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Peter Mathieson, Professor of Medicine & Dean, Faculty of Medicine & Dentistry. Clinical academic careers. Galenicals, 8 th January 20109. Clinical academic careers. WHAT?. WHY?. HOW?. Clinical academic careers. WHAT?. Career path in medicine (including surgery)

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Peter Mathieson, Professor of Medicine &

Dean, Faculty of Medicine & Dentistry

Clinical academic careers

Galenicals, 8th January 20109


Clinical academic careers


Career path in medicine (including surgery)

involving training and experience in

teaching and/or research, leading to a

senior level position in a university


Clinical academic careers


Personal: stimulating environments,

opportunity to contribute to training of

future generations, highs and lows of


National: shortage subject!


Clinical academic careers


Defined career paths now exist, career

structure easier to envisage than previously

(but not necessarily easier to attain!).

Competitive, demanding. Aim is to have

true flexibility.


Clinical academic careers

“I did it my way….”

1970-77: grammar school in Cornwall

1978-83: MB BS (Hons) London Hospital

(didn’t do an intercalated BSc)

1983-4: “house jobs”, London Hospital

1985-7: SHO, “golden mile”, London

1987-8: Registrar, Hammersmith Hospital

incurably hooked on nephrology by this stage;

encouraged to do research mainly for reasons of

cv enhancement in a competitive specialty


Clinical academic careers

“I did it my way….”

1988: Medical Research Council training

fellowship, Cambridge (3 yrs). PhD 1991

1991: Medical Research Council clinician-

scientist fellowship, Cambridge (4 years).

1995: new Chair of Renal Medicine, Bristol

2007: elected President of Renal Association

2008: Dean, Faculty of Medicine & Dentistry

University of Bristol


Clinical academic careers

“I did it my way….”


PhD & post-doctoral work on autoimmune

renal disease, cytokine genetics

In Bristol, focus on proteinuria (causes,

consequences, treatments)

Research group now 18 people, mixture of

clinical & non-clinical backgrounds from UK,

India, Libya etc, collaborations with Sweden,

USA, Canada; Funding from MRC, Wellcome


Clinical academic careers

“I did it my way….”


Undergraduates & postgraduates in general

medicine & nephrology; nurses and PAMs,

PhD/MD students, undergraduate projects

for intercalating medics/other sciences

Rewarding & stimulating, opportunity to “give

back”, encourage others etc. UK & Uganda…


Clinical academic careers

“I did it my way….”

Would I do it again?

Definitely! Especially now with efforts to

construct pathways for clinical academic careers

in UK, availability of mentorship schemes,

shortage of applicants for senior clinical

academic posts etc…


Academic foundation programme

2 years

Academic Clinical Fellowship

3 years

Higher Academic Degree

( MD/PhD)

3 years

Academic Clinical Lectureship

4 years

Completion of Clinical Training (CCT).

2009: the integrated academic training pathway

pathways to a career in academic medicine surgery etc
Pathways to a career in academic medicine (& surgery etc!)
  • Some health professionals know that they want to pursue an academic career while still a student
  • Opportunities usually exist to learn about research methods during the undergraduate course
  • Some will enter medicine already with a degree in another subject (graduate entrants)
  • For a few there are opportunities to combine getting a medical degree with a PhD (MB/PhD courses)
  • Intercalated BSc (!) & other academic credentials
academic f2 programme

Academic F2 programme

University of Bristol in association with the Severn Deanery

Supported by Foundation Programme Directors

the national scene
The national scene
  • Programmes in all school/deanery partnerships
    • Varying numbers of posts
    • Different rotations
    • Most focus on research
      • a few teaching
      • a very few leadership and management
  • Information on UKFPO website
  • Moving to a national application process before standard FP opens
  • Separate application form
  • Interview
the bristol programme
The Bristol programme
  • An academic F2 year
  • 12 posts
    • 1 x 4 month academic post based at UoB
      • Each with a day a week in service
    • 2 x 4 month service posts at UHBristol/NBT
      • Each with a day release for academic work
  • Currently research orientated
  • Education posts to follow
  • Lead onto Academic Clinical Fellowship posts
the academic posts


General practice

Clinical epidemiology/public health

* may be subject to change!


Medical physiology

Paediatrics & ID/microbiology

Paediatrics –renal/endocrine

The academic posts*
the curriculum
The curriculum
  • Complete F2 competencies in 2 service blocks
    • Day release in service blocks for academic work
    • Day release back into service in academic block
  • Generic research methods course
    • 1/2 day/week in block 1
  • Complete a piece of academic work – 4months
    • Literature Review
    • Practical project in lab
    • Data collection – survey, interviews etc
    • Write a paper
    • Presentation at academic meeting
  • Prepare an ACF application
generic research methods course
Generic research methods course
  • A selection of the following will be available
    • European Computer Driving License
    • An Introduction to Epidemiology, Health Services Research and Basic Statistics
    • Critical Appraisal
    • Good Practice in Clinical Research
    • Good Practice in Laboratory Research
    • Database management
    • Writing a research proposal
    • Careers in Academic Medicine
supervision mentorship
  • Clinical supervisor - each attachment
  • Educational supervisor - for the year
  • Academic supervisor
  • Member of group of 12 F2 trainees
desirable qualities
Desirable Qualities
  • No failure in MB BCh
  • Additional qualifications eg BA, BSc MSc etc
  • Intercalated degree
  • Distinctions in MB BCh
  • Publication(s)
  • Prizes in medical school
  • Presentation of work at a national or international meeting
  • Demonstration of personal reasons for applying for this AF2

Further information