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Download the renal medicine job pack

  1. 1. Academic Clinical Fellowship in Clinical Epidemiology (Nephrology) 2010 West Midlands Deanery University of Keele arc National Primary Care Centre University Hospital of North Staffordshire NHS Trust North Staffordshire PCT Stoke on Trent PCT Job Pack for Applicants Page 1
  2. 2. THE POST: The Academic Clinical fellowship (ACF) programme in Clinical Epidemiology (Nephrology). 1 post is available starting in August 2010. It is a three-year programme open to all trainees who have successfully completed foundation year 2 and who do not yet hold a NTN, although consideration will be given to exceptional candidates who are currently in their ST2 and ST3 years. It is designed for trainees who can provide evidence, through their CV and at interview, that they have made a firm commitment to academic nephrology and clinical epidemiology. Success in the three-year post will be judged by the ability of the post holder to submit an application for a personal training fellowship (leading to a PhD) at the end of the training programme. 25% of the trainee’s time will be for research training and to undertake a clinical epidemiology based research project, which may be developed into a Fellowship Application and a first-authored publication. The trainee will undertake the academic component of their programme within the department of Academic Nephrology in collaboration with the ARC National Primary Care Centre. Academic Nephrology is based within the clinical department at the Royal Infirmary Site of the University Hospital of North Staffordshire. It is led by Simon Davies, Professor of Nephrology and Dialysis Medicine and is affiliated to the Institute of Science and Technology in Medicine (ISTM) at Keele which is based close by at the Guy Hilton Clinical Research Centre. Renal Research was part of the ISTM submission to the recent (2008) RAE, achieving an average score of 2.5, ranked 12/52 universities in the category of general engineering. The principle areas of research focus are (a) comorbidity and severe renal disease, (b) the physiology and pathophysiology of the peritoneal membrane and peritoneal dialysis and (c) the use of innovative technologies in the evaluation of fluid status in renal failure. Working closely with physicists (Professor Smith, FRS and Patrik Spanel) novel approaches to near-patient measurement of fluid status have been developed from bench to bed-side funded by Welcome, Kidney Research UK and the internationally competitive Baxter Renal Discoveries extramural grant programme. The department has an international reputation in comorbidity and peritoneal dialysis research which will form the focus of epidemiological investigation and training for this post; Professor Davies is president elect of the International Society of Peritoneal Dialysis. Keele’s Arthritis Research Campaign National Primary Care Centre will provide expertise and training in clinical epidemiology. It has an international reputation in applied clinical research in the management of musculoskeletal conditions, a strong programme investigating comorbid health conditions and an excellent track record in developing early experience researchers, and undertakes high quality clinical research which is published in the main journals in the field of General Medicine, General Practice and Epidemiology, underpinned by a portfolio of prestigious grant funding. The West Midlands Deanery, University of Keele, University Hospital of North Staffordshire NHS Trust, Stoke on Trent and North Staffordshire PCTs have developed a fully integrated Clinical Academic Training Programme for trainees who are considering careers in clinical and academic nephrology. The NHS has recognised that clinical academics who undertake research and teaching form a crucial part of the NHS and is developing a clear point of entry, career structure, and training programme for doctors who wish to pursue this career pathway (see Medically- and dentally-qualified academic staff: Recommendations for training the researchers and Page 2
  3. 3. educators of the future. Academic Careers Sub-Committee of Modernising Medical Careers and the UK Clinical Research Collaboration. March 2005). Our fully integrated academic programme will engage trainees in clinical rotations which value research and/or education and provide the individual with a structured opportunity to explore research and/or education interests in academic medicine. Clinical service and training will still comprise the majority of the trainee’s timetable but there will be designated academic training and preparation for application for personal clinical training fellowships during the Academic Clinical Fellowship (ACF) programme. Page 3
