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 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), , 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 opportunities for all competencies are available.

Throughout their training they will also be involved in education of undergraduates.

Further particulars The University of Liverpool Founded in 1881, the University of Liverpool has an impressive history of pioneering education and research, with a particular emphasis on 'education for the professions'. The University of Liverpool is a Russell Group institution, ranked by the Financial Times as the 15th largest research university in the UK and in its Top 10 for research productivity and industrial grant income. The University’s historical focus on ‘education for the professions’ continues today with globally renowned courses in disciplines such as medicine, engineering, dentistry, law, business and veterinary science. The University has three strategic themes – infection, personalised health and material sciences.

The University is engaged in a programme of Achieving Institutional Excellence, intended to engage staff at all levels in innovating and improving the way the institution functions in order to help achieve the priorities enshrined in the University's strategic plan. The University of Liverpool consists of three faculites; Health and Life Sciences, Science and Engineering and Humanities and Social Sciences. Cross faculty research is encouraged.

For more than 100 years Liverpool has had an international reputation in infection research, tropical medicine and global health. It is divided into three faculties with Infection research predominantly undertaken in the Institute of Infection & Global Health which complements basic biology research in the Institute of Integrative Biology and therapeutic and pharmacology research in the Institute of translational medicine. Close by is the Liverpool School of Tropical Medicine, another key partner.

Areas of research strength include:

Adult and Paediatric Infectious Diseases Antimicrobial pharmacology Medical Microbiology Vaccinology Global Health Infection Epidemiology and Zoonoses Infection Immunology Organ-based Infectious Diseases (Respiratory, Gastrointestinal, Neurological) Infection Biology Vector-Borne Diseases Antimicrobial Resistance and Food Security Hospital Acquired Institute of Infection and Global Health (http://www.liv.ac.uk/infection-and-global-health/index.htm) The Institute has grown enormously since it was founded in 2010. Not just with the excellent new appointments that have been made, but there has also been a great increase in postgraduate numbers and outstanding growth in research income. As a community of individuals, who are committed to infection research, we have developed a strong sense of purpose and our research has been translated to having impact on human and animal health nationally and around the globe. The Institute is headed by Professor Nigel Cunliffe and it is organised around three departments: • Infection Biology • Clinical Infection, Microbiology and Immunology • Epidemiology and Population Health The Institute currently has 120 full-time academic staff, including 21 professors, as well as 56 professional services staff and 150 research students. https://www.liverpool.ac.uk/infection-and-global-health/ Our Strategic Plan 2016-2021, outlines our current and future ambition and how we intend to achieve it. We have examined our strengths, and also identified the global challenges that our work seeks to address. The aim of our Institute is to make a material contribution to enhancing lives by tackling infectious diseases. Department of Infection Biology The Department of Infection Biology aims to investigate how pathogens interact with their hosts at the molecular and cellular level. The Department is situated in 1000m2 of newly refurbished laboratory and office space at the Liverpool Science Park, as well as having space on the Leahurst campus. Work is focused on parasites, bacteria and viruses of animals and humans, including zoonoses and endemic and exotic animal diseases that pose a threat to food security. By gaining a better understanding of the biology of host-pathogen interactions our work will enable the design of better vaccines and drugs, confront the rise of antibiotic resistance and combat the emergence of new diseases. The Department’s research is underpinned by the use of state-of-art genomics, proteomics and cell-imaging technologies and works closely with groups in Epidemiology and Population Health, and Clinical Infection, Microbiology and Immunology, as well as with the wider Faculty. Department of Clinical Infection, Microbiology And Immunology The Department of Clinical Infection, Microbiology and Immunology is situated in a purpose built 5000m2 facility, the Ronald Ross Building, which includes containment level III laboratories for in vitro and in vivo work. The Department conducts clinically driven infection research. This includes research of direct clinical relevance (centred on improved diagnosis, treatment and prevention of infections), investigation of how pathogens cause disease, and research that aims to better understand the host response to infection and vaccination. The Department’s work addresses infections of importance both in the UK and overseas and encompasses diseases in adults and children. Major research themes within the Department currently include organ-based disease (brain, respiratory and gastrointestinal infections), sepsis, bacterial pathogenesis, HIV & hepatitis vaccines, infection immunology and infection pharmacology. A range of experimental methods and techniques are employed, including conventional microbiological, virological and immunological techniques, genomics, proteomics, animal models of infection and clinical trials.

