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Reform of academic medicine requires a focus on integrated academic training

  1. Jonathan I Spencer, NIHR academic clinical fellow in neurology
  1. University College London Hospitals NHS Foundation Trust and University College London, London, UK
  1. jonny.spencer{at}doctors.org.uk

I hope The BMJ1 and others2 continue to highlight the current state of academic medical training. Attention is understandably focused on recruitment to the specialised foundation programme becoming a lottery,34 but one neglected element is the messy shape of academic training after these posts.

The integrated academic training pathway is a minefield,5 and I often have difficulty explaining this to senior colleagues who followed simpler paths. The …

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