Saltar al contenido
VIRTUAMIR

MIR in Spain · United States

MIR 2028 in Spain: a guide for US medical graduates

In Spain, residency starts with a single national exam, the MIR. If you earned your MD in the United States and want to train in Spain, here is the path, step by step, with the official sources.

The MIR is taken in Spanish, and so is the VIRTUAMIR prep: you need a strong command of the language (C1 level).

Create your free accountTry a real question

Timeline

MIR 2028 key dates

Registration
September 2027 (estimated)
Exam
Late January 2028 (estimated)

The MIR 2028 dates are estimated from previous years: registration opens in September and the exam is held on a Saturday in late January. Official dates are published in the BOE with the call (the MIR 2027 call came out on August 10, 2026).

Already admitted to the MIR 2027? It’s on January 23, 2027: 95 days to go.

Step by step

Step by step (United States)

  1. Get your MD homologated in Spain

    Your degree must be homologated in Spain before MIR 2028 registration closes. You apply online through the Spanish Ministry of Science, Innovation and Universities, under Royal Decree 889/2022.

    Gather your diploma, your transcript with hours for each course and clinical rotation, and your school’s curriculum.

  2. Apostille and sworn translation

    The United States is party to the Hague Convention, so your documents get an apostille from the relevant state authority, with no consular legalization. Since they are in English, you also need a sworn translation into Spanish.

  3. Spanish at C1 level

    The exam is entirely in Spanish. Because Spanish is not an official language in the US, the call requires an official Spanish certificate at C1 level or higher, unless you studied medicine in Spanish.

  4. Places for candidates without Spanish residency

    Without a residence permit in Spain, you compete for the places reserved for that group: 968 of the 9.676 medical places in the MIR 2027. The call also requires your country to have a cooperation agreement with Spain in force; check it in your year’s call.

    With legal residency in Spain, or Spanish or EU citizenship, you compete for every place.

  5. Register in September, sit the exam in January

    Registration takes place in September with form 790 (a 31,10 € fee in the last call). The exam is in person, in Spain, on a Saturday in late January.

Comparison

The MIR vs. the USMLE and the Match

In the US, you match into residency through the USMLE, applications, interviews and the NRMP Match. In Spain there are no interviews or letters: one national exam ranks every candidate, and each one picks a place in rank order.

What changes:

  • One score: the exam (90 %) plus your academic record (10 %).
  • Pick by rank from every place in Spain, with a public list.
  • The format: 200 preguntas y 10 de reserva, four options each, in cuatro horas y media, in Spanish.
  • A contract and a salary throughout residency, in the public system.

Prep

How to prepare with VIRTUAMIR

VIRTUAMIR links every official MIR question to the study notes that explain it, on three levels: what you need to get it right, the context, and what rules out the distractors. So you study the high-yield material first.

  • 1,050official MIR questions, 2021-2025
  • 1,306reusable study notes
  • 2,619practice questions to review each note

There are also full mock exams in the real format and spaced review of what you miss. Questions and answers are free and public; a free account opens the notes and practice questions for 3 questions a day.

Real question · MIR 2025, no. 115

The question is shown as it appears on the exam: in Spanish.

Acude a urgencias un paciente que comenzó con dolor torácico hace 10 minutos estando comiendo en un restaurante cerca del hospital. El electrocardiograma muestra una elevación del segmento ST de 2 mm en derivaciones precordiales desde V1 a V4 ¿Cuál de las siguientes afirmaciones es correcta?:

  1. A)Realizaremos una analítica de sangre con determinación de troponinas para determinar si es un infarto y así activar un cateterismo urgente.
  2. B)Administraremos dosis de carga de aspirina lo antes posible.
  3. C)El cateterismo ha de realizarse de forma urgente en menos de 2 horas siendo la vía femoral la primera opción por ser la más rápida.
  4. D)Sospecharemos una lesión coronaria trombótica oclusiva en la arteria circunfleja.
See the answer and the notes that explain it

Pricing

Start free; go premium whenever you want

  • Monthly

    €14.95

    per month

  • 6 months

    €80.73

    every 6 months · €13.46 a month (−10 %)

  • Yearly

    €152.49

    per year · €12.71 a month (−15 %)

Prices in euros, VAT included. Pay by card from any country. Compare plans.

FAQ

Frequently asked questions

Do my USMLE scores count?

No. The MIR only counts its own exam and your academic record. What you studied still helps: much of the clinical content overlaps.

I have a DO degree: can I apply?

Homologation is assessed case by case against the Spanish medical degree. Check with the Ministry of Science, Innovation and Universities before you apply.

Which Spanish certificate is accepted?

An official certificate at C1 level or higher, such as the DELE or SIELE from the Instituto Cervantes. Check the call for the accepted list.

Are there places reserved for Americans?

Not by country: in the MIR 2027, the 968 places for candidates without Spanish residency were awarded by score across all nationalities.

Can I become a Spanish citizen?

The general requirement is ten years of legal residency (Spanish Civil Code, article 22). Residency alone already lets you compete for every MIR place.

How should I prepare for the MIR?

With official questions from recent years, in Spanish, and the notes that explain them. VIRTUAMIR links them together, and you can start for free.

Sources

Official sources

Updated . If anything has changed, the official source prevails.

Countries

Other countries

General guide (in Spanish) for Latin American students