Hunter New England Health Clinical Research Fellowship Scheme 2016: Building a Platform for Translational Research in Partnership with the University of Newcastle and Hunter Medical Research Institute Guidelines and Conditions for Applicants 2015-2016, Round 1 “The implementation of optimally efficient health reform will depend upon the engagement and effective interactions of basic science researchers, physician researchers, clinicians, allied health workers, carers and patients. The great divides which isolate these groups from each other can and must be overcome” The Australian Society for Medical Research, 2012 HNE Health Clinical Research Fellowship 2015-2016 2 Table of Contents Glossary ................................................................................................................................................................ 4 Definitions ........................................................................................................................................................... 5 1. Introduction ................................................................................................................................................... 6 2. Background .................................................................................................................................................... 7 3. The HNE Health Clinical Research Fellowship Scheme ............................................................... 8 3.1 The Purpose Of The Fellowships ........................................................................................................ 8 4. Who Should Apply ....................................................................................................................................... 9 4.1 Eligibility Criteria:..................................................................................................................................... 9 5. Funding ......................................................................................................................................................... 10 5.1 Allocation Of Funding ........................................................................................................................... 10 6. Selection Procedures ............................................................................................................................... 11 6.1 Stage One: Expression Of Interest ................................................................................................... 11 6.2 Stage Two: Application ........................................................................................................................ 12 6.3 Stage Three: Panel Interview and Presentation ........................................................................ 12 7. Outcome Of Application ......................................................................................................................... 13 8. Multiple Submissions .............................................................................................................................. 13 9. Intellectual Property................................................................................................................................ 13 10. Conditions Of Award ............................................................................................................................. 13 11. Responsibility Of Fellows.................................................................................................................... 13 11.1 Progress Reports ................................................................................................................................. 13 11.2 Publications/Presentations ............................................................................................................. 14 11.3 Acknowledgement............................................................................................................................... 14 12. How To Apply .......................................................................................................................................... 14 13. Important Dates ...................................................................................................................................... 15 15. References ................................................................................................................................................. 16 16. Appendices.................................................................................... Error! Bookmark not defined. HNE Health Clinical Research Fellowship 2015-2016 3 Glossary HNE Health Hunter New England Local Health District UON University of Newcastle HMRI Hunter Medical Research Institute CTRFS Clinical Research Fellowship Scheme CRF Clinical Research Fellowship AHRTC Advanced Health Research and Translational Centres LHD Local Health District FTE Full Time Equivalent RIAC Research and Innovation Advisory Council HNE Health Clinical Research Fellowship 2015-2016 4 Definitions Translational Research Refers to the process of using findings of research to produce innovation in healthcare settings. This includes: treatment and intervention development (T1); testing efficacy and effectiveness of treatments and interventions (T2); and dissemination and implementation research for system-wide change (T3 - T4). Health Care