rotations in other hospitals in Spain or abroad?

Depending on the specialist area, residents have several months of free rotation within the training itinerary, which means they can do training placements in other parts of Spain or abroad. These placements can be arranged in some of the hospitals with which we collaborate. 

Can I do a PhD and my thesis while at SJD Barcelona Children’s Hospital?

SJD Barcelona Children’s Hospital is a university hospital affiliated with the Universitat de Barcelona. As such, and also due to our vocation for teaching and research, during the residency there are training courses in research and sessions aimed at encouraging residents to do PhDs, with the supervision of the tutors, in the different lines of research consolidated in the Instituto de Investigación Sant Joan de Déu, SJD Barcelona Children’s Hospital research institute .

Are there employment opportunities at SJD Barcelona Children’s Hospital when you finish the MIR?

The paediatric and neonatal Intensive Care Units offer fellowship places to complete your training in these areas.

Additionally, on-call places are offered, which can allow the resident to maintain their links with SJD Barcelona Children’s Hospital while doing their research project, thesis or a sub-specialisation in a university master degree.

Are there post-residency training opportunities at the same Hospital?

Our physicians deliver several masters and postgraduate courses associated with the Universitat de Barcelona, which cover paediatric specialities and include theoretical and practical training for professionals who have completed their specialised medical training.

Our goal is for the MIR to receive full training, as a doctor and as a person. High complexity and quality assistance, simulation and research are our tools to achieve this, with the complicity of our professionals.
Iolanda Jordan, Studies Director at the SJD Barcelona Children's Hospital

Pediatric Residency

Our residency is based on the MIR section of the Asociación Española de Pediatría (AEP), the Spanish Association of Paediatrics, in a common paediatric core during the first three years of residency, which is then divided into various itineraries to suit the interests of the resident: primary care paediatrics; hospital paediatrics; a paediatric sub-speciality; or the specific itinerary offered by the critical patient hospital. Each resident chooses in which field they want to train and, if they prefer, they can do a tailor-made rotation in the final year of their residency. Consult the Teaching Programme (in Spanish) for paediatric Resident Doctors (MIR) at SJD Barcelona Children's Hospital here.

The rotation programme is structured in such a way that first-year residents and above pass through the same department, but at different times. This means that the R1 become familiar with how the speciality runs, and the R4, in view of their experience, can already work practically as assistant doctors on the ward. In our centre we think it’s a good idea to rotate several times during the residency in order to develop a different learning process each time. In addition to the MIR places in Paediatrics and its Specific Areas, it is also possible to do a residency in Obstetrics and Gynaecology or even Surgery.

Paediatric residency questions

What will I learn during the pediatric residency?

The training model is based on the proposal of the MIR section of the National Paediatric Association in Spain. There is, during the first three years, a trunk of common formation.

The fourth year of the specialty consists of 10 months of free choice rotation where the resident chooses, according to their specific training needs or their future professional interests, for different specialties or for one of the training itineraries offered to residents (Hospital care, Primary Care, Critics and Pediatric Sub-specialties).

Where will the rotations be performed?

The residents of Pediatrics will rotate during the years of residence through the hospitalization, nursery, neonatology, pediatric intensive care, outpatient, emergency, primary care and an itinerary of their choice.

In addition to compulsory rotations, we try to adapt as much as possible the training plan and the knowledge acquired during the stay in different specialties to the interest of each person.

The teaching plan is based on the fact that each resident chooses their training or curricular itinerary. It is a structured and consolidated program, in evolution and constant improvement through the evaluation of the teaching team.

Where do we do the on-calls?

The residents in Paediatrics and its Specific Areas do the following:

  • R1 - R2, first and second year residents: on-calls in Accident and Emergency and paediatric ward (12 h at weekends).
  • R3 - R4, third and fourth year residents: on-calls in Accident and Emergency and paediatric ward (12 h at weekends) and ICU (paediatric and neonatal).

Residents in the other specialist areas (medical and nursing) do on-calls in Accident and Emergency and are responsible for the ward.   

Is training and practice in pediatrics balanced?

Yes. This is one of the primary objectives of the teaching team. The resident chooses his training or curricular itinerary, which will be complemented (apart from rotations and guards) with practical elements such as the Darwin simulation program, learning about communication with the patient and their families or the possibility of participating in research programs or develop ideas through the innovation department.

Residency in Gynaecology and Obstetrics

In the Gynaecology and Obstetrics Service of the SJD Barcelona Children's Hospital, four positions are offered for the training of residents in this specialty. The care activity is organized in rotations of three months in each of the areas, except in the operating room, where the rotation covers the entire period of residence. In addition to clinical training, teacher training is based on:

  • Daily scientific sessions, carried out jointly with the Hospital Clínic (BCNatal).
  • The Darwin Simulation Program, for the training of skills and clinical situations.
  • Resident integration in the different lines of research consolidated within the framework of BCNatal (Maternal-Fetal and Neonatal Medicine Center of Barcelona). Residents are encouraged to participate in this leading group in obstetrics and gynecology publications internationally.

The hospital is a third level and reference center for Gynecology and Obstetrics: with more than 1,000 annual gynecological surgeries and more than 3,000 annual births, it is the maternity with the highest activity in Catalonia.

Questions about the MIR of Gynaecology and Obstetrics

How is the residence of Gynecology and Obstetrics organized?

Throughout the four years the resident will rotate through specific areas of outpatient gynecology and obstetrics, the first two years by basic areas and the last two by subspecialties. Throughout the residence, it will be rotated by hospitalization - UCOI, operating theater, emergency room and delivery room.

