Developing clinical research careers in physiotherapy

Welcome

11th November 2017Physiotherapy UK

Aims

• To increase awareness of NIHR / HEE research training schemes in England

• To increase confidence in applying to these schemes• To encourage applications at all award levels

• To develop future clinical research leaders

● Opportunity to learn about fellowship schemes● Find out about support from NIHR Advocates● Hear from those who currently have these awards

● 3 case examples● Panel & audience discussion● Opportunity for one-to-one discussions over coffee

and beyond…

A few words about the research context in physiotherapy

Previously…

● ‘Emergent profession’● Firstdegrees - 1979● 2physiotherapistswithPhDs● Alldegreeentry– 1993● Ideaofa‘researchcareer’isrelatively new

● ManyPhDsconductedthroughothermore academicdisciplines

But now…● ‘Punchingaboveourweight’● Workingatalllevels

● Assistingresearch● Carryingoutresearch● Leading researchprojects● Leadingresearchteams● Leadingresearchprogrammes

● Growingresearchleadership● UKprofessoriat

● 53professorsin2016● 0.1%ofprofession

● Moreopportunitiesthanever● Fellowshipsforresearch– NIHR/HEE

Research Career Structures

What is the NIHR

Funded through the Department of Health to improve the health and wealth of the nation through research

Large, multi-faceted, nationally distributed organisation• NIHR people, facilities and systems • the most integrated clinical research system in the world

Largest national clinical research funder in Europe with a budget of over £1 billion in 2015-16

What is the NIHR

Started in 2006 and has transformed NHS research • increased the volume of applied health research• driven faster translation of discoveries into benefits for patients• developed and supported the people who conduct and

contribute to applied health research

NIHR offers a wide range of funding opportunities• Research centres, programmes and projects• Research training awards (managed through TCC)

NIHR Training Co-ordinating Centre (TCC)

• Makes training awards to researchers whose work focuses on people and patient-based applied health research

• Awards managed by TCC and funded by Department of Health• Research must be relevant to the NHS, focused on current and

future needs of patients / public and expected to have impact within 5 years of completion

• NIHR TCC–https://www.nihr.ac.uk/about-us/how-we-are-

managed/managing-centres/about-the-trainees-coordinating-centre.htm

Up to 2017 – Research Training Awards

HEE/NIHR Integrated Clinical Academic Programme

• ICA Programme launched in 2015 • An amalgamation of HEE Clinical Academic Training (CAT) Programme for

Nurses, Midwives & AHPs and Healthcare Science Research Fellowship• Open to a greater range of professions (all statutorily registered healthcare

professionals excluding doctors and dentists) • Retains the CAT Programme’s focus on development of individuals and

careers that combine clinical research and research leadership with continued clinical practice and clinical development

HEE/NIHR Integrated Clinical Academic Programme

Introduction to practical clinical research, from trial design and data management through to experiencing primary research – 30 days of contact time with an academic mentor and research group

Opportunity to undertake Masters level academic training and prepare an application for a doctoral fellowship whilst in clinical practice

Opportunity for those with some research experience and aspirations for a clinical academic career to obtain a PhD whilst maintaining professional practice and development

Opportunity for early post-doctoral clinicians to combine independent research in an academic position with continued professional practice and development

Opportunity for those with independent clinical research experience to undertake further research and develop as a clinical academic leader

Eligibility requirementsRequirements DRF CDRF PDF CL CDF SCL SRFHascompletedpre-registrationtraining P P P P P P PHaspost-registrationprofessionalexperienceatapplication

>1year >1year >5years

HasHCPCregistrationatpointofuptake P P PHas‘good’firstdegreeorMastersdegree P PIfundertakingaPhD,<1yearWTEatuptake P P

HasPhD*orapprovedprofessionaldoctorate

*PhD * PPhD P PPhD

Haspost-docresearchexperienceatapplication

<3yrsWTE

<5yrsWTE

<7yrsWTE

Nomax Nomax

Funding available

Funding DRF CDRF PDF CL CDF SCL SRFFull,uncapped,researchcosts P P P P P P PSharedstaffcosts P P P P P P PSupportpostcosts(FulltimeRA/student) P PFullacademictraininganddevelopmentcosts P P P P P P PFullclinicaltraininganddevelopmentcosts P P PSalariedtimeforprofessionalactivity P* P * *Allawardtimesalaried P P P P P3yrs fulltime(4or5yrs PT) P P P P P5yrs fulltimeorparttime P P

Expectations

Competitive applicants to all schemes can describe:

• Level of research experience and recent research output commensurate with the level of award being applied for

