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<article article-type="letter" dtd-version="1.0" xml:lang="en" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML">
<front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IJME</journal-id>
      <journal-id journal-id-type="nlm-ta">Int J Med Educ</journal-id>
      <journal-title-group>
        <journal-title>International Journal of Medical Education</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Int J Med Educ</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub">2042-6372</issn>
      <publisher>
        <publisher-name>IJME</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">1111083942</article-id>
      <article-id pub-id-type="doi">10.5116/ijme.563a.5e29</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Letter</subject>
        </subj-group>
        <subj-group>
          <subject>Academic medicine </subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>The promotion of academic medicine through student-led initiatives</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Funston</surname>
            <given-names>Garth</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">
            <sup>1</sup>
          </xref>
        </contrib>
        <aff id="aff1"><label>1</label>Department of Primary Care, Institute of Population Health, University of Manchester, Oxford Road, Manchester, UK</aff>
      </contrib-group>
      <author-notes>
        <corresp id="cor1">Correspondence: Garth Funston, Department of Primary Care, Institute of Population Health, University of Manchester, Oxford Road, Manchester, UK. Email: <email xlink:href="gf272@doctors.org.uk">gf272@doctors.org.uk</email></corresp>
      </author-notes>
      <pub-date pub-type="epub">
        <day>21</day>
        <month>11</month>
        <year>2015</year>
      </pub-date>
      <volume>6</volume>
      <fpage>155</fpage>
      <lpage>157</lpage>
      <history>
        <date date-type="accepted">
          <day>04</day>
          <month>11</month>
          <year>2015</year>
        </date>
        <date date-type="received">
          <day>25</day>
          <month>09</month>
          <year>2015</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright: &#xA9; 2015 Garth Funston</copyright-statement>
        <copyright-year>2015</copyright-year>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
          <license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use of work provided the original work is properly cited. <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link></license-p>
        </license>
      </permissions>
      <kwd-group kwd-group-type="author">
        <kwd>Promotion of academic medicine</kwd>
        <kwd>student-led initiatives</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec sec-type="intro"><title>Introduction</title>
<p>The decline in numbers of medically trained doctors performing research in recent decades has been widely discussed in the literature.<xref ref-type="bibr" rid="r1"><sup>1</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r4"><sup>4</sup></xref> The importance of engaging medical students with research and inspiring them to pursue academic careers is recognized as key in reversing the decline.<xref ref-type="bibr" rid="r4"><sup>4</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r7"><sup>7</sup></xref> Many medical schools offer opportunities for research participation, either as elective or compulsory components. This has been shown to increase interest in research and academic careers.<xref ref-type="bibr" rid="r8"><sup>8</sup></xref> However, the primary focus of curricula is the production of safe clinicians and it can be a challenge to provide adequate exposure to all aspects of academic medicine within the medical school timetable. One multi-institutional study found that while 83% of responding students felt that research participation is of educational value, only 31% felt there was adequate time set aside, 15% felt there was sufficient training in methodology and 25% believed that there was adequate training in critical appraisal.<xref ref-type="bibr" rid="r9"><sup>9</sup></xref> A number of extracurricular initiatives have been developed to provide additional exposure to aspects of academic medicine. Some of the most innovative and successful initiatives have been developed, and are led, by students. While student led initiatives are not a new phenomenon we believe that they have great potential to engage and inspire. Here, we discuss four of the most common student led approaches taken to promote academic medicine.</p>
<sec><title>Student research societies</title>
