structure of the stp programme professor gerald armstrong-bednall, theresa fail, nicky fleming &...

Structure of the STP programme

Professor Gerald Armstrong-Bednall,

Theresa Fail, Nicky Fleming & Kath Sidoli,

MSC Team, Department of Health

Dr Derek Pearson, Nottingham University

Hospitals NHS Trust

Approved 23 Feb 2011

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General SchemaThree year Healthcare Scientist Training Programme (STP)

Introductory Academic Block (Minimum of 1 month)

• Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service

Workplace Trainingin an NHS or other approved organisation leading to formal Certification

• Remainder in Single Specialism training

Specialism 1Specialism 1 Specialism 2Specialism 2 Specialism 3Specialism 3 Specialism 4Specialism 4

Themed Rotations

• Initial 12 months rotational training (3 months in each of 4 specialisms)

Academic learningleading to

MastersDegree

With part time attendance on a HEI based Masters programme throughout

the training period

Underpinning knowledge to support the workplace-based training.

Problem based learning may be one of the methods of learning, to enable synergies between the academic programme and the workplace training programme.


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Medical Physics Three year Healthcare Scientist Training Programme (STP)


For remainder of the time, a single specialism from:• Radiotherapy Physics• Radiation Safety• Imaging with Non-Ionising Radiation• Imaging with Ionising Radiation

RadiotherapyPhysics

RadiotherapyPhysics

RadiationSafety

Physics

RadiationSafety

Physics

Imaging withNon-Ionising

radiation

Imaging withNon-Ionising

radiation

Imaging withIonising

Radiation

Imaging withIonising

Radiation


Themed Rotations

MastersDegree


the training period







4

Medical Physics: Points of Note

1. Working group with representatives nominated by IPEM Science Board

2. Curriculum recognises:• Everyone needs an understanding of Clinical Measurement

• Each curriculum needs to equip trainees with the ICT skills they need to deliver the service in their chosen specialism

• The role of imaging in Radiotherapy Physics

• Multi-modality imaging, e.g. working in Nuclear Medicine need to understand CT, cone beam CT, MRI, PET….

• The therapeutic aspects of Nuclear Medicine, UV and ultrasound


5

Clinical Engineering Three year Healthcare Scientist Training Programme (STP)


For remainder of the time, a single specialism from:

• Rehabilitation Engineering• Clinical Measurement & Development (this specialism results from combining Design

& Development with Clinical Measurement & ICT)• Device Risk Management & Governance

Rehabilitation Engineering

Rehabilitation Engineering

Design&

Development

Design&

Development

Device RiskManagement &Governance

Device RiskManagement &Governance

ClinicalMeasurement

& ICT

ClinicalMeasurement

& ICT


Themed Rotations

MastersDegree


the training period







6

Clinical Engineering: Points of Note

1. Working group with representatives nominated by IPEM Science Board

2. Curriculum recognises:• Everyone needs an understanding of Clinical Measurement

• Each curriculum needs to equip trainees with the ICT skills they need to deliver the service in their chosen specialism

• Clinical Measurement & Development recognises our role in developing novel medical devices, clinical measurements and software development

• Medical Device Risk Management & Governance recognises our role in supporting CQC Outcome 11 and risk managing the management and use of medical devices


Healthcare Scientists in the Life Sciences will undertake roles that involve:

• Application of high level scientific knowledge• Service design, development and delivery• Evidence-based practice• Sub-specialisation to achieve ‘expert’ status• Innovation in area of expertise

• Application of high level clinical knowledge• Data converted into clinical knowledge• Reporting, clinical liaison and clinical advice• Participation outside the laboratory in multi-disciplinary clinical teams• Collaborative clinical research

• Application of leadership skills• Clinical leadership of a service, department or research team• Medical consultant equivalent roles

Principles Underlying STP Curriculum


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Extensive collaboration with key opinion leaders and professional bodyrepresentatives from across Life Sciences over >1 year:

• ~60 individuals, including medics, clinical scientists, biomedical scientists• Core and consultation groups for each of 9 specialisms

• 18 professional bodies directly involved; others associated

Regular communication with team responsible for Genetics pilot

Association of Biomedical Andrologists British Society for HaematologyAssociation for Clinical Biochemistry British Society for Haemostasis & ThrombosisAssociation for Clinical Cytogenetics British Society for Histocompatibility & ImmunogeneticsAssociation for Clinical Electron Microscopists British Society for ImmunologyAssociation for Clinical Embryologists Clinical Molecular Genetics SocietyAssociation for Clinical Microbiologists Institute of Biomedical ScienceBritish Association for Tissue Banking National Association of CytologistsBritish Blood Transfusion Society Royal College of PathologistsBritish Society for Clinical Cytology UK National External Quality Assessment Schemes

