East Midlands Healthcare Workforce Deanery (North)




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East Midlands Healthcare Workforce Deanery (North)

in Partnership with the

University of Nottingham


Academic Clinical Fellowships in Dermatology


An exciting opportunity has arisen for outstanding young physicians wishing to pursue a career in academic dermatology.

Applications are invited from excellent and enthusiastic doctors in training who seek a career combining research, teaching and the care of patients. This opportunity is for ST3 entry into Academic Clinical Fellowships in Dermatology which provide integrated academic and clinical training towards a higher degree and a career in Academic Dermatology. Posts are available for entry in August 2012 and the successful applicant will be awarded an Academic National Training Number (NTN(a)).

The Academic component of the post will provide nine months of protected academic time within the first three years of the post to undertake academic training and identification of a suitable project for a higher degree. The successful applicant will join an internationally renowned research group, in which they will be trained in transferable academic competencies, and develop an innovative and novel research programme. Ultimately, the post-holder will submit a highly competitive training fellowship application, in order to complete their studies for a higher degree at PhD level over the subsequent 3 years. Once the training fellowship and higher degree is completed, it is anticipated that there will be opportunities to continue an integrated clinical/academic training pathway through NIHR Clinical Lecturer and Clinician Scientist awards.

The clinical training components of the posts will be as part of the East Midlands Workforce Deanery (North) specialty rotation in Dermatology in which successful applicant will undertake their clinical training and acquire their clinical competencies.

Applicants for this posts should fit the both the academic person specification and the clinical person specification for their level of training and applications for this post must be submitted via www.intrepidpathway.co.uk

Further information about the Academic Clinical Fellowship and informal enquiries may be addressed to the Academic Programme Director, Professor Hywel Williams, Hywel.williams@nottingham.ac.uk


The Academic Training Programme

25% of the trainee’s time will be protected for research. Academic and Clinical Training in Dermatology will be integrated, with focused time for academic development. During the academic components of the post, and in particular during the 9 months of protected academic time within the first 3 years, the successful applicant will, through a personalized academic plan, undertake academic training and original research by choosing a suitable project and scoping the main project through systematic reviews of the literature. Later work will focus on generating relevant data from pilot work and preparing grant applications with the supervision and mentorship of the senior academic staff of Academic Dermatology. The ACF will publish some of this early work and present at relevant clinical and research meetings.

The research component will be based at the Centre of Evidence-Based Dermatology at the King’s Meadow Campus of the University of Nottingham, which is part of the School of Clinical Sciences. The Centre is directed by Professor Hywel Williams, supported by an Assistant Professor (Dr. Kim Thomas) and twenty five research staff.

Research opportunities

Academic Dermatology at Nottingham provides research opportunities into clinical and population based research into skin disease. Research opportunities include, but are not limited to: childhood eczema (prevention, treatment, epidemiology and development of measurement scales), non-melanoma skin cancer (prevention, treatment and epidemiology), vitiligo and acne. The Centre of Evidence-Based Dermatology (CEBD) is the only one of its kind in the world and specialises in systematic reviews and randomised controlled trials plus associated methodological work underpinning such study designs. The research strategy of the CEBD is based on the concept of three inter-dependant research cogs.  Systematic reviews from the Cochrane Skin Group http://skin.cochrane.org/ are used to review the existing evidence and to generate research questions.  These are then picked up and developed into clinical trials through the UK Dermatology Clinical Trials Network http://www.ukdctn.org/home/ and are run alongside other non-commercial clinical trials.  The resulting guidance and evidence base is then disseminated to a community of over 600 clinical users through our national dermatology electronic library known as NHS Evidence-skin disorders http://www.library.nhs.uk/skin/.

In addition to these research opportunities, the ACF will have an opportunity to learn about clinical trials, clinical research prioritization and commissioning, National Database research, as well as translational research in immunology and cell biology if appropriate. The Centre works closely with patients to identify research priorities and improve the relevance of clinical research. The Centre is also recipient of an NIHR Programme grant which will allow plenty of opportunities for emergent research projects. The Centre already hosts two ACF posts.

The Centre is internationally renowned for its work, and produces over 20 peer-reviewed papers per year which are summarised in annual reports. The Centre organises national and international meetings and has raised over £8 million in external non-commercial research funding over the last 8 years in open competition. Hywel Williams is an NIHR Senior Investigator and is also chair of the National Dermatology Specialist Interest Group. He also Chairs the NIHR HTA Commissioning Board and is Deputy Director of the HTA Programme www.hta.ac.uk.

Further information about the work of the Centre of Evidence-Based Dermatology can be found at: www.nottingham.ac.uk/dermatology


The Clinical Training Programme

All key aspects of Dermatology are covered in the training programme.