<p>Many researchers join professional associations. Student-led research societies may play a similar role, facilitating networking with other interested students and researchers, thereby helping students to feel part of the research community, and providing students with opportunities to acquire knowledge and develop relevant skills through organised events. Events organised by student societies vary, but they commonly include talks from inspiring academics, research symposia, careers talks and workshops.<xref ref-type="bibr" rid="r10"><sup>10</sup></xref> Attendance at such student led events has been shown to increase interest in research and encourage attendees to consider research orientated careers.<xref ref-type="bibr" rid="r11"><sup>11</sup></xref>Some societies have taken more innovative steps such as linking students with mentors or research projects,<xref ref-type="bibr" rid="r12"><sup>12</sup></xref> coordinating collaborative national research studies<xref ref-type="bibr" rid="r13"><sup>13</sup></xref> or educating high school students about medical research.<xref ref-type="bibr" rid="r14"><sup>14</sup></xref>Student research societies have existed at some universities for many years,&#xA0; but their numbers appear to be increasing. In 2010 there were 5 medical student research societies at UK universities, while in 2014 that number had risen to 32.<xref ref-type="bibr" rid="r10"><sup>10</sup></xref> A google search reveals the existence of student-led research societies at medical schools in North America, Latin and South America, Australasia, Europe, Africa and Asia. In addition, national student research societies have been established in a number of countries including the UK, Pakistan, Chile and Venezuela.<xref ref-type="bibr" rid="r4"><sup>4</sup></xref><sup>, </sup><xref ref-type="bibr" rid="r15"><sup>15</sup></xref><sup>-</sup><xref ref-type="bibr" rid="r16"><sup>16</sup></xref></p>
</sec><sec><title>Student journals</title>
<p>The ability to communicate research findings via academic writing is an essential aspect of academia. While 30% of students undertaking research projects will publish in a conventional journal, eight medical student journals provide an additional outlet for academic work. Some student journals, such as the University of Toronto Medical Journal, have a long history, while a number of new journals have been launched in recent years. Although the total number of such journals is unknown,<xref ref-type="bibr" rid="r8"><sup>8</sup></xref> have been identified in Canada, publishing over 200 articles per year<xref ref-type="bibr" rid="r17"><sup>17</sup></xref> and 20 have been identified in Latin America.<xref ref-type="bibr" rid="r18"><sup>18</sup></xref> A google search reveals many medical student journals in Asia, Africa, Australasia, North America, South America and Europe. While some journals are small medical school specific publications, others, such as the McGill Journal of Medicine, attract international submissions and have been indexed in Medline.</p>
<p>To date, there has been no large systematic assessment of the quality of articles published in student journals. However, one study which looked at a specific measure of scientific impact, the H index, identified eight peer reviewed Latin American student publications with an H index of two or more and one with an H index of eleven.<xref ref-type="bibr" rid="r18"><sup>18</sup></xref></p>
<p>While it is likely that the level of quality control imposed will differ between student journals, they offer a number of potential benefits. Although a student may not have generated a sufficient quality or quantity of data to publish in a conventional journal, submitting to a student journal will provide experience of scientific writing, peer review and the publishing process. Some student journals include students as peer reviewers providing an excellent opportunity to develop critical appraisal skills. Medical student journals often contain articles specifically aimed at to helping students to develop research related skills and some publish letters, commentaries and reviews allowing students, without original data, opportunities to contribute. For those wishing to become involved in medical publishing in their future career, student journals offer a rare opportunity to hone editorial skills.<xref ref-type="bibr" rid="r17"><sup>17</sup></xref><sup>, </sup><xref ref-type="bibr" rid="r19"><sup>19</sup></xref></p>
</sec><sec><title>Student research conferences</title>
<p>Research presentations are an important method of disseminating research findings and obtaining critical feedback from peers. While some professional conferences encourage students to attend and present their work, giving your first academic presentation to a large group of experts can be a daunting experience.</p>
<p>Student conferences can allow students to present their work in a less intimidating environment. These conferences are specifically designed to allow students to develop their presentation skills and to receive feedback. Conferences afford opportunities for students to network and can provide recognition for excellence in student research through the award of prizes. The conference program can be specifically tailored towards students&#x2019; needs with talks and workshops on topics of interest.</p>
