Academic Clinical Fellow Handbook 2017

This handbook contains general information about The University of Manchester’s ACF programme as well as the schedule for assisting and monitoring academic progress.

-2-

Welcome to the Academic Clinical Fellows Programme

______________________________________________________________________________________

Welcome to The University of Manchester and the Health Education North West Integrated Academic Training (ICAT) Programme. We are delighted that you have chosen our programme for the next phase of your clinical and academic training. The two organisations work very closely together to deliver an individualised high quality education.

We host the second largest ACF programme in the UK, with over 100 ACFs recruited since 1997. The University of Manchester has an international reputation for high quality medical research, and the overall scale and diversity of our research at this University is unrivalled in the UK.

The ICAT team is here to make sure you make the most of this opportunity, and we are here to help and to advise. Further information can also be found on our webpages:

http://sites.bmh.manchester.ac.uk/icat

A key Manchester achievement was to set up a new system with an academic advisor appointed to support each of you in your academic training.

This has proven very successful, and the Deanery will now use this to form the basis of assessing your progression at ARCP. Therefore full engagement with this process is mandatory in order to continue in the ACF programme.

We are keen that you succeed and realise your potential: in particular we want to help you towards successful Fellowship applications in order to undertake a cutting edge PhD in your chosen field of study.

To that end, you will also interact closely with the Faculty Fellowship Academy (Prof Neil Hanley) from the outset:

http://sites.bmh.manchester.ac.uk/icat/Support/fellowshipacademy/

NB: Clinical placements, rotations and progress are managed by Health Education North West, not the University.

Please do not hesitate to contact your local academic team (supervisor, advisor), our Administrator Laura Jammeh or the ACF programme lead if you have any queries.

We hope that you enjoy your time in Manchester… as an ACF and beyond!

Dr Tracy Briggs, ACF Programme Lead Prof Rachel Lennon, ICAT Lead Tracy.briggs@manchester.ac.uk Rachel.Lennon@manchester.ac.uk Ms Laura Jammeh, ICAT programme Administrator laura.jammeh@manchester.ac.uk

-3-

Introduction NIHR ACFs are part of the Integrated Clinical Academic Training (ICAT) Pathway in England, established in order to promote academic medicine and dentistry, and to provide a clear route for doctors and dentists interested in an academic career. An NIHR ACF post is intended to support medical and dental trainees who are at the early stages of specialty training and who wish to develop an academic career alongside their clinical training. Posts have 25% protected academic time for trainees to develop their academic research skills and prepare an application for a Fellowship award to undertake a higher research degree

ACF posts are only available to medically qualified candidates and are aimed at those who, at the early stages of their specialty training, show outstanding potential for a career in academic medicine or dentistry. The duration of an ACF is for a maximum of 3 years (4 years for GPs). During this time, alongside clinical training, ACFs will be able to develop their academic skills and be supported in preparing an application for a Research Training Fellowship (to undertake a higher research degree) or an application for a place on an educational programme (leading to a higher degree). Success in these applications is a measured outcome of the ACF programme.

Organising your Academic/Clinical time split

Academic training time must fit in with clinical rotas (See ‘Entry, Eligibility and Exit Points’ http://www.nihr.ac.uk/funding/acf-information-for-applicants.htm) as well as the academic department where you are based. ACFs can organise their 25% academic time in various ways, including:

• One day per week (+extra days to achieve 25%) • One week in four • One month blocks • Three month block per year • Six month block in second year • One nine month block

However, most ACFs have found that blocks of time are far more productive than day release, especially if in busy clinical posts. For lab-based work, blocks are almost certainly necessary.

NIHR £1,000 Bursary

The NIHR bursary provides NIHR ACF trainees with a source of funding to attend and/or present their research findings at external research meetings and conferences that are relevant to their academic training. The University of Manchester’s ICAT team manage the bursary fund of £1,000 per financial year (August to July) per trainee and is responsible for approving expenditure against the bursaries. Each financial year any unclaimed bursary funds remain with the ICAT team for use on activities that benefit the academic development or training of the NIHR ACF trainees unless you submit a written request to the ICAT Administrator for any remaining funds to be rolled over to the following year in order for you to attend a research conference.

-4-

To make a claim for use of the Bursary fund you will first need to request study leave from* Health Education North West before completing the approval Form in the link below to claim the funds:

https://www.nwpgmd.nhs.uk/studyleave Prior to the meeting or conference date. Once this has been approved you will be sent an expense form to complete which you will need to send along with all original receipts to:

MAHSC ICAT Administrator, University of Manchester, Room 3.383, Stopford Building, Oxford Road, Manchester. M13 9PT For more information please visit the ICAT ACF intranet:

http://sites.bmh.manchester.ac.uk/icat/ICATintranet/acf/ *NB: Study leave claim forms can be obtained from your Clinical Study leave Administrator at Health Education North West.

