Integrated clinical academic training: England

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Integrated clinical academic training: England

  1. 1. Integrated clinical academic training: England Jim Neilson NIHR Dean for Training [DATE]UKFPO Nov09
  2. 2. New Government Strategy 2006
  3. 3. NIHR: NHS60 60 years of research benefiting patients: • 1948-58 Lung cancer & smoking • 1959-68 Hip replacement • 1969-78 Glasgow coma scale/first IVF baby • 1979-88 Genetically engineered hep B vaccine • 1989-98 Prenatal corticosteroids • 1999-2008 Bioengineering heart valves
  4. 4. DH NHS Constitution: commitment ‘to the promotion and conduct of research’. NHS Operating Framework: ‘the NHS must play its full part in supporting health research’. ‘all providers of NHS care will need to increase their participation in research.’ ‘the national ambition is to double the number of patients taking part in clinical trials within 5 years.’ ‘SHAs are expected to ensure that NHS Trusts work with NIHR CCRN locally to contribute to this progressive increase’.
  5. 5. Infrastructure Clinical Research Facilities & Centres Clinical Research Networks Research Research Projects & Programmes Research Governance Systems Research Information Systems Systems Patients & Public Universities Investigators & Senior Investigators Associates Faculty Trainees Research Units & Schools NHS Trusts
  6. 6. UK • 6.5% of consultants (specialists) are clinical academics • Research Assessment Exercise
  7. 7. Consultants 2000 cf 2008 NHS Academic Anaesthetics +41% -29% Obstet Gynaecol +39% -28% Paediatrics +58% -4% Pathology +19% -54% Medicine +45% +49% Psychiatry +29% -7% Public health +23% -7% Radiology +40% -23% Surgery +43% -7% MSC May 2009
  8. 8. Medical Schools Council • All lecturer posts 53% • Lecturer posts 2008 cf 2000
  9. 9. ‘Walport Report’ • March 2005 • ‘Medically- and dentally-qualified academic staff: Recommendations for training the researchers and educators of the future’. • England, Scotland, Wales, Northern Ireland.
  10. 10. ‘Walport Report’ • Deterrents to academic medicine and dentistry training in the UK: – Lack of clear career structure – Lack of flexibility in balance of clinical and academic training, and geographical mobility – Shortage of appropriate posts on completion of training.
  11. 11. Doctors and Dentists NIHR Integrated Academic Training All Professions NIHR Fellowships Nurses, Midwives, Allied Health Professionals Clinical Academic Training NIHR Clinical Lectureship NIHR Clinician Scientist Award Masters in Health Economics NIHR Doctoral Research Fellowship NIHR Post- Doctoral Fellowship NIHR Career Development Fellowship NIHR Senior Research Fellowship NIHR/CNO Masters in Clinical Research NIHR/CNO Clinical Doctoral Research Fellowships Level of AwardOther Awards -------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------- Senior/ Pre-Chair ---------------------------------------------------------------------------------------------------------------------------- NIHR Research Career Pathways Senior Post-Doc Early Post-Doc Doctoral Pre-Doctoral/ Masters Undergraduate NIHR/CNO/HEFCE Senior Academic Clinical Lecturer In-Practice Fellowships and NIHR Academic Clinical Fellowships NIHR/CNO Clinical Lectureships CSO Health Care Scientist Doctoral Fellowship CSO Health Care Scientist PostDoctoral Fellowship
  12. 12. Research Funding Medical Research National Institute for Council (MRC) Health Research (NIHR) Basic Patient based Wellcome Trust, Cancer Research UK, other charities.
  13. 13. IAT implementation plan 2009 • NIHR ACFs 25% research training, 3 years (4 GPs) • NIHR CLs 50% post-doctoral research, 4 years, matched posts • Locally funded ACFs • Each medical school allocated posts to be managed in partnership with deanery and trust(s) • 200/250 ACFs and 80/100 CLs allocated by formula based on major NIHR funding (BRCs, BRUs, CLAHRCs etc) • Minimum 2 ACFs per medical school
  14. 14. IAT – current issues • Taught courses • Annual appraisal (ARCP) • Quality assurance • Mentorship • Bursary • Leadership training • Career tracking • Specialty spread
  15. 15. IAT • Not the only route
  16. 16. JP Neilson NIHR Dean for Training jneilson@liv.ac.uk Dr Lisa Cotterill Director NIHR Trainees Co-ordinating Centre lisa.cotterill@nihrtcc.org.uk [DATE]

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