Academic Clinical Fellowship Job Description

1. Job Title. Academic Fellow in Clinical Radiology 2. Duration of post, and what happens at the end of the post if candidate successful or unsuccessful in obtaining a research fellowship This post is for a period of up to 3 years and will provide integrated and structured training in academic and clinical Radiology based in the Department of Imaging, University College London Hospital. The post attracts a national training number (NTN). If after a period of 3 years, the candidate is unsuccessful in obtaining a research fellowship it has been agreed they will have the opportunity to re-enter the clinical radiology training programme at UCLH (depending on their level of seniority and agreed CCT date). 3. Hospitals in which training will take place. Clinical training, which makes up 80% of the post, will be based at UCLH and the associated hospitals that form the radiology training scheme. Fellows will rotate to partner hospitals for both general and more specialised training in a similar fashion to the other radiologies on the training scheme. The basic clinical training is split between a core curriculum [3 years] leading to the FRCR exam followed by 2 years of subspeciality training [years 4 and 5]. There are currently 28 registrars on the scheme. During the first 3 years trainees will rotate to two DGH radiology departments at the Lister Hospital in Stevenage [Clinical Tutor Dr Peter Brooks] and the Whittington Hospital in London, [Clinical Tutor Dr Ranjana Choudury]. They may also receive speciality training from a range of speciality hospitals including the Brompton Hospital, Great Ormond Street Hospital and National Hospital, Queen Square. 4. Research institutions in which training will take place The academic component of the fellowship will be based in the Academic Department of Radiology at UCH hospital. UCLH has very strong academic links with University College London (as described above). Honorary lecturer status within UCL will be awarded, giving access to all university library facilities, and the full multi-disciplinary academic program within the university 5. Whether day release or block release will be used for protected research time The post has been created from existing SpR rotational posts. During the Fellowship, trainees will have on average one day a week dedicated to academic activities, with the remainder of their time spent in formal clinical training. This day will be protected from all clinical responsibility and where possible will be preserved when trainees are rotated to other hospitals. Trainees are however expected to be flexible in taking their academic time according to clinical and on call commitments at the rotation hospital sites. The programme has been devised in close collaboration between the Academic Department of Radiology, the Training Programme Director for the training scheme and the Royal College Tutors. The Training programme Director and Clinical Director have confirmed the necessary manpower and infrastructure are in place to allow this protected academic time to be incorporated into the training curricula spread over the 3 years of the program 6. Description of research component of programme (minimum 250 words) The ACF programme has three main objectives. First, to acquire generic academic skills including critical appraisal, project management and scientific writing for grants and publications. Second, to acquire the

