Walport / Academic Clinical Fellowships – An Insider's Guide

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  • 1. Walport / AcademicWalport / Academic Clinical Fellowships Clinical Fellowships An Insiders GuideAn Insiders Guide Joanna DowmanJoanna Dowman Academic Clinical Fellow in GastroenterologyAcademic Clinical Fellow in Gastroenterology BirminghamBirmingham

2. OutlineOutline What is a Walport / Academic ClinicalWhat is a Walport / Academic Clinical Fellowship (ACF)?Fellowship (ACF)? Applying for an ACFApplying for an ACF Locations and number of GastroenterologyLocations and number of Gastroenterology ACF posts availableACF posts available Advantages and disadvantages of an ACFAdvantages and disadvantages of an ACF How might an ACF influence your careerHow might an ACF influence your career path?path? 3. What is an Academic ClinicalWhat is an Academic Clinical Fellowship?Fellowship? Aimed at specialist trainees who canAimed at specialist trainees who can demonstrate potential as a clinical academicdemonstrate potential as a clinical academic Protected time for research leading toProtected time for research leading to application for PhD / higher degreeapplication for PhD / higher degree Issued with NTN (A)Issued with NTN (A) Duration up to 3 yearsDuration up to 3 years 75% time in clinical training; 25% in research75% time in clinical training; 25% in research 4. My ACF Year 1My ACF Year 1 Started ACF December 2006Started ACF December 2006 Clinical training in large DGHClinical training in large DGH Usual SpR dutiesUsual SpR duties eg. endoscopy, clinics, on-callseg. endoscopy, clinics, on-calls 1 day/week in liver research labs1 day/week in liver research labs Experience of basic lab techniquesExperience of basic lab techniques eg. cell culture, immunohistochemistry, PCR,eg. cell culture, immunohistochemistry, PCR, Western blotsWestern blots 5. ACF - Year 2ACF - Year 2 Clinical work at QEH Liver UnitClinical work at QEH Liver Unit 1 week in 4 spent in research1 week in 4 spent in research Currently working on 2 projectsCurrently working on 2 projects (NASH related)(NASH related) Aim to apply for research training fellowshipAim to apply for research training fellowship later this yearlater this year (Wellcome trust, MRC, CORE)(Wellcome trust, MRC, CORE) Start PhD next year if successfulStart PhD next year if successful 6. What if I dont obtain funding or dontWhat if I dont obtain funding or dont like research?like research? ACF trainee will rejoin non-academic clinicalACF trainee will rejoin non-academic clinical specialty training programmespecialty training programme If unsuccessful in obtaining fellowship after 3If unsuccessful in obtaining fellowship after 3 yearsyears If no longer wishes to continue researchIf no longer wishes to continue research An ACF does not representAn ACF does not represent a commitment to aa commitment to a PhD or academic careerPhD or academic career 7. Applying for an ACF - EligibilityApplying for an ACF - Eligibility Trainee must be eligible to apply for specialtyTrainee must be eligible to apply for specialty training post or already hold SpR / StR posttraining post or already hold SpR / StR post Not aimed at individuals with PhD although notNot aimed at individuals with PhD although not excludedexcluded Open to FTSTAsOpen to FTSTAs Applicants may also apply for non-academicApplicants may also apply for non-academic specialty trainingspecialty training Part-time ACFs are an option; maximum of 5 yrsPart-time ACFs are an option; maximum of 5 yrs 8. Application ProcessApplication Process Described in detail onDescribed in detail on NCCRCD website:NCCRCD website: www.nccrcd.nhs.ukwww.nccrcd.nhs.uk// Requirements:Requirements: Completed application formCompleted application form Ability to demonstrate outstanding potential as aAbility to demonstrate outstanding potential as a clinical academic in research and/or educationclinical academic in research and/or education Academic refereeAcademic referee 9. Availability of ACF postsAvailability of ACF posts Total 250 ACFs in 2008Total 250 ACFs in 2008 Spread across countrySpread across country Most specialties includedMost specialties included Relatively few inRelatively few in Gastroenterology 30 ACFSGastroenterology 30 ACFS between 2006-2010 acrossbetween 2006-2010 across 6 centres6 centres 10. DeaneryDeanery InstitutionInstitution NorthernNorthern NewcastleNewcastle North WestNorth West ManchesterManchester West