Imperial College School of Medicine, Imperial College London, London, UK.
NHS England, London, UK.
BMJ Open. 2024 Sep 20;14(9):e086211. doi: 10.1136/bmjopen-2024-086211.
Clinical academics lead research to deliver medical advancements while also teaching in medical schools to maintain high-quality medical services. The objective of this project was to determine if there is a sufficient supply of clinical academics for UK medical schools.
Retrospective cohort study.
Data were extracted from the UK Medical Education Database and the General Medical Council (GMC) annual National Trainee Survey between 2012 and 2022.
1769 registered UK doctors with academic training and a certificate of completion of training.
The percentage of doctors with clinical and academic training who ended up as incumbent clinical academics at UK medical schools.
Approximately 50% of doctors with clinical and academic training were matched as incumbent clinical academics at UK medical schools. There was a low annual rate of incumbent clinical academics leaving their post.
Either clinical academic trainees do not find jobs at medical schools, or they do not want the jobs that are available. These results are indicative but not conclusive as generalisation is compromised by inconsistent disclosure of data by medical schools. We discuss variables which may contribute to the loss of clinical academics and explore the health economic case for clinical academic incentive packages to improve return on training investment.
临床学者领导研究以推动医学进步，同时在医学院任教以维持高质量的医疗服务。本项目的目的是确定英国医学院是否有足够的临床学者供应。
回顾性队列研究。
数据从英国医学教育数据库和 2012 年至 2022 年期间的总医学委员会（GMC）年度国家培训调查中提取。
1769 名具有学术培训和完成培训证书的注册英国医生。
最终成为英国医学院在职临床学者的具有临床和学术培训的医生的百分比。
约有 50%的具有临床和学术培训的医生匹配为英国医学院的在职临床学者。在职临床学者每年离职的比例较低。
要么临床学术培训生在医学院找不到工作，要么他们不想要现有的工作机会。这些结果具有指示性，但并不具有结论性，因为医学院的数据披露不一致，限制了推广。我们讨论了可能导致临床学者流失的变量，并探讨了临床学术激励套餐的健康经济案例，以提高培训投资回报。
