1. Structure of the STP programme Professor Gerald Armstrong-Bednall, Theresa Fail, Nicky Fleming & Kath Sidoli, MSC Team, Department of Health Dr Derek Pearson, Nottingham University Hospitals NHS Trust

2. Approved 23 Feb 2011 2 General Schema Three year Healthcare Scientist Training Programme (STP) Introductory Academic Block (Minimum of 1 month) Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Workplace Training in an NHS or other approved organisation leading to formal Certification Remainder in Single Specialism training Specialism 1 Specialism 2 Specialism 3 Specialism 4 Themed Rotations Initial 12 months rotational training (3 months in each of 4 specialisms) Academic learning leading to Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace- based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme.

3. Approved 23 Feb 2011 3 Medical Physics Three year Healthcare Scientist Training Programme (STP) Introductory Academic Block (Minimum of 1 month) For remainder of the time, a single specialism from: Radiotherapy Physics Radiation Safety Imaging with Non-Ionising Radiation Imaging with Ionising Radiation Radiotherapy Physics Radiotherapy Physics Radiation Safety Physics Radiation Safety Physics Imaging with Non-Ionising radiation Imaging with Non-Ionising radiation Imaging with Ionising Radiation Imaging with Ionising Radiation Academic learning leading to Themed Rotations Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace- based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Initial 12 months rotational training (3 months in each of 4 specialisms) Workplace Training in an NHS or other approved organisation leading to formal Certification

4. Approved 23 Feb 2011 4 Medical Physics: Points of Note 1.Working group with representatives nominated by IPEM Science Board 2.Curriculum recognises: Everyone needs an understanding of Clinical Measurement Each curriculum needs to equip trainees with the ICT skills they need to deliver the service in their chosen specialism The role of imaging in Radiotherapy Physics Multi-modality imaging, e.g. working in Nuclear Medicine need to understand CT, cone beam CT, MRI, PET…. The therapeutic aspects of Nuclear Medicine, UV and ultrasound

5. Approved 23 Feb 2011 5 Clinical Engineering Three year Healthcare Scientist Training Programme (STP) Introductory Academic Block (Minimum of 1 month) For remainder of the time, a single specialism from: Rehabilitation Engineering Clinical Measurement & Development (this specialism results from combining Design & Development with Clinical Measurement & ICT) Device Risk Management & Governance Rehabilitation Engineering Rehabilitation Engineering Design & Development Design & Development Device Risk Management & Governance Device Risk Management & Governance Clinical Measurement & ICT Clinical Measurement & ICT Academic learning leading to Themed Rotations Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace- based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Initial 12 months rotational training (3 months in each of 4 specialisms) Workplace Training in an NHS or other approved organisation leading to formal Certification

6. Approved 23 Feb 2011 6 Clinical Engineering: Points of Note 1.Working group with representatives nominated by IPEM Science Board 2.Curriculum recognises: Everyone needs an understanding of Clinical Measurement Each curriculum needs to equip trainees with the ICT skills they need to deliver the service in their chosen specialism Clinical Measurement & Development recognises our role in developing novel medical devices, clinical measurements and software development Medical Device Risk Management & Governance recognises our role in supporting CQC Outcome 11 and risk managing the management and use of medical devices

7. Approved 23 Feb 2011 Healthcare Scientists in the Life Sciences will undertake roles that involve: Application of high level scientific knowledge Service design, development and delivery Evidence-based practice Sub-specialisation to achieve ‘expert’ status Innovation in area of expertise Application of high level clinical knowledge Data converted into clinical knowledge Reporting, clinical liaison and clinical advice Participation outside the laboratory in multi-disciplinary clinical teams Collaborative clinical research Application of leadership skills Clinical leadership of a service, department or research team Medical consultant equivalent roles Principles Underlying STP Curriculum