Research Training Programme

All NIHR ACFs must attend the Research Training Programme (RTP) provided by the University of Manchester. The aim of the RTP is to provide ACFs with generic research training. The NIHR stipulates that the RTP covers at least the following areas, although not all will be equally relevant to all ACFs: • Statistics, bioinformatics, clinical trial design • Epidemiology • Ethical aspects of clinical research • Project design, planning, costing and management • Research governance and the regulatory framework for research • GCP • Patient and public involvement in research • Refereeing of papers and grant applications • Diversity and equal opportunities in research, and cultural competence • Time management and personal effectiveness • Leadership: Practitioner, Partner and Leader roles

The most complete package for research training is our MRes in Medical Sciences, which is fully funded within the ACF and undertaken part time over 2-3 years. For more information please visit the programme website at:

http://www.manchester.ac.uk/study/masters/courses/list/02052/mres-medical-sciences/

-5-

Honorary contracts

ACF’s who have signed up for any of the masters courses/modules will be registered as students and therefore gain access to The University of Manchester’s facilities such computer and library access. For those who choose not to do a course we will set up with an honorary contract in order that you can also benefit from the University’s facilities. Please contact the ICAT Administrator should you need to be set up with a contract.

Other modules and opportunities

For those not undertaking the full MRes, ACFs can use up to £4,500 over the 3 years of their posts towards course fees for an NIHR approved qualification, or against appropriate modules and units available within the University. Please contact the ICAT Administrator to enquire whether any proposed courses can be funded via the Research Training Programme fund prior to applying or registering for any internal or external courses. Information on research masters programmes can be found here:

http://www.manchester.ac.uk/study/postgraduate-research/ There is also a wealth of modules and units on other programmes to which registration can be arranged to fit individual training needs. These include modules from the Masters in Public Health: https://www.bmh.manchester.ac.uk/medicine/study/masters/public-health-primary-care/ Some are also accessible via the MSc Medical Imaging, and worth considering if your research will be imaging-based http://www.manchester.ac.uk/study/masters/courses/list/10263/msc-pgdip-medical-imaging-science/ ACFs with an interest in pharmacology or therapeutics may wish to engage with modules in the Pharmaceutical Industrial Advanced Training (PIAT) programme: http://www.manchester.ac.uk/study/masters/courses/list/09123/msc-pharmaceutical-industrial-advanced-training-piat/ There are also a number of short course opportunities available at The Cathie Marsh Centre https://www.cmist.manchester.ac.uk/ . These must be booked directly in advance, but we can only fund these if you are not taking the MRes. These lists are not exhaustive, and if you identify other courses of interest within the University that are consistent with the remit of the Research Training Programme, please contact the ICAT adminstrator. NIHR Trainees Coordinating Centre (TCC)

The NIHR TCC is responsible for:

• Working with Local Education and Training Boards, Medical and Dental Schools and NHS partnerships to deliver the NIHR ACF programme across England

• Producing national guidance for recruitment, monitoring and development of the programme

-6-

• Supporting trainees through its conference and other events

For more information about the NIHR TCC please visit their website at: http://www.nihr.ac.uk/funding/academic-clinical-fellowships.htm

Monitoring of Clinical Progress

Clinical progress is monitored by the North West Deanery through an Annual Review of Competency Progression (ARCP). This is the formal review of progress that all trainees are required to have for every year they are in training, whether working full or less than full time. The Associate Dean responsible for Academic Trainees is Dr Andy Watson, andy.watson@nw.hee.nhs.uk.

Monitoring of Academic Progress

The planning and monitoring of ACF academic progress is carried out by the following people:

Your ACF Advisor and your Academic Supervisor via the schedule of meetings outlined below, this will involve completion of two progress forms, which should both be submitted to Bernie Jones by the deadline by 14th May.

Tracy Briggs, ACF Programme Lead and Mr Andy Watson At the ARCP, a Deanery panel led by the clinical Training Programme Director (TPD) will consider academic progress alongside the clinical assessment. Evidence of satisfactory academic progress is required at the ARCP, and progression depends on demonstrating this just as much as your clinical development. Please note that this process is now mandatory.

