Academic Clinical Fellow in Obstetrics and Gynaecology

Academic Clinical Fellows/Lecturers ST3 1

Recruitment Timetable

Apply from 21 January 2019
Closing date 18 February 2019
Interview dates 12 March 2019.

Health Education England - Severn invite applications for an Academic Clinical Fellow in Obstetrics and Gynaecology at entry level ST3 to commence 7 August 2019.

Although this is a locally funded post NIHR recognition is being sought and our expectation is this will be granted prior to the interview date.

Applications for this post must be made via the "APPLY NOW" button, where full details of is application process can be found.  Information can also be found under the Resources tab.

Please refer to both the academic and specialty specific person specifications (within the vacancy in Oriel) to check that you meet the essential eligibility criteria. It is important to demonstrate the essential requirements outlined in the specifications on your application form to ensure your application is progressed through the process.

Please note ACF applicants without a NTN in the specified specialty are advised to also submit an application for standard clinical training, as you will be required to attend a national clinical assessment/interview.

The interviews will be held at Health Education England - Severn in Bristol.  The interview date is 12 March 2019.

If you require assistance with your application, please email SEVRecruitment.SW@hee.nhs.uk or telephone the candidate support line on 01454 252610 between 8.00am and 4.00pm.

Anticipated Outcomes

  • Certificate of Eligibility for Specialist Registration (CESR)
  • Certificate of Completion of Training (CCT)

 

Job Description for ACF post

 

1.    Job title:  **Academic Clinical Fellowships in Obstetrics and Gynaecology, entry level ST3

**NIHR recognition is being sought and our expectation is this will be granted prior to the interview date.


2.    The duration of the post for up to 3 years, commencing August 2019


3.    Hospitals in which training will take place:  Southmead Hospital, Bristol

For further information about the Severn School of Obstetrics and Gynaecology, please visit the School website on http://www.obsandgynae.severndeanery.nhs.uk/

 

4.    Research institutions in which training will take place: 

Academic Centre for Women’s Health, Southmead Hospital.

 

5.    The current ACF post is released for clinical activities for 1 day per week for 3 weeks out of 4 and 2 days in the final week of a month amounting to 25% of clinical time overall . The academic time allocation is however flexible depending on the nature of research undertaken.

 

6.     Description of research component of programme:

There will be diverse opportunities for research for the successful appointee, and candidates will be asked which they would prefer; these include a variety of subjects but also methods, ranging from qualitative research and observational studies to complex clinical trials and systematic reviews. There is a strong training programme in place, provided in part by the internationally acclaimed Short Courses run by Population Health Sciences , Bristol Medical School.. A successful outcome of the post will be an externally funded competitive PhD award. The successful appointee will also be a member of the Severn School for Clinical Academic Training (Head of School Professor Debbie Sharp).

Professor Tim Draycott leads the academic multi-professional O&G research group at NBT. He has particular expertise in outcome-based research, multi-professional training for Obstetric Emergencies, team working and dashboards in maternity care. The Unit has been successful in obtaining high quality external research grant funding.

 

Research Areas:

Quality Improvement in Obstetrics

This post will at least partly contribute to the development of national research capacity in safety and quality improvement in obstetrics. Improved emergency skills training, teamwork training and better monitoring of quality indicators (QIs) have all been recommended, but research has produced conflicting results; teamwork interventions in the US were ineffective and in one UK unit there was a 100% increase in neonatal injury after training, whereas other units, including North Bristol NHS Trust (NBT), have described significant improvements in perinatal outcomes associated with training. Consistent improvement in the quality of maternity services is a realistic goal, but a concerted and co-ordinated research effort is needed in order to bring them about.

 

Stillbirth & Bereavement Care Research


This post will have ample opportunity to engage in the Department’s comprehensive programme to:


1. Improve intrapartum safety including the reduction of stillbirth and near-miss morbidity risk

2. Clinical prevention trials, including feasibility and pilot studies

3. Development of Core Outcome sets for Stillbirth Research


Current work by the team includes commissioned projects for the Lancet stillbirth follow-up series, and research projects to inform Department of Health task groups, RCOG guidelines, and further NIHR-funded research.

 

Maternal Medicine Research

There are several projects underway to investigate the management and outcome for pregnant women with chronic diseases in pregnancy, with a strong focus on gestational diabetes and obesity including systematic and studies of patient experience. It is envisaged that future work will include studies into the management of women with obesity in general, diabetes, and also nutrition and exercise in collaboration with strong departments within the University of Bristol.

