Structure of the STP programme

1. Professor Gerald Armstrong-Bednall, Theresa Fail, Nicky Fleming & Kath Sidoli, MSC Team, Department of Health Dr Derek Pearson, Nottingham University Hospitals NHS Trust Structure of the STP programme

2. General SchemaThree year Healthcare Scientist Training Programme (STP) Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace-based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. • Remainder in Single Specialism training • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service • Initial 12 months rotational training (3 months in each of 4 specialisms) Specialism 1 Specialism 2 Specialism 3 Specialism 4 Themed Rotations Introductory Academic Block (Minimum of 1 month)

3. Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to • For remainder of the time, a single specialism from: • Radiotherapy Physics • Radiation Safety • Imaging with Non-Ionising Radiation • Imaging with Ionising Radiation Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace-based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service • Initial 12 months rotational training (3 months in each of 4 specialisms) Radiotherapy Physics Radiation Safety Physics Imaging with Non-Ionising radiation Imaging with Ionising Radiation Themed Rotations Introductory Academic Block (Minimum of 1 month) Medical Physics Three year Healthcare Scientist Training Programme (STP)

4. Medical Physics: Points of Note Working group with representatives nominated by IPEM Science Board Curriculum recognises: Everyone needs an understanding of Clinical Measurement Each curriculum needs to equip trainees with the ICT skills they need to deliver the service in their chosen specialism The role of imaging in Radiotherapy Physics Multi-modality imaging, e.g. working in Nuclear Medicine need to understand CT, cone beam CT, MRI, PET…. The therapeutic aspects of Nuclear Medicine, UV and ultrasound

5. Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to • For remainder of the time, a single specialism from: • Rehabilitation Engineering • Clinical Measurement & Development (this specialism results from combining Design & Development with Clinical Measurement & ICT) • Device Risk Management & Governance Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace-based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service • Initial 12 months rotational training (3 months in each of 4 specialisms) Rehabilitation Engineering Clinical Measurement & ICT Design & Development Device Risk Management & Governance Themed Rotations Introductory Academic Block (Minimum of 1 month) Clinical Engineering Three year Healthcare Scientist Training Programme (STP)

6. Clinical Engineering: Points of Note Working group with representatives nominated by IPEM Science Board Curriculum recognises: Everyone needs an understanding of Clinical Measurement Each curriculum needs to equip trainees with the ICT skills they need to deliver the service in their chosen specialism Clinical Measurement & Development recognises our role in developing novel medical devices, clinical measurements and software development Medical Device Risk Management & Governance recognises our role in supporting CQC Outcome 11 and risk managing the management and use of medical devices

7. Principles Underlying STP Curriculum • Healthcare Scientists in the Life Sciences will undertake roles that involve: • Application of high level scientific knowledge • Service design, development and delivery • Evidence-based practice • Sub-specialisation to achieve ‘expert’ status • Innovation in area of expertise • Application of high level clinical knowledge • Data converted into clinical knowledge • Reporting, clinical liaison and clinical advice • Participation outside the laboratory in multi-disciplinary clinical teams • Collaborative clinical research • Application of leadership skills • Clinical leadership of a service, department or research team • Medical consultant equivalent roles

8. Process Undertaken to Develop STP Curricula • Extensive collaboration with key opinion leaders and professional body • representatives from across Life Sciences over >1 year: • ~60 individuals, including medics, clinical scientists, biomedical scientists • Core and consultation groups for each of 9 specialisms • 18 professional bodies directly involved; others associated • Regular communication with team responsible for Genetics pilot Association of Biomedical Andrologists British Society for Haematology Association for Clinical Biochemistry British Society for Haemostasis & Thrombosis Association for Clinical Cytogenetics British Society for Histocompatibility & Immunogenetics Association for Clinical Electron Microscopists British Society for Immunology Association for Clinical Embryologists Clinical Molecular Genetics Society Association for Clinical Microbiologists Institute of Biomedical Science British Association for Tissue Banking National Association of Cytologists British Blood Transfusion Society Royal College of Pathologists British Society for Clinical Cytology UK National External Quality Assessment Schemes

