Campaign to revitalise academic medicine: A road map needs to be drawn for the 21st century

doi:10.1136/bmj.328.7452.1377-c

BMJ 2004;328:1377-1378 (5 June), doi:10.1136/bmj.328.7452.1377-c

Letter

Campaign to revitalise academic medicine

A road map needs to be drawn for the 21st century

The first 150 words of the full text of this article appear below.

EDITOR—The international effort to revise and reform academicmedicine is timely and appropriate.¹

In the past century the science of medicine has become a massiveenterprise, fuelled by both government and industry money. Butgrowth has also resulted in a separation of science from practitionersof the discipline. Most of today's major scientific health advancesare created not by practising doctors but by people whose entirecareer is based in laboratories. Disciplinary boundaries inhealth care have become blurred so that many health professionalsdo well in roles previously thought to be medical roles. Severalmajor reports have resulted in transformation in the processesof medical education so that curricula are now more studentcentred (problem based learning), more community based (to providetraining in the milieu where practice will subsequently occur),and more inclusive of the social sciences than was the casein the past.

The 21st . . . [Full text of this article]

Jean D Gray, professor emeritus

Dalhousie University, Halifax, NS, Canada B3M 2B3 jeangray@hfx.eastlink.ca

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