There is also an ambition to develop research into gestational diabetes management and stillbirth prevention, following from the centre’s strengths.

 

Clinical Trials

There are close links and collaboration with the Bristol Surgical Trials Centre and other clinical trials units (e.g. Aberdeen). There are three clinical trials (Bluebelle / caesarean sections, ImOX / oxytocics/Assist) and one cluster trial of training (THISTLE) underway; further trials are planned. There will be opportunities to engage in several aspects of complex trial methodology and conduct in areas aligned with the group’s research interests, ranging from feasibility studies to stepped-wedge cluster trials.

 

Reproductive Medicine

The Bristol Centre for Reproductive Medicine is one of the premier centres offering fertility services in the UK. The centre performs over 1000 cycles of IVF/ICSI annually along with intrauterine insemination, ovulation induction, surgical sperm retrieval, donated gamete cycles and fertility. Reproductive medicine is an evolving discipline and offers tremendous potential for research. One key area is the link between fertility treatment and pregnancy outcome. A study on the role of the endometrial microbiome in women with recurrent miscarriage (RM) funded by NIHR will commence in April 2019.

 

7.         Description of the clinical training component of the programme:

During the 75% time in clinical training the ACF will, as with other O & G specialist trainees, rotate through all aspects of O & G provided by the department.

North Bristol NHS Trust is one of the largest trusts in the country. The Trust provides general medical and surgical care, and maternity and neonatal care for a local population of about half a million people in the North Bristol and South Gloucestershire area. The Trust is a regional and specialist centre for people living in the Bristol and Weston area, as well as Gloucestershire, Somerset, Wiltshire and further afield for neurosciences, orthopaedics, level 3 neonatal intensive care, plastic surgery, renal services, urology and paediatric neurology. The Trust employs more than 8,500 staff.  On 28 May 2014 the Southmead Hospital Bristol fully opened as one of Europe’s leading hospital sites. The new Brunel building, at the centre of the redeveloped site, enables teams to provide exceptional healthcare.

The Obstetric Unit is based at Southmead Hospital and is one of the major Units in the country, with over 6500 deliveries per annum dealing with a full range of both normal and abnormal Obstetrics.  The gynaecology unit has over 4000 admissions per annum and there are 18 gynaecology operating lists per week. Bristol Centre for Reproductive Medicine (BCRM) is adjacent to the gynaecology unit. This is a purpose built, stand alone, state of the art fertility centre and is a self funded unit. 1000 new couples are seen per year and 1100 cycles of IVF, 350 cycles of IUI and other fertility treatment are undertaken in the unit.

The O & G medical staff comprises of 18 Consultants, 8 Specialty Trainees 3-7, 9 Specialty Trainees 1-2, 4 GP Specialty Trainees, and 1 Foundation Year2.

The Clinical Academic Staff comprises 1 Consultant Senior Lecturers, 2 Senior Research Midwives, 1 Senior Medical Statistician (part-time), 1 Junior Statistician, Senior Programme Manager, 2 NIHR Clinical Lecturer (2 from 2016/17), 1 Academy/Teaching Fellow, 5 Clinical Research Fellows and 2 NIHR Academic Clinical Fellows (3 to include this post). There are also Research Midwifes attached to individual studies.

The appointee will participate in the out-of-hours on-call rota at the same frequency as the other trainees at the same clinical level.

In the event that the appointee does not secure a research training fellowship, then at the end of the post, the trainee will return to the standard training route, completing their clinical training as part of the Severn Postgraduate Medical Education (formally the Severn Deanery) training programme in Obstetrics and Gynaecology (Head of School, Dr Jo Trinder).

 


8.         Academic Programme Director:  Professor Tim Draycott   tim.draycott@bristol.ac.uk  

            O&G Lead - Clinical Academic Training Board: Dr Christy Burden mdycb@bristol.ac.uk

 

9.         Clinical Programme Director: Mr Mark Denbow mark.denbow@UHBristol.nhs.uk  

10.       Severn contact for further information: Caroline Stitfall caroline.stitfall@hee.nhs.uk  

11.       Link to NIHR TCC website for further information - http://www.nihr.ac.uk/acfs

12.       The post will hold a National Training Number (NTNa)