Professional Refers to medical, nursing, and allied health professionals and those dedicated to clinical management, health service delivery, public & population health, epidemiology, health informatics, health economics and health policy. Clinician Refers to a health professional dedicated to patient care. This includes but is not limited to, those from the medical, nursing and allied health professions. Research Active Clinical Units Clinical units that demonstrate a commitment to embedding clinical research into practice, in that they: Currently hold competitive grant funding Are actively engaged in a productive clinical research program, have Senior clinician researchers within the unit who have a strong track record of successfully supervising research higher degree student and post-doctoral fellows, and have The necessary infrastructure to support clinical research activities Early-Mid Career Clinician Researcher Individual active in clinical practice who is currently undertaking translational research as part of or equivalent to a research higher degree, (based on publication out-put). Infrastructure Funding Funding available to support the costs of the project that includes the purchase and maintenance of equipment, consumables, purchase and maintenance of animals, project licenses, publication costs etc. Supervisor/Supervisory Team Have a proven track record in being able to successfully supervise research higher degree students or research fellows Are currently leading/participating in active and productive research program(s). HNE Health Clinical Research Fellowship 2015-2016 5 1. Introduction In recognizing that evidenced-based healthcare and improved patient outcomes are intrinsically linked to translating clinical research into health care policy and practice, HNE Health in collaboration with its partners, the Hunter Medical Research Institute (HMRI) and the University Of Newcastle (UON) are providing an opportunity to support health professionals to undertake clinical research. The HNE Health Research, Innovation and Partnership executive portfolio is introducing the HNE Health Clinical Research Fellowship Scheme (CRFS) as a key element of its 2015-2016 Research Strategic Plan. The Fellowship Scheme will commence in January 2016 and responds to the HNE Local Health District’s Strategic plan to; position for the future by facilitating multidisciplinary innovation, education and research. HNE Health Local Health District Strategic Map Excellence- Every Patient, Every Time Healthy People – Now and into the future Keeping people healthy and in the community Providing world class clinical services with timely access and effective infrastructure Community (The people we serve) x x x x x Deliver disease prevention, early intervention and health promotion across the lifespan Support a healthy start to life Empower communities to engage as partners in health Close the Gap between Aboriginal and non-Aboriginal health Partner with communities to reduce health disadvantage Service (The service we provide) x x x x Improve equity of access and service delivery Cooperate, collaborate and communicate with our partners to best meet agreed health needs Develop a culture of service and person-centered care that includes the needs of families and carers Sustain effective clinical networking STRATEGIC PRIORITIES Patient Safety, Quality and Experience (Excellence – every patient, every time) x x x Provide a quality health service experience Deliver safe, effective and appropriate healthcare Provide strong corporate and clinical governance Resources (Managing our services well) x Make the most effective use of the finite resources available and ensure that costs are kept under control to promote sustainability Positioning for the future (Proactively preparing) x x x x Plan and invest for future health needs Encourage multidisciplinary innovation, education and research Embrace opportunities that will lead to greater sustainability Encourage new sustainable technology to support clinical needs Our staff and workplace culture (Supporting and encouraging our staff) x x x Attract, develop and retain competent, capable staff with the right cultural fit Be ethical and accountable for demonstrating our shared (CORE) values Ensure a safe working environment HNE Health Clinical Research Fellowship 2015-2016 6 CORE VALUES: Collaboration Openness Respect Empowerment Our Vision: Our Goals: The Clinical Research Fellowship Scheme represents HNE Health and the Research Innovation and Development Unit’s commitment to: 1. Creating a strong culture of continuous improvement that delivers the best and most efficient evidence-based healthcare for people of the Hunter New England District. 2. Supporting and promoting excellence in health and medical research by encouraging collaboration between academia, the research institute and patient care facilities within HNE Health. A collaborative model that will enable bidirectional interchange and leveraging, strengthening the regions capacity to be competitive in seeking external grants and increasing its ability to build a centre of global relevance. 3. Encouraging and supporting clinician researchers across all disciplines to increase their research activity and capacity whilst undertaking high quality, clinically relevant research that addresses knowledge gaps in the HNE Health Strategic Plan where research findings can be transferred into policy and practice to improve the health outcomes for people locally, nationally and internationally. 