NHS WEST MIDLANDS WORKFORCE DEANERY
& Birmingham University
Academic Clinical Fellow
IN ORAL MEDICINE
(Entry Level StR)
1. The Post - Academic Clinical Fellowship Programme in Oral Medicine
This programme integrates academic and clinical specialty training in Oral Medicine
providing a supervised programme which will allow candidates to undertake research
training in one of the School of Dentistry’s three main research theme areas -
Biomaterials, Tissue Injury and Repair or Primary Dental Care and to complete
clinical specialty training leading to a CCST in Oral Medicine.
Clinical and academic training
25% of clinical training will be protected for academic pursuits. During the first year
of dedicated research time the ACF will gain experience of different areas of research.
By the second year the ACF will have decided in which area they wish to undertake a
research project and have established this with their supervisor. During dedicated
research time they will develop preliminary results for use in a fellowship application
which will be submitted in year 3.
The School of Dentistry is part of the College of Medical and Dental Sciences and has
a strong Postgraduate ethos. There will be a supportive network guiding the ACF in
their training. The ACF will be provided with a clinical educational supervisor and a
research supervisor who will direct their training and help them put together an
application for a fellowship. In addition there will be an allocated academic mentor
(who will be a clinical academic out-with Oral Medicine) who can provide objective,
confidential and informed career advice. The ACF will also be able to take
advantage of the research training offered by the University. This will include
developing their own training needs analysis.
2. Duration of post
Up to 3 years as an ACF. It is expected that the ACF will successfully compete for
external funding towards PhD training at the end of 3 years. A trainee who fails to
obtain a fellowship to do full-time research or decides to withdraw from academic
training will retain their training number and be reintroduced into the West Midlands
training programme in Oral Medicine at an appropriate time.
3. Hospitals – bases for training
The clinical facilities at Birmingham Dental Hospital are well supported by laboratory
backup and learning resources. Robust collaborative links with other departments
ensure excellent learning opportunities and broad and diverse clinical experience for
the StR. In addition there are fortnightly liaison psychiatry clinics, monthly
multidisciplinary Sjogren’s Syndrome clinics and multidisciplinary Behcet’s Disease
clinics. Birmingham has just been recognised (March 2012), as one of three nationally
commissioned Centres of Excellence for the management of Behcet’s Disease and
there will be regular input of the Oral Medicine service to this new enterprise. A
paediatric Oral Medicine Clinic is held once every 3 months at the Birmingham
Children’s Hospital, located adjacent to the Dental Hospital.
The specialty trainee will be expected to participate in all of these activities.
4. Research – base for training
School of Dentistry, Birmingham University
5. Arrangements for protected research time
The protected research time within this programme will be on a day release basis.
6. Research component of programme
The School of Dentistry has excellent research facilities together with a number of
fruitful research developments across the College of Medical and Dental Sciences.
The School’s research programme is spread across three research theme areas,
Biomaterials, Tissue Injury and Repair and Primary Dental Care. The successful
applicant will be encouraged to explore research opportunities within one of the
School's Research groups, all of which enjoy strong research funding and
An example of one exciting and unique opportunity for the successful applicant is the
establishment of a £10M Chronic Disease Resource Centre (CDRC) based at
Birmingham’s new Queen Elizabeth Hospital. The CDRC is an exciting novel
collaboration between Dentistry (Profs Iain Chapple, Thomas Dietrich, and including
Mr John Hamburger) and colleagues in Rheumatology, Renal Medicine, Diabetes and
Pulmonary Medicine. The CDRC is systematically studying well- defined cohorts of
patients with chronic inflammatory diseases, where co-morbidity has been
established, and which also impact upon cardiovascular health. Well characterized
cohorts of patients have been recognized by the Medical Research Council as playing
an important role in understanding the pathogenesis of disease as well as providing
ready access to cohorts for interventional studies. The Birmingham CDRC, hosted by
the University Hospitals Birmingham NHS Trust, houses clinics in which cohorts of
patients from different specialties can be studied using shared facilities, while at the
same time providing resources for disease specific assessments. The CDRC has
developed a cross-disciplinary approach to inflammation research, with careful
characterization of cohorts of patients with arthritic, kidney, lung and endocrine
disease to explore how pathology is manifested and differs across various organs and
to explore cardiovascular, bone and periodontal co-morbidity. The CDRC index
cohort involves Renal and Periodontal Medicine and over 200 chronic kidney disease
patients have already been examined by an existing ACF. Similar opportunities exist
for Lung Diseases and Diabetes for ACFs interested in taking advantage of this
unique opportunity to work with a team of like-minded and mutually supportive
academically orientated NHS clinicians. Full clinical, laboratory, DCP and
biostatistical support is available.
