ACF Infectious Diseases Programme Details in Conjunction with the University of Liverpool Recruitment to Posts Starting in August 2019
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ACF Infectious Diseases Programme Details in conjunction with the University of Liverpool Recruitment to posts starting in August 2019 Post availability There is up to 1 post in Infectious Diseases with a research theme of Medical Education You can apply at ST3 level in this round of recruitment. 2019 entry is at ST3 level. This will then include further years at ST4 and ST5 Overview You can find generic information about Academic Clinical Fellowships in the North West plus links to the National Institute for Health Research’s guidance via https://www.nwpgmd.nhs.uk/nihr-academic-clinical-fellowships-glance Entry to the training post will be at ST3 level. During the 3 year post, the trainee will be expected to complete the Combined Infection Certificate Examination and FRCpath part 2 if dual accrediting with medical microbiology or medical virology ie complete Membership of Royal college of Physicians +/- College of pathologists (specialist) exams and to prepare an application for an academic training fellowship. Hospitals in which training will take place Rotation through NHS Trusts in Merseyside, including the Royal Liverpool and Broadgreen University Hospitals NHS Trust, and other NHS teaching Trusts in Merseyside Research Institutes in which training will take place Institutes of Infection and Global Health and Translational Medicine, Faculty of Health and Life Sciences, University of Liverpool. School of Medicine, Institute of Clinical Sciences, Faculty of Health and Life Sciences, University of Liverpool Academic Training The research project attached to this post is entitled ‘The Impact of Student Schwartz Rounds on the Multidisciplinary Team of the Future: working towards supported staff and better patient care’. Schwartz Rounds (SRs) are a MDT forum, already established in NHS Trusts, designed for healthcare staff to meet, discuss and reflect on the emotional impact of their work. Multidisciplinary SRs were introduced for the first time in pre-qualification professional healthcare education programmes in a novel University of Liverpool (UoL) pilot project (2016-2018), providing space to explore how clinical training affects the professional-to- be and opportunity for essential care and compassion development in our students. Concurrent evaluation/research is an integral part of the SRs to assess utility, and the research question to be addressed in this ACF research project is whether these SRs can improve compassion and support the MDT of the future. Aim / Objectives: This project will look at mechanisms of action, impact and transferability of student SRs to the work place in order to assess the Round’s ability to support the MDT of the future. Research methods that will be used by the trainee: The ACF will conduct a longitudinal qualitative research project, exploring transferability and impact of student SRs over time. Undergraduate healthcare students attending a series of SRs will be interviewed and followed up after qualification to assess the impact in the post-qualification work- place of having attended SRs as a student. Location The research location of this ACF post will be in the University of Liverpool School of Medicine (located in Cedar House on the main University campus). Student Schwartz Rounds are currently held on campus, but the UoL will be developing future student Schwartz Rounds in the North of England. Research Areas / Research Environment The environment within Liverpool offers an unparalleled opportunity for joint academic training and specialist training in infectious diseases with close working relationships across the academic tropical infectious diseases unit in the Royal University Hospital, the Liverpool School of Tropical Medicine and the University of Liverpool including Institutes in infection and global health and translational medicine encompassing a wide spectrum of both common and specialist infectious diseases. The training programme contains all the elements necessary to start training as a clinical academic in this speciality. Medical education research theme Clinical academic medical education has developed exponentially within the University of Liverpool School of Medicine (UoL SoM) in the past 3 years. In order to address the need for clinical medical education training opportunities for doctors in training, the UoL SoM created dedicated 12-month Clinical Education Fellow posts in order to pump-prime clinical medical education in Merseyside: since 2015, we have supervised / are supervising 11 clinical trainees in these posts. Two of these Clinical Education Fellows are rheumatology specialist trainees: one of these Education Fellows is currently in post and actively engaged in medical education research in simulation, the other has already transitioned to a part-time, funded medical education research PhD in the UoL SoM, exploring professionalism issues in undergraduate medical education. Other Clinical Education Fellows have moved on to securing senior clinical posts with significant medical education lead components, as well as achieving success in national competition for medical education NIHR Academic Clinical Fellowship. In addition, a further specialist trainee is conducting a part-time medical education PhD in the UoL SoM, having been successful in securing funding for a project exploring empathy in undergraduate medical students. Professor Hazel Scott, the Dean of the UoL SoM, has also introduced Associate Clinical Teachers (ACTs) for trainee doctors in Merseyside in the 2017/18 Academic Year and beyond. In December 2017, the first cohort of 34 ACTs started to build their personalised medical educational portfolio with the UoL SoM. Dr Viktoria Joynes (UoL MBChB Director of Studies), who is recognised internationally for her research expertise in inter-professional medical education and Dr Marina Anderson (UoL MBChB Professionalism Lead), who is Clinical Lead for the UoL student Schwartz Round project, have been key members of the steering group for the student Schwartz Round project. Dr Anderson is also an honorary consultant in rheumatology based part- time at Aintree University Hospital where she runs a specialised service for systemic sclerosis. Dr Defres is Consultant in Infectious diseases in the Royal University Hospital and Senior clinical lecturer in University of Liverpool and in the Liverpool School of Tropical Medicine leading on undergraduate education in infectious diseases for the School of Medicine and the director of studies and module convenor for masters programmes in the Liverpool School of Tropical medicine. A specialist trainee in infectious diseases would be jointly supervised between rheumatology and infectious diseases for this research theme in medical education. There are numerous other opportunities for developing medical education research in other areas of infectious diseases or tropical medicine. Dr Joynes and Dr Anderson have close links with the School of Psychology on the UoL campus, particularly with Dr Laura Golding, Programme Director and lead for the Schwartz Round project. In additional there are links through this project with the other clinical courses in the School of Health Sciences. As outlined above, the UoL secured funding for this novel application of the Schwartz Round to the student setting. With significant further funding from Health Education England NorthWest to the UoL beyond 2017/18 to expand student SRs in the North of England, concurrent research opportunities abound and will establish if this new learning forum builds resilience and increases recruitment/retention in future healthcare professionals, improving patient care. Research Facilities The School of Medicine, based in Cedar House on the main University of Liverpool campus, has received investment for significant refurbishment which has recently commenced. This is creating a fit-for-purpose 21st century environment for both student doctors and their educators, as well as a home to nurture medical education research. The central positioning of the School of Medicine, with close proximity to Schools running other pre-qualification professional healthcare education programmes, facilitates both development and practicalities of student Schwartz Rounds / this project. The School of Medicine has close links to all NHS Trusts in the region enabling the linking to clinical Schwartz Rounds. Clinical Training Description of clinical training of programme Infectious diseases ACF trainees will have completed core medical training and will enter the programme at specialist training at ST3 level. They will rotate through the Clinical Infectious diseases service on dedicated wards 3X and 3Y, as well as obtaining training in general internal medicine and spending time in pharmacology and therapeutics. Particular clinical areas of interest include blood borne viruses (hepatitis B, hepatitis C and HIV), tuberculosis, returning travellers, bone & joint infection and neurological infection, but the entire range of community and hospital acquired infection is covered. In addition to work in clinics and on the wards, there is an active infection consultation service jointly managed with microbiology. The programme for clinical training will be agreed with the Training Programme Director. Each ACF will have an Educational Supervisor from the clinical department in addition to their Academic Supervisor. The clinical component will be based at Royal University Liverpool Hospital, and will rotate through microbiology, clinical wards, consult service and clinics to ensure