4. Embedding a research culture into all aspects of healthcare delivery within HNE Health that supports NSW Health’s vision to deliver, “Better Health Through Research” (1). 2. Background Over the past decade there has been sustained and widespread discussion, both nationally and internationally related to the decline of clinician researchers and the negative impact this has had on building a culture of evidence informed practice at the bedside and expediting the translation of research findings into policy and practice. (2) Barriers to clinicians undertaking clinical research have been documented as; funding bodies’ historical bias for bench science over clinical science(3); limited protected time and space for clinician researchers to conduct clinical research(1); limited access to clinical trial coordinators; negligible institutional support or funding; and limited access to senior clinical academics who can supervise and mentor emerging clinician researchers.(4) In response to this “crisis in academic health care”(4), health services and governing agencies worldwide have implemented various initiatives to redress the issue. The underlying premise of these initiatives rests largely on the expansion of clinical and translational research agendas to include research (5) that is “grounded in, informed by, and intended to improve practice”. (6) There is a strong view within the literature that suggests clinical research provides “the essential link between bench discoveries, bed side efficacy, and everyday clinical effectiveness”.(7) In an attempt to translate research findings into improved health outcomes and system efficiencies, there has been a trend nationally and internationally to establish integrated health research centres.(8) In Australia this has recently been realized through the HNE Health Clinical Research Fellowship 2015-2016 7 establishment of Advanced Health Research and Translational Centres’ (AHRTC). These centres, endorsed by the NHMRC, demonstrate an ability to combine research excellence with health care service, by working collaboratively to integrate clinical research, training, education and service delivery.(9) It is well recognized that a key determinant of health service providers participating in this renewed research agenda is to identify, support and develop clinician researchers. In response to this initiatives to encourage and support clinicians to undertake clinically relevant research have proliferated. These initiatives typically make provisions to sanction funds, by way of establishing clinical research scholarships or fellowships that enable clinicians to be released from their clinical responsibilities whilst they undertake highquality, clinically relevant research projects. This capacity building model for clinician researchers has been widely implemented throughout Australia. Within HNE Health, The Research Innovation and Partnership Unit provide a range of opportunities for clinicians to undertake clinical practice improvement programs. The HNE Health Clinical Research Fellowship Scheme is an addition to these opportunities. An addition that will facilitate HNE Health and its partners’ vision to become; “An Advanced Health Research and Translation Centre, internationally recognized for discovery, innovation and excellence in clinical care, every patient, every time” 3. The HNE Health Clinical Research Fellowship Scheme 3.1 The Purpose Of The Fellowships The purpose of the HNE Health CRF is to: Build a clinical academic workforce by supporting clinicians (across all disciplines), employed within HNE Health research active units, to conduct translational research whilst undertaking formal research training e.g. MD, PhD. Enable high-quality clinically relevant research that aligns with HNE Health’s strategic priorities to improve patient, health outcomes and service efficiencies locally, nationally and internationally. Build the capacity and proficiency of clinician researchers, across all disciplines within HNE Health, supporting those who wish to advance their career by integrating clinical and research activities in the pursuit of clinical excellence. Embed a culture of research and innovation within HNE Health whereby research activity becomes integral to the provision of best practice clinical care. HNE Health Clinical Research Fellowship 2015-2016 8 4. Who Should Apply The HNE Health CRF scheme is intended to support clinicians employed within research active clinical units across the district to undertake high-quality, clinically relevant research. 