BMJ  2004;329:789-792 (2 October), doi:10.1136/bmj.329.7469.789

Education and debate

Academic medicine: the evidence base

The International Campaign to Revitalise Academic Medicine recognises that an evidence based approach is important in discussing the problems of academic medicine. A preliminary exploration of the evidence on academic medicine has led to a research agenda for examining and proposing realistic solutions

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Introduction

Much has been written about academic medicine and its ailments. The International Campaign to Revitalise Academic Medicine (ICRAM) immediately recognised the importance of an evidence based approach to the ongoing discussion about academic medicine.¹ A task group was developed to systematically collate and evaluate the available evidence. We initially targeted major themes that were readily identifiable as being important and for which data would be reasonably straightforward to collect. The type of evidence (box 1) differed for each research question. Here we present a summary and future research agenda.

Where are the problems?

The Oxford English Reference Dictionary defines academe as "the world of learning," and academic as "scholarly: to do with learning." Scholarship is encountered as a key principle of academic medicine,^w1 and it entails the discovery, integration, and application of knowledge, and teaching.^w2 Academic medicine practitioners are expected to demonstrate systematic and sustained scholarly effort, with recognisable outputs valued by peers.

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Capacity

Research indicators

Impact of industry

Does academic medicine eventually benefit or harm patients?

Conclusion

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