In the field of gynecology, the hospital has units for each of the gynecological subspecialties (general gynecology, pelvic floor, endocrinology and reproduction, oncology, breast pathology, etc.). It will rotate for each of these and will attend the corresponding surgical sessions. To complete the training in highly complex oncology as well as in in vitro fertilization, rotations are established in specific centers (Hospital de Bellvitge and Hospital Clínic).

In the field of obstetrics, it ranges from natural childbirth in low risk obstetrics to the high complexity of the pathology and / or fetal surgery. There are intermediate obstetric care units (UCOI) for the treatment of severe maternal pathology and it is a reference center for fetal pathology, prematurity and neonatology.

Why SJD Children's Hospital a good center for training in Gynecology and Obstetrics?

SJD Barcelona Children's Hospital and BCNatal are currently reference centers for gynecology, maternal-fetal medicine and fetal pathology at national and international level. This fact allows a global formation from the most general pathology to the highest complexity.

The high number of deliveries and surgical interventions as well as the training through simulation allow acquiring the necessary technical skills to practice the specialty. The values ​​of the institution and the warmth of the human team confer an exceptional atmosphere during the training period.

Is there the possibility of attending congresses and courses during residency?

In our center the participation of the resident in national and international courses and congresses is encouraged. Within the framework of BCNatal, teaching and research are important pillars of training.

For this reason, during the residency there is a wide range of own courses, recognized at an international level, as well as the attendance to external courses. Likewise, the residents are allowed to participate in research lines of the Service and to present their results in congresses of interest.

In which facilities do you work during the residency?

The Gynecology and Obstetrics Service has 3 inpatient facilities with a total of 50 beds, 6 delivery rooms, 2 operating rooms and an emergency room, an Intermediate Obstetric Cure Unit with 3 beds, 13 outpatient consultations; as well as new work rooms and the Darwin simulation space.

The SJD Barcelona Children's Hospital is characterized by a continuous plan of works and modernization of spaces, adapted to technological and social advances.

How are the gynaecology and obstetrics guards organized?

The team of obstetrics and gynecology guards consists of two doctors and two residents, an R1 - R2 and an R3 - R4 which ensures good supervision of the resident in training. The R1 - R2 is well supervised at the same time that the R3 - R4 can be assuming a greater responsibility.

This organization facilitates that our residents in their last months of training can assume activities and responsibilities comparable to those of an assistant. The guard is located in the emergency room, delivery room and operating theater of the independent service of Paediatrics.

Can I do the Doctoral Thesis in the Obstetrics and Gynaecology Department?

The Gynecology and Obstetrics Service, within the framework of BCNatal, participates in several well-established lines of research. The resident, during all his training period, will inevitably be in touch with the studies that are carried out.

In addition, the incorporation of residents into any of the existing lines is encouraged so that they can initiate research work that will subsequently allow them to carry out the Doctoral Thesis.

Are there job opportunities in the service when the residency ends?

At the end of the residence the possibility of making guards is offered, which allows to keep in contact with the Service. Currently, all of our residents finish their training period with multiple job offers.

Protocols of supervision of resident doctors

Paediatric Surgery Residency

This year 2018 we offer a place to perform residency in the Paediatric Surgery Service at the SJD Barcelona Children's Hospital. The Internal Medical Resident (MIR) of our center will work in general and thoracic surgery of adults the first year and, later, in ambulatory surgery, general and digestive pediatric surgery, plastic and maxillofacial surgery, oncological, neonatal, urological surgery and thoracic surgery. They will also acquire experience in the emergencies and external consultations of our Hospital.

Our residents are trained in the main surgical techniques of the areas in which they perform the rotation during the five years of residence. The assistance activity is complemented by the Pediatric Surgery Service clinical sessions of our Hospital, as well as with participation in congresses, publications or research projects, according to the interests of each resident.

Paediatric Surgery questions

How Paediatric Surgery Residency is organised?

The Paediatric Surgery residency lasts for five years. In the first year of residency, in accordance with the provisions of the Spanish Government, the resident of Paediatric Surgery must be trained in the principles of surgery in adult patients. That is why we have agreements with the Sant Boi and Bellvitge hospitals. After the second year, the training is exclusively focused on paediatric patients in our center, although the resident may choose to perform some external rotation that complements their learning.

Why the SJD Barcelona Children's Hospital is a good place to learn about Paediatric Surgery?

First of all because it is a high complexity maternal and child hospital with a high volume of patients and a third level. Unlike other specialties, a quality Paediatric Surgery training requires a paediatric and neonatal ICU and complementary services so that the learning of the MIR is complete and without limitations.

If we take into account that many paediatric pathologies have a low prevalence, it is important to concentrate the rare pathology and also having units of Foetal Medicine, Oncology and all paediatric sub-specialties.

The Sant Joan de Déu Hospital is the reference center of the paediatric population of our environment for all the small pathology of less complexity. Because of this, the small surgery, so important in our specialty, is also very represented in the formation of the MIR.

In what facilities will I work?

Our hospital is immersed in a constant process of renewal. Currently, it has first-class facilities, and in the future it will be a reference in many areas, among which we can highlight the start-up of the Pediatric Cancer Center.

The Diagnostic Imaging Service, the Ambulatory Surgery Unit, the External Consultations, the Emergencies and the Paediatric Intensive Care Unit are new, finished and with modern facilities. The new Neonatal Intensive Unit and the new children's surgical block are projects that will be completed over the next few years.

Protocols of supervision of resident doctors
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