Department Of Epidemiology And Population Health The Department of Epidemiology and Population Health aims to understand and model the behaviour of pathogens in populations and communities, the spread of antimicrobial resistance, the determinants of pathogen distributions in space and time, and how, in our rapidly changing world, these may change in the future. The department has several research programmes including Animals in society, Climate & health, Disease control, Disease surveillance, E-epidemiology, Vector-borne diseases and Zoonoses epidemiology. Research Themes Since the establishment of the Institute in 2010 we have worked hard to break down disciplinary barriers and have encouraged the development of thematic networks of research-active groups based in our departments. This has minimised barriers to interaction and collaboration across the full breadth of the Institute and activities occur at the level of department and research theme. Our research themes operate independently of our departments and each of them are led by a research theme leader. Staff identify a primary theme that best suits their area of research expertise and align to that particular theme, to run alongside that staff are also encouraged to become members of more than one theme, when applicable, to make linkages that suit their individual needs. Our five research themes are shown below: Department/Theme Structure

Strengths in Liverpool which are contributing to the success of the institute of infection and global health include: The Wellcome Trust-Liverpool-Glasgow Centre for Global Health Research The Wellcome Trust Clinical PhD Programme The Centre for Genomic Research The Centre for Vaccine research Malawi-Liverpool Wellcome Trust Major Overseas Programme Medicines for Children’s Research Network MRC North West Hub for Trials Methodology Research MRC Centre for Drug Safety Science MRC Clinical Pharmacology and Therapeutics PhD Scheme Wolfson Centre for Personalised Medicine Plus our close collaboration with The Liverpool School of Tropical Medicine

Our strong interdisciplinary teams have had success in competitive bids for major funding, including: • The PreDiCT-TB consortium, a €25 million five-year multidisciplinary partnership to accelerate TB drug development, led by Institute of Infection and Global Health investigators, in a major European public-private partnership with GlaxoSmithKline (GSK) and 15 academic institutions, Innovative Medicines Initiative (IMI) funding • The Health Innovation Challenge Fund award (£4.5 million funded jointly by the Wellcome Trust and the Department of Health) to modernise the approach to surveillance of gastroenteritis outbreaks • NIHR Programme Grant (£2 million) on Understanding and Improving the Outcome of Encephalitis • Health Protection Research Unit (HPRU) (£3.7M), in Emerging and Zoonotic Infections in collaboration with Liverpool School of Tropical Medicine. • Zoonoses in Livestock in Kenya (ZooLINK) research grant from the BBRSC (£3.3million) in collaboration with University of Edinburgh, Int Livestock Research, University of Nairobi, Kenya Medical Research, Royal Veterinary College and University of Nottingham • The Centre for Vaccine Research, supported by more than £10 million of external funding, aims to optimise global use of vaccines and reduce the global burden of vaccine-preventable infections". • Wellcome Trust Programme Grant (£2.2 million) on New Childhood Vaccines for Malawi: impact of pneumococcal and rotavirus vaccine roll-out.

