The crisis in academic medicine is not academic medicine in crisis

I am surprised that The BMJ has not been deluged with responses to Abbasi’s thoughtful piece on academic medicine.1 Are academics paralysed by the vastness of the subject? Or reluctant to put their heads over the parapet? Or have they merely yawned, the topic not being new?2345Vast though it is, one must start somewhere. I offer a preamble: we should first define “academic medicine” and, in using the term metonymically, not confuse the subject with its practitioners. Not all academics commit academic malfeasance. Those at fault should be identified, without implying that all are to blame. Nor should anyone claim that evidence based medicine is “in crisis” when it is tarnished by researchers who abuse its basic tenets.Whatever crisis there may be in academic medicine it is not the fault of the discipline but of those who practise and teach it. Nor should we ignore external factors—governmental pressures, such as…
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