4.1 Eligibility Criteria: To be eligible to apply for the Fellowship scheme should be: An Australian citizen or permanent resident (evidence to support permanent residency must be provided) committed to residing in the Hunter New England Region for the duration of the fellowship; and A Medical graduate in the later stages of specialist training, or those with specialist qualification enrolled in, or planning to enroll in formal research training e.g. MD or PhD; or A Health professional with a research masters degree (or equivalent), enrolled in or planning to enroll in a research higher degree (PhD); or A Health professional who has completed a research higher degree (PhD), or equivalent (through research track record and productivity) within the past 5 years; or An experienced Health care professional with a strong research track record demonstrated by his/her; current role in undertaking clinical research, disseminating research findings through publications and conference presentations and/or gaining competitive research grant funding; and be Employed by HNE Health as a health care professional within a research active unit and be willing to commit at least 80% of their full-time substantive position to conducting research (note: it is the responsibility of the Fellow to secure and retain employment with HNE Health) Supported by his/her Department Head and Service Manager to be released from clinical duties for no less than 0.8 of their FTE for the duration of the Fellowship Committed no more than 0.2 FTE to clinical duties, (related to the research project) for the duration of the Fellowship Mentored by a supervisor/supervisory team from within a HNE Health research active unit committed to providing the necessary infrastructure and supports to oversee the project, ensuring research fidelity, progress and output HNE Health Clinical Research Fellowship 2015-2016 9 Able to demonstrate a capacity to undertake clinical research evidenced by; a strong understanding of research ethics and governance; a track record of disseminating research findings by publishing in peer-reviewed journals, books, and delivering papers at conference and obtaining competitive grant funding (relative to experience and opportunity) Able to demonstrate a quality research proposal that aligns with HNE Health’s key strategic priorities, that is underpinned by a commitment to clinical translation research (T1-T4) that has the potential to improve health, patient and service efficiency outcomes Able to demonstrate the potential for multidisciplinary health care clinician involvement within the research project, providing opportunities for interdisciplinary collaborations and engagement of other clinician researchers (e.g. Students/Trainees) Able to demonstrate that all relevant approvals e.g. institutional and governance for the proposed study have been secured 5. Funding Funding for the fellowships have been made available through the combination of the: HNE Research Ethics Governance Unit Special Purpose and Trust Fund, John Hunter Charitable Trust Fund, and the Commonwealth Research Infrastructure Block Grant (via the University of Newcastle) Other than a small amount for infrastructure funding, funding for the fellowships will only be used for salary support of the Fellow. The amount of funding offered will be determined by the FTE nominated by the applicant to be directed toward the proposed research project. Research active groups within HNE Health are encouraged to consider co-funding applicants applying to the scheme, thereby contributing to a proportion of the fellowship cost e.g. 50:50, 75:25. Successful applicants are also encouraged to apply for additional competitive grants, or grants-in-aid from funding bodies e.g. APA Scholarship. 5.1 Allocation Of Funding Whilst the HNE Health Clinical Research Fellowships will be offered annually, the number of Fellowships available each year will vary subject to available funds. The Fellowship funding will make provisions for: HNE Health Clinical Research Fellowship 2015-2016 10 1. Salary support, commensurate with the Fellows substantive clinical position (at baserate plus on-costs), to a maximum of $150, 000 per annum, for 3 years. A possible extension (up to 6 months) will be available subject to: approval from the Research Innovation Advisory Council (RIAC), and demonstrated satisfactory annual progress. 2. Infrastructure funding to a maximum of $5,000 per annum. HNE Health’s Research, Support and Development Unit will administer the Fellowship funds. Fellowship salaries will be processed via HNE Health payroll. No additional allowances or claims may be made. Equipment that is purchased with Fellowship funds will remain the property of the HNE Health research active unit supporting the Fellow. Fellowship funding that is used for purposes other than that for which it was awarded, or is unspent at the conclusion of the Fellowship, will be recoverable by HNE Health and returned to the Fellowship fund. 6. Selection Procedures The HNE Health CRF are prestigious and highly competitive awards and as such all applications will be subjected to a rigorous internal and external selection process. The selection process will consist of three stages with funding being awarded to the highest scoring application(s) judged according to: The quality of the proposed research project The track record of the applicant relative to research experience and opportunity The availability of committed supports from Supervisors/ Supervisory Teams within HNE Research Active Units who demonstrate a capacity to oversee the project and ensure research progress and output The significance of the project and its relevance to HNE Health The likelihood that the proposed study will successfully be translated into improved patient outcomes through innovation or change to existing guidelines, or policies and/or representing world-leading health and medical research The capacity of the applicant to develop into a leadership role as a clinician researcher within HNE Health 6.1 Stage One: Expression Of Interest Applicants will be invited to submit an expression of interest (EOI) for preliminary screening by HNE CRF Selection Committee. The HNE CRF Selection Committee reserves the right to co-opt