LONDON SCHOOL OF HYGIENE & TROPICAL MEDICINE (University of London) FACULTY OF INFECTIOUS AND TROPICAL DISEASES DEPARTMENT OF CLINICAL RESEARCH 1. ADVERTISEMENT Clinical Research Fellow Applications are invited for a clinical research fellow post at the London School of Hygiene & Tropical Medicine, based at the Aurum Institute, Johannesburg, South Africa, to start in early 2012. The postholder will take responsibility for managing a project investigating testing for tuberculosis among people attending for HIV care in South Africa. The project, at three large HIV clinics in the area of Johannesburg, South Africa, will follow a cohort of individuals attending for HIV care managed according to a novel study algorithm and determine their outcomes. The post holder will manage this project at the study sites, working with study staff employed through Aurum Institute, and with local clinic staff. The project, a collaboration between LSHTM, Aurum Institute, National Health Laboratory Services South Africa and University of Cape Town, is funded by a grant from the Bill and Melinda Gates Foundation. The post holder will have the opportunity to register for a higher degree at LSHTM. Applicants must be fully-qualified medical doctors, with experience in HIV and TB care, preferably in a resource constrained setting. Support includes a clinical salary for 30 months as a member of LSHTM staff, and overseas allowances if applicable. The post is funded by a grant from the Bill and Melinda Gates Foundation for a period of 30 months starting in early 2012. The appointment will be made on the LSHTM Clinical Research Fellow scale, £30,992 - £44,856 per annum inclusive. Annual leave entitlement is 30 working days per year for all staff (pro-rata for part-time staff). In addition to this there are 6 fixed-date "Director's Days". Applications should be made via our website http://jobs.lshtm.ac.uk and should include a CV. The reference for this post is CRF-AG. Any queries regarding the application process may be addressed to jobs@lshtm.ac.uk quoting the reference number. The London School of Hygiene & Tropical Medicine is committed to being an equal opportunities employer 2. GENERAL INFORMATION The London School of Hygiene & Tropical Medicine The London School of Hygiene & Tropical Medicine is one of Europe’s leading schools of Public Health and a leading postgraduate institution worldwide for research and postgraduate education in global health. Part of the University of London, the London School is the largest institution of its kind in Europe with a remarkable depth and breadth of expertise encompassing many disciplines. The School was ranked one of the top 3 research institutions in the country in the Times Higher Education’s 'table of excellence', which is based on the 2008 Research Assessment Exercise (RAE). In 2009, the School became the first UK institution to win the Gates Award for Global Health. The School’s environment is a rich multicultural one: there are almost 4000 students from 100+ countries following 22 taught masters courses delivered either in London (~650) or through distance learning (~2700), and undertaking research degree training (~400). Over 40% of these students are from non-European countries. The largest growth has been in distance learning students (>40% over 3 years), though the London-based student population (where accommodation limits growth) is at its highest level ever. Alumni are working in more than 180 countries. The School has about 1400 staff drawn from over 60 nationalities. There are research collaborations with over 100 countries throughout the world, utilizing our critical mass of multidisciplinary expertise which includes clinicians, epidemiologists, statisticians, social scientists, economists, molecular biologists, immunologists, ophthalmologists, anthropologists, virologists, pharmacologists and nutritionists. At any one time around 100 School staff are based overseas, particularly in Africa and Asia. We have a strong commitment to partnership with institutions in low and middle income countries to support the development of teaching and research capacity. The School has expanded greatly in recent years. Its research funding now exceeds £67M per annum, much of it from highly competitive national and international sources. The commitment of staff to methodological rigour, innovative thinking and policy relevance will ensure that the School continues to occupy a leadership position in national and global health, adapting quickly to new challenges and opportunities. Mission The School's mission is to improve health in the UK and worldwide through excellence in public and global health research, teaching and knowledge translation, working in partnership. Faculty of Infectious and Tropical Diseases The Faculty of Infectious and Tropical Diseases encompasses all of the laboratorybased research in the School as well as that on the clinical and epidemiological aspects of infectious and tropical diseases. It is headed by Simon Croft, who is Professor of Parasitology. The range of disciplines represented in the faculty is very broad and inter-disciplinary research is a feature of much of our activity. The spectrum of diseases studied is wide and there are major research groups with a focus on malaria, tuberculosis, HIV/AIDS and other sexually transmitted diseases, vaccine development and evaluation, and vector biology and disease control. The Faculty is organised into four large research departments comprising: Pathogen Molecular Biology, Immunology and Infection, Disease Control, and Clinical Research. There is close interaction between scientists in different research teams. The Faculty has strong overseas links, which provide a basis for field studies and international collaborations in developed and developing countries. The teaching programme includes MSc courses, taught in-house and by distance learning, which are modular in structure, a variety of short-courses and an active doctoral programme (PhD and DrPH). Department of Clinical Research (Head: Prof Alison Grant) The Department of Clinical Research addresses infectious diseases of major public health importance in developing countries. Activities include trials of new therapies, vaccines and educational interventions; the development of new diagnostic tests; studies to elucidate the immunological and molecular correlates of pathogenesis and protective immunity, and to identify genetic polymorphisms conferring protection or susceptibility to infectious diseases; health services research which aims to identify the most efficient and cost-effective way to deliver health care; and health policy analysis. In addition to our many overseas