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Academic medicine - revolution, evolution or extinction?

Irwin GW, Spence RA, McAuley DF, Kennedy RD, Gardiner KR, Elborn JS - Ulster Med J (2014)

View Article: PubMed Central - PubMed

Affiliation: Centre for Cancer Research and Cell Biology, Queen's University Belfast.

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A number of initiatives have been proposed to increase the number of clinical academics, the quality of research undertaken and to preserve research in a NHS driven by service provision. – These initiatives have generated discussion, solved some issues, but left a number of ongoing problems unanswered... It also details the various opportunities for a medical undergraduate or postgraduate to access academic training to explore or enter a career in academic medicine... This can be funded by the university or by some local and national charities keen to promote interest in their particular research area... Recent studies have highlighted that students who undertake an intercalated degree had better examination results and greater success when securing their preferred Foundation posts... A recent review of graduates from a longstanding MB/PhD programme found that 79% of them were active in research and 90% had definite plans for further fulltime research... They concluded that the scheme was successful at promoting scientific discovery and sustaining academic development... The Walport report recognised this and stated that one way to help students to understand the attractions of a career in academic medicine was to make 'sure that medical students are taught by leading clinical academics, among others'... Studies have already shown a reduction in the amount of time all surgical trainees are able to spend learning surgical techniques following the implementation of Modernising Medical Careers... It has been recognised that, in order to provide adequate training, the reduction in working hours must be offset by implementing measures to maximise the effectiveness of the limited training opportunities, such as simulation... If the subject is of personal interest and relevant to clinical practice then there will be a greater desire to persevere during difficult times (unsuccessful grant applications; negative studies)... Secondly, an effective mentor is invaluable... A career in academic medicine can be a very fulfilling one... However, time spent in academic medicine at any point in a medical career can provide an opportunity to learn valuable generic skills, improve clinical practice and provide an opportunity to develop critical thinking... These skills and experiences will be of benefit in career development but most importantly in improving the care of patients.

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The integrated clinical academic pathway in Northern Ireland.8
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fig01: The integrated clinical academic pathway in Northern Ireland.8

Mentions: The Walport report suggested specific solutions to each of these deterrents by recommending the establishment of a distinct career pathway for those keen to pursue a career in clinical academia and increased flexibility allowing individuals to move easily between clinical and academic components. For the first time, it defined the academic pathway as consisting of three increasingly senior levels of post: Academic Clinical Fellowships, Academic Clinical Lectureships and Clinical Senior Lectureships for postgraduates, building on a more formalised undergraduate academic stream (Figure 1).


Academic medicine - revolution, evolution or extinction?

Irwin GW, Spence RA, McAuley DF, Kennedy RD, Gardiner KR, Elborn JS - Ulster Med J (2014)

The integrated clinical academic pathway in Northern Ireland.8
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4255833&req=5

fig01: The integrated clinical academic pathway in Northern Ireland.8
Mentions: The Walport report suggested specific solutions to each of these deterrents by recommending the establishment of a distinct career pathway for those keen to pursue a career in clinical academia and increased flexibility allowing individuals to move easily between clinical and academic components. For the first time, it defined the academic pathway as consisting of three increasingly senior levels of post: Academic Clinical Fellowships, Academic Clinical Lectureships and Clinical Senior Lectureships for postgraduates, building on a more formalised undergraduate academic stream (Figure 1).

View Article: PubMed Central - PubMed

Affiliation: Centre for Cancer Research and Cell Biology, Queen's University Belfast.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

A number of initiatives have been proposed to increase the number of clinical academics, the quality of research undertaken and to preserve research in a NHS driven by service provision. – These initiatives have generated discussion, solved some issues, but left a number of ongoing problems unanswered... It also details the various opportunities for a medical undergraduate or postgraduate to access academic training to explore or enter a career in academic medicine... This can be funded by the university or by some local and national charities keen to promote interest in their particular research area... Recent studies have highlighted that students who undertake an intercalated degree had better examination results and greater success when securing their preferred Foundation posts... A recent review of graduates from a longstanding MB/PhD programme found that 79% of them were active in research and 90% had definite plans for further fulltime research... They concluded that the scheme was successful at promoting scientific discovery and sustaining academic development... The Walport report recognised this and stated that one way to help students to understand the attractions of a career in academic medicine was to make 'sure that medical students are taught by leading clinical academics, among others'... Studies have already shown a reduction in the amount of time all surgical trainees are able to spend learning surgical techniques following the implementation of Modernising Medical Careers... It has been recognised that, in order to provide adequate training, the reduction in working hours must be offset by implementing measures to maximise the effectiveness of the limited training opportunities, such as simulation... If the subject is of personal interest and relevant to clinical practice then there will be a greater desire to persevere during difficult times (unsuccessful grant applications; negative studies)... Secondly, an effective mentor is invaluable... A career in academic medicine can be a very fulfilling one... However, time spent in academic medicine at any point in a medical career can provide an opportunity to learn valuable generic skills, improve clinical practice and provide an opportunity to develop critical thinking... These skills and experiences will be of benefit in career development but most importantly in improving the care of patients.

Show MeSH