A new salary horizon for health residents in Madrid
The Community of Madrid has announced a 1.5% increase in the salaries of resident doctors and nurses (MIR and EIR) who are part of the Madrid Health Service (Sermas). This adjustment, which will be implemented from this year, aims to recognise the effort and dedication of these training professionals, who play a crucial role in the healthcare system.
With this new increase, resident doctors will see their annual salaries range between 21,357.70 euros and 28,737.80 euros, excluding on-call duties. Meanwhile, resident nurses will receive compensation ranging from 18,471.46 euros to 19,814.90 euros. This increase is part of a series of salary adjustments made annually according to the consumer price index (CPI).
It is not just about the current increase; the Health Department has also reminded that at the end of 2025, a retroactive increase of 2.5% was applied, reflecting a continuous commitment to improving salaries in the health sector. In addition to the base salary, residents receive training supplements that increase with each year of experience: from 138.31 euros monthly during the first year to 665.46 euros in the fifth year.
As they progress in their training, MIRs experience significant growth in their monthly income. For example:
- Year 1: 1,525.55 euros per month.
- Year 2: 1,636.53 euros per month.
- Year 3: 1,775.25 euros per month.
- Year 4: 1,913.98 euros per month.
Such figures reflect not only the importance of the work carried out by these professionals but also the urgent need to attract and retain talent within the Spanish healthcare system.
Unfortunately for many residents, overtime is a constant reality. The rates for on-call duties vary considerably depending on the year of residency; while first-year residents earn around 12.5 euros per hour, those in their fourth or fifth year can earn up to 19.99 euros per hour. On holidays or weekends, these rates increase significantly.
As these salary changes come into effect, the question arises as to how they will affect the quality of medical services offered to the Madrid population. With a healthcare system under pressure due to various recent crises and a growing demand for specialised medical care,
additional financial support could be key to improving both job satisfaction and patient care.