<p>There has been little research into the benefits of student conferences, however, one study demonstrated that attending a medical student conference significantly increased the attendees&#x2019; interest in research.<xref ref-type="bibr" rid="r11"><sup>11</sup></xref></p>
<p>A google search reveals the existence of student research conferences in North America, Latin America, Europe, Asia, Australia and Africa. These conferences vary in scale from institution specific one day events to longer events attracting delegates from a number of countries.<xref ref-type="bibr" rid="r20"><sup>20</sup></xref></p>
</sec><sec><title>Student journal clubs</title>
<p>The ability to appraise research and practice evidence based medicine is important for clinicians and academics alike. Journal clubs have long been seen by doctors and academics as a way of keeping up to date with medical advances and of achieving a greater understanding of published research. More recently, they have been advocated as a way to improve the reading habits, scientific knowledge and critical appraisal skills of doctors.<xref ref-type="bibr" rid="r21"><sup>21</sup></xref> A number of medical student-led journal clubs have been established with similar aims. While research on the impact of student journal clubs is limited, one study, which combined a journal club with a letter writing exercise, resulted in the publication of 26 letters by students.<xref ref-type="bibr" rid="r22"><sup>22</sup></xref></p>
</sec></sec>
    <sec sec-type="conclusions"><title>Conclusions</title>
<p>While intra-curricular research training and compulsory, elective or vacation research projects should continue to form the mainstay of medical student academic training, student-led initiatives may offer a useful adjunct. They are established and coordinated by interested students, who gain experience in leadership, teamwork and organisation, thus there are no salaries which limits the cost. The students that set-up and run these initiatives are ideally placed to understand what their peers want out of events or publications.</p>
<p>While there is limited empirical evidence on the effects of student-led initiatives in academic medicine, their prevalence and popularity can be taken as an indication that students perceive a need for them and derive some benefit from their activities. Given the need to recruit academic clinicians it is important that further research is undertaken to determine the benefits and limitations of student led initiatives in educating students about research and promoting academic medicine.</p>
<sec><title>Conflict of Interest</title>
<p>The author declares that there are no conflicts of interest.</p>
</sec></sec>
  </body>
  <back>
    <ref-list><title>References</title>
<ref id="r1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sheridan</surname><given-names>DJ</given-names></name></person-group><article-title>Reversing the decline of academic medicine in Europe.</article-title><source>Lancet</source><year>2006</year><volume>367</volume><fpage>1698</fpage><lpage>1701</lpage><pub-id pub-id-type="doi">10.1016/S0140-6736(06)68739-4</pub-id><pub-id pub-id-type="pmid">16714192</pub-id></element-citation></ref><ref id="r2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rosenberg</surname><given-names>L</given-names></name></person-group><article-title>Physician-scientists--endangered and essential.</article-title><source>Science</source><year>1999</year><volume>283</volume><fpage>331</fpage><lpage>332</lpage><pub-id pub-id-type="doi">10.1126/science.283.5400.331</pub-id><pub-id pub-id-type="pmid">9925491</pub-id></element-citation></ref><ref id="r3"><label>3</label><mixed-citation publication-type="other">Garrison HH and Deschamps AM. NIH research funding and early career physician scientists: continuing challenges in the 21st century. FASEB J. 2014;28:1049-58.</mixed-citation></ref><ref id="r4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Funston</surname><given-names>GM</given-names></name><name><surname>Young</surname><given-names>AM</given-names></name></person-group><article-title>Action is required to safeguard the future of academic medicine in the UK.</article-title><source>Nat Med</source><year>2012</year><volume>18</volume><fpage>194</fpage><lpage>194</lpage><pub-id pub-id-type="doi">10.1038/nm0212-194</pub-id><pub-id pub-id-type="pmid">22310678</pub-id></element-citation></ref><ref id="r5"><label>5</label><mixed-citation publication-type="other">Walport M. Medically- and dentally- qualified academic staff: recommendations for training the researchers and educators of the future. Report of the Academic Careers Sub-Committee of Modernising Medical Careers and the UK Clinical Research Collaboration. 