Role of the ACF Advisor

All ACFs will be assigned an ACF Advisor by their academic supervisor the first 3 months of their appointment. An ACF would normally retain the same Advisor throughout their training but it should be recognised that some flexibility might be beneficial or indeed necessary. ACFs are able to request a change of Advisor at any time. However, in order to establish a meaningful relationship between advisor and advisee, it would seem appropriate that ACF Advisors would be assigned for a minimum of one academic year. The ACF advisor will be expected to meet with their advisees according to the meeting times outlined on the meeting schedule below. The purpose of these meetings is to ensure that:

An appropriate project and supervisor have been identified early To advise and encourage a process from the outset leading to the ACF being ready to

submit a PhD Fellowship application To help the ACF overcome any difficulties that arise To identify the most appropriate aspects of the ACF training programme to enable each

ACF to achieve their necessary competencies;

-7-

- This may be by undertaking a Masters degree (e.g. MRes) or standalone CPD modules that deliver the ACFs personal training needs mapped onto the NIHR curriculum (see pages 10-12)

- Or by setting annualised learning and training objectives To facilitate the ACFs active engagement in wider training opportunities

Records and outputs of these meetings will be a formal component of the academic training programme including ARCP and should be submitted to Bernie Jones by mid May.

1. ACF Programme Lead, Dr Tracy Briggs, will act as a point of reference to advisors and to

clinical specialty leads, disseminate good practice, liaise with the Integrated Academic Steering Group and the Postgraduate Deanery, and oversee any relevant quality assurance issues.

2. ICAT administration will support the role of the ACF Advisor by providing relevant information

in a timely fashion (e.g. monitoring attendance/performance).

-8-

ACF Monitoring and Progression The following table outlines the formal meetings that are required for monitoring the Academic Progress of ACFs.

Date Meeting With †

Year

1

September Induction - Introduction to ACF Programme, RTP and mentoring - Monitoring procedures and ACF Advisors

Tracy Briggs

September/October

Project Planning Meeting - Identify supervisor - Discussion about project and how it will lead to a PhD

Fellowship - Ensure engagement with Faculty Fellowship Academy - Discussion about Training (MRes/CPD)

Supervisor or Academic Programme Lead (APL) if specific project not yet chosen.

October Advisor meeting - General planning for the first year including mapping of

baseline competencies against the curriculum and setting agreed PDP targets for ARCP

- Plans for obtaining intended competencies - Discussion about Training (MRes/Portfolio of CPD) - Ensure engagement with Faculty Fellowship Academy

ACF Advisor

March /April

Interim Review Meeting - Review of PDP targets - Review of project planning and/or progress

Supervisor

April/May Progress Meeting

- Progress – outputs (abstracts, presentations, papers) - Generic academic competencies (for academic ARCP)

ACF Advisor and supervisor

Year

2

August/ September

Project and Fellowship Planning Meeting - Discussion about project and how it will lead to a PhD

Fellowship - Ensure engagement with Faculty Fellowship Academy - Discussion about Training (MRes/Portfolio of CPD)

Supervisor

September/October

Fellowship Planning and Training Progress Meeting - Planning for the second year: what are annual objectives

for ARCP? - Planning for fellowship applications: ensure engagement

with Faculty Fellowship Academy - Discussion about project - Discussion about Training (MRes/Portfolio of CPD)

ACF Advisor and supervisor

March /April

Interim Review Meeting - Review of PDP targets - Review of project/fellowship planning and progress

Supervisor

April/May Progress Meeting - Progress – outputs (abstracts, presentations, papers) - Generic academic competencies (for academic ARCP)

ACF Advisor and supervisor

-9-

Date Meeting With † Ye

ar 3

August/ September

Project Planning Meeting - Discussion about project and how it will lead to a PhD

Fellowship - Discussion about Training (MRes/Portfolio of CPD)

Supervisor

September/October

Application Review Meeting - Planning for the third year: what are annual objectives for

ARCP? - Review fellowship application progress: ensure

engagement with Faculty Fellowship Academy - Discussion about Training (MRes/Portfolio of CPD)

ACF Advisor and supervisor

March /April

Interim Review Meeting - Review of PDP targets - Review of project/fellowship progress

Supervisor

April/May Project and Fellowship Progress Meeting - Progress – outputs (abstracts, presentations, papers) - Generic academic competencies (for academic ARCP)

ACF Advisor and supervisor

APL and Training Programme Directors (TPDs) can be invited to any of the Progress meetings, but not routinely expected: however we particularly recommend this if difficulties hampering progression are encountered. A summary of each meeting during the monitoring of ACFs will be sent to the appropriate TPD.

Progress Forms

Each formal meeting has a progress form to be completed in order to document the meeting. These are available to download from the ICAT website:

http://sites.bmh.manchester.ac.uk/icat/ICATintranet/acf/monitoring/

PLEASE NOTE: It is your responsibility to organise these meetings with the appropriate people in plenty of time and ensure you send your completed forms to the ICAT Administrator.