Grant Funding And Major Supporters The total value of currently active research grants held by the Institute is in excess of £46M obtained from a wide range of sources including: UK Research Councils, UK Government and Health Bodies, UK Industry, Non-UK Funding Bodies and UK Charities. In 2013/14 Institute researchers were awarded £13.5 M – a total of 64 research awards were successful out of 126 applications – a success rate of 77% (for applications where the outcome is known), this was an increase of 11% from the preceding 12 month period. The Institute’s Research and Finance Team provides a focal point for all research administration in the Institute including pre- and post-award, research students and external liaison. Research Excellence Framework (Ref) The Institute was included as part of a wider Faculty strategy for submission to REF. A total of 43 staff were submitted, out of 53 who were eligible. A total of 24 staff were submitted to UoA6 Vet and Food Security and 19 were submitted to UoA1 Clinical Sciences. Eight of the 22 impact case studies chosen for the University submission in the Clinical Medicine and Veterinary areas came from our Institute – a disproportionately high number given the Institute’s size. Most of them were judged to be very considerable in terms of their reach and significance, whilst 3 of them were singled out as being outstanding. The Wellcome Trust-Liverpool-Glasgow Centre For Global Health Research The Wellcome Trust-Liverpool-Glasgow Centre for Global Health Research acts as a catalyst, supporting potential fellows with high quality mentorship and has mentored 42 individual response mode Fellows since it was established in 1995, it has an excellent track record in retention.

16 previous Wellcome Fellows have gone on to hold senior academic posts, predominantly in Liverpool. This Centre underpins our Wellcome Trust Major Overseas Programme in Malawi, and our Clinical PhD Programme which has supported 15 Fellowships (each of 4 years) over 5 years. It has allowed us to further develop our overseas research base in collaboration with units in Malawi and India, and will ensure full funding for up to 15 PhD students over the next five years

The Malawi-Liverpool-Wellcome Trust Clinical Research Programme (MLW) The Institute of Infection and Global Health aspires to develop further our Global Health research, including veterinary and “one-health” research.

Liverpool has undertaken excellent research on Global Health in Malawi since the early 1980s. Since its inception as a ‘Major Overseas Programme’ MLW has been a partnership between the College of Medicine (COM) at the University of Malawi, the University of Liverpool, Liverpool School of Tropical Medicine and the Wellcome Trust.

The MLW Programme is now one of the region’s leading laboratory-based health research institutions conducting excellent research and training in basic sciences, experimental medicine and public health. In partnership with the COM MLW aims to:

• Conduct on-site biomedical research on the health priorities of Malawi and the region • Provide training in research skills for clinical and laboratory scientists both from the host country and abroad

• Strengthen COM in its capacity to conduct research on health problems of local importance The Programme conducts excellent internationally competitive research and ensures that novel discoveries are translated into clinical practice and policy.

Research Collaborations In Bangalore, India Members of the Institute have collaborated with centres of excellence in Bangalore, Southern India, since 2005, including the National Institute for Mental Health and Neuro Sciences (NIMHANS, http://www.nimhans.kar.nic.in/) and the Indian Institute of Science (IISc http://www.iisc.ernet.in/). These links have been strengthened with Liverpool’s successful application to become a Wellcome Trust Centre for Global Health Research, in partnership with NIMHANS, and the planned establishment of a joint PhD Programme between the University of Liverpool and NIMHANS.

Faculty of Health and life Sciences IIGH is one of the constituent institutes within the faculty of health and life sciences. The other research institutes are

Institute of Translational Medicine – this is the largest of the institutes and is home to the clinical pharmacologists including two infectious disease consultants (Prof S Khoo & Prof W Hope), Institute of Ageing & Chronic Disease, Institute of Integrative biology – this has a strong record of basic research and is the home for the centre in genomics, and the Institute of Psychology, Health and Society – home to public health and health services research groups.

OTHER PARTNERS

Liverpool Health Partners Liverpool Health Partners (LHP) is an Academic Health Science System that brings together expertise from within the University of Liverpool, the Liverpool School of Tropical Medicine and six local NHS Trusts, to help ensure that medical research breakthroughs lead to direct clinical benefits for patients.