specialist representatives for the review of EOIs. Following preliminary screening, applicants will be informed as to whether their proposal has been short-listed to progress to Stage Two. HNE Health Clinical Research Fellowship 2015-2016 11 6.2 Stage Two: Application Applicants whose EOIs are short-listed will be invited to submit a full application HNE CRF Application Form to the HNE Health CRF Selection Committee. A selection committee consisting of both, internal and external reviewers will assess applications. Applicants should inform the committee in writing if there are external reviewers who they do NOT want to review their application, and/or any special requirements or provisions required in relation to intellectual property or confidential material contained in the application. Applications will be judged and ranked according to criteria detailed in, Table 1- Criteria for Assessment. 6.3 Stage Three: Panel Interview and Presentation Applicants short-listed during Stage two will be invited to attend a panel interview and provide a 20 min presentation for the selection committee. The committee will consist of internal and external reviewers. Table.1 Criteria for Assessment CRITERIA 1. QUALITY OF THE RESEARCH PLAN Including study rationale, design, methodology, feasibility & timeframes. Is the study well informed by the literature? What are the strengths and weaknesses of the study & its design? Have potential problems been identified? What is the significance of the proposed study? Does the study align with HNE Health’s strategic priorities? Is the problem important? What is the likelihood that the research findings from the study can be translated into policy and/or practice? What is the potential of the study being able to leverage for additional funding, national and/or international collaborations? 2. ORGANISATIONAL AND TECHNICAL SUPPORT Does the applicant have a designated and accessible supervisor(s)/ supervisory team with a strong track record of actively engaging in clinical research and successfully mentoring research higher degree students or research fellows? Does the nominated supervisor(s) & research active unit have a strong track record of active and productive research programs? Has the nominated research unit got the necessary infrastructure to successfully support the fellow and the proposed study? Is there potential for the nominated research active unit to cofund the applicant for the Fellowship? 3. APPLICANTS TRACK RECORD & POTENTIAL WITHIN HEALTH RESEARCH Does the applicant display qualities of academic intellect, demonstrated through academic achievement? Has the applicant undertaken formal research training? Does the applicant display qualities of leadership demonstrated through professional achievements (clinical, research, or health service duties)? Does the applicant have potential for research career development as demonstrated by the applicant’s response to, reasons for applying and future goals and aspirations related to health research? Relative to opportunity and experience, does the applicant demonstrate an appreciation for clinical/translational research evidenced by; undertaking, and/or participating in clinical research projects, publishing and/or applying for competitive research grant funding, disseminating research findings through conference presentations and/or instrumental in leading the uptake of evidence into clinical practice by contributing to policy and/or practice reform? TOTAL % 50% 25% 25% 100% HNE Health Clinical Research Fellowship 2015-2016 12 7. Outcome Of Application Applicants will be notified of the outcome within two weeks of their interview. Successful applicants will be required to enter into a funding agreement with HNE Health. Unsuccessful applicants will be given feedback from the review committee. The decision of the HNE Health CRF review committee is final. Correspondence regarding the outcome of the fellowship applications will not be entered into. 8. Multiple Submissions Fellowship applicants may only have one competitive funding application under consideration by the HNE Health Clinical Research Fellowship Scheme at any one time. Fellows are encouraged to apply for supplementary project or infrastructure funding to support their proposed study. 9. Intellectual Property All intellectual property (IP) generated as a result of research funding from the HNE Health will be managed in accordance with NSW Health IP policy. 10. Conditions Of Award Successful applicants must accept the offer of the award by the date nominated by the selection committee. In accepting an offer, applicants must: Read and sign the terms and conditions of the HNE Health CRF Scheme Be aware that the RIAC needs to be made aware, in writing, of any variation to the original proposal Be aware that extensions to the project completion date will only be considered in exceptional circumstances, with a maximum extension of 6 months. Any request to amend the grant or the terms must be made in writing to the Research Innovation Advisory Council. 