UNIVERSITY OF OXFORD / OXFORD DEANERY Department of Paediatrics Job description for the post of NIHR Academic Clinical Fellow in Paediatrics Job title - Academic Clinical Fellow Duration of post - Three years Academic Clinical Fellowship (ACF) posts have been awarded by the NIHR to University/NHS Trust/Deanery partnerships nationally through competition. Oxford has been very successful attracting 79 ACF and 30 Clinical Lecturer posts to date. These posts form part of the NIHR Integrated Training Pathway, further details of which can be found on the NIHR TCC website http://www.nihrtcc.nhs.uk. The University of Oxford enjoys an international reputation as a world-class centre of excellence in research and teaching. It employs over 7,800 academic, research and support staff across a wide range of academic disciplines. The Medical Sciences Division, within which the Department of Paediatrics is located, includes the clinical and preclinical departments of the Medical School, plus Experimental Psychology (see http://www.medsci.ox.ac.uk/). The division is one of the major centres for clinical and basic biomedical research in Europe, with more than 2,200 staff on the payroll and 800 postgraduate students. It includes several research Institutes and Units housed in modern buildings. The Division achieved top scores in both the 2001 and 2008 HEFCE research assessment exercises. The annual grant income from external sources for the Medical Sciences Division is over £90 million. The Division fosters the highest possible standards in research, teaching and patient care and seeks to recruit staff that share this vision. The University Department of Paediatrics has a diverse portfolio of research in paediatric diseases and child health. The Department has strong links with the NHS Department of Paediatrics, which is co-located in the new Children’s Hospital. The opportunities for clinical and academic training in the department are considerable and reflected in the wide range of interests in the consultant body: Staffing Structure Consultants within the University and NHS Departments of Paediatrics: Dr Elerie Adams Dr Satish Adwani Dr Mary Anthony Consultant Paediatrician (Neonatal Medicine) Consultant Paediatric Cardiologist Consultant Paediatrician (Neonatal Medicine) 1 Dr Nick Archer Dr Charlotte Bennett Dr Janet Craze Dr Julie Edge Prof Philip Goulder* Mr Hugh Grant Dr Georgina Hall Miss Rowena Hitchcock Dr Jeremy Hull Dr Kevin Ives Mr Paul Johnson* Dr Fiona Ryan Prof Dominic Kwiatkowski* Miss Kokila Lakhoo Mr Jay Jayamohan Dr Kenny McCormick Dr Tony McShane Dr Chris Mitchell Dr Sheila Lane Dr Josep Panisello Dr Mike Pike Prof Andrew Pollard* Mr Peter Richards Dr Clare Robertson Dr John Shaw Dr Alison Shefler Dr Peter Sullivan* Dr Anne Thomson Dr Kate Wheeler Prof Andrew Wilkinson* Dr Neil Wilson Consultant Paediatric Cardiologist Consultant Paediatrician (Neonatal Medicine) Consultant Paediatrician (Renal & General) Consultant Paediatrician (Endocrinology, Diabetes, General) Hon. Consultant Paediatrician (Paediatric HIV disease) Consultant Paediatric Surgeon Consultant Paediatric Haematologist/Oncologist Consultant Paediatric Surgeon Consultant Paediatrician (Respiratory Medicine, General) Consultant Paediatrician (Neonatal Medicine) Clinical Reader & Hon Consultant in Paediatric Surgery Consultant Paediatrician (Endocrinology, Diabetes, General) Hon Consultant Paediatrician (Tropical Paediatrics) Consultant Paediatric Surgeon Consultant in Paediatric Neurosurgery Consultant Paediatrician (Neonatal Medicine) Consultant Paediatric Neurologist Consultant Paediatric Oncologist Consultant Paediatric Oncologist Consultant Paediatric Intensivist Consultant Paediatric Neurologist Hon Consultant Paediatrician (Infectious Diseases) Consultant in Paediatric Neurosurgery Consultant Paediatrician (Community Child Health, General) Consultant Paediatrician (Community Child Health, General) Consultant Paediatric Intensivist Reader & Hon Consultant (Paediatric Gastroenterology) Consultant Paediatrician (Respiratory & General) Consultant Paediatric Oncologist (and General) Hon Consultant Paediatrician (Neonatal Medicine) Consultant Paediatric Cardiologist Research Portfolio of Academics with the University Department Philip Goulder’s group based in the Peter Medawar Building for Pathogen Research is working to define mechanisms of immune control of HIV infection and exploring strategies to alter the natural course of infection in children. Andrew Pollard is director of the Oxford Vaccine Group based in the Centre for Clinical Vaccinology and Tropical Medicine. He conducts clinical trials of new and improved vaccines against major childhood and adult pathogens, He also runs an applied immunology group that studies the development of the B cell response and a translational vaccinology programme focused on development of a Group B meningococcal vaccine. He also directs a research group in Nepal studying bacterial infections in children and their vaccine prevention. Several opportunities exist to learn about laboratory techniques and clinical field studies in paediatric infectious disease. The strength in infectious diseases has also allowed members of the Department to make a significant contribution to the Medical Sciences Division’s global health programme. In addition, we have strong links through the Oxford Tropical Network with several paediatricians working overseas and have a member of the Department permanently in Nairobi, Kenya: 2 Michael English in addition to conducting several studies on infectious disease also investigates quality of child and maternal health care in developing countries. Andrew Wilkinson is involved in investigation into the