UCL FACULTY OF MEDICAL SCIENCES UCL MBPhD programme | 1 THE UCL MBPHD PROGRAMME UCL MBPhD programme | 2 Introduction Established in 1994, the UCL MBPhD programme continues to offer ambitious medical students the highest quality clinical and research training. The graduate will emerge with not only excellent bedside skills of diagnosis, investigation and patient management, but with a repertoire of practical scientific skills, including an understanding of the rigor and discipline of translational science and a track record in the publication of robust translational research. By equipping students with these skills, they will be the future leaders in clinical research. UCL MBPhD programme | 3 The Course In the course, the PhD is sandwiched between the first and latter two years of clinical training. An introduction to clinical medicine is essential, as it focuses thoughts on potential translational benefits. Students will enter the clinical part of the MBBS programme (Year 4: Integrated Clinical Care) with their contemporaries, following their iBSc. After completion of MBBS Year 4, MBPhD students will divert to research studies for a period of three or four years. During the PhD, a regular clinical teaching programme keeps students’ clinical skills and knowledge up-to-date. Re-entry into the MBBS for the two remaining years is contingent on submission of the PhD. The PhD research can be undertaken either within UCL (which includes many world-class institutes including the Institute of Child Health, the Institute of Neurology at Queen Square and the Institute of Ophthalmology at Moorfields), or alternatively students can choose projects at the National Institute for Medical Research at Mill Hill or the London Research Institute of Cancer Research UK. The latter two will soon be combined to form the Francis Crick Institute, led by Sir Professor Paul Nurse. This new institute will provide world-class scientific training, second to none. Year Stage 1 MBBS Year 1: Fundamentals of Clinical Sciences 2 MBBS Year 2: Fundamentals of Clinical Sciences 3 MBBS Year 3: Scientific Method in Depth – iBSc 4 ➜ Entry Point: UCL MBBS Year 4: Integrated Clinical Care 5 PhD Year 1 6 PhD Year 2 7 PhD Year 3 * Students have the option of submitting at this point and returning to MBBS Year 5 8 Continuing Research Student status (CRS) 8*/9 UCL MBBS Year 5: Life Cycle 9*/10 UCL MBBS Year 6: Preparation for Practice UCL MBPhD programme | 4 The Benefits The UCL MBPhD programme provides an ideal base for students wishing to combine clinical and research trainings. The Programme provides funding for the PhD. The Programme offers layers of mentorship for the student during one of the most challenging yet exciting courses at UCL. There are formal and informal contacts with multiple clinical and non-clinical academics during teaching sessions, on the wards, at programme meetings and at the regular social events. Numerous collaborations and friendships have arisen from the Programme and will undoubtedly continue to do so, from what has now become a community itself. The MBPhD can serve as an excellent start to a clinical academic career. By being appointed to the course and completing it, the student throws down a marker of dedication and ambition to a research-based career. Establishing an early track record is key, and such a programme can serve to catapult the individual into research fellowships later on in their careers, once the postgraduate clinical training is advanced. The marriage of science and clinical medical practice is eternal: without one, the other will cease to exist. The UCL MBPhD Programme seeks to uphold this by training doctors the rigors of science so that they can continue to address the human condition. Eligibility The programme is only available to students who are currently undertaking a Primary Medical Qualification (MBBS, MBChB or equivalent) at a UK Medical School. At the point of entry, successful applicants will have completed the first two years of a full 5 years’ primary medical