clinical competencies required by the specialist training curriculum so that academic activities are underpinned by, and integrated with a clinical radiology career. Finally, we aim to provide trainees with skills to successfully compete for national fellowships that will allow them to study for a higher degree at the end of the 3 year period (or before if applicable). The trainee will immediately join the existing well established academic programme in Clinical Radiology (e.g attending departmental seminars and tutorials), enrolling in established research-tuition, and participate in the rolling research-programme as junior investigators. There will be opportunities for structured visits to our academic partners within UCL (see below) giving access to a very wide range of diverse and internationally competitive imaging research. Practical assistance will be provided and honorary lecturer status within UCL will be awarded, giving access to all university library facilities, and the full multi-disciplinary academic program within the university. Dedicated desks with computer and full internet access will be provided in the academic radiology offices within UCLH. The department has forged important collaborations with related academic partners including Nuclear medicine (Prof Peter Ell) and the Dept of Medical Imaging Computing (Prof David Hawkes) and have several cross disciplinary PhD students in place. Researchers active within the department including Prof Steve Halligan and Dr Stuart Taylor (Gastrointestinal and body imaging, advanced statistical techniques), Dr Shonit Punwani (senior lecturer in oncological imaging) Dr Alice Gillams (radiofrequency ablation), Drs Clare Allen, and Alex Kirkham (uro-radiology), Dr Rolf Jager and Dr Hapreet Hyare (neuro-radiology) and Dr HallCraggs (MRI). The program greatly benefits from formal attachments to many of the specialist hospitals within the UCLH trust including the Institute of Neurology (including to the Wellcome Centre for Imaging Neuroscience, one of the largest such units in the world and home to four of the UKs most highly cited biomedical scientists), Great Ormond Street Hospital, and the Elizabeth Garret Anderson Hospital. Where possible, research projects will be matched to the interests of the trainee, if any. A new 3T MRI research facility will be installed on the UCH site in Q1 2011, lead by Dr Stuart Taylor and Dr Shonit Punwani in academic radiology. This will provide great opportunities in MRI research for any appointed ACF. We have experienced of successful mentorship of ACFS into fellowships to undertake a high degree. 7. Description of clinical training component of programme Training years are structured so trainees acquire the necessary skills to acquire and interpret radiological images and interventions in all relevant modalities, including plain films, fluoroscopy, ultrasound CT, MRI, and Nuclear medicine (inc PET). The scheme is fully compliant with the new Royal college of Radiologists training curriculum. To ensure continuity in training, where possible, training blocks are structured around a body system including gastrointestinal radiology, uro-radiology, ENT, paediatric radiology, neuroloradiology and interventional radiology etc. However a comprehensive programme in acute and general radiology is provided. As noted above the programme benefits from excellent teaching opportunities at both district general and specialist hospitals as part of the standard rotation. Trainees attend the daily rolling tutorial programme within the department, and attend all relevant MDTs to their training block. During the final 2 years of training, SPRs will receive subspecialty training. The Training scheme can offer training in most specialist areas but has particular strengths in intervention, colorectal and hepatobiliary imaging, musculoskeletal imaging, uro-radiology and oncology. It is expected all fellows will meet their clinical training milestones as specified by the new Royal College of Radiologists training curriculum, and annual assessment process of the London Deanery/School of Radiology. Fellows will be expected to achieve clinical standards comparable to their peer group in clinical radiology of an equivalent year of training.. Clinical and academic progress will be carefully monitored by representatives of the clinical and academic programs every 4 months. Each fellow will be assigned an educational supervisor chosen from the consultant staff within the department. The mentor will be distinct from the programme coordinators. Supervisors will be responsible for the overall welfare of the fellow, notably by ensuing successful integration of the academic and clinical training programmes.

Overall, the training programme has an excellent reputation and provides trainees with a comprehensive portfolio in both general and specialist radiology. On call commitments varies according to hospital site around the rotation. Applicants are advised to contact the programme clinical lead to confirm latest on call arrangements. Study leave and annual leave are coordinated by a leave coordinator 8. Academic Programme Director: Dr Stuart Taylor (stuart.taylor@uclh.nhs.uk) 9. Training Programme Director: Dr Colm Prendergast (colm.prendergast@nhs.net) 10. Programme contact for further information (phone or email) Dr Sam Read (sam.read@uclh.nhs.uk) or Dr Colm Prendergast (colm.prendergast@nhs.net) 11. Deanery contact for further information (email) radiology@londondeanery.ac.uk 12. Useful websites for further information www.nihrtcc.nhs.uk 14. About UCH The services we provide UCLH provides high quality accident & emergency, general medical and general surgical services to the people who live, work and visit north central London. In addition, the hospital group is home to many specialist services, which attract patients from all over the UK. Some of our key services are: Cancer services Cardiac services Infectious diseases Neurosciences Oral health Womens health. Our Staff The Foundation Trust has a combined staff of 6, 200. Roughly 20% are doctors and dentists, 40% nurses or midwives and 40% are allied healthcare professionals, scientific and technical staff, managers, administrators and support staff; other key services such as catering, portering and domestic services are provided by our external partners Interserve. Our Patients Every year we treat close to 60,000 patients in hospital, either as inpatients or day cases. We also see nearly 500,000 outpatients per year. The majority of our patients are from our closest health authority areas: Camden, Islington, Kensington, Chelsea, Westminster and Haringey and the north Thames area in general. New Hospital