The clinical duties will be mainly outpatient-based, following the Nottingham Dermatology training programme supervised by Dr. Ruth Murphy. The ACF post also involves some shared responsibility for the care of the in-patients on Ward C51 under the supervision of a named consultant. The Specialty Registrar will also be responsible for shared supervision of the Senior House Officer and also for occasional patients admitted to the paediatrics wards. During sessions at Derby, the trainees will be expected to see occasional ward referrals referred to clinic but the person will not be responsible for in-patients. For the training year rotating between Mansfield and Nottingham, the trainee will be expected to participate in a once weekly round and occasional ward referrals at Mansfield, with a supervising consultant.

The programme includes a weekly journal/research club, histopathology teaching, Monday lunchtime tutorials on photobiology, epidemiology, surgery/lasers and contact dermatitis and a postgraduate afternoon on Thursdays. The postgraduate sessions include a varied programme of teaching on core subjects, interesting cases, critically appraised topics, multidisciplinary skin cancer sessions and additional histopathology teaching. One Thursday a month is spent at the Royal Society of Medicine Dermatology meeting in London. Fifth Thursdays are dedicated to audit.

On-call commitment at NUH is only a one in six commitment (this includes the SHO).

The trainee will be expected to keep abreast of current developments within the speciality, to practice evidence-based medicine and help to change practice within the department where appropriate. A list of essential and optional courses is also enclosed with the training programme booklet. Usually, there are enough resources within the Postgraduate education budget and internally to help trainees attend all the required courses and meetings.

The training programme has been designed after discussion with consultant colleagues involved in training, current trainees, the Postgraduate Dean and JCHMT inspectors. All of the posts are approved by the Royal College of Physicians. The trainee will be reviewed annually by the Speciality Training Committee ARCP assessments and advised as to his/her progress. There will be ample opportunity to comment on the quality of training he/she is receiving without fear of subsequent recriminations. In addition, each trainee is attached to a personal trainer with whom they will meet regularly for appraisal and to discuss their yearly plans and progress.

The East Midlands Deanery (North) Specialty Registrar rotation provides training according to the requirements of the Colleges and Faculties and the Postgraduate Deans’ network.

At local level College/speciality tutors work with the unit postgraduate clinical tutors in supervising training, and annual assessment of progress will be undertaken under the overall guidance of the Specialty Education Committees. Trainees will be expected to take part in appraisal, feedback and counselling session/professional review. Study leave will form part of the educational programmes and will be arranged in conjunction with the appropriate tutor.

Consultants in the Service are:

Dr. Janet Angus, Consultant Dermatologist, 0115 924 9924 Ext 61733

Dr Jonathan Batchelor, Consultant Dermatologist, 0115 924 9924 Ext 61733

Dr Jan Bong, Consultant Dermatologist 0115 924 9924 Ext 62114

Dr John English, Consultant Dermatologist, 0115 924 9924 Ext 61736

Dr Sheelagh Littlewood, Consultant Dermatologist and Clinical Director, 0115 924 9924 Ext 61736

Dr Ruth Murphy, Consultant Dermatologist and Programme Director, 0115 924 9924 Ext 66247

Dr William Perkins, Consultant Dermatologic Surgeon, 0115 924 9924 Ext 62114

Dr Jane Ravenscroft, Consultant Dermatologist and Paediatrics Clinical Lead 0115 924 9924 Ext 68479

Dr Sandeep Varma, Consultant Dermatologic Surgeon, 0115 924 9924 Ext 62114

Dr Professor Hywel Williams, Consultant Dermatologist, 0115 82 31048

Further information about the Clinical Training Programme may be obtained by contacting the Clinical Training Programme Director: Dr. Ruth Murphy, Consultant Dermatologist, University Hospitals Nottingham NHS Trust, tel 0115 9249924 ext. 66247 or email: ruth.murphy@nuh.nhs.uk

Disclosure

Because of the nature of the work, these posts are exempted from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants are, therefore, not entitled to withhold information about convictions, which for other purposes are “spent” under the provisions of the Act and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action. Any information given will be strictly confidential and will be considered only in relation to an application for positions to which the Order applies. This post cannot be taken up until satisfactory enhanced disclosure has been received.


Further information can be obtained from:


Academic Programme Director: Professor Hywel Williams, Hywel.williams@nottingham.ac.uk

Clinical Programme Director: Dr. Ruth Murphy ruth.murphy@nuh.nhs.uk

East Midlands Workforce Deanery (North): Ms Marcia Reid, marcia.reid@nhs.net

Co-Director for the Integrated Academic Programme: Simon Johnson, simon.johnson@nottingham.ac.uk

NIHR Trainees website: www.nihrtcc.nhs.uk

Life in Nottingham: http://www.nottingham.ac.uk/studywithus/nottinghamlife/index.aspx

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