8. Approved 23 Feb 2011 8 Extensive collaboration with key opinion leaders and professional body representatives from across Life Sciences over >1 year: ~60 individuals, including medics, clinical scientists, biomedical scientists Core and consultation groups for each of 9 specialisms 18 professional bodies directly involved; others associated Regular communication with team responsible for Genetics pilot Association of Biomedical AndrologistsBritish Society for Haematology Association for Clinical BiochemistryBritish Society for Haemostasis & Thrombosis Association for Clinical CytogeneticsBritish Society for Histocompatibility & Immunogenetics Association for Clinical Electron MicroscopistsBritish Society for Immunology Association for Clinical EmbryologistsClinical Molecular Genetics Society Association for Clinical MicrobiologistsInstitute of Biomedical Science British Association for Tissue BankingNational Association of Cytologists British Blood Transfusion SocietyRoyal College of Pathologists British Society for Clinical CytologyUK National External Quality Assessment Schemes Association of Biomedical AndrologistsBritish Society for Haematology Association for Clinical BiochemistryBritish Society for Haemostasis & Thrombosis Association for Clinical CytogeneticsBritish Society for Histocompatibility & Immunogenetics Association for Clinical Electron MicroscopistsBritish Society for Immunology Association for Clinical EmbryologistsClinical Molecular Genetics Society Association for Clinical MicrobiologistsInstitute of Biomedical Science British Association for Tissue BankingNational Association of Cytologists British Blood Transfusion SocietyRoyal College of Pathologists British Society for Clinical CytologyUK National External Quality Assessment Schemes Process Undertaken to Develop STP Curricula

9. Approved 23 Feb 2011 9 Blood Sciences Three year Healthcare Scientist Training Programme (STP) Introductory Academic Block (Minimum of 1 month) For remainder of the time, a single specialism from: Clinical Biochemistry Haematology / Transfusion Science Clinical Immunology < Clinical Immunology (without Histocompatibility & Immunogenetics) < Clinical Immunology (with Histocompatibility & Immunogenetics) Genetics (rotations taken from both Blood and Cellular Sciences) Clinical Biochemistry Clinical Biochemistry Haematology / Transfusion Science Clinical Immunology Clinical Immunology Genetics & Molecular Science Genetics & Molecular Science Academic learning leading to Themed Rotations Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace- based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Initial 12 months rotational training (3 months in each of 4 specialisms) Workplace Training in an NHS or other approved organisation leading to formal Certification

10. Approved 23 Feb 2011 10 1.Clinical Biochemistry and Haematology & Transfusion Science are large specialisms. Clinical Immunology and Genetics are small Implications for training capacity Rotational modules designed accordingly 2.Genetics pilot has just indicated preference to change a module Replace Clinical Genetics (CG2) with Neuromuscular Disease Clinical Genetics is accommodated across other modules Need to cover new area of neuromuscular disease Module in development 3.Agreed variation to Clinical Immunology curriculum to accommodate Histocompatibility & Immunogenetics (H&I) Combination of CI, HT modules Blood Sciences STP: Points of Note

11. Approved 23 Feb 2011 11 Cellular Sciences Three year Healthcare Scientist Training Programme (STP) Introductory Academic Block (Minimum of 1 month) For remainder of the time, a single specialism from: Histopathology Cytopathology Reproductive Science Genetics (rotations taken from both Blood Sciences and Cellular Sciences) Histology Cytology Reproductive Science Reproductive Science Genetics & Molecular Science Genetics & Molecular Science Academic learning leading to Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace- based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. Themed Rotations Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Initial 12 months rotational training (3 months in each of 4 specialisms) Workplace Training in an NHS or other approved organisation leading to formal Certification

12. Approved 23 Feb 2011 12 1.Histopathology is a large specialism. Cytopathology, Reproductive Science and Genetics are small Implications for training capacity Rotational modules designed accordingly 2.Histopathology and Cytopathology are similar in scope and scientific methods. Therefore, there is some duplication of modules 3.Genetics pilot has just indicated preference to change a module Replace Clinical Genetics (CG2) with Neuromuscular Disease Clinical Genetics is accommodated across other modules Need to cover new area of neuromuscular disease Module in development 4. >50% of Reproductive Science services are delivered in the private sector Must engage private sector in training How may this be achieved? Cellular Sciences STP: Points of Note

