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Integrated clinical academic training: England
Jim NeilsonNIHR Dean for Training
[DATE]UKFPO Nov09
New Government Strategy 2006
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
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’.
Infrastructure
Clinical Research Facilities & Centres
Clinical Research Networks
Research
Research Projects & Programmes
Research Governance
Systems
Research Information
Systems
Systems
Patients&
Public
Universities
Investigators &Senior
InvestigatorsAssociates
Faculty
Trainees
Research Units & Schools
NHS Trusts
UK
• 6.5% of consultants (specialists) are clinical academics
• Research Assessment Exercise
Consultants 2000 cf 2008NHS 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
Medical Schools Council
• All lecturer posts 53%
• Lecturer posts 2008 cf 2000
‘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.
‘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.
Doctors and DentistsNIHR Integrated Academic
Training
All ProfessionsNIHR 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
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Senior/Pre-Chair
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NIHR Research Career Pathways
SeniorPost-Doc
Early Post-Doc
Doctoral
Pre-Doctoral/Masters
Undergraduate
NIHR/CNO/HEFCE Senior Academic Clinical Lecturer
In-Practice Fellowshipsand NIHR Academic Clinical Fellowships
NIHR/CNO Clinical
Lectureships
CSO Health Care Scientist
Doctoral Fellowship
CSO Health Care ScientistPostDoctoral Fellowship
Research Funding
Medical Research National Institute forCouncil (MRC) Health Research (NIHR)
Basic Patient based
Wellcome Trust, Cancer Research UK, other charities.
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
IAT – current issues• Taught courses• Annual appraisal (ARCP)• Quality assurance• Mentorship• Bursary• Leadership training• Career tracking• Specialty spread
IAT • Not the only route
JP NeilsonNIHR Dean for Training
Dr Lisa CotterillDirector
NIHR Trainees Co-ordinating [email protected]
[DATE]