7. Clinical training component of programme
Clinical training will take place predominantly within the Birmingham Dental
Hospital. Robust collaborative links with other departments ensure excellent learning
opportunities and broad and diverse clinical experience for the StR as outlined above
Oral Medicine enjoys close links with a variety of medical specialties, including in
particular dermatology, haematology, rheumatology, ophthalmology and the
haemopoeitic stem cell transplant unit, thereby facilitating appropriate medical
attachments to assure achievement of the relevant medical competencies for the
practise of Oral Medicine. The specialty trainee will be expected to participate in all
of these activities.
Additionally the Oral Medicine Unit has an excellent relationship with Oral and
Maxillofacial Surgery at University Hospital Trust and our Rapid Access facility
ensures that patients with oral malignancies are fast tracked to Oral Oncology for
The successful applicant will work alongside 1 full-time NHS StR in Oral Medicine.
This programme is designed to fulfil the GDC-approved specialty training curriculum
(which can be downloaded from the GDC website) leading to a CCST in Oral
Programme management and administration
The programme will be jointly managed by the School of Dentistry, Birmingham
Community Healthcare (BCHC) NHS Trust and the local training committee of the
West Midlands Workforce Deanery. Appointees will be assessed through the Annual
Review of Competence Progression (ARCP) process. The committee will not only
assess the trainees but also ensure that the training programme is meeting its
objectives. The agenda will be set by the trainee, not by the committee, providing the
trainee with the opportunity to formally state what their objectives are for the period
ahead and how these will be implemented.
8. Academic Programme Director
Professor PJ Lumley, Head of The School of Dentistry (firstname.lastname@example.org)
(Will be clarified prior to appointment)
9. Training Programme Director
Mr J Hamburger, Service lead in Oral Medicine (email@example.com)
10. Deanery contact for further information
Post Graduate Dental Dean
NHS West Midlands
St. Chad’s Court
213 Hagley Road
11. See NIHR Trainees Coordinating Centre (NIHRTCC) website for further
NIHRTCC : NIHR Trainees Coordinating Centre
12. Training number status
This post carries an NTN (A)
Appendix 1 - Facilities available to the Specialty Registrar
1. There will be a fully equipped surgery, access to appropriate supporting facilities and
staff, including chairside and secretarial assistance.
2. There is ready access to a Library with a comprehensive range of journals and text
books. The Library has connection to the high speed campus network at the
University and Internet facilities.
3. Computer facilities are available.
4. Appropriate shared accommodation and opportunity for study are available.
5. Social and recreational facilities are available within the University of Birmingham.
6. Car parking facilities will be subject to availability.
Appendix 2 - General considerations
The Specialty Registrar will be enrolled with the Specialist Advisory Committee in
Additional Dental Specialties following commencement of the post.
Study leave will be granted for courses, conferences and meetings provided that there is
agreement from the Training Programme Director and the Clinical Tutor that it meets defined
The Specialty Registrar will be accountable through the Training Programme Director to the
The Specialty Registrar will be responsible to the following Consultants for the clinical care
of their patients:
Oral Medicine: Mr J Hamburger
Mrs A Richards
Appendix 3 - Main Conditions of Service
1. The post is Subject to the Terms and Conditions of Service for Hospital Medical and
Dental Staff (England and Wales) as amended from time to time.
2. There is no commitment to Saturday clinical sessions at present but the Specialty
Registrar would be expected to be flexible with regard to working hours including
3. The salary will be paid in accordance with the national pay scale for Specialty
4. There is no residential accommodation and no requirement to be resident.
5. An appropriate Honorary contract with the University of Birmingham will be sought,
dependent on the appropriate qualifications of the trainee.
6. Full registration with the General Dental Council is mandatory. Possession of a
Fellowship in Dental Surgery, Membership of the Joint Dental Faculties of the Royal
College of Surgeons or equivalent is considered desirable.
Appendix 4 - Conditions of Appointment
Your attention is drawn to the confidential nature of information collected within the National
The unauthorised use or disclosure of patient or other personal information is regarded as
gross misconduct and will be subject to the Trust’s Disciplinary Procedure and in the case of
computerised information could result in a prosecution for an offence or action for civil
damages under the Data Protection Act 1984.
Investors in People
All employees have a responsibility to participate in regular appraisal with their manager and
to identify performance standards of the post. As part of the appraisal process, every
employee is responsible participating in identifying their own training and development needs
to meet those performance standards.
Health and Safety at Work
Attention is drawn to the responsibility of all employees to take responsibility for the health
and safety of themselves and other people who may be affected by their activities at work.
All employment within the Trust is subject to satisfactory health screening by the
Occupational Health Department.
Any member of staff working at least half time aged 16 or over is entitled to join the NHS
superannuation Scheme. From 6 April, 1988 members of staff are entitled to make their own
personal arrangements and are not obliged to join the NHS scheme. However, unless a Form
SD502 (available from Personnel) is completed and returned Superannuation will
automatically be deducted from the salary.
Birmingham Community HealthCare Trust is committed to Equal Opportunities in
employment and has obtained the Investors in People Award.
Smoke Free Environment Policy
The Trust operates a Smoke Free Environment Policy in all its establishments. Staff are not
allowed to smoke on the premises.