Association of Biomedical Andrologists British Society for HaematologyAssociation for Clinical Biochemistry British Society for Haemostasis & ThrombosisAssociation for Clinical Cytogenetics British Society for Histocompatibility & ImmunogeneticsAssociation for Clinical Electron Microscopists British Society for ImmunologyAssociation for Clinical Embryologists Clinical Molecular Genetics SocietyAssociation for Clinical Microbiologists Institute of Biomedical ScienceBritish Association for Tissue Banking National Association of CytologistsBritish Blood Transfusion Society Royal College of PathologistsBritish Society for Clinical Cytology UK National External Quality Assessment Schemes

Process Undertaken to Develop STP Curricula


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Blood Sciences Three year Healthcare Scientist Training Programme (STP)


For remainder of the time, a single specialism from:• Clinical Biochemistry• Haematology / Transfusion Science• Clinical Immunology

< Clinical Immunology (without Histocompatibility & Immunogenetics)

< Clinical Immunology (with Histocompatibility & Immunogenetics)

• Genetics (rotations taken from both Blood and Cellular Sciences)

Clinical Biochemistry

Clinical Biochemistry

Haematology / Transfusion

Science

Haematology / Transfusion

ScienceClinical

ImmunologyClinical

ImmunologyGenetics &Molecular

Science

Genetics &Molecular

Science


Themed Rotations

MastersDegree


the training period







10

1. Clinical Biochemistry and Haematology & Transfusion Scienceare large specialisms. Clinical Immunology and Genetics are small

• Implications for training capacity• Rotational modules designed accordingly

2. Genetics pilot has just indicated preference to change a module• Replace Clinical Genetics (CG2) with Neuromuscular Disease• Clinical Genetics is accommodated across other modules• Need to cover new area of neuromuscular disease

• Module in development

3. Agreed variation to Clinical Immunology curriculum to accommodate Histocompatibility & Immunogenetics (H&I)

• Combination of CI, HT modules

Blood Sciences STP: Points of Note


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Cellular Sciences Three year Healthcare Scientist Training Programme (STP)


For remainder of the time, a single specialism from:• Histopathology• Cytopathology• Reproductive Science• Genetics (rotations taken from both Blood Sciences and Cellular Sciences)

HistologyHistology CytologyCytology ReproductiveScience

ReproductiveScience

Genetics &Molecular

Science

Genetics &Molecular

Science


MastersDegree


the training period



Themed Rotations





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1. Histopathology is a large specialism. Cytopathology, ReproductiveScience and Genetics are small

• Implications for training capacity• Rotational modules designed accordingly

2. Histopathology and Cytopathology are similar in scope and scientificmethods. Therefore, there is some duplication of modules

3. Genetics pilot has just indicated preference to change a module• Replace Clinical Genetics (CG2) with Neuromuscular Disease• Clinical Genetics is accommodated across other modules• Need to cover new area of neuromuscular disease

• Module in development

4. >50% of Reproductive Science services are delivered in the privatesector

• Must engage private sector in training• How may this be achieved?

Cellular Sciences STP: Points of Note


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Infection Sciences Three year Healthcare Scientist Training Programme (STP)


For remainder of the time, a single specialism from: • Clinical Microbiology

(including: infection control & epidemiology, virology, bacteriology, mycology, parasitology)

Epidemiology &

Health Protection

Epidemiology &

Health ProtectionBacteriologyBacteriology VirologyVirology Molecular

ScienceMolecularScience


Themed Rotations

MastersDegree


the training period







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1. Infection Sciences is a multi-specialism area run as a single programme

• Not strictly a rotational programme• However, first four modules provide appropriate introduction

2. Opportunity to expand from current programmes into important newareas of public health

• Epidemiology & health protection• High risk groups• Public health worldwide

Infection Sciences STP: Points of Note


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Physiological Sciences Three year Healthcare Scientist Training Programme

(STP)

Incorporating

Audiology, Neurophysiology, Ophthalmic and Vision Sciences

[Neurosensory Sciences]

And

Cardiac, Vascular, Respiratory and Sleep sciences[CVRS]

(Gastrointestinal Physiology and Urodynamic Science)


Neurosensory Sciences


For remainder of the time, a single specialism from:

• Neurophysiology• Ophthalmic & Vision Science• Audiology (includes paediatric experience)

AudiologyAudiologyOphthalmic &

VisionScience

Ophthalmic &Vision

ScienceNeurophysiologyNeurophysiology

Clinical Assessment & Investigations

Clinical Assessment & Investigations


Themed Rotations

MastersDegree


the training period







Audiology, Neurophysiology, Ophthalmic & Vision Sciences

Specialist 2nd and 3rd Module

1 Specialist Module covers both years

Structure will depend on collaboration between

Workplace and HEI

Look to HEI for support

• HEI will have Programme & Modules Templates

• Often – Lecture plan/timetables – ask for them

Workplace learning influenced by Training Manual

Consider Neurosensory or Physiological Science in-service working groups to plan their use