9. Blood Sciences Three year Healthcare Scientist Training Programme (STP) Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to • For remainder of the time, a single specialism from: • Clinical Biochemistry • Haematology / Transfusion Science • Clinical Immunology < Clinical Immunology (without Histocompatibility & Immunogenetics) < Clinical Immunology (with Histocompatibility & Immunogenetics) • Genetics (rotations taken from both Blood and Cellular Sciences) Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace-based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service • Initial 12 months rotational training (3 months in each of 4 specialisms) Clinical Biochemistry Haematology / Transfusion Science Clinical Immunology Genetics & Molecular Science Themed Rotations Introductory Academic Block (Minimum of 1 month)

10. Blood Sciences STP: Points of Note • Clinical Biochemistry and Haematology & Transfusion Science • are large specialisms. Clinical Immunology and Genetics are small • Implications for training capacity • Rotational modules designed accordingly • 2. Genetics pilot has just indicated preference to change a module • Replace Clinical Genetics (CG2) with Neuromuscular Disease • Clinical Genetics is accommodated across other modules • Need to cover new area of neuromuscular disease • Module in development • 3. Agreed variation to Clinical Immunology curriculum to accommodate • Histocompatibility & Immunogenetics (H&I) • Combination of CI, HT modules

11. Cellular Sciences Three year Healthcare Scientist Training Programme (STP) Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to • For remainder of the time, a single specialism from: • Histopathology • Cytopathology • Reproductive Science • Genetics (rotations taken from both Blood Sciences and Cellular Sciences) Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace-based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service • Initial 12 months rotational training (3 months in each of 4 specialisms) Histology Cytology Reproductive Science Genetics & Molecular Science Themed Rotations Introductory Academic Block (Minimum of 1 month)

12. Cellular Sciences STP: Points of Note • Histopathology is a large specialism. Cytopathology, Reproductive • Science and Genetics are small • Implications for training capacity • Rotational modules designed accordingly • Histopathology and Cytopathology are similar in scope and scientific • methods. Therefore, there is some duplication of modules • 3. Genetics pilot has just indicated preference to change a module • Replace Clinical Genetics (CG2) with Neuromuscular Disease • Clinical Genetics is accommodated across other modules • Need to cover new area of neuromuscular disease • Module in development • 4. >50% of Reproductive Science services are delivered in the private • sector • Must engage private sector in training • How may this be achieved?

13. Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to • For remainder of the time, a single specialism from: • Clinical Microbiology • (including: infection control & epidemiology, virology, bacteriology, mycology, parasitology) Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace-based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service • Initial 12 months rotational training (3 months in each of 4 specialisms) Bacteriology Virology Molecular Science Epidemiology & Health Protection Themed Rotations Introductory Academic Block (Minimum of 1 month) Infection Sciences Three year Healthcare Scientist Training Programme (STP)

14. Infection Sciences STP: Points of Note • Infection Sciences is a multi-specialism area run as a single • programme • Not strictly a rotational programme • However, first four modules provide appropriate introduction • Opportunity to expand from current programmes into important new • areas of public health • Epidemiology & health protection • High risk groups • Public health worldwide

15. Physiological Sciences Three year Healthcare Scientist Training Programme (STP) Incorporating Audiology, Neurophysiology, Ophthalmic and Vision Sciences [Neurosensory Sciences] And Cardiac, Vascular, Respiratory and Sleep sciences [CVRS] (Gastrointestinal Physiology and Urodynamic Science)

16. Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace-based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. • For remainder of the time, a single specialism from: • Neurophysiology • Ophthalmic & Vision Science • Audiology (includes paediatric experience) • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service • Initial 12 months rotational training (3 months in each of 4 specialisms) Audiology Ophthalmic & Vision Science Neurophysiology Clinical Assessment & Investigations Themed Rotations Introductory Academic Block (Minimum of 1 month) Neurosensory Sciences

17. Audiology, Neurophysiology, Ophthalmic & Vision Sciences Year One 1st year is about the scientific basis of neurosensory not 1st year of specialism • Specialist 2nd and 3rd Module • 1 Specialist Module covers both years • Structure will depend on collaboration between • Workplace and HEI • Look to HEI for support • HEI will have Programme & Modules Templates • Often – Lecture plan/timetables – ask for them • Workplace learning influenced by Training Manual • Consider Neurosensory or Physiological Science in- service working groups to plan their use • Learning directed by local need and service structure

18. Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to • For remainder of the time, a single specialism from: • Cardiac Physiology < Cardiac Physiology with cardiac rhythm management < Cardiac Physiology with cardiac imaging • Vascular Science • Respiratory & Sleep Science • Clinical Perfusion (rotations 1 to 3 outlined, with 4th rotation in perfusion) Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace-based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Cardiology Vascular Science Respiratory and Sleep Science Clinical Assessment & Investigations Mandatory rotations for all specialisms except Perfusion Perfusion (only available to perfusion specialism) Initial 12 months rotational training (3 months in each of 4 specialisms) Introductory Academic Block (Minimum of 1 month) Cardiac, Vascular, Respiratory & Sleep Sciences

19. Cardiac, Vascular, Respiratory & Sleep Sciences • Year 1 • Introduction to the specialist areas • Underpinning science to investigations • Skills and competencies in the work base • Years 2 and 3 • Cardiac Science • Year 2 - common modules • Year 3 - specialist options : cardiac rhythm management cardiac imaging • Vascular Science • Respiratory and sleep Science

20. Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to • For remainder of the time, a single specialism from: • (6 months of shared GI and Urodynamics specialist training • with the remainder of the time spent in either GI or Urodynamics) • GI Physiology • Urodynamics (fourth rotation chosen from Respiratory Science or Cardiology) Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace-based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service GI Physiology Urodynamics Clinical Assessment & Investigations Respiratory Science Mandatory rotations for GI Physiology Specialism Cardiology Initial 12 months rotational training (3 months in each of 4 specialisms) Introductory Academic Block (Minimum of 1 month) Gastrointestinal (GI) Physiology & Urodynamics

21. Audiology, Neurophysiology, Ophthalmic & Vision Sciences Research Module Same as all the other Training Programmes HEI will require: HEI Academic Supervisor Clinical Supervisor* * May be restricted by limited existing postgraduate staff in the department Consider using other Postgraduate Scientists to supervisor both Clinical Staff and Trainee i.e. Medical Physics; Physiotherapy, Radiology Consider a research work related project which is within the capability of the department or service

22. Audiology, Neurophysiology, Ophthalmic & Vision Sciences Rotation D • Three concepts • Clinical Assessment • Imaging and Pathology • Patient Pathways Holistic approach Clinical Assessment Holistic approach to neurosensory sciences How does each specialism contribute and compliment each other i.e. How does Hearing, Vision, Central or Peripheral neurological disorders interrelate How do other services contribute and compliment neurosensory services i.e. Healthcare for older people, neonatal care, critical care, primary care.

23. Audiology, Neurophysiology, Ophthalmic & Vision Sciences Rotation D • Imaging and Pathology • How Imaging/Pathology is used as part of the neurosensory assessments • Ears, eyes, and head • MRI, CT, Ultrasound, x-ray • Recognication of key anatomical landmarks using imaging • Why refer for imaging as a diagnostic tool • Understanding the results

24. Audiology, Neurophysiology, Ophthalmic & Vision Sciences Rotation D • Patient Pathways • Understand the needs of patients • Understand the assessment, management and prognosis of neurosensory disorders • How does Neurosensory disorders affect or impact on patient life style • Understand what Balance disorders, Epilepsy, or Macular Degeneration means to a patient life style, their family and friends • Supporting services • Understand how other services can help with the management of disease, disorder and care • Working with colleagues

25. Cardiac, Vascular, Respiratory and Sleep sciences (Gastrointestinal Physiology and Urodynamic Science) • Rotation D – Clinical Assessment and Investigation • Covers the same three concepts as neurosensory • Clinical Assessment • Imaging and Pathology • Patient Pathways • Synergy and commonality across neurosensory, CVRS and GI and Urodynamics • Clinical assessments, examples used in pathology and radiology and the patient pathways will be different. • Opportunity to work in different settings ( radiology, MAU, critical care, primary care)

26. Physiological Sciences Three year Healthcare Scientist Training Programme (STP) Key Messages • Work with HEI’s • Understand the programme requirements • Plan secondment before trainee arrives • Use existing documentation, policies • Understand the in-service assessments requirements • When, how, what, why and who • Understand what the trainee is required to cover in the workplace • Provide mentoring not just for the trainee but also Clinical Supervisors (at all levels) • Agree learning outcomes with individual clinical services • Accessibility of Trust Lead to trainee, supervisor, HEI • Identify Service or Clinical Lead • Seek help from Professional Body