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UNIVERSITY OF OXFORD / OXFORD DEANERY NUFFIELD DEPARTMENT OF ORTHOPAEDICS, RHEUMATOLOGY AND MUSCULOSKELETAL SCIENCES 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 http://www.nihrtcc.nhs.uk 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 (www.ndorms.ox.ac.uk). 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 Orthopaedics; 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 programmes. 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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