2005. [cited 25/09/2015]; Available from: http://www.ukcrc.org/wp-content/uploads/2014/03/Medically_and_Dentally-qualified_Academic_Staff_Report.pdf.</mixed-citation></ref><ref id="r6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cluver</surname><given-names>J</given-names></name><name><surname>Book</surname><given-names>S</given-names></name><name><surname>Brady</surname><given-names>K</given-names></name><name><surname>Back</surname><given-names>S</given-names></name><name><surname>Thornley</surname><given-names>N</given-names></name></person-group><article-title>Engaging medical students in research: reaching out to the next generation of physician-scientists.</article-title><source>Acad Psychiatry</source><year>2014</year><volume>38</volume><fpage>345</fpage><lpage>349</lpage><pub-id pub-id-type="doi">10.1007/s40596-014-0097-8</pub-id><pub-id pub-id-type="pmid">24913099</pub-id></element-citation></ref><ref id="r7"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gottesman</surname><given-names>MM</given-names></name></person-group><article-title>The role of the NIH in nurturing clinician-scientists.</article-title><source>N Engl J Med</source><year>2013</year><volume>368</volume><fpage>2249</fpage><lpage>2251</lpage><pub-id pub-id-type="doi">10.1056/NEJMp1302969</pub-id><pub-id pub-id-type="pmid">23675642</pub-id></element-citation></ref><ref id="r8"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Amgad</surname><given-names>M</given-names></name><name><surname>Man Kin Tsui</surname><given-names>M</given-names></name><name><surname>Liptrott</surname><given-names>SJ</given-names></name><name><surname>Shash</surname><given-names>E</given-names></name></person-group><article-title>Medical Student Research: An Integrated Mixed-Methods Systematic Review and Meta-Analysis.</article-title><source>PLoS ONE</source><year>2015</year><volume>10</volume><fpage>0127470</fpage><pub-id pub-id-type="doi">10.1371/journal.pone.0127470</pub-id><pub-id pub-id-type="pmid">26086391</pub-id></element-citation></ref><ref id="r9"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Siemens</surname><given-names>DR</given-names></name><name><surname>Punnen</surname><given-names>S</given-names></name><name><surname>Wong</surname><given-names>J</given-names></name><name><surname>Kanji</surname><given-names>N</given-names></name></person-group><article-title>A survey on the attitudes towards research in medical school.</article-title><source>BMC Med Educ</source><year>2010</year><volume>10</volume><fpage>4</fpage><lpage>487</lpage><pub-id pub-id-type="doi">10.1186/1472-6920-10-4</pub-id><pub-id pub-id-type="pmid">20096112</pub-id></element-citation></ref><ref id="r10"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Russell</surname><given-names>CD</given-names></name><name><surname>Young</surname><given-names>AM</given-names></name><name><surname>Lomas</surname><given-names>DA</given-names></name><name><surname>Funston</surname><given-names>GM</given-names></name></person-group><article-title>Evaluating the National Student Association of Medical Research.</article-title><source>Med Educ</source><year>2014</year><volume>48</volume><fpage>1105</fpage><lpage>1106</lpage><pub-id pub-id-type="doi">10.1111/medu.12595</pub-id><pub-id pub-id-type="pmid">25307641</pub-id></element-citation></ref><ref id="r11"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Funston</surname><given-names>GM</given-names></name><name><surname>Young</surname><given-names>AM</given-names></name><name><surname>Lomas</surname><given-names>D</given-names></name></person-group><article-title>Cambridge University Clinical Research Society: promoting academic medicine.</article-title><source>Med Educ</source><year>2011</year><volume>45</volume><fpage>1134</fpage><lpage>1135</lpage><pub-id pub-id-type="doi">10.1111/j.1365-2923.2011.04109.x</pub-id><pub-id pub-id-type="pmid">21933247</pub-id></element-citation></ref><ref id="r12"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mabvuure</surname><given-names>NT</given-names></name></person-group><article-title>Twelve tips for introducing students to research and publishing: a medical student's perspective.</article-title><source>Med Teach</source><year>2012</year><volume>34</volume><fpage>705</fpage><lpage>709</lpage><pub-id pub-id-type="doi">10.3109/0142159X.2012.684915</pub-id><pub-id pub-id-type="pmid">22905656</pub-id></element-citation></ref><ref id="r13"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chapman</surname><given-names>SJ</given-names></name><name><surname>Glasbey</surname><given-names>JC</given-names></name><name><surname>Khatri</surname><given-names>C</given-names></name><name><surname>Kelly</surname><given-names>M</given-names></name><name><surname>Nepogodiev</surname><given-names>D</given-names></name><name><surname>Bhangu</surname><given-names>A</given-names></name><name><surname>Fitzgerald</surname><given-names>JE</given-names></name></person-group><article-title>Promoting research and audit at medical school: evaluating the educational impact of participation in a student-led national collaborative study.