Page 3

CONTENTS Page 1.

Executive Summary

3

2.

Introduction

6

2.1 2.2

6 6

2.3 2.4

Clinical academics: Research-led doctors vital for health care Poor recruitment and retention of staff threatens clinical academic medicine in the UK New threats have arisen recently Remedial action is urgently required

7 7

3.

Background

8

3.1

8

3.6 3.7

The hospital specialist registrar grade: An evolving innovation that has left academic medicine behind Academic careers in general practice are also in difficulty Clinical lectureships: Academic seedcorn under threat The vital role of research funding bodies in clinical academic career development Given research funding body support, why should there be a problem in recruitment? Career track complexity and lack of comprehensive data The Academy of Medical Sciences

4.

Disincentives to a career in academic medicine

16

4.1 4.2

Three key disincentives apply in all disciplines Additional disincentives operate in some disciplines

16 16

5.

Proposed solutions to the disincentives

19

5.1 5.2 5.3 5.4 5.5 5.6

Early experience of clinical research A two-stage career structure after general professional training Our key proposal: The tenure-track clinician scientist Clinical lectureships must be retained Proposals to address disincentives that affect particular groups of trainees The need for improved clinical academic career track data

19 19 20 24 24 27

6.

Conclusions and points for action

29

7.

References

30

8.

Appendices

31

3.2 3.3 3.4 3.5

9 10 11 12 13 14

T h e Te n u r e - T r a c k C l i n i c i a n S c i e n t i s t 1

The tenure-track clinician scientist: a new career pathway to promote recruitment  
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