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An International Fellowship Opportunity in Perioperative Medicine, Critical Care and Global Health

6-12 month fellowship opportunities to develop research, quality improvement and multidisciplinary simulation training in Sri Lanka.

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Aim

To apply the principles of  Perioperative Medicine (POM) to real world health systems.

Justification

  • The global burden of surgical disease and perioperative complications is growing.
  • Increasingly mobile international workforce looking for opportunities to engage in bidirectional learning, knowledge and skills transfer and research collaboration.
  • Increasing demand for higher academic training and diverse experiential learning during specialist training.

Duration

There will be an opportunity to undertake a 6-12 month fellowship. 

Person Specification

This fellowship is open to all those with an interest in global health, research, quality improvement, implementation science and medical education, particularly multidisciplinary simulation training. Our focus is perioperative medicine, acute and critical care and global health, and our fellowships are suitable for consultants, senior and junior registrars and core trainees.  Trainees, with the support of their deanery, can apply for this as out of programme experience (OOPE).  Objectives, supervision and output will thus be guided by the grade of the fellow, in partnership with clinicians and academics at NICST and UCL.

Objectives

  1. To evaluate existing acute and perioperative care utilising the NICST digital surveillance platform.
  2. To develop skills and expertise in leadership and collaborative working essential for higher training and successful change implementation.
  3. To undertake a quality improvement project informed by objective 1, or to produce a piece of original research, leading to publication in a peer-reviewed, indexed journal.
  4. To facilitate teaching, supervision and mentorship of local trainees.
  5. To develop front line expertise in pragmatic, clinically relevant, data driven research and quality improvement (QI) science in a lower-middle income setting.
  6. For those wishing to enrol on the UCL POM MSc:  Completion of a postgraduate MSc in POM (optional).

N.B:  The objectives have been broadly mapped to the Royal College of Anaesthetists (RCOA) CCT in anaesthetics curriculum.1  Where relevant to training, fellows will be able to attain intermediate, higher and advanced competencies in the following sections of the curriculum:

  • Academic and research
  • Improvement Science, Safe and Reliable Systems
  • Teaching and learning
  • Management

Fellowship Structure

Fellows will be offered quality improvement and research proposals generated using existing NICST workstreams, in partnership with the Universities of Colombo, Kelaniya and UCL.  They will then be encouraged to take an influential role in developing, refining and implementing these projects locally and/or nationally throughout tertiary and district hospitals in Sri Lanka.  They will collaborate with front-line and international stakeholders to achieve the objectives outlined above. Publication in international peer reviewed journals will be encouraged and supported.

Fellows will conduct, lead and chair meetings that support local junior clinicians with their QI projects, providing valuable mentorship and leadership skills.  Furthermore, fellows will facilitate and develop multidisciplinary clinical skills training for medical students, nurses and junior doctors in partnership with the University of Kelaniya and NICST.

Supervision and Mentorship

Fellows will receive academic and professional mentorship and supervision from experts at UCL and NICST.  Local academic supervision will be provided by senior clinicians and academics at NICST, who will help the fellows navigate the challenges of  data collection, synthesis and manuscript preparation. Remote supervision will also be available through with the UCL Perioperative Medicine Department, who will help fellows distill the principles of POM to LMIC settings.  Supervision will be tailored to the needs of the fellow and will include regular face to face meetings and remote e-support.  A personal development plan (PDP) will be mutually agreed at the start of the fellowship.

Assessment 

  • Log-book detailing formal exposure to core training elements/achievement of objectives set out in the PDP.
  • A portfolio of quality improvement activity including project work and contributions to teaching and supervising others.
  • A viva voce examination of the project dissertation (when the fellow is undertaking the POM MSc) organised by the supervisor (conducted by two individuals not directly involved in the research project).
  • A summary report of the fellowship.

 Output

  • Presentation at a national research meeting (as a minimum).
  • Peer reviewed publication
  • Postgraduate MSc in Perioperative Medicine
  • Completed QI project in Sri Lanka
  • Advancement of local trainees clinical and improvement science skills
  • Development of multi-disciplinary simulation and clinical skills training for medical students, junior doctors and nurses

Impact

  • Collaborative linkage between academic institutions in HICs and LMICs will foster bidirectional learning between clinicians and academics in both settings.
  • Advances NICST’s aims to build capacity in data driven research, QI and education in acute and critical care in LMICs.
  • Facilitates UCL’s ambitions to shape the global agenda for research in critical care, perioperative medicine and interdisciplinary global health.
  • International research output generated will broadcast the Care Quality Improvement Network’s vision to the global stage.

The Partners

UCL

The Centre for Anaesthesia & Perioperative Medicine (https://www.uclh.nhs.uk/OurServices/ServiceA-Z/THEAANAE/ANAES/Pages/Home.aspx) is an academic research and education centre within the Division of Surgery and Interventional Science, located on the Bloomsbury Campus, UCL.  Our working relationship with NICST continues to grow and has enabled students to undertake supervised projects in line with UCL’s Global Engagement Strategy. We supervise MD/PhD research students and run a large Perioperative Masters programme and our goals are to improve the health of patients considering, undergoing and recovering from surgery across the world.

 NICST

The Network for Improving Critical-care Systems and Training (www.nicst.com), which is a not-for-profit organisation (UK registered charity 1171106) run by an inter-professional group of healthcare workers.  In collaboration with the Sri Lankan Ministry of Health, NICST pioneered the first lower-middle income country (LMIC) based national electronic critical care registry and bed availability system, and has subsequently gone on to collaborate with over 60 community and tertiary health facilities from South Asia to West Africa.  Harnessing interdisciplinary expertise and information gathered through agile and transferable electronic health platforms, NICST builds collaborative partnerships with frontline clinicians in LMICs to accelerate locally driven quality improvement, training and international research.  In partnership with the Sri Lankan Ministry of Health and the Universities of Colombo, Kelaniya, Amsterdam and University College London (UCL), NICST has developed a sustainable and organic model that continues to generate research and quality improvement output in critical care in Sri Lanka and beyond, evidenced by its growing bibliography of over 40 peer reviewed publications.

Contact

Dr. David Walker: d.walker@ucl.ac.uk

Dr Rashan Haniffa: rashan@nicslk.com

Ms Abigail Beane:  abi@nicslk.com

Dr Sam Mirando: sam@nicslk.com

Funding

Applications for funding will be fully supported.  Return airfare can be provided as well as support with accomodation.  Further details can be discussed after application.

  1. Royal College of Anaesthetists.  CCT in Anaesthetics, Annex G.  August 2010.  Edition 2.Version1.8.  Available from: https://www.rcoa.ac.uk/system/files/TRG-CCT-ANNEXG.pdf.  Accessed 11/05/2018.

Need more information? Please contact Dr Sam Mirando

News | Posted 26th June 2018
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