qualification; and achieved an upper second or first class honours degree (or iBSc). The candidate must satisfy the general regulations for transfer to Year 4 of the UCL MBBS clinical course. (www.ucl.ac.uk/medicalschool/mbbs-admissions/ entry-requirements/). UCL MBPhD programme | 5 Applicants who entered a 5 or 6 year at Mill Hill and Cancer Research UK for MBBS course as a graduate may request making studentships available in their exemption from UCL’s iBSc requirement if institutions. The A*STAR fund in Singapore their degree is in a relevant field. has contributed more than its fair share to this programme. Glaxo-Smith-Kline made Students who are following an accelerated a very generous contribution some years graduate medical programme are not ago. Other PhDs are supported by grants eligible to transfer to UCL’s MBPhD directly made to the supervisors. programme. There are typically about 8 studentships Entry to the MBPhD programme is available annually for PhD study. conditional on achieving an upper second Studentships are ordinarily for 3 years, or first class honours degree. and include a roughly £15,000 stipend, Oxford and Cambridge applicants must also apply to UCL Medical School under the Oxbridge clinical transfer scheme (MOCAG). At present, College regulations preclude transfers from institutions outside the United Kingdom. Students should normally apply during their IBSc year, or for graduate entrants with exemption from the IBSc, during the second year of the medical degree programme. Funding The clinical element of the course is funded by standard Student Loan and NHS bursary arrangements, as for regular medical students. The PhDs are funded from different sources: an allocation from the MRC DTG fund to UCL, a generous grant from the UCLH/UCL NIHR Biomedical Research Centre. We are grateful for charitable donations from different bodies, including The Astor Foundation, the Rosetrees Trust, The Sackler Fund and The International Journal of Experimental Pathology. We are very grateful to the National Institute for Medical Research UCL home level fees, plus a contribution to laboratory costs. Students do not pay fees during CRS registration. Students Over the years, we have enrolled 125 students (approx. 6–10 per year). Most students have previously studied for their BScs at UCL, but we have welcomed students from other medical schools including the other London Schools, Nottingham, Brighton and Sussex, Cambridge, Oxford and Edinburgh. The student group is highly international. We have representatives from all continents, except Australasia. UCL MBPhD programme | 6 Subject Areas Studied PhD topics have varied very widely. Neuroscience is popular, reflecting one of the major strengths of UCL. There has been an emphasis on the lifestyle of the lymphocyte, but projects have ranged widely from psychiatry in Palestine to Crohn’s disease. The topics under study by the present students are shown in Table 1 (pages 8–9). Outcomes Table 2 (pages 10-11) shows the current career status of the graduates. The most senior students (who graduated in 1999 or 2000) are now in or approaching consultant grade and some of these are now at Principal Investigator level. We have two professors, one appointed at the age of 33. The more junior graduates are well placed to be appointed to the new Academic Foundation Posts and Academic Clinical Fellowships. Of those who have entered speciality training, nine are in surgical specialities. Two are in plastic surgery. The Cordwainers’ Prize Each year the Worshipful Society of Cordwainers donates a generous sum awarded to the student submitting the best MBPhD thesis. These are judged by a panel of professors, and the award is made at the annual Marsden Lecture at the Royal Free Hospital. Cordwainers’ Prize former winners: 2008 Abhishek Das Constraints on T Cell responsiveness in Chronic Hepatitis B Virus infection Supervisor: Dr Mala Maini 2009 Catherine Hyams The role of the Streptococcus pneumoniae capsule in interactions with Coaplement and