Karol Sikora

Dr Karol Sikora (born 1948)[1] is a controversial and outspoken British physician specialising in oncology. He is currently Medical Director of CancerPartnersUK and dean of the University of Buckingham's medical school.

Contents

Early life

Karol Sikora was born in 1948. His father was a Captain in the Polish Army who arrived in Great Britain during World War II.[2] He was brought up in Edinburgh, Stafford and London. He had a London County Council scholarship to Dulwich College before going to Corpus Christi College, Cambridge where he became a Foundation Scholar and obtained a double first.[3]

Career

After obtaining his medical degree in Cambridge and Middlesex Hospital,London he went on to do a PhD in the Laboratory for Molecular Biology and then a clinical fellowship in medical oncology at Stanford University, California. Sikora first became an NHS Consultant Oncologist in 1980 in Addenbrokes Hospital, Cambridge and set up the first cancer clinic at Hinchingbrooke Hospital, Huntingdon. He was Clinical Director of Cancer Services at Hammersmith Hospital for 12 years and was seconded as Chief of the WHO Cancer Programme for two years. He is currently Medical Director of CancerPartnersUK and dean of the University of Buckingham's medical school; the only private medical school in the UK.[4]

Sikora became Buckingham's first Dean and Professor of Medicine in 2006. He has created a postgraduate school based at Ealing Hospital which runs a two year Clinical MD programme in internal medicine. The first Clinical MD in internal medicine graduates were awarded their degrees in March 2011. A premedical course run by Medipathways in Birkbeck College, London has been established for which the University awards a Certificate in Higher Education (CertHE). Sikora is now creating a MBBS programme for graduate entrants using Milton Keynes Hospital as the main clinical base and using a version of the Leicester Medical School curriculum. Students will be charged the full cost of their tuition although bursaries and loans are available.

Sikora has co-authored or edited twenty books, including Treatment of Cancer and the Economics of Cancer Care. Sikora is known for his outspoken views,[4] and has written for the Times,[5] the Observer,[6] the Daily Mail,[7] the New Statesman,[8] and other publications. He is on the Advisory Council of Reform.[9]

Controversies

Promotion of molecular medicine

In the 1980s, while head of the Ludwig Institute for Cancer Research in Cambridge, he espoused the cause of "Molecular Medicine" and did much to promote the idea that a better understanding of molecular biology would provide better diagnostics and treatments for cancer within 20 years. At Hammersmith he created a research laboratory funded by the Imperial Cancer Research Fund to specifically address this issue. Many of the new drugs for cancer such as Herceptin, Avastin, Glivec and Rituximab have come from this molecular revolution. One of his current commercial enterprises is CancerPartnersUK a company that is seeking to make up the NHS shortfall in radiotherapy equipment which is way below European standards in both capacity and technical quality.

Criticism of National Health Service

Sikora is very critical of cancer care available on the National Health Service.[5] During President Obama's campaign for healthcare reform, he appeared in a Republican Party attack ad in the United States criticising the NHS.[10] The ad led Imperial College to seek legal advice to stop Sikora from claiming to be a professor of cancer medicine at Imperial; a claim that he had made repeatedly over the previous five years.[11][12] Sikora denied this charge responding in a letter to the Guardian that he had been appointed to a lifetime Chair in the Royal Postgraduate Medical School (now part of Imperial) and that he was currently entitled to the professorship and still does a regular cancer clinic at Hammersmith Hospital.

Promotion of alternative medicine

Sikora and the School of medicine at Buckingham have in the past been supportive of alternative medicine.[13] Buckingham for a short time offered a diploma in "integrated medicine" (a relatively recent euphemism for alternative medicine). Sikora was a Foundation Fellow of Prince Charles' now-defunct alternative medicine lobby group The Prince's Foundation for Integrated Health[14] and Chair of the Faculty of Integrated Medicine, which is unaffiliated with any university and also includes Drs Rosy Daniel and Mark Atkinson, who led Buckingham's "integrated medicine" course.[13] Sikora is also a "professional member" of the "The College of Medicine", a patient-oriented healthcare lobby group also linked to the Prince of Wales that appeared shortly after the collapse of the Prince's Foundation.[15] The College has been criticised extensively in the British Medical Journal for it's promotion of alternative medicine.[16][17][18][19][20] These claims have been contested by the College.[21] He is on the advisory panel of complementary cancer care charity Penny Brohn Cancer Care, formerly the Bristol Cancer Help Centre of whom the Prince of Wales is patron.[22]

