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Academic Surgery – Future Tense? Norman S Williams

Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry. Academic Surgery – Future Tense? Norman S Williams. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry.

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Academic Surgery – Future Tense? Norman S Williams

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  1. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry Academic Surgery –Future Tense?Norman S Williams

  2. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry

  3. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry

  4. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry Mission of an Academic Surgical Department • Provide a clinical service • Conduct relevant research • Ensure organisation and delivery of undergraduate curriculum • Provide academic leadership to organisation • Contribute to postgraduate training

  5. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry Pressures • Clinical - same as NHS - Targets, EWTD, DTC’s, need for consultant led service, new contract, higher patient expectations etc, etc, • Research - RAE, downgrading of applied clinical research, obsession with basic science • Teaching - Increase in student numbers, more intensive tuition - PBL’s, OSCE’s

  6. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry RAE • Discriminates against clinical research • Applied physiological research - “not sexy” • Overemphasis on molecular biology Consequences • Universities disinterested in supporting clinical academic posts • HEFCE monies used to recruit scientists to boost grading

  7. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry Situation at Barts and The London 2001 RAE Hospital based subjects Graded 4 (1997 3a) £5 million deficit ”Restructuring” 70 of 308 (28%) HEFCE posts axed 35 Clinical academics: 35 support staff Student numbers increased in 2003 by 40 per year

  8. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry Data from UK Council of Heads of Medical Schools 1998-2005 40% increase in medical student entry Since 2000 12% decrease in clinical academic staff 33% Reduction in Lecturers

  9. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry Aspirations of Barts and The London • Aims to be a 5 star Medical School • Principal Investigators - Research income of £150,000 per annum : 2 hours teaching/week • Teaching Research Post - Research income £50,000 per annum : 8 hours teaching/week

  10. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry Possible Outcome(?Doomsday Scenario) No Academic Surgical Departments in UK

  11. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry Likely Scenario(?Preferable) • Primarily teaching only academic units -Funded entirely by NHS -Minimal research – clinical trials • Selected Research Active Units

  12. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry Selected Research Active Units Funded by “mixed economy” - NHS, HEFCE contribution dependant on external grant income Translational Research Group Core Academic Unit Basic Research Group

  13. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry To secure a future we need to: • Raise profile of clinical research • Emphasise the need to translate basic science discoveries into the clinical arena • Fund infrastructure of clinical research via NHS - divert SIFT • Inculcate ethos that everyone has an onus to pass on skills and knowledge to younger genertation i.e. teach

  14. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry The students of today are the doctors of tomorrow and the consultants of today are the patients of tomorrow!!

  15. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry

  16. Centre for Academic Surgery - Barts and The London School of Medicine & Dentistry In the UK we need action now particularly for Academic Surgery !!

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