All completed forms should be sent to ICAT Administrator, at ICATadmin@manchester.ac.uk or as a hard copy by 14th May to:-

ICAT Administrator University of Manchester, Room 3.383, Stopford Building, Oxford Road, Manchester. M13 9PT

These forms must also be submitted to your e-portfolio for ARCP.

-10-

Academic Clinical Fellows: Training and Competency Curriculum mapping exercise Item Needed? Got? OPPORTUNITIES/PLANS TO ATTAIN

SKILL

Plan

Ethical aspects of clinical research

CORE SKILL

Y/N MRes Research Skills Module* MRes Clinical Masterclass* Ethical application for research project

GCP: including research governance & the regulatory framework for research

CORE SKILL

Y/N Epigeum on line CPD course* Non MRes ACFs can attend NHS GCP courses and add certificate to portfolio

Epidemiology

Basic? Advanced?

Y/N N/A Y/NN/A

MRes tutorial/seminar* MPH on line module (15 credits) MPH on line module (15 credits)

Study design

CORE SKILL

Y/N MRes Research Skills Module* MRes tutorial/seminar* Within team experience

Statistics CORE SKILL

Y/N MRes Research Skills Module* Additional statistical training as appropriate for project: arrange via supervisor or seek advice Multiple short courses via http://www.ccsr.ac.uk/courses/list/

Project design, planning, costing and management

CORE SKILL

Y/N MRes Research Skills Module* Project/workplace learning: Fellowship application, Fellowship Academy Within team experience Suggest engage with The NIHR Research Design Service for the North West if research involves NHS

-11-

Item Needed? Got? OPPORTUNITIES/PLANS TO ATTAIN SKILL

Plan

patients Patient and public involvement in research

CORE SKILL

Y/N Faculty Training Team session Research Support Workshops: Communicating your Research to the Public

Bioinformatics

OPTIONAL Y/N MPH on line biostatistics module (15 credits) MRes tutorial/seminar* NoWGEN

Time management and personal effectiveness

CORE SKILL ADVANCED

Y/N MRes Clinical Masterclass* Faculty Training Team session MPH on line module (15 credits) Management: Leadership and Teams Utilise developmental resources of Vitae: http://www.vitae.ac.uk/researchers/428241/Researcher-Development-Framework.html

Diversity/equal opportunities in research/ cultural competence

CORE SKILL

Y/N MRes Clinical Masterclass* GCP TEDI modules for University of Manchester staff Faculty Training Team session TEDI modules available on line via Deanery

Leadership: Practitioner, Partner and Leader roles

CORE SKILL

Y/N Faculty Training Team session

-12-

Refereeing of papers and grant applications

CORE SKILL

Y/N Seek opportunities with supervisor, evidence required. This is about understanding the process and needs, not becoming a reviewer!

Qualitative research Skills

ACFs PURSUING QUALITATI-VE PROJECTS ARE STRONGLY ENCOURAGED TO TAKE THIS UP

Y/N MPH on line module (15 credits)

Med Ed ACFs should have some evidence of development on their portfolio before exiting year 3

Y/N Contact MMS team via Don Bradley to access modules

Bespoke training needs

PROJECT SPECIFIC

Plan to be entered on project form Research Skills online

-13-

Personal Development Plan (PDP) to use at first meetings with supervisor and advisor

1. Core information Table A

Name of trainee:

Name of Academic Educational Supervisor:

Address of Host Department:

Clinical Training Specialty:

Base specialty

Sub specialty

Address of Host Deanery:

Status of trainee: ☒ Academic Clinical Fellowship (ACF) ST 1/2/3 ☐ Clinical Lectureship (ACL)

2. Baseline Assessment of generic academic skills (Table B, columns 1 and 2) Date of commencement of training year:

Year of programme (1-3 or 1-4 for GPs)

Date of Baseline assessment:

Attach mapping document here.

-14-

Table B Academic skill to be

achieved during first year

Means by which academic skill will be achieved (e.g. by taught course or module, through satisfactory completion of specific task etc.). Include specific agencies, venues and dates where applicable

Nature of material appended indicating satisfactory acquisition of skill upon completion (FOR ARCP), with signature of the Academic Educational Supervisor or Advisor

Reason as to why research skill was not achieved. Proposed action to ensure skill acquisition

Skill 1

Skill 2

Skill 3

Skill 4

-15-

3. Annual assessment of generic academic achievements (Table B, columns 3 and 4) Date of commencement of training year:

Year of programme (1-3 or 1-4 for GPs)

Date of assessment:

4. Annual assessment: summary of generic academic achievements. For submission to ARCP Academic Advisor (signature/date) Academic Educational Supervisor (signature/date)

Academic Trainee (signature)

Please add progress monitoring form