The MIR decides which specialty and which hospital you can choose — in strict rank order. Myndaq trains you the way the exam scores you: clinical questions with negative marking, weakness-first analytics across the whole MD curriculum, and an AI tutor that explains every answer.
The MIR (Médico Interno Residente) is Spain's national exam for entry into specialist medical training, held every year on the last Saturday of January. You answer 210 multiple-choice questions — 200 scored plus 10 reserve — with 4 options each, in a single 4h30 sitting, including a separate image booklet (cuadernillo) of around 25 image-based questions. Marking is net: +3 for a correct answer, −1 for a wrong one, 0 for a blank — a −0,33 penalty per question. Your net score (max 600) combines with your academic record in the baremo — 90% exam, 10% expediente — to produce your número de orden, the national rank that decides when you pick your specialty and hospital.
Correct +3, wrong −1, blank 0 — the classic −0,33 penalty. Knowing when NOT to answer is a trainable skill, and every Myndaq practice session scores you exactly this way.
Your final baremo weighs the exam at 90% and your academic record at 10%. The exam day is where the ranking is really decided.
To be ranked at all you must clear the nota de corte: 35% of the mean of the ten best exams that year. Below it there is no número de orden — above it, every extra net point moves you up the national list.
Medicine, surgery, paediatrics, obstetrics & gynaecology, psychiatry, preventive medicine and statistics — the MIR draws on all 18 clinical specialties. Most questions are self-contained case vignettes: read, reason, commit.
Around 25 questions come with a clinical image in a separate cuadernillo — radiology, ECGs, dermatology, histology. Reading the image IS the question, and it is a skill you can drill.
With +3 / −1 / 0, a guess is a bet and a blank is a choice. Training with the real penalty teaches you which bets to take — the difference of hundreds of ranking positions.
Four options, one best answer, net scoring on every session. You see your neta move question by question — and you learn, with data, when answering beats leaving it blank. All in Spanish, the language of your exam.
The tutor sees the exact question you are on. Ask why the distractor is wrong, what the guideline says, or how to reason from the vignette — it guides your thinking and explains every answer, step by step, without ever just handing you the letter.
Roughly 25 of your 210 questions hang on an image — an ECG, a radiograph, a dermatology photo. Myndaq treats image reading as a first-class practice surface, so exam day's booklet feels familiar, not frightening.
Ask anything about the vignette you are on — the AI tutor explains the reasoning in Spanish, step by step.
4-option vignettes, net scoring with the −0,33 penalty, image questions — the exam's rules on every session.
Your neta, your weakest specialties, and your next move — recalculated every time you practise.
Browser-based on any device — a guardia-friendly way to keep the streak alive between shifts.
Sign in with Google and start practising immediately — no card, no setup.
Clinical vignettes and image questions, scored +3 / −1 / 0 — with the tutor whenever you need it.
Analytics rank the specialties costing you net points — climb by fixing exactly those.
Net marking: +3 for each correct answer, −1 for each wrong one, 0 for a blank — equivalent to a −0,33 penalty per question. 200 of the 210 questions are scored (10 are reserve), and the maximum net score is 600.
Your baremo combines the exam (90%) with your academic record (10%). The result places you on a single national list — your número de orden — and you choose specialty and hospital strictly in that order.
The minimum to be ranked: 35% of the mean score of the ten best exams that year. Clear it and every additional net point improves your position.
One sitting of 4 hours 30 minutes (270 minutes) for 210 questions with 4 options each, held every year on the last Saturday of January.
Yes — around 25 questions reference clinical images (radiology, ECGs, dermatology, histology) in a separate booklet, the cuadernillo de imágenes. Myndaq drills image-based questions as their own practice surface.
Yes. Questions, options and explanations are written in Spanish, matching the language of the real exam — and this page has a full Spanish version at /exam/mir/es.
Try MIR practice with the AI tutor for free. When you are ready for more, see plans on the welcome page.
See how it works →Clinical practice, the real penalty, and a tutor that never leaves your side.