</article-title><source>BMC Med Educ</source><year>2015</year><volume>15</volume><fpage>47</fpage><pub-id pub-id-type="doi">10.1186/s12909-015-0326-1</pub-id><pub-id pub-id-type="pmid">25879617</pub-id></element-citation></ref><ref id="r14"><label>14</label><mixed-citation publication-type="other">Du X, Clarke J, Young A and Funston G. Student led outreach: exploring academic medicine at a pre-university level. Med Teach. 2011;33:863-4.</mixed-citation></ref><ref id="r15"><label>15</label><mixed-citation publication-type="other">Hersher R. Fledgling Pakistani group looks to train medical students.  9th April 2012 [cited 25 September 2015]; Availa-ble from: blogs.nature.com/spoonful/2012/04/ fledgling-pakistani-group-looks-to-train-medical-students-in-research.html.</mixed-citation></ref><ref id="r16"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alfaro-Toloza</surname><given-names>P</given-names></name><name><surname>Olmos-de-Aguilera</surname><given-names>R</given-names></name></person-group><article-title>Medical research and students in Latin America.</article-title><source>Lancet</source><year>2013</year><volume>382</volume><fpage>1553</fpage><lpage>1058</lpage><pub-id pub-id-type="doi">10.1016/S0140-6736(13)62324-7</pub-id><pub-id pub-id-type="pmid">24209826</pub-id></element-citation></ref><ref id="r17"><label>17</label><mixed-citation publication-type="other">Verma P, Tso D, Youssef D, Wu Diane. Canadian medical student journals: an overview. The Council of Science Educators. 2011 [cited 25 September 2015]; Available from: http://www.councilscienceeditors.org/wp-content/uploads/v34n4pe5-e9.pdf.</mixed-citation></ref><ref id="r18"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alfaro-Toloza</surname><given-names>P</given-names></name><name><surname>Olmos-de-Aguilera</surname><given-names>R</given-names></name><name><surname>Rodr&#xED;guez-Morales</surname><given-names>AJ</given-names></name></person-group><article-title>Latin American undergraduate medical journals.</article-title><source>Med Educ Online</source><year>2014</year><volume>19</volume><fpage>25901</fpage><lpage>1058</lpage><pub-id pub-id-type="doi">10.3402/meo.v19.25901</pub-id><pub-id pub-id-type="pmid">25361903</pub-id></element-citation></ref><ref id="r19"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>S</given-names></name></person-group><article-title>Student journals: facilitating medical student research and physician-scientist development.</article-title><source>Mcgill J Med</source><year>2006</year><volume>9</volume><fpage>82</fpage><lpage>83</lpage><pub-id pub-id-type="pmid">18523617</pub-id></element-citation></ref><ref id="r20"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sanderson</surname><given-names>B</given-names></name><name><surname>Funston</surname><given-names>G</given-names></name></person-group><article-title>A novel international initiative to promote academic oncology amongst medical students.</article-title><source>Med Teach</source><year>2015</year><volume>37</volume><fpage>98</fpage><lpage>89</lpage><pub-id pub-id-type="doi">10.3109/0142159X.2014.940881</pub-id><pub-id pub-id-type="pmid">25056294</pub-id></element-citation></ref><ref id="r21"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ebbert</surname><given-names>JO</given-names></name><name><surname>Montori</surname><given-names>VM</given-names></name><name><surname>Schultz</surname><given-names>HJ</given-names></name></person-group><article-title>The journal club in postgraduate medical education: a systematic review.</article-title><source>Med Teach</source><year>2001</year><volume>23</volume><fpage>455</fpage><lpage>461</lpage><pub-id pub-id-type="doi">10.1080/01421590120075670</pub-id><pub-id pub-id-type="pmid">12098365</pub-id></element-citation></ref><ref id="r22"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Edwards</surname><given-names>R</given-names></name><name><surname>White</surname><given-names>M</given-names></name><name><surname>Gray</surname><given-names>J</given-names></name><name><surname>Fischbacher</surname><given-names>C</given-names></name></person-group><article-title>Use of a journal club and letter-writing exercise to teach critical appraisal to medical undergraduates.</article-title><source>Med Educ</source><year>2001</year><volume>35</volume><fpage>691</fpage><lpage>694</lpage><pub-id pub-id-type="doi">10.1046/j.1365-2923.2001.00972.x</pub-id><pub-id pub-id-type="pmid">11437973</pub-id></element-citation></ref></ref-list>
  </back>
</article>