collaborations, we have close links with the Hospital for Tropical Diseases, in new, purpose-built accommodation on the main UCL Hospital campus, five minutes walk from the School. The Wellcome Trust Bloomsbury Centre for Clinical Tropical Medicine is based in the Department, and currently supports five Clinical Training Fellows and two Career Development Fellows, most of whom are based overseas. Much of the Department’s research concerns HIV and related infections; in particular, the interaction between HIV infection and other sexually transmitted diseases, and between HIV infection and tuberculosis. We have longstanding and fruitful collaborations addressing these issues in Tanzania, Zambia, Uganda and South Africa. Brian Greenwood FRS is leading an initiative to strengthen malaria research in the School through new collaborative links in Africa. Research and teaching on blinding diseases in developing countries has been greatly strengthened by the recruitment of Allen Foster, who is Medical Director of CBM International, an NGO with programmes for the prevention of blindness and disability in over 100 countries; our research on trachoma has played an important part in framing the strategies adopted by the WHO and the new International Trachoma Initiative for the elimination of blinding trachoma by the year 2020. The post The post holder will take responsibility for managing a project investigating testing for tuberculosis among people attending for HIV care in South Africa. Existing guidelines suggest that people attending for HIV care should be screened for tuberculosis at every clinical encounter, and those with any symptom investigated for tuberculosis. With the roll-out of new and more expensive diagnostic tests, such a policy is likely to be unaffordable. This project will investigate a novel algorithm for management of individuals attending for HIV care who have tuberculosis symptoms. The project, at three large HIV clinics in the area of Johannesburg, South Africa, will follow a cohort of individuals attending for HIV care managed according to the study algorithm and determine their outcomes. The post holder will manage this project at the study sites, working with study staff employed through Aurum Institute, and with local clinic staff. The project, a collaboration between LSHTM, Aurum Institute, National Health Laboratory Services South Africa and University of Cape Town, is funded by a grant from the Bill and Melinda Gates Foundation. The post holder will have the opportunity to register for a higher degree at LSHTM. 3. JOB DESCRIPTION Post: Clinical Research Fellow Responsible to: Professor Alison Grant, Professor of International Health, Department of Clinical Research, LSHTM Principal Responsibilities Preparatory work for the research project, including preparing literature reviews, project protocols, standard operating procedures and applications to research ethics committees and other regulatory bodies; Taking primary responsibility for management of the research project at the study sites in South Africa, including supervising field work, co-ordinating the work of the study team and reporting to senior investigators in South Africa and the UK; Clinical assessment of patients recruited to the study (such as questionnaires, interviews, examinations and sample collection); Liaison with health service staff at study sites, including working with clinical staff to develop project implementation plans for each site; communicating study progress; identifying any difficulties which may arise and feeding back to study investigators; Liaison with relevant administrative staff at LSHTM and Aurum Institute; Responsibility for entry, management and statistical analysis of project data; Preparation of progress reports, scientific reports, conference presentations and publications; Responsibility for budgeting and financial aspects of the research project, including project expenditure and accounting in the UK and South Africa; 4. Undertaking other duties associated with the post as requested by the line manager; To contribute to the Faculty teaching programme, up to 10% of your time per annum, subject to the policy of any funding agency (by agreement, some staff may make a greater contribution than this); Adhering to Faculty and School policy and procedures at all times, and adhering to Aurum Institute policy and procedures while based at Aurum Institute. PERSON SPECIFICATION Essential requirements 1. Fully qualified as a medical doctor 2. Clinical training and experience in HIV and/or tuberculosis care 3. Relevant research experience, preferably in a low or middle income country 4. Evidence of excellent scientific communication skills 5. Evidence of effective team working skills 6. Evidence of effective organisational skills 7. Evidence of ability to meet deadlines 8. Willing and able to work in South Africa 9. Valid current driving license and willingness to drive between study sites in South Africa Desirable requirements 10. Clinical work experience in a low or middle-income country 11. MSc in epidemiology or public health or equivalent 12. Experience of working in a multicultural environment 5. APPOINTMENT The post is funded by a grant from the Bill and Melinda Gates Foundation for a period of 30 months starting in early 2012. The appointment will be made on the LSHTM Clinical Research Fellow scale, £30,992 - £44,856 per annum inclusive. Annual leave entitlement is 30 working days per year for all staff (pro-rata for parttime staff). In addition to this there are 6 fixed-date "Director's Days". 6. APPLICATIONS Applications should be made on-line via our website at http://jobs.lshtm.ac.uk. The reference for this post is CRF-AG. Applications should also include the names and email contacts of 2 referees who can be contacted immediately if shortlisted. Any queries regarding the application process may be addressed to jobs@lshtm.ac.uk. Online applications will be accepted by the automated system until midnight of the closing date. The supporting statement section should set out how your qualifications, experience and training meet each of the selection criteria. Please provide one or more paragraphs addressing each criterion. The supporting statement is an essential part of the selection process and thus a failure to provide this information will mean that the application will not be considered. An answer to any of the criteria such as “Please see attached CV” will not be considered acceptable. Please note that if you are shortlisted and are unable to attend on the interview date it may not be possible to offer you an alternative date. The London School of Hygiene & Tropical Medicine is committed to being an equal