The Central Sindical Independiente y de Funcionarios (CSIF) positively values the increase in Specialized Health Training (FSE) positions planned for 2027, but insists that their distribution must be adapted to the real needs of professionals, specialties and territories, and not be left as a simple overall increase in supply.
The Ministry of Health has admitted a total of 40,474 applicants to compete for the 12,850 FSE positions from the 2026-2027 call, according to the provisional lists published this Friday, whose selection tests will take place next January 23, 2027.
In this scenario, CSIF highlights the progressive growth in Medicine positions, although it warns that the distribution of supply must be adjusted to the “real deficits” of specialists and the expected needs of the National Health System.
For the union, it is a priority to review the planning of those specialties with the biggest coverage problems, in particular Family and Community Medicine and Primary Care Pediatrics, as well as certain hospital specialties.
It also maintains that the challenge cannot be addressed only with a numerical increase in positions, but instead requires studying their territorial distribution, the real capacity of teaching centers, and the conditions that make it difficult to fill and maintain certain posts.
CSIF emphasizes that it is essential to draw up needs forecasts for all professional categories of the National Health System, taking into account retirements, the evolution of care demand, and differences between autonomous communities.
For this reason, the organization advocates implementing state staffing planning, with estimates by category, specialty and geographic areas that make it possible to anticipate shortfalls.
The union also considers it essential to move forward on measures for retention and stability, through professional continuity offers and competitive conditions that encourage staying in public healthcare. Along the same lines, it calls for better pay and working conditions, with decent salaries, guaranteed working hours and rest periods, and effective protection of occupational health.
Finally, CSIF advocates strengthening training and quality tutoring, with adequate supervision, protected time for training, and professional and economic recognition for tutors.