LHP is organised around clinical academic programmes in Infection, Drugs, Cancer, and Musculoskeletal Disease that demonstrate international excellence, supported by clinical services that can be developed in a coordinated way across the Partnership. Beyond the founding partners, LHP is developing a wider network of members from across the NHS, academia and industry that will broaden the basis for strategic development and enhance opportunities for collaboration.

The NHS Trusts include Aintree University Hospital NHS Foundation Trust, Alder Hey Children’s NHS Foundation Trust, The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool Women’s NHS Foundation Trust, Royal Liverpool and Broadgreen University Trust, The Walton Centre NHS Foundation Trust and, The Liverpool Heart and Chest NHS Foundation Trust.

The Liverpool School of Tropical Medicine (LSTM) The School is a registered charity affiliated to the University of Liverpool and is situated just across the road from the RLUH (www.lstmliverpool.ac.uk/). Its Professors and other senior academic staff previously held appointments in the University of Liverpool and its degrees and diplomas are awarded through the University, but the LSTM is rapidly achieving academic autonomy as it expands. Its Council includes lay members drawn from the local community as well as academic representatives of the School and University. The School is one of the few international centres for education and research concerned primarily with the health of people in the tropics. There are several research groups and the School also provides a clinical service of acknowledged excellence through the National Health Service.

The School's courses range from 4-year PhD research programmes to one-week summer courses. In association with the University of Liverpool, the School offers one- year Master’s Degree courses in Tropical Infectious Diseases, Applied Parasitology and Medical Entomology, Veterinary Parasitology, Tropical Paediatrics, and in International Public Health; a 6-month Diploma in Tropical Child Health, a 3-month, twice yearly, Diploma in Tropical Medicine and Hygiene, a 3-month Diploma in Reproductive Health in Developing Countries, and a 6 week Diploma in Humanitarian Assistance.

The School participates in the provision of clinical services through the National Health Service by maintaining a Tropical Clinic and a Travel Medicine Service (“Well Travelled”) supported by a diagnostic laboratory on-site (In charge Jayne Jones). The LSTM is one of the core partners of the National Travel Health Centre and Network (NaTHNaC). The service provided by the Clinic is available to health professionals seeking a specialist opinion on patients with imported diseases. Clinically qualified School staff hold honorary clinical contracts with local NHS Trust hospitals and contribute to both inpatient care and higher specialist medical training in clinical disciplines of relevance to medical practice in the tropics. The Clinical Director is Professor David Lalloo, with:

Professor David Lalloo (Infectious diseases, Dean of Clinical sciences & International Public Health) Professor Imelda Bates (Haematology) Dr Nick Feasey (Senior Lecturer) Professor Stephen Gordon (Respiratory, based in Malawi) Dr Henry Mwandumba (based in Blantyre, Malawi) Dr Angela Obasi (GUM) (Senior Lecturer) Dr Tim O'Dempsey (Senior Lecturer) Dr Jamie Rylance (Senior Lecturer Respiratory) Professor Bertie Squire (Infectious Diseases, Director Centre for Applied Health Research and Delivery Dr Miriam Taegtmeyer (Reader) Dr Lisa Ford (Lecturer in Travel Medicine)

The travel clinics are supported by a clinical lecturer and a specialist nurse, working partly with NaTHNaC. There are also specialists in Tropical Child Health who have links with the Royal Liverpool Children's Hospital Trust.