Phagocytes Supervisor: Dr Jeremy Brown Panagiotis Kyrtatos Cell Targeting and Imaging using Magnetic Nanoparticles Supervisor: Dr Mark Lythgoe 2010 Alex Rossdeutsch The Role of Thymosin B4 in Vascular Development Supervisor: Dr Paul Riley 2011 Sean B Knight Lentiviral Vectors for Gene Therapy Supervisor: Prof Mary Collins Alvin J X Lee An Investigation of Chromosomal Instability Survival Mechanisms in Cancer Supervisor: Prof Charles Swanton 2012 Anna M Rose Transcriptional regulation of PRPF31: the role of variable gene expression in determining phenotype in retinitis pigmentosa Supervisor: Prof Shomi Bhattacharya 2013 Christopher A McKinnon The role of the ubiquitin-proteasome system in prion disease pathogenesis Supervisor: Prof Sarah Tabrizi 2014 Adam P Levine The genetics of inflammatory bowel disease in extended multiplex Ashkenazi Jewish kindreds. Supervisor: Prof Anthony W Segal UCL MBPhD programme | 7 Extracurricular Activities The intensive nature of the course does not allow major time-consuming involvement in extracurricular activity, but the students can excel in a number of outside areas including music, photography, rowing and ceilidh dancing. Mentoring, Supervision, Follow up Recruitment Open Day Interested candidates are invited to the The intensive nature of this course demands MBPhD Recruitment Open Day which takes that supervision be close. We have constant place annually. The Open Day provides an staff-student interactions, both formal and opportunity for prospective students to informal. These interactions can continue interact with not only members of faculty long after graduation. staff but also present and past students to Management & Administration There is a management committee with representation from academics, administrators and students, which meets once a term. The day-to-day running of the programme is shared between Gordon Stewart and Susan Beesley. Achievements A number of major scientific discoveries have arisen from research undertaken by UCL MBPhD students. Some very productive collaborations between bright ambitious young doctors and excellent supervisors have grown up, many of which have developed into enduring post-doctoral partnerships, which can be immensely valuable to both parties. find out more about the programme and to understand more about life as an MBPhD student. Please contact the Programme Administrator for further details and to register attendance. MBPhD Annual Symposium In January each year, the programme hosts its annual Symposium, where present MBPhD students give a series of scientific talks with short talks by senior UCL academics and MBPhD Alumni. Attendees include current and former students, prospective students, supervisors, senior UCL academics, and representatives of funding bodies. Please contact the Programme Administrator for further details and to register attendance. Publication There is a published report on the progress of the programme. Stewart GW, An MBPhD Programme in the UK: the UCL Experience. Clinical Medicine 2012, 12, 1–4. UCL MBPhD programme | 8 Table 1. Projects and Funding of Currently-enrolled UCL MBPhD Students. Column labels: A Entry Year, B Stage, C Location of PhD, D Supervisor, E Topic, F Funding Abbreviations: Astor, Astort Trust; BRC/CBRC, Comprehensive Biomedical Research Fund (UCL/UCLH); CRUK, Cancer Research UK; ICH, Institute of Child Health; IoN, Institute of Neurology; MRC, Medical Research Council; MIT, Massachussetts Institute of Technology; NIMR, National Institute for Medical Research, Mill Hill; Rosetrees, Rosetrees Trust. A C D E F NIMR/ION Dr F Guillmot Cortical dysplasia ICH/NIMR CRUK Pr C Swanton MBPhD Spindle assembly CRUK 83 ICH Dr Audrey Prost Maternal Health Nepal MRC-DTA 84 Developmental Biology Pr Maria Fitzgerald Chronic pain and plasticity in juvenile RA MRC DTA 85 IoN Pr Sarah Tabrizi Prions and the proteasome CBRC 86 NIMR Dr Alex Gould Developmental neurobiology NIMR 88 Haematology RFH Pr K Srai von Willebrands CBRC, IJEP 90 NIMR Dr Benedict Seddon T-cell