An Coiste FeabhaisAcadúil The Committee on Academic Quality Improvement The Academic Quality Assurance Programme 2002 – 2003 REVIEW OF THE DEPARTMENT OF BACTERIOLOGY Final Report 8th April 2003 Department of Bacteriology: Review Group Report This report arises from a visit by a review team to the Department of Bacteriology on February 3rd and 4th, 2003. The Department had already prepared and submitted a 'Self Assessment Report' that, with other documentation, was made available to the review team in advance of the visit. The review team consisted of: Professor Hilary Humphreys, Dept. of Clinical Microbiology, Beaumont Hospital and RCSI, Dublin (Chairperson) Dr Mary Sheppard, Department of Histopathology, Royal Brompton Hospital, London Professor Emer Colleran, Department of Microbiology, NUI, Galway (Cognate) Mr. Brendan Flynn of the CFA and Department of Political Science and Sociology (Rapporteur) The report is structured to cover the following main topics 1. 2. 3. 4. 5. 6. 7. 1. Aims and Objectives Organization and management Programmes and Instruction Scholarship and Research Community Service The Wider Context Summary and Concluding Remarks Aims and Objectives 1.1 The review group was most impressed with the efforts made by the Department of Bacteriology to reach its stated aims and objectives, given limited resources especially as regards staff. However, we feel the Department is at a critical juncture as regards its future development. 1.2 A continued focus on balanced excellence, paying attention to the mix of clinical demands, teaching and research, needs to be maintained. Currently heavy clinical loads and teaching commitments tend to dominate what is already a very impressive research track record. 1.3 The demonstrated potential as regards research in particular needs to be carefully nurtured and focused over the coming years. Teaching and clinical loads need to be reduced in order to sustain research output. 1.4 We believe that new staff are critical to the future achievement of the Department’s aims and objectives. Additionally, there must be a more assertive and targeted effort by the Department to argue for these resources with the Medical Faculty, the UMT, and the WHB. BacteriologyFinalReport03 1 Department of Bacteriology: Review Group Report 2. Organization and management 2.1 We note the huge clinical loads that Departmental staff carry with considerable difficulty. Under RCPath guidelines, it would appear the Department should have several additional medical consultants for clinical and diagnostic laboratory work in the hospital; this will directly and indirectly benefit the University Department. We note also here that any future retirement of senior staff needs to be planned for now. 2.2 Taking these observations together, we strongly advocate, as a matter of urgency, the provision of at least one additional non-clinical permanent member of staff, who would reduce teaching loads, and undertake some of the supervision of the PhD research students. In our view, it is imperative that the UMT support such a position as soon as possible. 2.3 In the longer term, there is a need to confirm the Department’s status as a full academic unit. Without doubt, this will be challenging in institutional terms. What is particularly needed is greater evidence of support from within the Faculty and the UMT. This also requires an initiative on the part of the Department to now clearly outline their needs in the context of a focussed Departmental Strategy which should be immediately submitted to the UMT. (See 2.5) 2.4 It is important that there is an established standing forum for regular, structured and targeted means of communication and negotiation with the WHB. We note that high-level meetings with the Medical Faculty, UMT staff, and the WHB management have increased over the last year. However, we believe this needs to be improved upon with a more structured framework, which would guarantee the input of the Head of the Department of Bacteriology. 2.5 There is scope for a greater Faculty of Medicine dimension to support and provide coherence to the Department’s plans and ambitions. For example dedicated administrative support could be secured and funded, partly on a Faculty basis. We noted the suggested innovation of an integrated academic unit of Laboratory Medicine within the faculty, which would incorporate both the Departments of Pathology and Bacteriology. This proposal if it is to be taken seriously, needs closer examination. It might well be attractive on grounds of efficiency and streamlining of resources. However, in our view, any such new approach to organising the Department within the Faculty on a more integrated basis, must ensure the integrity of the discipline of Bacteriology, and the balance between Bacteriology and other departments within the Faculty. 2.6 The Department should consider changing its name to the “Department of Clinical Microbiology”. This would more accurately reflect the scope of the Department’s brief in both its clinical and academic activities and would provide a more modern way to relate to relevant, external institutions, both nationally and internationally. 2.7 One substantive area that requires clarification relates to departmental funding and management procedures (student FTEs, etc.). These matters appear to be additionally complicated in the Medical Faculty. We suggest that the Department should ensure a structured meeting/workshop with relevant University staff from the Registrar’s Office and Bursar’s Office to clarify such matters. BacteriologyFinalReport03 2 Department of Bacteriology: Review Group Report 2.8 We note that internal management and communications appear very good but mainly informal. However, demands of paperwork and growing complexity of University financial systems strongly suggests that the Department requires dedicated administrative support. The current system of shared secretarial support with Pathology is inadequate and requires consolidation by the addition of a dedicated staff member (see 2.5). 2.9 The Department must plan and anticipate changes in the overall medical faculty environment, arising from fiscal pressure to expand student numbers. Given the fact that key staff are already over committed to teaching, this would pose serious challenges for the Department 2.10 The Review Group noted with approval, the performance of the technical staff of the Department, who demonstrated a good working relationship with other staff and whose contribution was much valued and appreciated by students. 3. Programmes and Instruction 3.1 In general, we were highly impressed with the standard of teaching and instruction. It is clear there is a culture of teaching that is of a very high standard. 3.2 The Review Group noted that Tutorial and Practicals appeared to be well organised and that serious thought had gone into their educational value. For example, practical class sizes had been reduced by splitting and double teaching. 3.3 Teaching content and curriculum appeared to highly relevant, continually updated, and well presented. 3.4 We believe that the Department may, however, face future challenges in teaching loads if there is growth in student numbers allied to delay in appointing additional or replacement staff. 