BMJ  2005;331:106-107 (9 July), doi:10.1136/bmj.331.7508.106

Commentary

How far is the future?

¹ Epidemiological Research Centre, National Academy of Medicine, Pacheco de Melo 3081, Buenos Aires, Argentina cie@epidemiologia.anm.edu.ar

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

How far is the future? Not that far, really, since the present contains many of the elements featured in the five International Campaign to Revitalise Academic Medicine (ICRAM) scenarios.¹ The problem is that we have the worst possible combination: market rules dictating where to go in a world where most people are not even part of the market; an academic environment in which everyone is torn between conflicting demands; and scientists who have second thoughts about mingling with other sciences and dread being in the public eye.

The good thing is that the seeds for change are also here. And while no single scenario will dominate over the next decades, much can be done to turn the tide. The international working party group has laid the foundations.^{2 3} We now have to roll up our sleeves. Research bugs as we are, we could start by probing into the apparently harmonious world . . . [Full text of this article]

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