homeostasis. NIMR 91 Medicine Dr Sam Janes siRNA-loaded nanoparticles Saudi Ministry of Higher Education 92 Neuroimaging, IoN Pr Eleanor Maguire Retrosplenial Cortex CBRC 93 Molecular Virology Dr Maddy Noursadeghi T cell modulation of macrophages MRC DTA 94 NIMR Dr Troy Margrie Molecular neurobiology NIMR 95 Rheumatology Pr Mike Ehrenstein Induction of Human CD8+FoxP3+ Tregs CBRC 96 Medicine Pr Tony Segal Crohns Disease Irwin Joffe Memorial Fllwshp 97 UCL Cancer Institute, MIT Prfs S Beck/R Jaenisch Epigenetics MIT funds 99 Paediatric Surgery, ICH Dr. Paolo de Coppi Tissue engineering MRC-DTA 100 Cancer Centre, UCL Pr Mary Collins Cancer vaccines Rosetrees, MRC 101 IoN Dr T Foltynie Deep Brain Stimulation Astor, Rosetrees 102 CRUK Pr Jesper Svejstrup Chromatin remodelling CRUK 103 Advanced Imaging, UCL Dr Alexander Gourine Cardiac Optogenetics MRC, Rosetrees 2007 74 2008 77 2009 2010 2011 UCL MBPhD programme | 9 2011 cont’d 104 Sobell Inst, IoN Dr Simon Farmer Decision making Rosetrees, Astor, CBRC 105 Physiology Pr David Atwell Coronary pericytes Rosetrees, MRC 106 NIMR Dr Anne O'Garra Cytokine response to MTB MRC 107 Surgery Pr Alex Seifalian Tissue engineering Rosetrees, MRC 108 CRUK Pr Adrian Hayday Regulating and Maintaining Beneficial AutoImmunogenicity CRUK/MRC-DTA 109 IoN Pr Sarah Tabrizi ‘Immune and HTT biology in Huntingdon's disease MRC-DTA, Rosetrees 110 NIMR Dr James Turner MBPhD The X chromosome in growth regulation NIMR, Rosetrees 110 Sobell, IoN Pr Nick Ward Neural networks MRC DTG 111 CRUK LRI Dr Caetano Reis e Sousa Immunobiology CRUK 112 Rheumatology, Rayne Pr Arne Akbar Mechanisms that regulate immune senescence in humans BRC 113 NIMR Dr Kate Bishop The location, kinetics and mechanism of HIV capsid uncoating NIMR 114 LRI Sir Paul Nurse PRS 115 Immunity Transplantation RFH Dr Siobhan Burns The role of dendritic cells (DCs) in common variable immunodeficiency (CVID) BRC 116 ICH Dr Torsten Baldeweg Cortical morphology and folding in children with epilepsy Rosetrees 117 Medicine, Rayne Pr D Gilroy Lipid mediators in Immunity BRC 118 Cell Dev Biol Dr Jason Rihel Zebrafish neural models MRC DTG 119 IoN Pr Nick Wood Genetics of movement disorders IJEP 120 Medicine Cruc Pr Mervyn Singer Renal function in infection 121 (To start PhD Sept ‘15) 122 LRI/Crick Pr C Swanton MBPhD Big Data Interpretation CRUK 123 IoN Dr Sven Bestmann BRC 2012 2013 CRUK 2014 MBPhD Astor (pending) Control of Variability in Motor Tasks UCL MBPhD programme | 10 Table 2 – Career Destinations of UCL MBPhD Graduates, October 2014 Column labels: A Year of Entry, student number, B Present Position, C Speciality, D Location E Research-active now?, F Completed PhD in 4 years? Abbreviations: ACF, academic clinical fellow; CMT, core medical training; CRUK, Cancer Research UK; FY, foundation year; IoN. Institute of Neurology, Queen Square; NCTFS, North Central Thames Foundation School; SpR, specialist registrar; ST, speciality training registrar grade. ‘Research-active’ means actively pursuing a line of research right now (also U-unwell). A B C D E F 1994 1 Consultant Ophthalmology Epsom Y Y 2 SpR Immunology KCL Y N 3 Consultant Radiology NSW, Australia N Y 4 Professor Oncology UCL/CRUK Y Y 5 Consultant Plastic Surgery Adelaide Y Y 1995 6 Consultant Infectious Disease Kircaldy Y Y 7 Consultant Pathology Cologne, Germany Y Y 8 Consultant Neurosurgery Cambridge, UK Y Y 9 Consultant Cardiac Electrophysiology St Thomas' London Y Y 1996 10 Consultant Neurology Chichester 11 Consultant Child Psychiatry Dubai Y Y Y 12 Wellcome MBPhD Fellow Nephrology Royal Free Y Y 13 Programme Leader Epigenetics NIMR Y Y 14 Wellcome MBPhD Fellow Infectious Disease Liverpool Y Y Y Y 1997 15 ST Plastic Surgery Plymouth, UK 16 Post-doc Cell Biol/ITU Med NIH, Bethesda Y 17 Lecturer Child adolescent psychiatry Maudsley Hospital Y 18 ST Plastic Surgery Cambridge, UK Y 19 Professor Neurology Madrid Y Y 20 Consultant Gastroenterology Bristol Y N Y 1998 21 ST Neurology London 22 Consultant Neurology Liverpoool 23 ACF Clinical Genetics