11. Responsibility Of Fellows 11.1 Progress Reports All successful Fellows will be required to submit an annual progress report and work plan for the duration of the Fellowship. Failure of the fellow to demonstrate progress (appraised by HNE Health Clinical Research Fellowship 2015-2016 13 HNE Health RIAC) may result in the withdrawal of the Fellowship funding. A one-hour interview may be requested at the discretion of the RIAC to discuss study progress and interim research findings. A final report must be submitted to the RIAC within three months of completion or termination of the Fellowship. The final report should address: I. The objectives of the project II. The extent to which the objectives were achieved III. The research results and benefits, including evidence of improved patient, health, and/or service efficiency outcomes IV. The titles of published papers, invited conference presentations (locally, nationally and internationally) V. An acquittal statement of the expenditure of funds, certified by the Business Manager, Research Innovation and Partnership Unit 11.2 Publications/Presentations Fellows are expected to publish at least one manuscript in a peer-reviewed journal within the first year of the Fellowship, and two per year thereafter until the completion of the Fellowship. Fellows are also expected to disseminate their work at appropriate research, clinical forums and conferences. 11.3 Acknowledgement Any dissertation, thesis or publication resulting from the research undertaken during the fellowship must acknowledge HNE Health, the HNE Research Innovation and Development Unit and the HNE Health Clinician Research Fellowship Scheme. 12. How To Apply Download the guidelines and application forms: Guidelines, Instructions and Application Procedures Round 1 Expressions of Interest Round 1 HNE Health CRF Application form. Applicants are encouraged to make email contact with the Director of Clinical Research and Translation, Prof Chris Levi at Christopher.Levi@hnehealth.nsw.gov.au to discuss their interest and prospective research proposal, or Ms Jane Gray, Director Research Innovation and Partnership Unit at Jane.Gray@hnehealth.nsw.gov.au Applications should include: 1. A Curriculum Vitae, that should include your current and previous appointments, certified copies of your academic transcript(s), degrees, prizes, awards, collaborations, presentations (local, national and international), evidence of research independence, scientific discipline involvement HNE Health Clinical Research Fellowship 2015-2016 14 (membership, committees, editorial boards etc), community involvement, research support (past, current) and publications. You should also include details of any other current research applications including funding agencies and project titles. 2. A Completed EOI form 3. Statement of support from applicant’s Line Manager and Department Head. Applications submitted without this will NOT be considered. 4. Statement of support and intent to provide supervision from Principal Supervisor. Applications without this will NOT be considered. 5. Statement of support from the Team Leader of the nominated HNE Health Research Active Unit. Applications without this will NOT be considered. If the application is short-listed for external review, applicants will be requested to submit a full HNE Health CRF Application form. It is the applicant’s responsibility to ensure that all line managers and department heads agreements are completed and included in the application. Please submit an electronic copy of all relevant forms in PDF format (electronic signatures will be accepted) to HNELHD-RSDO@hnehealth.nsw.gov.au Only electronic submissions will be accepted, incomplete or late submissions will not be accepted. All enquiries regarding the Fellowship scheme should be directed to: Christopher.Levi@hnehealth.nsw.gov.au 13. Important Dates Call For Expressions of Interest Deadline for Expression of Interest Notification of Shortlisting and Invitation to submit full application Deadline for submission of full application Notification of Successful Applicants Commencement Date of Fellowship HNE Health Clinical Research Fellowship 2015-2016 27th July, 2015 24th August, 2015 14th September, 2015 12th October, 2015 4th December, 2015 11th January, 2016 15 15. References 1. Australian Government Department of Health and Aging (DoHA). Strategic Review of Health and Medical Research in Australia- Better Health through Research. Full Report, February, 2013 2. Wolf SH. The meaning of translational research and why it matters. JAMA 2008:299;211-3. 3. H Hiscock H; Ledgerwood K; Danchin M; Ekinci E; Johnson E; and Wilson A. Clinical research potential in Victorian Hospitals: the Victorian clinician researcher needs analysis survey. Internal Medicine Journal 2014:Feb; 477-482. 4. Aron JK. How to attract, retain and nuture young academic clinicians. Journal of the Royal Society of Medicine 2011:104;6-14. 5. Potter MA; Quill BE. Demonstrating Excellence in Practice-Based Research for Public Health. ASPH Special Publication Jan-Feb 2006; 1-16. 6. Long JC; Cunningham, FC; Carswell P and Braithwaite J. Patterns of collaboration in complex networks: the example of translational research network. BMC Health Service Research 2014; 14: 225-241. 7. Pearson A; Jordan Z; Munn Z. Translational Science and Evidence–Based Healthcare: A clarification and Reconceptualization of How Knowledge is Generated and Used in Healthcare. Nursing Research and Practice. 2012; 8. Callard FC; Rose D and Wykes T. Close to the bench as well as at the bedside: involving service users in all phases of translational research. Health Expectations 2011: 15; 389-400. 9. Jennings GL, Walsh MK. Integrated health research centres for Australia. Medical Journal of Australia 2013; 199:320-1. 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