The Directorate Of Tropical And Infectious Diseases, Clinical Pharmacology And Sexual Health The Directorate is part of the Division of Medicine, combining the Clinical Pharmacology team on 9X with the Tropical & Infectious Diseases Unit (TIDU), the Liverpool School of Tropical Medicine (LSTM) and the Liverpool Centre for Sexual Health (department of Genitourinary Medicine). The Clinical Director is Dr Mike Beadsworth, together with Mrs Suzanne Marshall (Matron), and Ms Sue Heyes (Directorate Manager). The Director of the Division of Medicine is Dr Neil Haslam. The Directorate has close relationships with several other components of the Trust interested in infection, with which it shares common sessions related to training, governance, audit, teaching and research. Several formal clinical care networks are also being developed with these and other services

The Tropical And Infectious Disease Unit (TIDU) The Unit has evolved from the former fever hospital established as Fazakerley Hospital in 1901, and moved as a "district managed regional unit” (DMRU) into modern wards in what had become University Hospital Aintree in 1991. The unit moved again to the Royal Liverpool University Hospital at the end of 2001 in order to work more closely with several departments that were already located at the Royal, including the NHS and academic activities in Clinical Pharmacology. The 2 inpatient wards (3X, 3Y) are based on the third floor of the hospital, and duties are spread evenly across both wards. 3Y-19 beds (13 isolation, 6 negative pressure) and 3X-13 beds (8 negative pressure) There are approximately 1500 in-patient episodes per year. These include Tropical, returned traveller, nosocomial infection, complex bone and joint, other general infection, Level 3 HIV care, other blood borne viruses, TB, neuro-infection. In 2015 and again in 2018, we were nationally commissioned as a High Level Infection Unit for the treatment of Hazard Group 4 Haemorrhagic fevers. Outpatients: We see approximately 3,900 outpatients in a variety of infection, HIV, viral hepatitis and chronic fatigue syndrome clinics. We provide a 7 day service, and 24/7 on-call for local/regional and national referral. This includes the Infection Fever Service (shared with the London School on a 50/50 basis) Other specialist services of TIDU: - HIV: Over 1300 patients, provides in-patient and outpatient services, leads the Merseyside and Cheshire hub and spoke, provides level 3 (complex care), guidelines, governance and both academic and ‘Pharma’ research. Complies and leads on many national and international strategies. World recognised academic research, predominately based within Department of Clinical Pharmacology, the Institute of Infection and Global Health and the School of Tropical Medicine. • Consult service: Shared between TIDU and Microbiology. (clinical outreach to RLBUHT and antimicrobial stewardship). Transitional clinics with Alderhey, Satellite clinics, currently at St.Helens and Leighton. • Chronic Fatigue Service (CFS): >600 referrals per year, local, regional, national service. MRC funded research. Diagnostic clinic RLUH and treatment at Broadgreen, with; 0.5 WTE equivalent psychologist and 4/5 CFS therapists. • Viral Hepatitis: Joint service with hepatology, regional commissioned ‘operational delivery network’ for Merseyside/Cheshire hospitals. Also treatment to all local prisons. (multiple NHS portfolio studies) • Tuberculosis: Mersey TB Regional service, led and hosted at TIDU. In-patient (majority of TB managed within TIDU), and out-patient, including MDT. • Bone and joint: Combined MDT with orthopaedics/spinal/microbiology/radiology of all complex bone and joint cases. Fully audited to confirm guidelines adherence. • Neuroinfection: Joint clinic and MDT with Walton (Prof T Solomon) to review outpatients, and in-patient MDT. • Outpatient and Home Parenteral Antibiotic Therapy (OHPAT) services: Being developed to provide a ‘gold standard’ service for RLUH and Liverpool, based on national guidelines and strategy, working with CCG’s and AUH.

ID Consultants include:

Dr Mike Beadsworth (Clinical Lead, GIM Service) Dr Nick Beeching (Senior Lecturer, LSTM) – Clinical Director Dr Tom Blanchard Dr Mas Chaponda Dr Gerry Davies (Reader, IIGH) Dr Sylviane Defres (senior Lecturer LSTM, UoL) Dr Nick Feasey (Senior Lecturer, LSTM) Professor Neil French (IIGH) Professor Anna Maria Geretti (IIGH) Professor William Hope (Institute of Translational Medicine) Professor Saye Khoo (Institute of Translational Medicine, University of Liverpool) Professor David Lalloo (LSTM) Dr Henry Mwandumba (Senior Lecturer, LSTM/Malawi) Dr Emmanuel Nsutebu Professor Sarah O’Brien (IIGH, Public Health) Dr Tim O’Dempsey (Senior Lecturer, LSTM) Dr Libuše Ratcliffe Professor Bertie Squire (LSTM) Dr Miriam Taegtmeyer (Reader, LSTM) Dr Stacy Todd Dr Helen Winslow

