2026 has started with Spanish doctors on the streets. Although the tracking data is clouded by the dance of figures usual in these cases, thousands of doctors they have seconded today the strike convened by the Professional Group for a Medical and Faculty Statute (APEMYF) to demand better working conditions. Three are its greatest workhorses: guards, salaries and hours. The question that surely more than one person is asking today is… What do doctors, one of the groups, complain about? better paid and with higher status social?
To understand it you have to know their day to day life.
White coat strike. The year has started with turbulence in the country’s hospitals. Although the first data from the Administration point to a follow-up more or less discreet (those who arrive from the unions show a ‘photo’ very different), one thing seems clear: today thousands of doctors have responded to the strike called by APEMYFa platform that brings together more than a dozen organizations. The protest will last today and tomorrow and is added to those in 2025.
One word: statute. APEMY already clarifies on its behalf what its main claim is: the group demands that its own statute be negotiated with doctors in Spain, a “basic standard” that meets the needs of the group.
In contrast to the “framework statute” for health personnel that the main unions and the Government have negotiated, doctors want their particularities to be taken into account. That they go out onto the streets right now is no coincidence. a month ago Health closed a preliminary agreement with the unions to carry out this general rule for the health branch, an ‘umbrella’ that will determine the conditions of hundreds of thousands of public employees.
Why’s that? Because the collective (at least the one that supports APEMYF) insist in that it has specific “needs”, just like “other professions with singularities”. Hence, he calls for a negotiation “exclusive for the medical profession.” On the table they have put issues such as the management of guards, hours and salaries, issues that have also served as leverage for the strike today and tomorrow. In fact, everything related to the guards (its duration, remuneration and recognition) has had a key weight in the call.
But they charge well, right? Although their salaries are noticeably below Compared to other European colleagues, Spanish doctors enjoy good salaries. At least if they are compared to other sectors. What a doctor earns is influenced by issues such as the region in which you work or its age, but Medical Writing remember who are generally among the highest paid professionals.
In the INE’s Annual Salary Structure Survey, doctors and nurses appear in the chapter “Technicians and scientific and intellectual professionals”, to which in 2023 an “average annual earnings per worker” of almost 43,000 euros. As a reference, the average for all sectors did not reach 28,500.
A wide fork. However, this information must be handled with caution. A year ago Newtral analyzed also the remuneration of doctors and concluded that the fixed annual salary of hospital doctors ranges between 19,000 euros for a first-year MIR and 72,100 for more senior doctors. There is an important nuance: this gross salary indicator does not include guards, who according to the same medium were paid at 28.6 gross euros per hour. Or more, on holidays.
The payment varies in any case from one community to another. Other estimates, how are you also published by Medical Writingconcludes that the average salary of a Spanish doctor who works in public health is around 54,200 euros gross, although the range goes from 35,300 to 140,000.
Why do they go out into the streets? Because (beyond these figures) doctors are exposed to a considerable load of stress and work, handicaps that are addressed in the statute negotiated by the main unions and the Government, although not in a way that satisfies the entire group. Of all the issues on the table, perhaps the most complex is the one related to medical guards.
Right now doctors cover continuous 24-hour shifts, including their regular shift. From the collective they take time crying out against those marathon shifts, which affect thousands of doctors. a report of the Official College of Physicians of Toledo points out that in Spain 60% of professionals face exhausting shifts and that there are even professionals who exceed “36 hours of continuous work”, which for many carries an emotional burden.
“Stop 24-hour guards”. Among other novelties, the draft of the framework statute reduces the duration of the guards to 17 hours straightbut in the group there are those who already warn that in reality the norm opens the door for nothing to change. The reason: this limit of 17 hours could be exceeded if there are “organizational or healthcare reasons” that justify it and the doctor accepts it in writing.
Another sensitive point is how those ‘extra’ hours are compensated. The unions demand that an hour of on-call duty not be paid worse than an hour of their ordinary day and that they also count towards retirement, a circumstance that now it doesn’t happen. The issue is so worrying that during today’s demonstrations doctors could be seen with signs of “Stop 24-hour guards”.
“Just like the rest of the workers”. In your manifestothe Association of Higher Qualified Doctors of Madrid (AYTS) demands to “recognize all of the doctor’s time worked, just as it is done with the rest of the workers.” Their request is clear: “Suppress the concept of on-call duty as a type of duty that is neither ordinary nor extraordinary, with the conditions of obligation and remuneration below the ordinary shift.”
The underlying objective? That doctors stop chaining together exhausting 24-hour shifts, periods of work that do not also count as time for retirement and that even generate ‘debts’ of hours. All this while assuming a high level of responsibility for their patients, which has even led some to suggest that 24-hour shifts should be “illegal”.
watch earrings. Another issue that marks the doctors’ routine is their work day, which can now reach a maximum of 48 hours a week. That does not prevent some doctors from denounced be exposed to unaffordable periods of work, as a surgeon on October 12 warned in August.
“Tomorrow and without any type of anesthesia, I will begin my August work marathon. Not counting the hours that I will be located, which not all specialist doctors have to do, I will work a total of 235 hours in four weeks. That is, I will work almost 59 hours each week,” he warned.
The draft of the new framework statute addresses the topicbut it does not convince everyone in the group. They fear that something similar to what happens with the guards will happen and the rule will slip a shortcut so that the maximum weekly hours are exceeded. Hence they propose a top of 35 hours. If this time is exceeded, it must be referred to as voluntary work, which cannot be paid worse than the ordinary hour.
Images | AMYTS (X)
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