© 2002 by Heart
TRAINING
Training in academic cardiology: prospects for a better future
1 Division of Cardiovascular Medicine, Addenbrookes Hospital, Cambridge, UK
2 Department of Cardiovascular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, UK
3 Cardiovascular Research Group, Clinical Sciences Centre, Northern General Hospital, Sheffield, UK
4 National Heart and Lung Institute, Imperial College, London, UK
Correspondence to:
Correspondence to:
Professor Peter L Weissberg, Division of Cardiovascular Medicine, ACCI, Box 110, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK;
plw@mole.bio.cam.ac.uk
Keywords: clinical training; academic cardiology; specialist registrar; research
Abbreviations: AMRC, Association of Medical Research Charities; BHF, British Heart Foundation; HEFC, Higher Education Funding Council; LAT, locum appointment for training; MRC, Medical Research Council; NATN, national academic training number; NHS; National Health Service; NTN, national training number; SHO, senior house officer
The current dearth of talented young doctors seeking to pursue a career in academic cardiology has resulted in a paucity of applicants for clinician scientist awards and failure to identify suitable candidates from within UK cardiology for vacant chairs. Such problems were anticipated long ago1 and were re-emphasised at the start of "Calmanisation" of clinical training.2–4 It is not simply that young doctors are no longer interested in research, as there is no shortage of applications for junior research fellowships, although this figure is undoubtedly inflated by the large number of junior doctors seeking research as a means of gaining a national training number (NTN). So why do we fail to retain young doctors in academic cardiology? Early experience of the Wellcome Trust's Cardiovascular Research Initiatives in Oxford and Edinburgh has identified clinical training in cardiology as the major obstacle to successful achievement of one of the trust's stated aims:
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