  4. 4. OUTLINE OF THE ACADEMIC CLINICAL FELLOWSHIP (ACF) PROGRAMME This is up to a three-year post in core GIM training and/or nephrology and is open to trainees at the ST1, ST2 and ST3 grades. The post will be based predominantly at University Hospital of North Staffordshire NHS Trust (UHNS) depending on the point of entry. Trainees joining at ST1 or ST2 will undertake a renal post early in the course of their core medical rotation so as to gain further familiarity with the speciality and develop links with the renal research team. During their first post at ST3 level they will be placed at UHNS for 12 to 18 months and then undertake further training within the region. Trainees will be allocated to a clinical educational supervisor for each stage of their training and will be expected to complete successfully the competencies for each of the stages of training before progressing. Throughout their training coordination of their research supervision will be undertaken by Professor Davies (see below). The successful candidate will register for academic modules on the Keele University MMedSci and MRes programmes. Whilst there is flexibility as to which modules are taken, depending on the specific requirements of the Academic Clinical Fellow, typically they will include clinical epidemiology, statistics and epidemiology and research methods. Full details on the MMedSci degree programme can be found at: and the MRes programme can be found at It is anticipated that the post holder will also submit an application for a clinical reseach fellowship for a PhD / MD before completing the fellowship. Success in the ACF post will be judged by the ability of the trainee to: • Undertake and complete a programme of research training (delivered through the Keele MMedSci or MRes degree, a structured programme of peer support from the academic team at Keele, and through individual mentorship from one of our clinical academics) • Complete an independent research project (undertaken with supervision and methodological support from academic staff at the Keele Arthritis Research Campaign National Primary Care Centre, and clinical academic supervision and support from local clinical academics) • Contribute to all aspects of research dissemination including producing original research papers in high quality scientific journals, and presenting the research project at regional and national conferences. • Submission of an application for a clinical reseach fellowship for a PhD / MD within the three years of the post. Management And Mentoring: Trainees will receive academic and clinical mentorship through both senior academic and clinical tutors (including Professor Croft, Professor Davies, Professor van der Windt, Dr George Peat, Dr Mallen and Dr Kadam and the Nephrology consultants, Drs Wessells, Tomlinson, De Takats, Thompson and Reddy). The mentor will meet with the trainee at regular intervals to develop a personalised programme and monitor progress through the academic curriculum. Post holders must always be aware of their nominated Educational supervisor. It will be this person who will undertake appraisal. Page 4
  5. 5. Professor Peter Croft (Clinical Epidemiology) and Professor Simon Davies (Academic and Clinical Nephrology) are academic programme leads, overseeing all aspects of the Academic Clinical Fellows’ training programme, liaising with the clinical and academic supervisors and acting as a mentor to all participants. Informal discussions prior to application for these posts are strongly recommended. Professor Peter Croft Professor Simon Davies Clinical Competencies: The post holder will be subject to the requirements of the Post Graduate Deanery for clinical training in core GIM training (ST1 and ST2) and nephrology (ST3 and beyond). For details of the current GIM and Renal Medicine curricula, competencies and their associated assessments see the JRCPTB website: core medical training is now embedded in the 2009 GIM curriculum: . Nephrology training will be further defined in the 2010 Renal Curriculum shortly to be published. Trainees will be expected to attend regular meetings with their nominated educational supervisor. The post holder would be expected to obtain MRCP II before completing this fellowship. Induction, appraisal and assessment: The post holders will complete general induction into their base acute Trusts and will have induction into the individual specialties as they rotate through the programme. Research resources Renal Research Facilities and expertise: research is undertaken in a purpose built clinical research facility located next to the nephrology out-patient centre at the Royal Infirmary site. Facilities include a laboratory for near patient measurements, freezer storage of samples and a sample preparation laboratory. Additional clinical research facilities are located in the Guy Hilton Centre where there is a breath analysis laboratory. Expertise includes measurement techniques such as isotope dilution, bio-electrical impedance, breath analysis, data management, database development and the running and analysis of multi-centre multi-national cohort and UK portfolio studies. Expertise groups within the arcNPCC: include the clinical trials unit, the bio-statistics team, clinical epidemiology, surveys and cohort management, qualitative research, health economics (in collaboration with Birmingham University), health informatics, systematic reviewing, and research governance and management. The Keele GP Research Network: 29 general practices, who receive training, support and feedback on the quality of their consultation data recording. The high quality data provides the basis for the Unit’s epidemiological studies of consultations related to musculoskeletal illness, and supports patient recruitment to trials and other studies. For further information on Keele University Institute for Science and Technology in Medicine visit Page 5
