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Academic Clinical Fellow in Paediatric Cardiology 2010 – 2013
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Academic Clinical Fellow in Paediatric Cardiology 2010 – 2013

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  • 1. Academic Clinical Fellow in Paediatric Cardiology 2010 – 2013 Specialty Paediatric Cardiology Start Point ST3 Duration of the Post 3 years Lead NHS Hospital/Trust in which training will take place Southampton University Hospitals NHS Trust (SUHT) Research institutions in which training will take place Institute of Developmental Sciences & Medical Research Council Epidemiology Resource Centre, Developmental Origins of Health and Disease Division, School of Medicine, University of Southampton. What arrangement of day release or block release will be used for protected research time? The 25% additional salary support provided by the scheme over the 3 year period will be used to pay for locum cover for a 6-9 month period of protected research training (6 months in the second year of the appointment, and a further three months in the third year if necessary). During this time however there will be some ongoing clinical training to maintain competencies and provide continuity in service delivery. The research training provided during the first and third years of the appointment will take place during the usual allocated research session in all specialist registrar posts and therefore will not need service cover. This integrated clinical and academic training configuration has been agreed with the Specialist Training Committee in Paediatric Cardiology (Programme Director: Dr James Gnanapragasam, Consultant Paediatric Cardiologist, Southampton University Hospitals NHS Trust). Description of research component of programme The research objectives of this training programme are: 1. To undertake generic research methods training through a programme run by the School of Medicine Postgraduate School. 2. To obtain specific clinical and epidemiological research methods training including study design, data collection, summary and analysis of data and interpretation of findings. 3. To develop a research proposal for an externally funded research training fellowship to be undertaken within the Developmental Origins of Health and Disease (DOHaD) Division and allied “shadow” SUHT Cardiovascular Biomedical Research Unit. 4. To submit applications for research training fellowships in national competition such as MRC, National Institute of Health Research & British Heart Foundation.
  • 2. The Academic Clinical Fellow will receive specialist research training from the Institute of Developmental Sciences (IDS, Professor Mark Hanson) and the Medical Research Council Epidemiology Resource Centre (MRC ERC, Professor Keith Godfrey). The two groups have a strong record of clinical and experimental research into developmental influences on cardiovascular health, and have secured £25m in research grants including an ongoing British Heart Foundation Programme Grant (PI, Prof Hanson). The MRC ERC includes 4 MRC Clinical Scientists and 6 University Clinical Professors and is an international focus for excellence in epidemiological research, including the highly regarded and popular annual Southampton Epidemiology for Clinicians course. With the Wessex Cardiac Centre at SUHT, the IDS and MRC ERC are developing a Cardiovascular Research Institute for basic and applied clinical research directed towards i) understanding life course pathways leading to risk of cardiovasular disease, ii) defining biomarkers to stratify risk, iii) using biomarkers to identify need for intervention, iv) developing interventions and treatments to modify risk, v) monitoring of intervention and treatment efficacy and cost effectiveness. Such a life course approach is the hallmark of Southampton research, enabling us to conduct excellent complementary clinical research in perinatal, (mother and offspring groups), children and adults. This was a key factor in our award of two NIHR Biomedical Research Units in Nutrition and Respiratory disease. The IDS and MRC ERC have extensive experience of matching students to projects, both clinical and non-clinical. The groups have a long tradition of successful research training for clinicians as evidenced by success in obtaining MRC and Wellcome Clinical Fellowships. The track record of Clinical Trainees passing through the DOHaD Division is one of excellence. The ACF will spend 9 months embedded within a group within the DOHaD Division. It is anticipated that they will remain within this group and apply for a Clinical Research Fellowship, having acquired basic research skills, critical evaluation and preliminary data. During the first 2 years, the ACF will have an opportunity to interact with Group Leaders in order to plan their period of research and to refine their interests. All ACFs in Southampton have access to a formal taught postgraduate research training programme which includes Statistics, Trial design, Epidemiology, Ethics, Research governance, and Project design. In addition, Roberts funded transferable skills courses are available to ACFs including GCP, Time management, Leadership, Grant writing, and Presentation skills. Description of clinical training component of programme The trainee will join the Wessex Specialist Training Programme in Paediatric Cardiology which is coordinated through the Wessex Deanery. Experience offered will cover the training needs of future consultants in all aspects of Paediatric Cardiology as well as academic career development. The three years will be spent in a combination of clinical posts chosen to provide comprehensive training in all areas of clinical practice. The programmes of specialist training in Paediatric Cardiology have been
  • 3. approved by the JRCPTB and the Royal College of Paediatrics and Child Health. Clinical training will be in the Congenital Cardiac Centre at the Southampton University Hospital which has a strong track record of excellence in health service delivery and development across a wide range of cardiology services. The ACF will gain both inpatient and outpatient experience and will be expected to assist in the supervision of junior medical staff and be responsible for day to day management of inpatients. They will be expected to attend management courses during their employment, including education in hospital management, financial management and contracting, information technology, interviewing and selection, and dealing with litigation and other complaints. Specialist clinical services include routine clinical work including ward rounds, cardiac aspects of intensive care management of peri-operative patients including neonates, children and adults with congenital heart disease. There will be also exposure to specialized aspects of paediatric cardiology including cardiac catheterization and intervention, foetal cardiology, electrophysiology and cardiac imaging. The trainee's timetables is tailored to their specific training needs and involves regular meetings with the nominated educational supervisor to ensure that progress is regularly reviewed. Throughout the period of clinical training there will be a commitment to out of hours cover. This will be voluntary during the research period. Appraisals are provided by an educational supervisor at induction to form an educational agreement with the trainee, and then six monthly to ensure the trainee is meeting their learning objectives. This programme has been agreed with the Specialist Training Committee in Paediatric Cardiology (Programme Director and STC chair: Dr James Gnanapragasam, Consultant Paediatric Cardiologist). Academic Lead (University) for the IAT Programme Professor Tony Kendrick. Professor of Primary Medical Care. University of Southampton. Aldermoor Health Centre Southampton SO16 5ST a.r.kendrick@soton.ac.uk Academic Supervisor (University) details Professor Mark Hanson Professor of Cardiovascular Sciences Developmental Origins of Health and Disease Division (DOHaD) University of Southampton Mailpoint 887, Institute of Developmental Sciences Building Southampton General Hospital Southampton SO16 6YD Tel: 02380 798421 Email m.hanson@soton.ac.uk
  • 4. Educational Supervisor (Trust) details Dr Tony Salmon in rotation with other cardiologists Consultant in Paediatric Cardiology Wessex Cardiac Centre Southampton University Hospitals NHS Trust Southampton SO16 6YD Tel 023 8077 7222 ext 6724 Email Tony.Salmon@suht.swest.nhs.uk Clinical Supervisor(s) (Trust) details Dr Joseph Vettukattil Consultant in Paediatric Cardiology Southampton University Hospitals NHS Trust Southampton SO16 6YD Tel 023 8077 7222 ext 8825 Email Joseph.Vettukattil@suht.swest.nhs.uk Deanery Programme Training Director details Dr James Gnanapragasam Consultant in Paediatric Cardiology Wessex Cardiac Centre Southampton University Hospitals NHS Trust Southampton SO16 6YD Tel 023 8077 7222 ext 6243 Email James.Gnanapragasam@suht.swest.nhs.uk Availability of an NTN An NTN will become vacant in the year from April 2010 which can be converted into an NTN(a).