clinical academic training in a changing landscape. jp neilson nihr dean for training
DESCRIPTION
Clinical academic training in a changing landscape. JP Neilson NIHR Dean for Training. [DATE]. The Innovation Pathway. DIFFUSION. INVENTION. EVALUATION . ADOPTION. Spread new things new ideas new techniques new approaches. Creation new things new ideas - PowerPoint PPT PresentationTRANSCRIPT
Clinical academic training in a changing landscape.
JP NeilsonNIHR Dean for Training
[DATE]Imperial 2011
INVENTION EVALUATION ADOPTION
Creationnew thingsnew ideasnew techniquesnew approaches
Assessmentnew thingsnew ideasnew techniquesnew approaches
Uptakenew thingsnew ideasnew techniquesnew approaches
DIFFUSION
Spreadnew thingsnew ideasnew techniquesnew approaches
Basic Research Applied Research
NIHR
Commissioning Patient Care
PCTsMRC NHS Providers
The Innovation Pathway
INVENTION EVALUATION ADOPTION DIFFUSION
Biomedical Research CentresBiomedical Research Units
Clinical Research FacilitiesExperimental Cancer
Research Centres
Centres for Leadership in AppliedHealth Research and Care
NIHR Evidence Synthesis
National Institute for Healthand Clinical Excellence
NHS Evidence
NIHR Evidence Synthesis
Academic Health Science CentresHealth Innovation Education Clusters
Bridging the Translational Gaps
Primary outcomes RR (95% CI) Number of trials, participants
Death or cerebral palsy 0.85 (0.74 to 0.98)* four trials; 4446 infants
Death (fetal and later) 0.95 (0.80 to 1.12) four trials; 4446 infants
Cerebral palsy 0.71 (0.55 to 0.91)* four trials; 4446 infants
Any neurological impairment 1.03 (0.87 to 1.21) one trial; 1255 infants
Death or substantial gross motor dysfunction
0.84 (0.71 to 1.00) three trials; 4387 infants
* significantly in favour of magnesium sulphate
MgSO4 vs placebo/no treatment: primary outcomes
Doyle 2009 Cochrane Review
Cerebral palsy 53 34, 171 6%
Death or CP 42 24, 346 17%
Outcome NNT 95% CI Baseline Risk
Fetal Neuroprotective Intent TrialsNumber needed to treat to prevent one case
To improve the health and wealth of the nation through research
National Institute for Health Research
Strategic Aim
www.nihr.ac.uk
Transform research in the NHSIncrease the volume of applied health research for the
benefit of patients and the publicDevelop and support the people who conduct and
contribute to applied health research
National Institute for Health Research
Goals
www.nihr.ac.uk
Infrastructure
Clinical Research Facilities, Centres
& Units
Clinical Research Networks
Research
Research Projects & Programmes
Research Governance
Systems
Research Information
Systems
Systems
Patients&
Public
Universities
Investigators &Senior
InvestigatorsAssociates
Faculty
Trainees
Research Schools
NHS Trusts
The NIHR Health Research System
Doctors and DentistsNIHR Integrated Academic
Training
All ProfessionsNIHR Fellowships
Nurses, Midwives, Allied Health Professionals
Clinical Academic Training
NIHR Clinical Lectureship
NIHR Clinician Scientist Award
Masters in Health
Economics
NIHR Doctoral Research Fellowship
NIHR Post-Doctoral
Fellowship
NIHR Career Development
Fellowship
NIHR Senior Research Fellowship
NIHR/CNO Masters in Clinical
Research
NIHR/CNO Clinical Doctoral Research
Fellowships
Level of AwardOther Awards
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Senior/Pre-Chair
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NIHR Research Career Pathways
SeniorPost-Doc
Early Post-Doc
Doctoral
Pre-Doctoral/Masters
Undergraduate
NIHR/CNO/HEFCE Senior Academic Clinical Lecturer
In-Practice Fellowshipsand NIHR Academic Clinical Fellowships
NIHR/CNO Clinical
Lectureships
CSO Health Care Scientist
Doctoral Fellowship
CSO Health Care ScientistPostDoctoral Fellowship
Liberating the NHS:
Developing the Healthcare Workforce
A consultation on proposals
www.nihr.ac.uk
www.nihr.ac.uk
‘The Government is committed to the promotion and conduct of research as a core NHS role. Research is vital in providing the new knowledge needed to improve health outcomes and reduce inequalities. Research is even more important when resources are under pressure – it identifies new ways of preventing, diagnosing and treating disease. It is essential if we are to increase the quality and productivity of the NHS, and to support growth in the economy. A thriving life sciences industry is critical to the ability of the NHS to deliver world-class health outcomes. The Department will continue to promote the role of Biomedical Research Centres and Units, Academic Health Science Centres and Collaborations for Leadership in Applied Health Research and Care, to develop research and to unlock synergies between research, education and patient care’.
Equity and excellence: liberating the NHS.
July 2010