  6. 6. For more information on the arcNPCC research team and their research programme, visit the Centre website on Academic nephrology team: • Professor Simon Davies • Professor David Smith, FRS • Professor Patrik Spanel • Dr Kay Tan, Research Fellow (funded by Renal Discoveries). • Dr Mark Lambie, Research Fellow (GLOBAL FLUID STUDY) • Dr Zanzhe Yu, Research Fellow (Dorothy Hodgkin MRC Research Fellowship) • Dr Frauke Wenzelburger Cardiology Research Fellow Clnical Epidemiology team: • Peter Croft: Professor of Primary Care Epidemiology • Danielle van der Windt: Professor of GP Epidemiology • Dr Kelvin Jordan: Reader in Biostatistics • Dr Elaine Thomas: Reader in Biostatistics • Dr George Peat: Senior Lecturer in Clinical Epidemiology • Umesh Kadam: Senior Lecturer in GP Epidemiology • Christian Mallen:Senior Lecturer in General Practice • Mark Shapley: Senior Research Fellow Arthrtis Research Campaign National Primary Care Centre (arcNPCC) team • Peter Croft, Professor of Primary Care Epidemiology, Director • Rhian Hughes: Co-director, Arthritis Research Campaign National Primary Care Centre • Elaine Hay, Professor of Community Rheumatology • Danielle van der Windt, Professor of GP Epidemiology • Pauline Ong, Professor of Health Care Research • Julius Sim, Professor of Health Care Research • Chris Main, Professor: Psychology of Pain Management • Jon Packham: Honorary Senior Lecturer/ Consultant Rheumatologist • Krysia Dziedzic, ARC Senior Lecturer in Physiotherapy • George Peat, Senior Lecturer in Clinical Epidemiology • Nadine Foster, Senior Lecturer in Therapies • Kelvin Jordan, Reader in Biostatistics • Elaine Thomas, Reader in Biostatistics • Martyn Lewis, Senior Lecturer in Biostatistics • Kate Dunn, Senior Lecturer in Epidemiology • Clare Jinks, Senior Lecturer in Health Services Research • Umesh Kadam, Senior Lecturer in Genetal Practice • Jane Richardson, Senior Lecturer in Health Services Research • Christian Mallen,Senior Lecturer in General Practice Page 6
  7. 7. • Ed Roddy: Lecturer / Consultant Rheumatologist • Sam Hider: Rheumatology Clinical Lecturer Many other academics within the centre may also act as supervisors for academic trainees. For more information on the arcNPCC research team and the research programme developed by the team, visit the Centre website on Page 7
  8. 8. University Hospital of North Staffordshire NHS Trust University Hospital of North Staffordshire (UHNS) NHS Trust is one of the biggest and busiest acute hospitals in the country, with an annual budget exceeding £200 million. The hospital serves almost 500,000 people in North Staffordshire and provides a range of speciality services for more than 3,000,000. It employs around 6,000 staff and has over 1,300 beds. In February 2002 the Government gave the go-ahead in principle for a £200 million scheme to modernise health services in North Staffordshire, including a new hospital. An undergraduate medical school was developed at the hospital, with the first students arriving in 2002. In the last financial year the hospital saw more than 78,000 in-patients and 37,000 day cases, took 104,500 new outpatient referrals and 261,000 outpatient follow-up appointments. In total, the Trust handled nearly 131,000 emergency attendances. The Hospital is based at Hartshill in the city of Stoke-on-Trent, where it has two main sites, the City General and the Royal Infirmary. Between the two, another site accommodates the Central Outpatients Department, the Central Pathology Laboratory and some other smaller departments. The Haywood Hospital is based five miles away from the main complex in Burslem and has strong links and working relationships with both the Locomotor Division UHNS and Stoke PCT. The Trust has 4 clinical Divisions, which are in turn made up of smaller Clinical Directorates. The Divisions are Medicine, Surgical, Diagnostic & Treatment Centre, and Corporate Services. The Trust Board determines the strategic direction of the Trust and fulfils statutory duties. The Executive Board has responsibilities to translate strategy into policy and action. The Clinical and Management Forum concentrates on clinical and operational issues centred on delivering patient care. The Nephrology Department is within the Division of Medicine (Specialised Services) and provides all aspects of services for patients with kidney disease for a catchment area of approximately 1.2 million, including satellite dialysis units in Crewe and Stafford. There are seven consultant nephrologists and a consultant nurse leading teams with expertise in general nephrology (inpatient and outpatient), peritoneal and haemodialysis (~340 patients), transplantation (~280 patients), chronic kidney disease, acute renal failure and intensive care medicine, hypertension, with joint clinics for vasculitis, pregnancy and diabetes. Currently there are 4 SpR training posts and 3 clinical research fellows. Keele University Keele University places high value on excellent research and supports internationally competitive expertise throughout the Natural Sciences, Social Sciences, Health and Humanities. It aims to provide an environment where high quality research and enterprise can flourish, and where we can encourage multidisciplinary work and support researchers to share their expertise to the benefit of the UK economy and the nation’s quality of life. Seven ‘Research Institutes’ including the Arthritis Research Campaign National Primary Care Centre provide this support and an environment for growth. The university has strongly supported the arc National Primary Care Centre. A £3,000,000 funding initiative for purpose-built offices to house our group was completed in 2004 and has been integrated with development of academic capacity by investment in early-experience researchers. Since 2001, the University has promoted 10 post-doctoral staff in the group to University Lectureships and Senior Lectureships Page 8
