Academic Medicine

This is the authors' abstract. We don't add key points for this paper.

IN this brief essay I wish to make two points: that academic existence is no longer threadbare and that academic medicine is no longer genteel.Although I do not foresee a quantitative peril to the academic physician, I do fear that the quality of academic medicine has changed for the worse. The prototype (or perhaps caricature) of the academician of the past is that he was white, male, and independently wealthy; that he trained in numerous places for many years; that this training included the basic sciences of the day, notably pathology, microbiology, physiology and, more recently, biochemistry; and that . . .