Release of Lockerbie bomber

In September 2009, the convicted Lockerbie bomber, Abdelbaset al-Megrahi was released from a Scottish prison on compassionate grounds. The Daily Telegraph revealed that Sikora was one of three different doctors hired by the Libyan government to report to them about Megrahi's condition.[23] Sikora's report concluded that Megrahi had only 3 months to live due to terminal prostate cancer. Sikora has since admitted that the "3 months" timescale was suggested to him by the Libyans. According to the Daily Telegraph, this was not the first time that Sikora had been economical with the truth.[24] Sikora's medical diagnosis was not used by the Scottish Justice Minister since it had been paid for by Libya, but his diagnosis did agree with the medical evidence that was used. Once released, Megrahi returned to Libya and far outlived the 3-month prognosis.[25] In July 2010, in an interview with the Sunday Times, Sikora said that "it was 'embarrassing' that Megrahi has lived much longer than expected." and "There was always a chance he could live for ten years, 20 years . . . But it's very unusual."[26] This quote was then used first by the UK press and then by a group of USA Senators [27] to undermine the Scottish decision to release Megrahi on compassionate grounds, and then to link the release instead with BP contracts in Libya. In reply, the Scottish Government stated categorically that Sikora's medical opinion was not used by the Scottish Justice Minister.[28] Sikora has since complained about the way journalists have reported his views and stated that there was probably a less than 1% chance of Megrahi living 10 years.[29]

