Clinical academic careers

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Clinical academic careers
Galenicals, 8th January 20109
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Clinical academic careers
WHAT?
WHY?
HOW?
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Clinical academic careers
WHAT?
Career path in medicine (including surgery)
involving training and experience in teaching
and/or research, leading to a senior level
position in a university
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Clinical academic careers
WHY?
Personal stimulating environments, opportunity
to contribute to training of future
generations, highs and lows of research.
National shortage subject!
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Clinical academic careers
HOW?
Defined career paths now exist, career structure
easier to envisage than previously (but not
necessarily easier to attain!). Competitive,
demanding. Aim is to have true flexibility.
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Clinical academic careers
I did it my way.
1970-77 grammar school in Cornwall
1978-83 MB BS (Hons) London Hospital (didnt do
an intercalated BSc)
1983-4 house jobs, London Hospital
1985-7 SHO, golden mile, London
1987-8 Registrar, Hammersmith Hospital
incurably hooked on nephrology by this
stage encouraged to do research mainly for
reasons of cv enhancement in a competitive
specialty
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Clinical academic careers
I did it my way.
1988 Medical Research Council training
fellowship, Cambridge (3 yrs). PhD 1991
1991 Medical Research Council clinician-
scientist fellowship, Cambridge (4 years).
1995 new Chair of Renal Medicine, Bristol
2007 elected President of Renal Association
2008 Dean, Faculty of Medicine
Dentistry University of Bristol
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Clinical academic careers
I did it my way.
Research
PhD post-doctoral work on autoimmune renal
disease, cytokine genetics
In Bristol, focus on proteinuria (causes,
consequences, treatments)
Research group now 18 people, mixture of
clinical non-clinical backgrounds from UK,
India, Libya etc, collaborations with Sweden,
USA, Canada Funding from MRC, Wellcome
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Clinical academic careers
I did it my way.
Teaching
Undergraduates postgraduates in general
medicine nephrology nurses and PAMs, PhD/MD
students, undergraduate projects for
intercalating medics/other sciences
Rewarding stimulating, opportunity to give
back, encourage others etc. UK Uganda
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Clinical academic careers
I did it my way.
Would I do it again?
Definitely! Especially now with efforts to
construct pathways for clinical academic careers
in UK, availability of mentorship schemes,
shortage of applicants for senior clinical
academic posts etc
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2009 the integrated academic training pathway
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Pathways to a career in academic medicine (
surgery etc!)

• Some health professionals know that they want to
  pursue an academic career while still a student
• Opportunities usually exist to learn about
  research methods during the undergraduate course
• Some will enter medicine already with a degree in
  another subject (graduate entrants)
• For a few there are opportunities to combine
  getting a medical degree with a PhD (MB/PhD
  courses)
• Intercalated BSc (!) other academic credentials

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Academic F2 programme

• University of Bristol in association with the
  Severn Deanery
• Supported by Foundation Programme Directors

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The national scene

• Programmes in all school/deanery partnerships
• Varying numbers of posts
• Different rotations
• Most focus on research
• a few teaching
• a very few leadership and management
• Information on UKFPO website
• Moving to a national application process before
  standard FP opens
• Separate application form
• Interview

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The Bristol programme

• An academic F2 year
• 12 posts
• 1 x 4 month academic post based at UoB
• Each with a day a week in service
• 2 x 4 month service posts at UHBristol/NBT
• Each with a day release for academic work
• Currently research orientated
• Education posts to follow
• Lead onto Academic Clinical Fellowship posts

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The academic posts

• Surgery
• Endocrinology-adult
• General practice
• Clinical epidemiology/public health
• may be subject to change!

• Psychiatry
• Medical physiology
• Paediatrics ID/microbiology
• Paediatrics renal/endocrine

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The curriculum

• Complete F2 competencies in 2 service blocks
• Day release in service blocks for academic work
• Day release back into service in academic block
• Generic research methods course
• 1/2 day/week in block 1
• Complete a piece of academic work 4months
• Literature Review
• Practical project in lab
• Data collection survey, interviews etc
• Write a paper
• Presentation at academic meeting
• Prepare an ACF application

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Generic research methods course

• A selection of the following will be available
• European Computer Driving License
• An Introduction to Epidemiology, Health Services
  Research and Basic Statistics
• Critical Appraisal
• Good Practice in Clinical Research
• Good Practice in Laboratory Research
• Database management
• Writing a research proposal
• Careers in Academic Medicine

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Supervision/mentorship

• Clinical supervisor - each attachment
• Educational supervisor - for the year
• Academic supervisor
• Member of group of 12 F2 trainees

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Desirable Qualities

• No failure in MB BCh
• Additional qualifications eg BA, BSc MSc etc
• Intercalated degree
• Distinctions in MB BCh
• Publication(s)
• Prizes in medical school
• Presentation of work at a national or
  international meeting
• Demonstration of personal reasons for applying
  for this AF2

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Further information
www.acmedsci.ac.uk/p25.html
www.academicmedicine.ac.uk
www.nccrcd.nhs.uk/intetacatrain
www.clinicalacademicjobs.org/medical
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