13. Approved 23 Feb 2011 13 Infection Sciences Three year Healthcare Scientist Training Programme (STP) Introductory Academic Block (Minimum of 1 month) For remainder of the time, a single specialism from: Clinical Microbiology (including: infection control & epidemiology, virology, bacteriology, mycology, parasitology) Epidemiology & Health Protection Epidemiology & Health Protection Bacteriology Virology Molecular Science Molecular Science Academic learning leading to Themed Rotations Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace- based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Initial 12 months rotational training (3 months in each of 4 specialisms) Workplace Training in an NHS or other approved organisation leading to formal Certification

14. Approved 23 Feb 2011 14 1.Infection Sciences is a multi-specialism area run as a single programme Not strictly a rotational programme However, first four modules provide appropriate introduction 2.Opportunity to expand from current programmes into important new areas of public health Epidemiology & health protection High risk groups Public health worldwide Infection Sciences STP: Points of Note

15. Approved 23 Feb 2011 15 Physiological Sciences Three year Healthcare Scientist Training Programme (STP) Incorporating Audiology, Neurophysiology, Ophthalmic and Vision Sciences [Neurosensory Sciences] And Cardiac, Vascular, Respiratory and Sleep sciences [CVRS] (Gastrointestinal Physiology and Urodynamic Science)

16. Approved 23 Feb 2011 Neurosensory Sciences Introductory Academic Block (Minimum of 1 month) For remainder of the time, a single specialism from: Neurophysiology Ophthalmic & Vision Science Audiology (includes paediatric experience) Audiology Ophthalmic & Vision Science Ophthalmic & Vision Science Neurophysiology Clinical Assessment & Investigations Clinical Assessment & Investigations Academic learning leading to Themed Rotations Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace- based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Initial 12 months rotational training (3 months in each of 4 specialisms) Workplace Training in an NHS or other approved organisation leading to formal Certification

17. Approved 23 Feb 2011 Audiology, Neurophysiology, Ophthalmic & Vision Sciences Specialist 2 nd and 3 rd Module 1 Specialist Module covers both years Structure will depend on collaboration between Workplace and HEI Look to HEI for support HEI will have Programme & Modules Templates Often – Lecture plan/timetables – ask for them Workplace learning influenced by Training Manual Consider Neurosensory or Physiological Science in- service working groups to plan their use Learning directed by local need and service structure Year One 1 st year is about the scientific basis of neurosensory not 1 st year of specialism

18. Approved 23 Feb 2011 18 Cardiac, Vascular, Respiratory & Sleep Sciences Introductory Academic Block (Minimum of 1 month) Cardiology Respiratory and Sleep Science Respiratory and Sleep Science Vascular Science Vascular Science Clinical Assessment & Investigations Clinical Assessment & Investigations Perfusion (only available to perfusion specialism) Perfusion (only available to perfusion specialism) For remainder of the time, a single specialism from: Cardiac Physiology < Cardiac Physiology with cardiac rhythm management < Cardiac Physiology with cardiac imaging Vascular Science Respiratory & Sleep Science Clinical Perfusion (rotations 1 to 3 outlined, with 4th rotation in perfusion) Mandatory rotations for all specialisms except Perfusion Academic learning leading to Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace- based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Initial 12 months rotational training (3 months in each of 4 specialisms) Workplace Training in an NHS or other approved organisation leading to formal Certification

19. Approved 23 Feb 2011 Cardiac, Vascular, Respiratory & Sleep Sciences Years 2 and 3 Cardiac Science Year 2 - common modules Year 3 - specialist options : cardiac rhythm management cardiac imaging Vascular Science Respiratory and sleep Science Year 1 Introduction to the specialist areas Underpinning science to investigations Skills and competencies in the work base

