Time for a revolution in academic medicine?
A BMJ Commission will redefine the role of academia in healthcare Academic medicine remains under scrutiny. Despite various attempts to tackle its problems, including a global initiative in 2003, The BMJ’s editor in chief recentlyconcluded it is “broken.”12 At the centre of the “crisis” are historical power imbalances that have led to broken career structures, perverse incentives for academic reward and research funding, and a widening rift within medical institutions between research and education.1 A crisis in evidence based medicine is also part of the problem.3 In addition, workforce shortages and growing health service demands are putting strain on health system budgets, leaving little room for governments to direct public funds into research rather than service delivery. To respond to the growing crisis, The BMJ has launched a Commission on the Future of Academic Medicine, which aims to revive academic medicine and redefine its role for the rest of the century. The commission see