• A bespoke plan for research skills development over the period of the award

• Proposed hosting arrangements that afford the applicant excellent opportunities for development as a researcher and research leader

Expectations – Additional for ICA

• AspirationsforcareerprogressionasaClinicalAcademic,which,atthepost-doctorallevelsatleast,shouldbedemonstrableandaccompaniedbyevidence ofactivepursuitofthisgoal

• Abespokeplanforprofessionaldevelopment

• Proposedhostingarrangementsthataffordtheapplicantexcellentopportunitiesfordevelopmentasaprofessionalandclinicalleader

• Clearcommitmentfromtheclinicalandacademicemployerstocontinuedsupportanddevelopmentoftheapplicantasaclinicalacademic,andforNMCAcareersmoregenerally

New Applications

A 2-stage process is being introduced for:• Fellowship Programme ICA – Integrated Clinical Academic

Programme• Research Professors• Clinician Scientists

A 1-stage process using an adapted version of SAF for:• Clinical Trials Fellowships• In Practice Fellowships

SAF and Training and Fellowship applications

A sample application form and further information:

www.nihr.ac.uk/funding-and-support/funding-for-training-and-career-development/training-

programmes/useful-information-for-applicants/

NIHR Training Advocates

• We are ambassadors for non-medical clinical academic careers• We promote NIHR training and career opportunities, advocate

for non-medical clinicians and support individuals beginning or continuing a research career

• NIHR Academic Training Advocates – www.nihr.ac.uk/our-faculty/trainees/support-and-resources-for-

trainees/support-for-trainees-in-nihr-infrastructure/training-advocates/• NIHR Academic Training Advocates in Physiotherapy

– www.nihr.ac.uk/our-faculty/trainees/support-and-resources-for-trainees/support-for-trainees-in-nihr-infrastructure/training-advocates/contact-us/physiotherapy.htm

NIHR Academic Training Advocates

• NIHR Academic Training Advocates – a cohort of proactive researchers working as ambassadors for health

research careers, supporting and advocating for non-medical professions

a.forster@leeds.ac.ukn.foster@keele.ac.uk

caroline.alexander@imperial.ac.uk l.c.roberts@soton.ac.uk

sally.singh@uhl-tr.nhs.uk

Resources● WebinarsaboutNIHRfellowships● Fullinformationaboutfellowships onNIHRwebsite● ContactNIHRTCC:Email: tcc@nihr.ac.uk● Contactawardholders(viaNIHRwebsiteandnetworks)● GetsupportfromtheNIHRTrainingAdvocates● AUKUHguidetoclinicalacademicresearchcareers:http://www.medschools.ac.uk/SiteCollectionDocuments/Transforming-Healthcare.pdf

● CAHPR● ResearchDesignService

CAHPR Purpose

#CAHPR#Physio17

cahpr.csp.org.ukVisit us at stand 64

1• Provide one voice for AHPs on research matters

2• Strengthen research capacity and capability of AHPs

3• Raise the profile of AHP research

4• Increase opportunity for collaborations and partnerships

Membership: 12 Allied Health Professional Bodies

3 committees: Strategy Committee, Professoriate, Regional Hub Forum

Resources: top tips

Regional hubs

#CAHPR#Physio17

Visit us at stand 64cahpr.csp.org.uk

CAHPR OVERVIEW

REGIONAL Hubs

1. Cheshire and Merseyside 2. Cumbria and Lancashire3. East Anglia4. Essex5. Greater Manchester6. Hertfordshire7. Keele8. Kent and Medway9. London10. Midlands11. Northern Ireland12. North East England

13. North of Scotland14 .North Wales15. Oxfordshire16. South Yorkshire17. Southern Central18. South, Mid and West Wales19. South East Scotland20. South West England21. Surrey and Sussex22. West of Scotland23. Yorkshire

#CAHPR#Physio17

Research Design Service

§ Helps researchers to develop and design high-quality research proposals targeted at NIHR and other national peer-reviewed funding bodies

§ Offers specialist advice on research methodologies and protocol development:– Overall research design– Building a strong team– Qualitative and quantitative research methods– Statistics– Mixed-methods research– Public involvement in research– Health economics 10 regional centres

Case examples

Clare Ryan, MRes to HEE Transition Pre-doctoral awardSolent NHS Trust & Southampton University

Huw Woodbridge, HEE/NIHR ICA MRes to Clinical Doctoral Research Fellowship (CRDF), Doctoral award Imperial College HealthCare Trust & Imperial College London

Martin Thomas, HEE/NIHR ICA Clinical Lecturer, Post-doctoral awardSSOTP NHS Trust & Keele University