Integrated clinical academic training: England

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Integrated clinical academic training
England Jim Neilson NIHR Dean for Training
DATE
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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

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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.

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Faculty
Associates
Investigators Senior Investigators
Trainees
Universities
Infrastructure
Research
Clinical Research Networks
Research Projects Programmes
NHS Trusts
PatientsPublic
Clinical Research Facilities Centres
Research Units Schools
Research InformationSystems
Research GovernanceSystems
Systems
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UK

• 6.5 of consultants (specialists) are clinical
  academics
• Research Assessment Exercise

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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

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Medical Schools Council

• All lecturer posts 53
• Lecturer posts 2008 cf 2000

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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.

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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.

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NIHR Research Career Pathways
Doctors and Dentists NIHR Integrated Academic
Training
All Professions NIHR Fellowships
Nurses, Midwives, Allied Health Professionals
Clinical Academic Training
Level of Award
Other Awards
NIHR Senior Research Fellowship
NIHR/CNO/HEFCE Senior Academic Clinical
Lecturer
Senior/ Pre-Chair
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NIHR Clinician Scientist Award
NIHR Career Development Fellowship
Senior Post-Doc
NIHR/CNO Clinical Lectureships
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CSO Health Care Scientist PostDoctoral
Fellowship
NIHR Clinical Lectureship
NIHR Post-Doctoral Fellowship
Early Post-Doc
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NIHR Doctoral Research Fellowship
NIHR/CNO Clinical Doctoral Research Fellowships
CSO Health Care Scientist Doctoral Fellowship
Doctoral
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Masters in Health Economics
NIHR/CNO Masters in Clinical Research
In-Practice Fellowships and NIHR Academic
Clinical Fellowships
Pre-Doctoral/ Masters
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Undergraduate
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Research Funding

• Medical Research National Institute for
• Council (MRC) Health Research (NIHR)
• Basic Patient based
• Wellcome Trust, Cancer Research UK, other
  charities.

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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

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IAT current issues

• Taught courses
• Annual appraisal (ARCP)
• Quality assurance
• Mentorship
• Bursary
• Leadership training
• Career tracking
• Specialty spread

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IAT

• Not the only route

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JP Neilson NIHR Dean for Training jneilson_at_liv.ac.
uk Dr Lisa Cotterill Director NIHR Trainees
Co-ordinating Centre lisa.cotterill_at_nihrtcc.org.uk