Personal Views


BMJ 1998; 316 doi: (Published 03 January 1998) Cite this as: BMJ 1998;316:80

Twenty years done, 20 still to go; too old to change tack, too young to retire. An industrious clinician, enthusiastic teacher, and resourceful researcher; fruitfully employed with an excellent health record, yet discontent. What's wrong? The perpetual stream of constraints, complaints, and cutbacks.

I recently attended a meeting of clinical directors in my hospital at which the director of research and development spoke about “the trust's view” of future health services research. He told us that if we wanted to undertake research in the hospital in future it would be peer reviewed by the trust and we would be given a number in order to be allowed to apply for ethical committee approval. Research supported by a reputable grant giving body—the Medical Research Council was mentioned repeatedly—would be rated most highly, industry funded research would be approved only …

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