Learning directed by local need and service structure

Year One

1st year is about the scientific basis of neurosensory not 1st year of specialism


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Cardiac, Vascular, Respiratory & Sleep Sciences


CardiologyCardiology Respiratory and Sleep Science

Respiratory and Sleep Science

VascularScience

VascularScience

Clinical Assessment

& Investigations

Clinical Assessment

& Investigations

Perfusion(only available to

perfusion specialism)

Perfusion(only available to

perfusion specialism)

For remainder of the time, a single specialism from: • Cardiac Physiology

< Cardiac Physiology with cardiac rhythm management

< Cardiac Physiology with cardiac imaging

• Vascular Science• Respiratory & Sleep Science• Clinical Perfusion (rotations 1 to 3 outlined, with 4th rotation in perfusion)

Mandatory rotations for all specialisms except Perfusion


MastersDegree


the training period




Initial 12 months rotational training (3 months in each of 4 specialisms)



Cardiac, Vascular, Respiratory & Sleep Sciences

Years 2 and 3• Cardiac Science

• Year 2 - common modules • Year 3 - specialist options :

cardiac rhythm management

cardiac imaging

• Vascular Science

• Respiratory and sleep Science

Year 1

• Introduction to the specialist areas

• Underpinning science to investigations

• Skills and competencies in the work base


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Gastrointestinal (GI) Physiology & Urodynamics


For remainder of the time, a single specialism from:(6 months of shared GI and Urodynamics specialist training

with the remainder of the time spent in either GI or Urodynamics)

• GI Physiology • Urodynamics (fourth rotation chosen from Respiratory Science or Cardiology)

Cardiology Cardiology

UrodynamicsUrodynamicsGI PhysiologyGI PhysiologyClinical

Assessment& Investigations

Clinical Assessment

& InvestigationsRespiratory

ScienceRespiratory

Science

Mandatory rotations for GI Physiology Specialism

(3 months in each of 4 specialisms)


MastersDegree


the training period




Initial 12 months rotational training




Research Module

Same as all the other Training Programmes

HEI will require:

HEI Academic Supervisor

Clinical Supervisor*

* May be restricted by limited existing postgraduate staff in the department

Consider using other Postgraduate Scientists to supervisor both Clinical Staff and Trainee

i.e. Medical Physics; Physiotherapy, Radiology

Consider a research work related project which is within the capability of the department or service



Rotation D

Three concepts

• Clinical Assessment • Imaging and Pathology • Patient Pathways

Holistic approach

Clinical Assessment

Holistic approach to neurosensory sciences

How does each specialism contribute and compliment each other

i.e. How does Hearing, Vision, Central or Peripheral neurological disorders interrelate

How do other services contribute and compliment neurosensory services

i.e. Healthcare for older people, neonatal care, critical care, primary care.



Rotation D

Imaging and Pathology

How Imaging/Pathology is used as part of the neurosensory assessments

• Ears, eyes, and head• MRI, CT, Ultrasound, x-ray

Recognication of key anatomical landmarks using imaging• Why refer for imaging as a diagnostic tool• Understanding the results



Rotation D


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Cardiac, Vascular, Respiratory and Sleep sciences(Gastrointestinal Physiology and Urodynamic Science)

Rotation D – Clinical Assessment and Investigation

• Covers the same three concepts as neurosensory

• Clinical Assessment • Imaging and Pathology • Patient Pathways

•Synergy and commonality across neurosensory, CVRS and GI and Urodynamics• Clinical assessments, examples used in pathology and radiology and the patient pathways will be different. • Opportunity to work in different settings ( radiology, MAU,

critical care, primary care)


Physiological Sciences Three year Healthcare Scientist Training Programme (STP)

Key Messages

• Work with HEI’s

• Understand the programme requirements

• Plan secondment before trainee arrives

• Use existing documentation, policies

• Understand the in-service assessments requirements

• When, how, what, why and who

• Understand what the trainee is required to cover in the workplace

• Provide mentoring not just for the trainee but also Clinical Supervisors (at all levels)

• Agree learning outcomes with individual clinical services

• Accessibility of Trust Lead to trainee, supervisor, HEI

• Identify Service or Clinical Lead

• Seek help from Professional Body

structure of the stp programme professor gerald armstrong-bednall, theresa fail, nicky fleming &...

Documents

clinical scientists

clinical engineering

clinical measurements

clinical liaison

clinical knowledge reporting

clinical advice participation

healthcare scientists

medical physics