The widening gap between clinical, teaching and research work.

Demand for medical education is increasing, and clinicians are struggling to maintain involvement in teaching and research activities. The settings of clinical training are changing and diversifying. The traditional model of medical education and the sustainability of academic medicine are under strain. Better support is required to ensure continued integration of research and education with clinical activities. Better coordination is required to overcome fragmentation within the medical education system, to ensure appropriate recognition for teaching and research across all clinical settings.