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Spain Advances Emergency and Urgent Care Residency Plans as Madrid Seeks 61 Training Positions

Health authorities are moving to launch a dedicated MIR specialty in 2026 to address a looming shortage of emergency physicians.

Archivo - Puerta de Urgencias del Hospital de Son Espases (Mallorca)
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Jóvenes médicos en un examen para el MIR en Madrid

Overview

  • The Comunidad de Madrid has formally requested 61 provisional MIR training slots for emergency and urgent care in the 2026 intake despite pending accreditation measures.
  • The Ministry of Health and SEMES aim to kick off the new residency program in 2026 so that the first specialists begin training in 2027 to help fill critical staffing gaps.
  • Demographic projections indicate that 40% of emergency physicians will be over 50 by 2029, heightening the risk of service closures without new trainees.
  • A Ministry report forecasts a 10% annual decline in emergency medicine professionals through 2035, marking it as Spain’s most deficient and aging specialty.
  • SEMES is also pushing to establish an Emergency and Urgent Care nursing specialty and upgrade emergency medical technician training to European standards.