BMJ  2005;331:105 (9 July), doi:10.1136/bmj.331.7508.105

Commentary

Universities have a vital role

¹ Department of Health, London sally.davies@dh.gsi.gov.uk

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

Academic medicine has a key role in health systems, and the definition of the International Campaign to Revitalise Academic Medicine (ICRAM) captures the issues well.¹ In the United Kingdom, the number of clinical academics continues to fall, particularly at the clinical lecturer grade (42% lower in 2004 than in 2000).² At the same time, the numbers of students and young doctors are rising, creating an unstable situation. NHS staff already do most of the training for both postgraduates and undergraduates, and this is increasingly occurring outside university centres, including in primary care. The NHS funds some 40% of the academic posts.

Elements of ICRAM's scenarios are already discernible. Some medical schools are beginning to segment their market as described in Academic Inc. Some schools are research intensive; others train doctors in centres without research. Private medical schools are a reality in the UK and abroad and include many prestigious US . . . [Full text of this article]

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