20. Approved 23 Feb 2011 20 Gastrointestinal (GI) Physiology & Urodynamics Introductory Academic Block (Minimum of 1 month) For remainder of the time, a single specialism from: (6 months of shared GI and Urodynamics specialist training with the remainder of the time spent in either GI or Urodynamics) GI Physiology Urodynamics (fourth rotation chosen from Respiratory Science or Cardiology) Cardiology Urodynamics GI Physiology Clinical Assessment & Investigations Clinical Assessment & Investigations Respiratory Science Respiratory Science Mandatory rotations for GI Physiology Specialism (3 months in each of 4 specialisms) Academic learning leading to Masters Degree With part time attendance on a HEI based Masters programme throughout the training period Underpinning knowledge to support the workplace- based training. Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme. Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service Initial 12 months rotational training Workplace Training in an NHS or other approved organisation leading to formal Certification

21. Approved 23 Feb 2011 Audiology, Neurophysiology, Ophthalmic & Vision Sciences Research Module Same as all the other Training Programmes HEI will require: HEI Academic Supervisor Clinical Supervisor* * May be restricted by limited existing postgraduate staff in the department Consider using other Postgraduate Scientists to supervisor both Clinical Staff and Trainee i.e. Medical Physics; Physiotherapy, Radiology Consider a research work related project which is within the capability of the department or service

22. Approved 23 Feb 2011 Audiology, Neurophysiology, Ophthalmic & Vision Sciences Rotation D Three concepts Clinical Assessment Imaging and Pathology Patient Pathways Holistic approach Clinical Assessment Holistic approach to neurosensory sciences How does each specialism contribute and compliment each other i.e. How does Hearing, Vision, Central or Peripheral neurological disorders interrelate How do other services contribute and compliment neurosensory services i.e. Healthcare for older people, neonatal care, critical care, primary care.

23. Approved 23 Feb 2011 Audiology, Neurophysiology, Ophthalmic & Vision Sciences Rotation D Imaging and Pathology How Imaging/Pathology is used as part of the neurosensory assessments Ears, eyes, and head MRI, CT, Ultrasound, x-ray Recognication of key anatomical landmarks using imaging Why refer for imaging as a diagnostic tool Understanding the results

24. Approved 23 Feb 2011 Audiology, Neurophysiology, Ophthalmic & Vision Sciences Rotation D Patient Pathways Understand the needs of patients Understand the assessment, management and prognosis of neurosensory disorders How does Neurosensory disorders affect or impact on patient life style Understand what Balance disorders, Epilepsy, or Macular Degeneration means to a patient life style, their family and friends Supporting services Understand how other services can help with the management of disease, disorder and care Working with colleagues

25. Approved 23 Feb 2011 25 Cardiac, Vascular, Respiratory and Sleep sciences (Gastrointestinal Physiology and Urodynamic Science) Rotation D – Clinical Assessment and Investigation Covers the same three concepts as neurosensory Clinical Assessment Imaging and Pathology Patient Pathways Synergy and commonality across neurosensory, CVRS and GI and Urodynamics Clinical assessments, examples used in pathology and radiology and the patient pathways will be different. Opportunity to work in different settings ( radiology, MAU, critical care, primary care)

26. Approved 23 Feb 2011 Physiological Sciences Three year Healthcare Scientist Training Programme (STP) Key Messages Work with HEI’s Understand the programme requirements Plan secondment before trainee arrives Use existing documentation, policies Understand the in-service assessments requirements When, how, what, why and who Understand what the trainee is required to cover in the workplace Provide mentoring not just for the trainee but also Clinical Supervisors (at all levels) Agree learning outcomes with individual clinical services Accessibility of Trust Lead to trainee, supervisor, HEI Identify Service or Clinical Lead Seek help from Professional Body