Nuffield Department of Orthopaedic Surgery by dfhrf555fcg



                                Botnar Research Centre

Post Title:           Academic Clinical Fellow in Trauma and Orthopaedics (HF090..)

Grade & Salary:       ST3

Academic Clinical Fellowship (ACF) posts have been awarded by the NIHR to
University/NHS Trust/Deanery partnerships nationally through competition. Oxford has
been very successful attracting 79 ACF and 30 Clinical Lecturer posts to date. These
posts form part of the NIHR Integrated Training Pathway, further details of which can be
found on the NIHR TCC website

The University of Oxford is one of the world's leading higher education institutions
undertaking teaching and research across a very wide range of academic subjects, to the
highest international standards.

The Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences
(NDORMS) is one of 16 clinical academic departments within the Medical Sciences
Division and is one of the largest academic clinical departments in orthopaedics and
rheumatology in the United Kingdom ( The Nuffield Orthopaedic
Centre (NOC), in which the main part of the department lies, is also the largest
musculoskeletal clinical centre in the UK. This single centre includes a surgical
orthopaedic department with more than 20 consultant surgeons, with additional clinical
departments, including rheumatology, metabolic bone disease, disability, imaging, and a
unit for the treatment of patients with infections of the musculoskeletal system. There are
University offices and research facilities within the Nuffield Orthopaedic Centre and also
within the trauma service at the John Radcliffe Hospital. The NOC has been recently
been redeveloped to provide modern facilities and space. The university department was
relocated in March 2004 into high quality new space, where teaching and clinical
research and trial work is based. The location of the Department’s Institute of
Musculoskeletal Sciences, Botnar Research Centre, on the NOC site provides a unique
setting in which basic science researchers from cell biology, genetics and engineering
backgrounds can interact with each other as well as with practising clinicians, and have
access to patients.
The department makes a significant contribution to the teaching of orthopaedic surgery
and trauma, rheumatology and emergency medicine to clinical students as well as to
postgraduate teaching in orthopaedics and rheumatology. There is also a substantial
teaching activity related to the postgraduate education of DPhil students based in the
department and a newly approved MSc in Rheumatology. The department runs very
successful courses for preparation for the FRCS (Orth) examination.

The Academic Clinical Fellow (ACF) in Trauma and Orthopaedics will be based at
NDORMS, within the NIHR Biomedical Research Unit at the Nuffield Orthopaedic Centre.
The position will be integrated into the Oxford Deanery Trauma and Orthopaedics (T&O)
training programme. NDORMS has seen a significant period of growth over the last 10 years,
with presently over 100 research staff housed in the Botnar Research Centre. Research into
osteoarthritis, osteoporosis and inflammatory joint disease is focused in specific groups
including; bioengineering, epidemiology, molecular signalling, genetics, proteomics,
measuring outcome in musculoskeletal disease, pain in joint disease, imaging of joint disease,
stem cell biology, biological repair of musculoskeletal tissues and clinical trials.

This training post is for 3 years. At the end of the ACF, the successful applicant will return to
the ST clinical training programme retaining their NTN. They would continue to acquire their
clinical competences working towards obtaining a pass in the T&O Intercollegiate
Examination. In addition the trainee will be provided with opportunities to continue their
research development within the research community at the Botnar Research Centre,
culminating in an application for one of the NDORMS Clinical Lectureship posts.

Training Objectives

The main objectives of the programme will be to provide:

   i)  an entry point for doctors aspiring to a research based career in Trauma and
   ii) appropriate learning to enable progression from ST3 towards CCST.

Training Component

Agreement has been provided by the Regional Specialty Advisor and the Oxford
Programme Director for T&O for one of the present NTNs available to be transformed
into a NTN(A) and to work to the programme outlined here.

A timetable has been designed to support the ACF through three years of training with
protected research time. This will be in 6 month attachments to clinical firms at the NOC
(5/6) and JRII (1/6). Each six-month placement during the three years will be sponsored by
an Academic Orthopaedic Surgeon from NDORMS, who will be responsible for registrar
training but will also protect the ACF’s research time. Protected research time will be
organised as day-release on a weekly basis, with a period of more intense research work in the
second of 6 months.

The successful applicant will have training assessments through the establish Oxford T&O
RITA programme. In additional academic assessment of progress will be conducted in line
with Academy of Medical Sciences guidelines for the Annual Review of Competence
Progression (ARCP) for Speciality Registrars undertaking joint clinical and academic training

The ACF will have desk space for their research throughout the three-year period at the
Botnar Research Centre on the NOC site. There is an established induction process for new
researchers joining the department, coordinated by the NDORMS Graduate Research
Committee; this includes training in research methodology, statistics, clinical trials,
bioengineering and molecular and cellular sciences. The ACF will have access to both the
weekly Regional Orthopaedic Training and Botnar Research Seminar programmes.

Further support will be provided in the form of a designated Clinical Training Supervisor.

Research Component

Mr Andrew Price will be the Academic Supervisor for the ACF. He is theme leader for a
programme of translational research, funded through the NIHR Biomedical Research Unit,
focusing on the understanding of treatment of articular cartilage disease. The ACF would
carry out research within this theme area, where a number of different projects are available.

Teaching Opportunities

The ACF at the NDORMS will provide two areas of teaching opportunity. The trainee will
take part in the departmental teaching of the Oxford University Medical School 5th year
Musculo-skeletal course. This involves regular seminar teaching of the groups of student who
rotate through the course every 8 weeks. The teaching is shared between the established
Clinical Lecturers and a number of Honorary Student Clinical Lecturers, with the AC Fellow
joining this team. In addition the ACF will be appointed to a teaching position as a Lecturer at
Worcester College, joining the faculty of clinicians teaching at the college under the
supervision of Andrew Price, who is Medical Tutor at the college. This would involve 3
tutorials a term given to Graduate Entry Fast Track Medics teaching anatomy and the ACF
will have access to SCR facilities.

Selection Criteria

Applicants must be qualified for specialty training at ST3 level. They may have a higher
degree or wish to acquire one. They should also demonstrate ability in the research
process and that they have outstanding potential for development as a clinical academic.

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