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Two and a bit cheers for academic medicine

BMJ 2006; 333 doi: (Published 05 October 2006) Cite this as: BMJ 2006;333:716
  1. John Skelton, professor of clinical communication (
  1. Department of Primary Care and General Practice, University of Birmingham, Birmingham B15 2TT

    In 2003 the BMJ, Lancet, and 40 partners founded the International Campaign to Revitalise Academic Medicine (ICRAM; because of a general sense that “something is not right with academic medicine.” The suggestion was made that “the diagnosis is not entirely clear…and the treatment is unknown.”1 Oneofthe difficulties, highlighted by Clark and Tugwell, was that “at a time when there is increasing demand for academic medicine to be more accountable…the evidence base for its effectiveness is rather slim.”2 A similar awareness perhaps prompted the development of the movement for Best Evidence Medical Education (BEME; and the Campbell Collaboration (, an echo of the Cochrane Collaboration that involves several disciplines.

    And sure enough, a recent careful systematic review on the efficacy of mentoring “revealed an absence of experimental …

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