Works

References

  1. ^ "Eminent Old Alleynians: Science & Medicine". Dulwich College. http://www.dulwich.org.uk/OA_Document_1.aspx?id=1:29462&id=1:29454&id=1:29431. Retrieved 27 November 2008. 
  2. ^ de Quetteville, Harry; Pierce, Andrew (15 August 2008). "Lech Walesa backs US missile deal". The Daily Telegraph (London). http://www.telegraph.co.uk/news/worldnews/europe/poland/2566162/Lech-Walesa-backs-US-missile-deal.html. 
  3. ^ "Eminent Old Alleynians : Science & Medicine". Old Alleynians Society. Dulwich College. http://www.dulwich.org.uk/OA_Document_1.aspx?id=1:29462. Retrieved 8th July 2011. 
  4. ^ a b Cohen, Deborah; Fišter, Kristina (January 2005). "Rejecting Political Correctness". British Medical Journal 330 (7482): 62. doi:10.1136/bmj.330.7482.62. PMC 543861. PMID 15637368. http://www.bmj.com/cgi/content/full/330/7482/62. Retrieved 2008-11-27. 
  5. ^ a b Sikora, Karol (4 April 2006). "Stop, think, rebuild; a prescription for the NHS". London: The Times. http://www.timesonline.co.uk/tol/comment/columnists/guest_contributors/article701675.ece. Retrieved 27 November 2008. 
  6. ^ Sikora, Karol (1 October 2006). "It's time to take the politics out of cancer". London: The Observer. http://www.guardian.co.uk/commentisfree/2006/oct/01/comment.health. Retrieved 27 November 2008. 
  7. ^ Sikora, Karol (18 December 2007). "Why shouldn't cancer sufferer pay to prolong her life?". London: Daily Mail. http://www.dailymail.co.uk/news/article-503146/Karol-Sikora-Commentary-Why-shouldnt-cancer-sufferer-pay-prolong-life.html. Retrieved 27 November 2008. 
  8. ^ Sikora, Karol (15 January 2007). "NHS: Can this patient survive?". New Statesman. http://www.newstatesman.com/society/2007/01/health-service-nhs-reform. Retrieved 27 November 2008. 
  9. ^ Reform, Advisory Council
  10. ^ Chris McGreal (13 May 2009). "US health lobby: reform could make us as bad as the NHS". London: guardian.co.uk. http://www.guardian.co.uk/world/2009/may/13/advertising-campaign-nhs-us-healthcare-reforms. 
  11. ^ Sarah Boseley (22 May 2009). "Cancer expert Karol Sikora accused over honorary professorship claim". London: guardian.co.uk. http://www.guardian.co.uk/science/2009/may/22/karol-sikora-honorary-professor-imperial-college. 
  12. ^ "Karol Sikora : pissing into the NHS tent". NHS Blog Doctor. 16 May 2009. http://nhsblogdoc.blogspot.com/2009/05/karol-sikora-pissing-into-nhs-tent.html. Retrieved 24 May 2009. 
  13. ^ a b David Colquhoun (April 1, 2010). "University of Buckingham does the right thing. The Faculty of Integrated Medicine has been fired.". DC's Improbable Science. http://www.dcscience.net/?p=2881. 
  14. ^ FIH Foundation Fellows
  15. ^ Sikora's profile is on the College of Medicine website.
  16. ^ Jane Cassidy (15 June 2011). "Lobby Watch: The College of Medicine". British Medical Journal 343. doi:10.1136/bmj.d3712. http://www.bmj.com/content/342/bmj.d3712.full. 
  17. ^ David Colquhoun (12 July 2011). "The College of Medicine is Prince’s Foundation reincarnated". British Medical Journal 343. doi:10.1136/bmj.d4368. http://www.bmj.com/content/343/bmj.d4368.full. 
  18. ^ James May (12 July 2011). "College of Medicine: What is integrative health?". British Medical Journal 343. doi:10.1136/bmj.d4372. PMID 21750063. http://www.bmj.com/content/343/bmj.d4372.full. 
  19. ^ Edzard Ernst (12 July 2011). "College of Medicine or College of Quackery?". British Medical Journal 343. doi:10.1136/bmj.d4370. http://www.bmj.com/content/343/bmj.d4370.full. 
  20. ^ Nigel Hawkes (2010). "Prince’s foundation metamorphoses into new College of Medicine". 341. British Medical Journal. pp. 6126. doi:10.1136/bmj.c6126. http://www.bmj.com/content/341/bmj.c6126.full. 
  21. ^ George T Lewith, Graeme Catto, Michael Dixon, Christine Glover, Aidan Halligan, Ian Kennedy, Christopher Manning, David Peters (12 July 2011). "College of Medicine replies to its critics". British Medical Journal 343. doi:10.1136/bmj.d4364. http://www.bmj.com/content/343/bmj.d4364.extract?sid=66683c7f-e8ba-4245-954b-0ebfbb090ea4. 
  22. ^ Vice Presidents and Senior Team Penny Brohn Cancer Care
  23. ^ Alderson, Andrew (5 September 2009). "Revealed: Libya paid for medical advice that helped Lockerbie bomber's release". London: Daily Telegraph. http://www.telegraph.co.uk/news/worldnews/africaandindianocean/libya/6143073/Revealed-Libya-paid-for-medical-advice-that-helped-Lockerbie-bombers-release.html. Retrieved 6 September 2009. 
  24. ^ Professor Karol Sikora: this isn’t the Lockerbie doctor’s first PR disaster by Will Heaven, The Telegraph, September 6th, 2009
  25. ^ Doctor: Released Lockerbie bomber could live much longer CNN.com newsblog, July 5th, 2010
  26. ^ Fury as doctor who said Lockerbie bomber would die in three months admits: He could live for a decade by Jack Doyle, the Mail Online, July 5th, 2010
  27. ^ US senators letter based on 'untrue' Megrahi press reports Newsnet Scotland, July 19th, 2010
  28. ^ Reply to four US Senators re Megrahi by Robin Naysmith, The Scottish Government, July 9th, 2010
  29. ^ Lockerbie doctor speaks out over Megrahi comments Stv, July 15th, 2010

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