1. Out of Programme as a Clinical Lecturer in Palliative Care A Respiratory Trainee’s Experience
Dr James Kilbane

2. Background Break from the ‘traditional’ clinical fellowships
2 year post working as part of the Specialist Palliative Care Team in North Wales
Available to trainees in a specialty with a ‘natural’ association with Palliative Care
To gain clinical experience and develop specialist skills in Palliative Care
Make a distinctive academic contribution to the NWCS

3. The Traditional Training Route

4. Undergraduate Training 5 Years MBBCh
PRHO Medicine/Surgery 1
Year
SHO Medicine 3
Years
Higher Training
Specialist /Specialty Registrar 5
Years
CONSULTANT

5. Undergraduate Training 5 Years MBBCh
PRHO Medicine/Surgery 1
Year 3
Years
SHO Medicine
Higher Training
Specialist /Specialty Registrar
OOPT
CONSULTANT

6. The Clinical Lecturer Role
An idea was born…

7. Palliative Care Specialty Training Committee (STC)
Endorse Proposal for Clinical Fellow
“exciting and helpful development for specialist palliative care in Wales”
May 2007
NEWI (GLYNDWR)
Support joint collaboration between NEWT and NWCS
“the clinical lecturer post will support NEWI’s vision of helping to develop a centre for excellence in palliative care across North Wales”
June 2007
Post-Graduate Medical Education and Training Board
(PMETB)
Unconditional approval for post
April 2008
Post Advertised 2009

8. My experience

9. Appointed May 2010
The first appointee to the post
Supported by visiting Professor
Number of areas of focus

10. CLINICAL
ACADEMIC
STUDENT

11. COMPREHENSIVE ASSESSMENT
HOSPITAL
HOSPICE
COMMUNITY
CLINICAL ROLE
COMPLEX SYMPTOMS
COMPREHENSIVE ASSESSMENT
AUDIT
COMMUNICATION
ETHICS

12. Picture

13. CURRICULUM DEVELOPMENT
UNDERGRADUATE
TEACHING
POSTGRADUATE
TEACHING
EDUCATION PROGRAMMES
STAFF DEVELOPMENT
ACADEMIC
CURRICULUM DEVELOPMENT
MENTORSHIP

14. STUDENT
PGCPD

15. The Good Collaborative working (health and academic community)
Wealth of clinical experience within Palliative Care
Development and delivery of academic and practice based education
Leadership/Management skills
Teaching qualification (HEA)

16. The Challenges Getting the balance right- ‘3 hats’ Continuity
Academic environment
Teaching across educational environments

17. The Future OOPT ends April 2011 On going funding for the post?
Provide similar opportunities for other trainees
On going collaborative working between the trust and university
Future links
On going educational development
Future practice: specialist interest, scope for service development

18. Summary
Unique and alternative out-of-programme opportunity for a non-palliative care trainee
Distinctive contribution to teaching and clinical practice
Invaluable clinical/academic experience
Skills which will benefit future clinical practice
Potentials for service development

19. Thank you
Any questions?