1. Academic training opportunities Jeremy Levy Head of London School of Medicine Director academic foundation training programmes, NWTFS Director of Postgraduate Medical Education Imperial College Healthcare NHS Trust KIDNEY AND TRANSPLANT INSTITUTE Imperial College

2. What is academic medicine? Combining clinical medicine with research or teaching in one form or another Lab based, clinical trials, community or public health, translational, pure science, teaching, training … Shouldn’t all doctors being doing this? Lots of routes into academic medicine Aiming to do dedicated period of research leading to MD/PhD during training

3. Can everyone/anyone do research ? No, and funding not available for all If an NTN holder need permission from STC/Deanery, and 3 months+ notice to start Need approval for time out from FP or ST grades Don't need approval in gaps between training segments Cant “defer” start to ST1 unless already registered for higher degree.. Just don't apply in any given year

4. Can it be combined with clinical training contemporaneously? Full time research - No. It is possible to set it up, and conduct clinical research to a degree, but not full time research (eg ACF programmes). Can be if MSc (eg part time). Of course can/should be combined in a training scheme with time off for research

5. When to do it The big question ! Contentious. No correct answer. If before ST3 post - younger, more energetic, more likely to become a greater scientist ? BUT poorly differentiated as a doctor, may not fit with future career, older when doing nights etc as SpR/ST3+, long gap between research and finishing training. Run through specialties eg pathology/paeds/public health easier at early stages (ie ST1/2)

6. When to do it Ideally after one or two years of SpR training? ie after ST4.. Makes combining training easier if want to continue in clinical medicine, but older when starting research career so may not become the best! CANNOT start it in the last year of SpR training.

7. Clinical academic training pathway F2 F1 ST4ST3ST6ST5 Medical School SSM BSc MB/PhD 4/12 academic placement Academic Foundation Programme NTN(A) Academic Clinical Fellow (75:25) Training Fellow Clinician Scientist Clinical Lecturer (50:50) CCT NB 1 Easy transfer with clinical training programme 2. Includes training pathway in medical education PhD/MD CT1CT2 ST7

8. Integrated academic training pathway Academic Clinical Fellows 25% of time in research/education 75% of time in specialist training ~250 each year in UK Aiming to get people to then apply for Research Training Fellowship (RTF) for PhD/MD Ends after 2-3 years on obtaining RTF, or return to clinical training

9. ACFs Most start at ST3 level Some at ST1 (eg neuro, paeds, public health, radiology) See NIHRTCCweb site (www.nihrtcc.nhs.uk)www.nihrtcc.nhs.uk Generally advertised in Oct/November BUT vacancies may come up at any time... London deanery web site also advertises all for London

10. Integrated academic training pathway Clinical Lecturers (CLs) 50% of time in post-doc research/education 50% of time in specialist training ~ 100 each year Encouraged to apply for Clinician Scientist Fellowship (CSF) Ends after up to 4 years on obtaining CSF, or apply for Sen Lect, or return to clinical training/full time NHS post

11. ACF not only route No reason cant be applying for research fellowship from routine clinical post.. Need to approach lab / research principal investigator, plan in advance, submit proposal to funding body for salary... Based on YOU, the project and the lab Your preparation will be at weekends/evenings Dont forget MRC/Wellcome centres, and pure science labs..

12. Funding for research fellowships MRC/Wellcome/BHF/Action research/ARC NKRF/industry/soft money …. Imperial has dedicated PhD fellowship funding from MRC and Wellcome Usually for you but potentially for the project/department

13. Academic careers ASK consultants NOW, plan early, apply early

14. Applications to NW Deanery 2008

15. The Last Day 7 pm 11 pm 11:45 pm

16. What next Plan early. Look at NIHRTCC. Decide on geography. Grant funding competitive – depends on project AND person usually. ACF and CL scheme not always very competitive Get a case report or clinical project published NOW! Make contacts.. ICHNT fantastic place to do so. Use the time even if not for 2 or 3 years, including MRC/Wellcome centres