3.5 The Department should continue to review its course examination methods. The exact details as regards oral exams, MCQs and the merit of semesterisation should all be actively evaluated to consider if these would help balance students’ learning burden. Integration of some teaching with other departments should be explored (e.g. causes and the management of diarrhoea with Medicine). 3.6 The Department should play a full role in medical curriculum development. Our impression is that there does not appear to be an active process within the Faculty to update and improve the Undergraduate Medical Curriculum. 4. Scholarship and Research 4.1 We were most impressed with the research outputs of the Department, especially given the clinical and teaching load carried by the staff and the consequent time restraints. Publication in peer-reviewed international journals of high citation index evidences the outstanding quality of research carried out in the Department. 4.2 We believe that the research potential of the Department is one of its strongest assets and requires greater prioritisation. Currently, heavy teaching and clinical loads are restricting its growth, for example, by turning away PhD students. There is a need for a greater BacteriologyFinalReport03 3 Department of Bacteriology: Review Group Report prioritisation of research compared with teaching and clinical commitments, although we appreciate current staff resources cannot support this prioritisation. 4.3 We note the growing research community of PhD and Post/Docs in the Department. This was a highly impressive body of activity when considered collectively. However, space for researchers appears to be crowded and additional research space will be a key challenge for the Department in the future. 4.4 In order to further expand the research effort of the Department, we recommend increased links and synergies with other University Departments and Research Institutes (Microbiology, National Centre for Biomedical Engineering Science (NCBMES), etc.). 4.5 In particular, we reiterate the link between staffing issues and the Department’s research potential. It is vital that the UMT appreciate the need to fund additional academic staff who would share the teaching load, engage in relevant research and free senior consultant staff to continue to publish in journals of international repute. 5. Community Service 5.1 The Department has extensive commitments to the WHB and provides a broad range of services to General Practitioners locally. The Department’s leading role in the provision of the Samonella Interim Reference Laboratory deserves special mention. Additionally, many members of staff are extensively involved in professional associations and learned societies. 6. The Wider Context 6. 1 We noted the excellence of the medical library and the dedication of its staff. We were impressed by the efforts made to make the best possible use of modern IT in this area to support students. However, we note that the medical library is constrained by its small space. 6.2 Support from Computer Services appears more than adequate, and has kept pace with the Department’s growing demands. 6.3 We noted the growing role of the Dean of Research’s Office as regards furthering a culture of research in NUI, Galway. In our view however, a more proactive engagement with departments should be attempted by the Dean of Research’s Office, offering a more tailored and focused encouragement. [new] 6.4 It would appear that the relationship between the Medical Faculty and line departments such as Pathology needs greater communication and institutional reform. The appointment of a full time Dean of the Faculty could offer the Department a champion to engage with University and WHB management. 7. Summary and Concluding Remarks By way of summary, we stress here a number of crucial insights and suggestions. 7.1 The Department is at a critical juncture as regards its development. A continued focus on balanced excellence needs to be maintained, paying attention to the mix of clinical demands, teaching and research. Currently heavy clinical loads and teaching commitments BacteriologyFinalReport03 4 Department of Bacteriology: Review Group Report tend to dominate what is already a very impressive research track record, given time and staff resources. 7.2 We strongly advocate as a matter of urgency the provision of at least one additional non-clinical permanent member of staff, who would reduce teaching loads for the Head of Department and other staff, and undertake some of the management of the PhD research programme. In our view it is imperative that the UMT support such a position as soon as possible. 7.3 There is a need to confirm the Department’s status as a full academic unit with the appropriate extra resources that this entails given its excellent research potential. What is particularly needed is greater evidence of support from within Faculty and the UMT. This also requires a more assertive effort on the part of the Department itself. 7.4 External communications need to be improved upon. There is a need for a more assertive style of participation in Faculty, UMT and WHB deliberations. 7.5 In general, we were highly impressed with the standard of teaching and instruction. It is clear there is a culture of teaching that is of a very highest standard. 7.6 Outstanding potential as regards research in particular needs to be nurtured and prioritised over the coming years. We advocate that one greater focus for expanding the research effort should be in building up internal University links and synergies with other units and departments (Microbiology, BMES, etc.). 7.7 In particular we would reiterate the link between staffing issues and the Department’s research potential. It is vital that the UMT appreciate the need for funding new staff, that can free senior consultant staff to produce work for journals of international repute. A failure to provide these resources will be, in effect, reducing the potential for highly significant research to emerge. Prof. Hilary Humphreys Dr. Mary Sheppard Prof. Emer Colleran Mr. Brendan Flynn April 8th 2003 BacteriologyFinalReport03 5 Department of Bacteriology: Review Group Report Comments on The Methodology of the Review Process A. The review of two separate, although related, departments was challenging. On reflection, the review group felt it was better to proceed with two distinct assessment reports for each department, repeating observations where these applied to both in common. B. Provision of detailed statistical information appears to be too late for reviewers, where it is delivered on the day of the review. It requires time to digest and analyse. Moreover, it requires explanatory descriptive text to for example, explain the basic FTE model of student funding. C. Other documents or correspondence, that are not confidential or sensitive, and that include information about the Department’s plans for the future or request for funding or resources from the Faculty or the UMT, should be included D. Key Faculty and University strategy documents should be included with supporting documentation where these exist. These include any Faculty research plans, University Strategic Plan, etc. E. There is a need to examine ways and means of reducing the administrative burden of producing self-assessment reports and the organisational side of the review group visit for departments. F. The review group frequently found themselves awash in paper. We suggest a folder system would help, allowing reviewers to organise materials more efficiently. BacteriologyFinalReport03 6