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Academic Training pathways. Jeremy Levy Head of School of Medicine. Date goes here. What is academic medicine?. Combining clinical medicine with research or teaching in one form or another
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Academic Training pathways Jeremy Levy Head of School of Medicine Date goes here
What is academic medicine? Combining clinical medicine with research or teaching in one form or another Lab based, clinical trials, community or public health, translational, pure science, teaching, training … Shouldn’t all doctors being doing this? Lots of routes into academic medicine Aiming to do dedicated period of research leading to MD/PhD during clinical training
Can everyone/anyone do research ? • No, and funding not available for all • If an NTN holder need permission from STC and Deanery, and 3 months+ notice to start: MOST LIKELY 6 months notice • Need approval for time out from FP or ST grades • Don't need approval if undertaking in gaps between training segments • Cant “defer” start to ST1/ST3 unless already registered for higher degree and only one year left .. apply when you want to start
Can it be combined with clinical training contemporaneously? • Full time research - No. • It is possible to set it up, and conduct clinical research to a degree, but not full time research • Can be if MSc (eg part time). • Of course can/should be combined in a training scheme with time off for research
London School of Medicine academic output 2009-2010 • Trainees achieved 217 higher degrees including 117 PhD/MDs • Wrote >1500 papers, 29 books, 452 case reports • Presented >2260 papers at international/national meetings • 215 trainees were awarded fellowships of which 30 were international &135 national, and 49 worth more than £250,000.
When to do it • The big question ! Contentious. No correct answer. • If before ST3 post - younger, more energetic, more likely to become a greater scientist ? More opportunity to study/work overseas eg USA • BUT poorly differentiated as a doctor, may not fit with future career, older when doing nights etc as SpR/ST3+, long gap between research and finishing training. • Run through specialties eg pathology/paeds/public health easier at early stages (ie ST1/2)
When to do it • Ideally after one or two years of SpR training? ie just after ST4 .. • Makes combining training easier if want to continue in clinical medicine, but older when starting research career so may not become the best! • CANNOT start research in the last year of SpR training.
Clinical Academic Training Pathway Integrated Academic Training Path NTN(A) CCT NIHR Academic Clinical Fellow (25% academic) NIHR Clinical Lecturer (50% academic) HEFCE Clinical Senior Lecturer (50% academic) Academic Foundation Programme Medical School F1 F2 ST1 ST2 ST3 ST4 ST5 ST6 4 months academic SSM BSc MB/PhD Clinical Research Training Fellow Clinician Scientist Fellow Tenured Academic Post Note 1. Includes training pathway in medical education 2. Timing of ACF appointment varies across specialties 3. Time taken varies with specialty/competence 4. Easy transfer with clinical training programme
Integrated academic training pathway • Academic Clinical Fellows • 25% of time in research/education • 75% of time in specialist training • ~250 each year in UK • Aiming to get people to then apply for Research Training Fellowship (RTF) for PhD/MD • Ends after 2-3 years on obtaining RTF, or return to clinical training
ACFs • Start at St1 and ST3 level varying around the country and by specialty • eg neuro, paeds, public health, radiology at ST1 mostly • Medicine mixed CT1 and ST3 • See NIHRTCCweb site (www.nihrtcc.nhs.uk) • Generally advertised in Oct/November BUT vacancies may come up at any time ... • London deanery web site also advertises all for London
Academic Clinical Fellows Clinical Lecturers Clinical academic training at Imperial 59 177 705 343 Clinical Senior Lecturers 25 Imperial partnership Rest of England 153 (+ 9 recent awards)
Integrated academic training pathway • Clinical Lecturers (CLs) • 50% of time in post-doc research/education • 50% of time in specialist training • ~ 100 each year • Encouraged to apply for Clinician Scientist Fellowship (CSF) • Ends after up to 4 years on obtaining CSF, or apply for Sen Lect, or return to clinical training/full time NHS post
ACF not only route into academic medicine by any means .. • No reason cant be applying for research fellowship from routine clinical post .. Just work hard at it • Need to approach lab/research principal investigator, plan in advance, submit proposal to funding body for salary... Based on YOU, the project and the lab • Your preparation will be at weekends/evenings • Don’t forget MRC/Wellcome centres, and pure science labs ..
Funding for research fellowships • MRC/Wellcome/BHF/Action research/ARC NKRF/industry/soft money …. • Imperial has dedicated PhD fellowship funding from MRC and Wellcome • Usually for you but potentially for the project/dept
Academic careers • ASK consultants NOW, plan early, apply early
What next – listen today • Plan early. Look at NIHRTCC. Decide on geography. • Grant funding competitive – depends on project AND person usually. • ACF and CL scheme not always very competitive • Get a case report or clinical project published NOW! • Make contacts .. ICHNT fantastic place to do so. • Including MRC/Wellcome centres