neurophysiological development of brain stem function. The Neonatal Group participates in large multi-centre studies of the outcome of prematurity and has strong links with the National Perinatal Epidemiology Unit. Recent work in collaboration with the Maternity Department involves assessment of fetal growth and management of intrauterine growth retardation. Peter Sullivan’s Paediatric Nutrition Research Group studies the nutritional consequences of neurological impairment in children. Current studies focus on the impact of neurotrophic nutritional intervention to mitigate the effects of perinatal brain damage. This group also has research projects on infant nutrition, body composition, short gut syndrome, inflammatory bowel disease and coeliac disease. Michael Murphy is Director of the Childhood Cancer Research Group which houses the National Registry of Childhood Tumours and which undertakes epidemiological research into childhood cancer. Teaching The Department is highly regarded within the Medical Sciences Division for its high quality undergraduate teaching. The undergraduate course and special study modules are under continual refinement and development as a result of an active programme of feedback and educational research. A variety of teaching opportunities are also available including opportunities to be involved in undergraduate medical student courses. In addition, there is the opportunity to undertake the Diploma in Learning and Teaching in Higher Education (DLATHE) at Oxford University. Selection Criteria The Academic Clinical Fellowship Programmes will offer training to enthusiastic entrants to paediatric and child health training who can demonstrate that they have outstanding potential for development as a clinical academic in research and/or education. Trainees can apply at ST1-4. Training will be flexible and trainee-centred, as far as possible, with mentoring to ensure the attainment of both academic and clinical goals. Trainees are encouraged to discuss their research interests with an appropriate academic supervisor if shortlisted. The trainee selected for the Fellowship Programme will be awarded an NTN(a) at the start of the Programme. Training objectives The main objectives of the programme will be to provide: i) an entry point for doctors aspiring to a research based career in Child Health as well as provide training in Paediatrics and Child Health competencies leading to PMETB accreditation ii) academic training and support to enable entry into appropriate research posts. Structure of the training programme These posts are designed to meet the needs of doctors at ST1-3 level who wish to pursue an academic career in paediatrics. 75% of the trainee’s time will be spent in clinical work, and 25% in academic work. They will be based in the Oxford region with academic time in Oxford. Clinical training would be overseen by the Oxford Deanery and post holders will undergo an ARCP assessment on an annual basis to assess the quality of their training. Each Fellow will have a clinical, an educational and an academic (research/teaching) supervisor. The University 3 Department of Paediatrics will normally provide the academic supervision but trainees may alternatively engage with academic supervisors from elsewhere in the Medical Sciences Division as appropriate to their clinical and research interests. The trainee will be placed in research units to gain sufficient experience for development of a research interest and planning of grant applications for a higher degree. Details of the academic programme will depend on the interests of the candidates. Clinical training will be according to the OxPaed training programme in the School of Paediatrics (see the School of Paediatrics website http://www.mychox.net/oxpaeds/ ). Trainees will be expected to achieve the same competences as their full-time clinical colleagues, and will be involved in clinical service and training as well as teaching in any of the hospitals in the Oxford Deanery according to an allocation process which will be the same as for other non-academic trainees. The trainee will be expected to complete the MRCPCH exams within the 36 months. In addition to the clinical work, the trainee will be able to explore the range of research opportunities and projects offered in the various research units. This would allow time for informed selection of a research area and project towards a higher degree. At the end of the first year the trainee will be required to choose an area of research interest and develop a protocol for their research project for the next two years. The structure of the second and third years may include blocks of protected time free of clinical duties of 6 months to allow development of the research ideas. It is envisaged that by the end of the post the trainee will be successful in obtaining a research fellowship and pursue a DPhil. Regular appraisals will be undertaken to monitor progress towards this goal and appropriate interventions will be initiated to ensure relevant career progression towards a CCT in Paediatrics. For further details of the training programme please visit the Oxford Deanery School of Paediatrics website http://www.mychox.net/oxpaeds/ Academic Programme Contact Dr Matthew Snape MBBS FRACP FRCPCH MD Consultant in General Paediatrics and Vaccinology Honorary Senior Clinical Lecturer Oxford Radcliffe Hospitals NHS Trust Email: matthew.snape@paediatrics.ox.ac.uk Clinical Programme: Head of School Dr Julie Edge Head of School for Paediatrics Oxford Radcliffe Hospitals NHS Trust Email: Julie.edge@paediatrics.ox.ac.uk Deanery contact for further information Mairi Hills Programme Manager Oxford PGMDE Email: mhills@oxford-pgmde.co.uk 4