The Trusts new 16-storey, state-of the-art hospital was named University College Hospital by the Secretary of State for Health in 2004, and opened to provide health care service in June 2005. A new purpose-built "Elizabeth Garrett Anderson (EGA) Wing" to house Women Services opened in 2008. Investment in new medical equipment such as IT systems to provide records, test results and X-rays electronically has been made. A new high-tech pathology building close to the new hospital on Hampstead Road is to be built. This investment represents the most significant programme of improvements ever seen in the NHS at a single site. As a result the Trust will be able to treat patients in a state of-the-art hospital environment of which we can be proud. This includes embracing modern technology and techniques to ensure that the Trust continues to fulfil its part in meeting the health needs of both local residents and those from further afield requiring specialist care. Further information about the Trust, its strategic direction and hospitals can be found on the UCLH Website @ www.uclh.nhs.uk 14. STAFFING IN THE RADIOLOGY DEPARTMENT Divisional Clinical Director Dr Jocelyn Brookes Clinical Leads Dr Paul Humphries Department of Clinical Radiology UCH 235 Euston Road W1N 2BU Tel 020 7380 9015 Divisional General Manager Mrs Marie Hinds 250 Euston Road Tel: 020 7380 9482 Lead Superintendent Miss Fiona Henderson Consultant Radiologists and Areas of Specialist Interest Dr Jocelyn Brookes MRCP, FRCR W/T Vascular Dr Margaret Hall- Craggs, MD, MRCP, FRCR W/T Musculo-skeletal/MRI Dr David Rickards FRCR P /T Uro-Radiology Dr Clare Allen FRCR MPT Uro-Radiology Dr Penelope Shaw MRCP, FRCR W/T Thoracic Imaging/Paediatrics/CT Dr Zahir Amin MD MRCP FRCR W/T Biliary/GI Radiology Dr Duncan Brennand FRCR W/ Vascular/ Cardio thoracic radiology Dr Charles House FRCR W/T Musculo-skeletal/MRI/Royal College Tutor Dr George Jowad FRCR W/T Vascular radiology Dr Rolf Jaeger FRCR 2 PAs

Neuroradiology Dr Carol Brunell MRCP FRCR 9 PAs Gynaecological Imaging Dr Tim Beale MRCP FRCR 5 PAs Head and Neck Imaging Dr Simon Morley FRCR W/T Head and Neck Imaging Dr Samantha Read MRCS FRCR W/T Biliary / GI Radiology/ Royal College Tutor Dr Julian Hague FRCR W/T Vascular Dr Mark Duncan FRCR W/T Cardiac Imaging Dr Navin Ramavchandram FRCR W/T Uroradiology Dr Miles Walkden FRCR W/T Uroradiology Dr Hela Sbano FRCR W/T Breast and Gynaecololgical Imaging. Academic Department of Radiology Dr Alison Gillams, MRCP, FRCR , Senior Lecturer 5+5 GI/Biliary/Therapeutic Intervention Professor S Halligan MD FRCP FRCR 5PA GI Imaging Dr S Taylor MD MRCP FRCR 5PA GI Imaging Dr Shonit Punwani MRCP FRCR 5PA Lister Hospital, Stevenage Dr Peter Brooks FRCR (Royal College Tutor) Whittington Hospital, London Dr Rangi Choudry FRCR (Royal College Tutor) Dr Jane Young FRCR (Royal College Regional Advisor) Great Ormond Street Hospital, London Dr Ali Calder FRCR (Royal College Tutor) Brompton Hospital, London Dr Simon Padley FRCR (Royal College Tutor) 15. Confirmation that the post attracts an NTN (A) Yes