Guys Y Y Y 24 Consultant Max-Fax Surgery Barnet 25 ST Anaesthetics North London Y Y 26 ST Surgery Kings Y 1999 27 ST Hep-bil Surgery Birmingham 28 ST Neurology London Y Y Y Y 29 Post-doc Research Portugal 30 CMT Medicine London N N 31 ST Neurosurgery Queen Square Y UCL MBPhD programme | 11 2000 32 Registrar Clinical Genetics Cambridge Y Y 33 SpR Acute Medicine NCTFS Y N 34 Senior Clinical Training Fellow Infection Infection and Public Health, UCL Y Y 35 Wellcome MBPhD Fellow Microbiology UCL Y Y Y 36 ACF Psychiatry North Thames 37 Wellcome MBPhD Fellow Neurology IoN Y Y Y 2001 38 CMT Medicine NCTFS (UCH) 39 Registrar Medicine Singapore Y N 40 SpR Haematology NW Thames Y Y 41 Post doc Pediatrics San Francisco Y Y 42 Wellcome MBPhD Fellow Medicine UCL Y Y 43 Clinical Lecturer Neurology Oxford Y Y 44 ACF Paediatrics/neuro GOSH/ICH Y Y 45 Wellcome MBPhD Fellow Paediatric Surgery North Thames Y Y 46 CMT Medicine London N Y 47 CMT London NC Thames N N 48 SpR Neurology Dundee Y Y 49 Senior Research Fellow Psychiatry Zurich Y Y 50 SpR Dermatology NC Thames Y Y 51 ACF Radiology Cambridge, UK Y N Y 2002 2003 2004 52 ACF Medicine NC Thames 53 FY2 Foundation UCL Clinical 54 F1 Foundation NC Thames 55 CMT Plastic Surgery Plymouth 56 Post-doc Regenerative Pharmacology Imperial Y Y U N Y Y N 57 Teaching Fellow Pathology Cambridge Y Y 58 CMT Foundation NW Thames Y Y 59 F2 Foundation NC Thames N 60 (DNF) 2005 Y U 61 SpR Obstetrics NC Thames N Y 62 CMT Foundation NE Thames Y Y 63 CMT Medicine NE Thames Y Y 2006 64 Trainee Pharm Cons Novartis Copenhagen Y Y 65 CT2 Medicine Barts Y Y 66 (DNF) 67 SpR Neurosurgery Sheffield Y Y 68 Graduate Psychiatry Singapore Y Y Continued overleaf N UCL MBPhD programme | 12 Table 2 – cont’d Column labels: A Year of Entry, student number, B Present Position, C Speciality, D Location E Research-active now?, F Completed PhD in 4 years? 2007 69 Research Fellow Medicine Leeds 70 F2 Foundation NE Thames N Y Y 71 F2 Foundation Cambridge Y Y 72 Academic F2 Foundation Oxford Y Y 73 F2 Foundation Norwich-Ipswich 75 F2 Foundation S London N N Y 76 Academic F2 Foundation Cambridge Y Y 79 F2 Foundation Singapore Y Y 80 F2 Foundation Cambridge Y Y 81 Academic F2 Foundation NC Thames Y Y 2008 82 Acad F1 Foundation Cambridge Y Y 78 Acad F1 Foundation Wessex Y N 87 Acad F1 Foundation Cambridge Y Y 98 Acad F1 Foundation West London Y Y 89 F1 Foundation East London N Y Abbreviations: ACF, academic clinical fellow; CMT, core medical training; CRUK, Cancer Research UK; FY, foundation year; IoN. Institute of Neurology, Queen Square; NCTFS, North Central Thames Foundation School; SpR, specialist registrar; ST, speciality training registrar grade. ‘Research-active’ means actively pursuing a line of research right now (also U-unwell). UCL front quad with UCLH in the background UCL MBPhD programme | 13 Publications Examples of publications by past and present students: UCL MBPhD programme | 14 UCL MBPhD programme | 15 Further Information Ms Susan Beesley Information on areas of research can be MBPhD Programme Administrator found on the UCL School of Life & Medical Faculty of Medical Sciences Sciences website: www.ucl.ac.uk/slms/ The Medical School Building research-themes or via the MBPhD University College London Programme website: www.ucl.ac.uk/ Gower Street mbphd/researchprojects London WC1E 6BT Tel: +44 (0)20 7679 0886 For further information regarding the Fax: +44 (0)20 7679 0897 programme and application forms, please Email: s.beesley@ucl.ac.uk contact the programme administrator, or alternatively download the application Prof Raymond MacAllister pack from: www.ucl.ac.uk/mbphd/ MBPhD Programme Director applying Department of Medicine Rayne Building University College London Gower Street Web: www.ucl.ac.uk/mbphd London WC1E 6BT A distinguished visitor! Prof Barry Marshall, joint Nobel Prize Winner 2005 for discovery of Helicobacter pylori with MBPhD students UCL MBPhD programme | 16 University College London, Gower Street, London, WC1E 6BT Tel: +44 (0) 20 7679 2000 Copyright © 2013 UCL