Programme: Academic Metabolic Medicine Type of programme The AF2 will have the opportunity to spend four months doing cutting edge research in the Department of Investigative Medicine at Hammersmith Hospital. Brief outline of department The Department of Investigative Medicine has an outstanding record for translational research and the research profile of the department is world class. The laboratory’s research is both clinical and laboratory based and is conducted by a range of medical doctors and scientists. The group has conducted the first human infusions of a number of novel peptides in man which have been done by Clinical Training Fellows (including ghrelin (Wren et al. JCEM 2001), peptide YY (PYY) (Batterham et al. Nature 2002), oxyntomodulin (Cohen et al. JCEM 2003), kisspeptin (Dhillo et al. JCEM 2005, 2007, 2009). The department is well-equipped and consists of a team of clinical academics and basic scientists with a wide variety of scientific expertise who work very closely together. The Unit is funded by numerous grants including programme grants from the Medical Research Council (MRC) and the Wellcome Trust. The department has a very good record of training junior doctors; in the last 5 years the Department has trained 12 Wellcome Trust and MRC Clinical Training Fellows and currently there are 5 Wellcome Trust and MRC Clinical Training Fellows in the laboratory. The laboratory has a programme of basic science and translational research investigating appetite pathways in order to develop novel targets for the treatment of obesity. The department also has a strong track record of translational research investigating the action of novel hormones. Further information can be found on the departmental website: http://www1.imperial.ac.uk/departmentofmedicine/divisions/diabetesendocrinologym etabolism/meta/ Structure of academic project/what expected The AF2 year will be based at Hammersmith Hospital, and will include 4 months of Acute Medicine, 4 months of Haematology, and 4 months Academic Metabolic Medicine where the AF2 will be given insight into the link between clinical medicine and the laboratory. The AF2 will be incorporated into the laboratory’s research themes during their four month research block and is expected to actively participate in a number of defined research projects. This involves working with doctoral and post-doctoral students and a range of other professionals. Additionally, the trainee is expected to partake in the variety of laboratory research meetings and presentations such as the journal club. There is also the opportunity to be involved with teaching and to attend general endocrine clinics. This is an ideal post in which to gain clinical laboratory experience as well as experience in basic research. The AF2 will work with highly skilled clinical scientists who will provide training in the relevant techniques. The particular value to the AF2 will be in gaining an understanding of metabolic medicine, and being able to interpret dynamic tests in a clinical light. There will be both academic and clinical supervision throughout the programme. There will be enthusiastic support for trainees to undertake clinical projects investigating metabolic disease. This should lead to presentations at National or International meetings. The work of some AF2s in the past has resulted in several peer reviewed publications. The research will be supervised by Professor Waljit Dhillo (w.dhillo@imperial.ac.uk) and Professor Steve Bloom (s.bloom@imperial.ac.uk). Clinical commitments during academic placement The AF2 will carry out limited clinical duties, including dynamic pituitary function testing, and will then assess and interpret the results. We have dedicated metabolic medicine ward space both at Charing Cross and Hammersmith Hospitals. Departmental academic teaching programme (if applicable) The AF2 will attend weekly research meetings as well as Trust F2 teaching. Academic Lead: Prof Karim Meeran Professor of Endocrinology k.meeran@imperial.ac.uk