  9. 9. North Staffordshire North Staffordshire is an area of contrasting scenes at the heart of Britain and covers approximately 340 square miles. It is bordered to the west by Shropshire and to the northeast by the Derbyshire Peak District and is separated from the Black County to the South by some 30 miles of agricultural land, in the middle of which lies the county town of Stafford. The Trust’s boundaries are corresponding to those of the local government districts of Newcastle-under-Lyme, Stoke-on-Trent and Staffordshire Moorlands. About two thirds of the population is concentrated in the conurbation of the City of Stoke-on- Trent and the Borough of Newcastle-under-Lyme. Housing is plentiful, varied and cheap, with excellent schooling and cultural facilities available, and there are fast road and rail links. The Potteries Shopping Centre is the award winning focal point of the City Centre (Hanley) which has many major high street stores as well as an indoor and outdoor market. Home to the world’s most beautiful china, Stoke-on-Trent has three Visitor Centres at Wedgwood, Royal Doulton and Spode, and many factory shops to visit. Gladstone Pottery Museum provides “hands on “ experience and the City Museum and Art Gallery has a wide variety of exhibitions and events throughout the year. The Borough of Newcastle-under- Lyme was granted its first charter by Henry II in 1173 and, under the protection of the new castle from which its named derived, the town soon became the main route and market centre in North Staffordshire. Today, Newcastle remains a busy market town, with many charming villages on the outskirts, and beautiful surrounding countryside. Staffordshire Moorlands District is a large upland area where stockbreeding is the main farming activity. The numerous walking and cycling routes enable visitors to appreciate the area’s spectacular view of charming countryside and the main villages of character. A main attraction of the area is Alton Towers, famous for its white-knuckle rides, shows and attractions set in 19th century parklands. Along with nature reserves and a steam railway to visit, Staffordshire Moorlands offers other activities including climbing and boating. Stoke-on- Trent and Newcastle-under-Lyme are adjacent to the M6 (Junction 15) motorway, about one hour’s drive from both Manchester and Birmingham. There is an Inter City rail service, with London less than two hours away, and three international airports within a 50-mile radius. The indigenous population has been remarkably stable for several generations – presenting considerable opportunities for longitudinal studies and research into epidemiological problems. The population is diminishing slowly. The 1991 census population numbered 462,000 and is projected to fall to 448,000 by the year 2000 (OPCS). In 1990, 18.75% of the population were under the age of 15 years and 16.0% were aged 65 years or over. Page 9
  10. 10. USEFUL LINKS AND FURTHER READING For further information about Keele Clinical Epidemiology posts contact: Professor Simon Davies: The following links may be useful: Arthritis Research Campaign National Primary Care Centre Committee of Modernising Medical Careers and the UK Clinical Research Collaboration. March 2005 Medically- and dentally-qualified academic staff: Recommendations for training the researchers and educators of the future. Academic Careers Sub- Pocket Guide to Academic Training Career advice Information on West Midlands Deanery’s Foundation Programmes Integrated academic training National Coordinating Centre for Research Capacity Development North Staffordshire and Keele University Vocational Training Scheme Page 10
  11. 11. SUPPLEMENTAL PERSON SPECIFICATION FOR ALL CANDIDATES APPLYING FOR AN ACADEMIC CLINICAL FELLOWSHIP ESSENTIAL DESIRABLE WHEN EVALUATED1 ELIGIBILITY - Evidence of achievement - Evidence of commitment to Application form of Foundation competences the specialty e.g. Intercalated honours for BSc and/or additional qualifications e.g MSc etc - Distinction or honours during MBBS programme - Completion of Academic Foundation Programme or equivalent KNOWLEDGE & - Demonstration of - Demonstration of good Application Form and ACHIEVEMENTS acquisition of the level of general knowledge / broad selection centre knowledge and skills interest in science and necessary for the academic medicine completion of F2 - Prizes or distinctions - Demonstration of, - Presentation of work at a understanding of, and national or international commitment to, an meeting academic career - Publications in peer - Demonstration of, reviewed journals understanding of, and - Additional degree or MSc commitment to, a clinical in relevant subject area career in nephrology - Research experience Demonstration of knowledge of the clinical academic career pathway EDUCATIONAL & - Demonstration of - Demonstration of Application Form and PERSONAL understanding and educational reasons for selection centre ASPECTS commitment to academic applying for this Academic career Clinical Fellowship - Support of an academic programme. referee for this application. - Demonstration of personal reasons for applying for this Academic Clinical Fellowship programme COMMUNICATION - As for standard person - Evidence of team working Application Form and SKILLS specification criteria skills selection centre - Evidence of leadership potential - Evidence through scientific publications and presentations Please note that candidates with MB/PhDs or other relevant higher degrees are eligible for the scheme and are advised to consult the paper ‘Academic Clinical Fellowships and Clinical Lectureships: Eligibility, Entry and Exit Points in relation to MMC’ which can be downloaded from the NCCRCD website 1 ‘when evaluated’ is indicative, but may be carried out at any time throughout the selection process Page 11
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