Michael J Goldacre1, Sarah Stear1, R. E. Richards2, Eric Sidebottom3
1UK Medical Careers Research Group, Unit of Health-Care Epidemiology, Department of Public Health, University of Oxford, Old Road, Headington, Oxford, OX3 7LF,
2Merton College, Oxford OX1 4JD ,
3St Hilda's College, Oxford OX4 1DY
Tóm tắt
ObjectiveTo investigate junior doctors' views about careers in academic medicine.DesignPostal questionnaire survey.SettingNational Health Service in England.SubjectsDoctors in university posts at specialist registrar level, Medical Research Council and Wellcome Trust training fellows, and specialist registrars in National Health Service posts.ResultsIncentives to pursue an academic career which respondents rated as strong related to the challenge of research and the intellectual environment of research units. The strongest disincentives were perceived difficulties in obtaining research grants and uncertainty regarding pay parity with National Health Service colleagues. Medical Research Council and Wellcome fellows had much more protected research time than other academic doctors but were less satisfied with their clinical training. Academic doctors who were not fellows reported spending less than half their time on research and the great majority agreed that their research suffers when there is pressure on the service side.ConclusionsThe job content of academic posts should be kept under regular review to ensure that clinical service pressures do not inappropriately erode research time while also ensuring that postholders have adequate clinical training. Training programmes need flexibility to accommodate the needs of clinical academics in their progress through higher specialist training.
Từ khóa
Tài liệu tham khảo
House of Lords Select Committee on Science and Technology.Medical Research and the NHS Reforms HL Paper 12. HMSO London1995.
RichardsR.Clinical Academic Careers Report of an Independent Task Force.Wellcome Trust London1997.
