PHA-Exchange> The Future of Academic Medicine: Five Scenarios to 2025

[Claudio]

From: Ruggiero, Mrs. Ana Lucia (WDC) 


International Campaign to Revitalise Academic Medicine 

Milbank Memorial Fund, July 2005 

 

Available online at: http://www.milbank.org/reports/0507FiveFutures/0507FiveFutures.html 

"Academic medicine" might be defined as the capacity of the system for health and health care to think, study, research, discover, evaluate, innovate, teach, learn, and improve. Accordingly, little could be more important, particularly because new discoveries in science offer tremendous opportunities, and emerging diseases pose huge threats. Indeed, the contribution of academic medicine to human health over the last century has been extraordinary. 

The public's and the government's greater understanding of the central importance of health to societies has led to unprecedented scientific advances. New genetic technologies, rapid advances in cell and molecular biology, and imaging technologies promise even more innovation and progress. Recent investments in academic medicine, most notably in the United States and the United Kingdom, are unparalleled. But can academic medicine lead the way into the twenty-first century? 

Several national reports suggest that this prospect may be in doubt and critics are becoming increasingly concerned that academic medicine is in crisis around the world. Indeed, the lack of basic infrastructure in many countries has meant that academic medicine is floundering, if not absent. Even the current funding in industrialized countries will be wasted if structural changes are not made to allow academic medicine to capitalize on new investments At a time when the health burden, poverty, globalization, and innovation all are growing, academic medicine seems to be failing to realize its potential and its global social responsibility. ..."

Table of Contents 

Foreword 
Acknowledgments 
Academic Medicine in the Twenty-first Century 
Instabilities in Academic Medicine 
Drivers of the Future 
Scenario Planning 
Five Scenarios 

Academic Inc.: "Academic Medicine Flourishes in the Private Sector" 

Reformation: "All Teach, Learn, Research, and Improve" 

In the Public Eye: "Success Comes from Delighting Patients and the Public and Using the Media" 

GAP (Global Academic Partnership): "Academic Medicine for Global Health Equity" 

            Fully Engaged: "Academic Medicine Engages Energetically with all Stakeholders" 
Using the Scenarios 

Testing Assumptions 

Recognizing Uncertainty 

Widening Perspectives 

Addressing Dilemmas and Conflicts 

Deepening Understanding 

Exploring Strategic Questions 
Searching for Common Features: Lessons from the Scenarios 
Notes 
References 

 



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