MidlandsWest Midlands BirminghamBirmingham East MidlandsEast Midlands NottinghamNottingham LondonLondon Royal Free / UCLRoyal Free / UCL Imperial CollegeImperial College 11. InstitutionInstitution Total overTotal over 5yrs5yrs 20062006 20072007 20082008 20092009 20102010 NewcastleNewcastle 33 (Hep)(Hep) 11 00 11 00 11 ManchesterManchester 77 (GI)(GI) 11 11 11 22 22 BirminghamBirmingham 22 (GI)(GI) 11 00 00 11 00 NottinghamNottingham 99 (GI)(GI) 22 22 11 22 22 RoyalRoyal Free/UCLFree/UCL 22 (GI,Hep)(GI,Hep) 00 00 11 00 11 ImperialImperial CollegeCollege 66 (GI)(GI) 11 (Hep)(Hep) 22 00 00 00 22 11 00 00 22 00 12. Academic Clinical FellowshipsAcademic Clinical Fellowships AdvantagesAdvantages andand DisadvantagesDisadvantages 13. Benefits of an ACF..Benefits of an ACF.. Juggling full-time clinical work with research isJuggling full-time clinical work with research is difficultdifficult ACF provides opportunity to continue clinicalACF provides opportunity to continue clinical training with dedicated research time set asidetraining with dedicated research time set aside 14. More Benefits of an ACF..More Benefits of an ACF.. More informed decision prior to undertaking higherMore informed decision prior to undertaking higher research degreeresearch degree Acquisition of basic lab knowledge/skills allowingAcquisition of basic lab knowledge/skills allowing immediate commencement of project laterimmediate commencement of project later Strong position when applying for research trainingStrong position when applying for research training fellowshipfellowship Established potential as clinical academicEstablished potential as clinical academic Project to be undertaken in major research centreProject to be undertaken in major research centre 15. Even More Benefits of an ACF..Even More Benefits of an ACF.. PublicationsPublications Attending / presenting atAttending / presenting at academic meetingsacademic meetings NetworkingNetworking Experience and skills gainedExperience and skills gained will be useful whateverwill be useful whatever your future careeryour future career 16. Disadvantages of an ACFDisadvantages of an ACF Less time for clinical training Less time for clinical training a potentially greater problem ina potentially greater problem in procedure-oriented specialtiesprocedure-oriented specialties But training now competency ratherBut training now competency rather than time basedthan time based -- no longer a time-served requirementno longer a time-served requirement 17. Disadvantages of an ACFDisadvantages of an ACF Initial teething problems for firstInitial teething problems for first cohort of ACFs cohort of ACFs lack of structure in research settinglack of structure in research setting unfamiliarity with scheme inunfamiliarity with scheme in clinical settingclinical setting should improve with experienceshould improve with experience 18. ACF What Next?ACF What Next? Option to resume non-academicOption to resume non-academic clinical specialist trainingclinical specialist training Apply for Clinical Lectureship (CL)Apply for Clinical Lectureship (CL) Part of integrated academic pathwayPart of integrated academic pathway 50% research, 50% clinical50% research, 50% clinical Requires prior completion of PhDRequires prior completion of PhD or equivalentor equivalent Duration up to 4 yrsDuration up to 4 yrs 19. ACF What Next?ACF What Next? After Clinical Lectureship, may proceed toAfter Clinical Lectureship, may proceed to Intermediate/Senior Lectureship orIntermediate/Senior Lectureship or Clinician Scientist FellowshipClinician Scientist Fellowship Additional opportunities for careerAdditional opportunities for career progression through:progression through: NetworkingNetworking PresentationsPresentations PublicationsPublications 20. SummarySummary ACFs offer unique opportunityACFs offer unique opportunity to combine clinical and academic trainingto combine clinical and academic training Duration 3 yrs - 75% clinical; 25% researchDuration 3 yrs - 75% clinical; 25% research Prepare trainee to undertake PhD/higher degreePrepare trainee to undertake PhD/higher degree May continue research as Clinical LecturerMay continue research as Clinical Lecturer Many additional opportunities:Many additional opportunities: Publishing; conferences; networkingPublishing; conferences; networking Main disadvantage is reduction inMain disadvantage is reduction in clinical training timeclinical training time 21. Questions?Questions?