Barriers to Clinical Academic Surgical Training and Career Development in the United Kingdom: A Review from the National Institute for Health and Care Research (NIHR) Advanced Surgical Technology Incubator (ASTI) Group. [Review]
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All Authors
Crispi, V.
Bolton, W.
Chand, M.
Giuliani, S.
Wykes, V.
Mathew, RK.
LTHT Author
Bolton, William
Mathew, Bipin
Mathew, Bipin
LTHT Department
Neurosciences
Neurosurgery
Pathology
Histopathology
Neurosurgery
Pathology
Histopathology
Non Medic
Publication Date
2025
Item Type
Journal Article
Review
Review
Language
Subject
Subject Headings
Abstract
Clinical academics play a vital role in advancing medical research, knowledge and treatments within the National Health System (NHS), but this career's sustainability is at risk due to barriers to accessing and pursuing research opportunities throughout a surgeon's training and career. Despite the diversification of surgical training with integrated opportunities, challenges such as limited training opportunities, lack of protected research time, and financial constraints persist. This paper from the National Institute for Health and Care Research (NIHR) Advanced Surgical Technology Incubator (ASTI) group highlights these issues, addressing the competitiveness of academic pathways, workload balance, mentorship importance, and the need for standardised assessments. It highlights the need for greater accountability from healthcare employers and academic institutions. Additionally, the paper focuses on increasing diversity and inclusion in clinical academia, addressing systemic discrimination, and changing the NHS culture. This paper calls for collective efforts from the medical profession, government, and institutions to address these issues.
Journal
British Journal of Hospital Medicine