Trainees

There are 12 approved ID/GIM/Tropical Medicine SpR NTN posts, with funding for 4 long-standing and 3 former “Hewitt” SpR posts now taken up by the Trust, and a further NTNa post in ID, GIM and Clinical Pharmacology. Military NTN SpRs are also attached to the unit from time to time. We encourage attachments of SpR level trainees from overseas e.g. 2 recently from Sri Lanka and Malta and one each from Oman, Singapore and Italy. Most trainees do training in Tropical Medicine (which includes ID) and GIM with strong academic links to the Liverpool School of Tropical Medicine and to our Faculty-based Wellcome Trust Tropical Centre. GUM StRs are also attached for 3- month periods. There are usually additional ACF and ACL trainees at any one time, although these are aligned to fill a single slot and my not overlap.

Training/CPD/audit The unit has a strong commitment to training and development of all staff and the Trust supports the requirements for Continuing Medical Education as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities. There is a well-attended weekly joint training meeting for consultants and trainees of all infection specialties on Wednesdays in addition to the weekly journal club/audit meeting, which is shared with the clinical pharmacologists.

The hospital has weekly multidisciplinary Grand Rounds, a weekly Division of Medicine meeting and numerous other Departmental meetings. Consultant staff are responsible for appraisals and reports for the Mersey Deanery School of Medicine RITA and ARCP processes for trainees associated with the Unit, and are expected to have and maintain appropriate training credentials. They are also expected to encourage and assist in the project work and presentations of the junior medical, nursing and other staff and to foster an atmosphere of interdisciplinary learning. The sub directorate makes a substantial contribution to NHS-based teaching of medical students from the University of Liverpool and nursing and other students from several local Universities.

Undertaking Research In The University

In relation to ensuring that staff are able to undertake research of the quality identified, we will seek to:

• Provide the appropriate infrastructure and facilities to support our research objectives, with a specific focus on accommodation, the Library, computing services, and other core support services. • Ensure a safe environment is provided to undertake research and that training and advice is provided so that all staff and students are appropriately trained to undertake the research. • Monitor the ethics of our research programmes with appropriate processes to ensure all our research adheres to current ethical standards. • Monitor the opportunities for interdisciplinary and collaborative research and encourage the development of these opportunities including critical mass where appropriate.

Mersey Regional Infectious diseases and Tropical medicine Training Programme Director Dr Tom Blanchard- [email protected] Academic lead for Integrated Clinical Academic Training Professor Robert Moots- [email protected] Programme contact for further information (email) Dr Nicola Goodson- [email protected] Professor Robert Moots- [email protected] Programme contact for information about medical education post (email) Dr Marina Anderson- [email protected] (Schwartz round project) Dr Sylviane Defres – [email protected] (Infectious diseases) Deanery contact for further information (email) Caron Owens – [email protected]

You can find out more about the clinical training programmes in the North West via the following link - https://www.nwpgmd.nhs.uk/specialty-schools

Clinical person specifications can be found via the following link - https://specialtytraining.hee.nhs.uk/Recruitment/Person-specifications.

Useful Links https://www.oriel.nhs.uk/Web/Vacancies https://www.nwpgmd.nhs.uk/nihr-academic-clinical-fellowships-glance https://specialtytraining.hee.nhs.uk/Recruitment/Person-specifications https://www.nwpgmd.nhs.uk/specialty-schools

Last reviewed: 11th September 2018