docRadiography career pathways: Clinical
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Radiography career pathways: Clinical
Radiography career pathways: Clinical (advanced and consultant practice) Dr Bev Snaith Lead Consultant Radiographer Career planning and choices Advanced and Consultant Practice • Not the only clinically based path • A career choice not just an accident • Pro-active career planning • Exposure and education to support • Not a new discussion Historic clinical career progression • Superintendent was the technical expert – Organisation and management – Often maintained clinical expertise • Technology developments – Multimodality imaging • Role development – Delegated task focussed role Radiography career progression • • • • Role development grew in 1990s Increasing clinical responsibilities Worked in parallel with management structure AFC clinical role profiles • Imaging (like NHS) became business focussed • Manager no longer technical (or clinical) expert Strategic role changes c2000 • • • • • Strategic clinical roles Retain experienced clinicians Improve access and pathways Increase evidence base Adjunct to (not replacement for) Medical staff • Work with medical colleagues and managers to lead services Definitions Definitions1 • Advanced practitioner Autonomous in clinical practice, defines the scope of practice of others and continuously develops clinical practice in a defined field • Consultant practitioner Provides leadership within a specialism, bringing strategic direction, innovation and influence through practice, research and evaluation 1. DH. Radiography Skills Mix 2003 SoR Core functions of higher level practice • Expert practice • Professional leadership and consultancy • Education, training and development • Practice and service development, research and evaluation Advanced practitioner • Clinical – Report, intervention, MDT • Leadership – Protocol development, practice • Education – Mentor, teach, CPD • R&D – Audit, evaluation Consultant practitioner • Clinical – Report, intervention, MDT • Leadership – Service planning (with mgr), pathways • Education – Mentor, UG and PG teach, mdt teaching • R&D – Lead audit plan, research, share Education • Not just ‘task’ orientated • Individuals – Look for opportunities to develop softer and wider skills – Project management • Research dissertation • Service improvement • Managers – Expect wider skills • Educators – Include in programmes / pathways Quotes – consultant evaluations • All your career you’ve been directed and now I’ve got to direct and I found that quite difficult.1 • I think advanced practice whilst it is starting to identify areas of service need … it would be working within a local area rather than at a network level.2 • I think it's because you're constantly breaking down boundaries in this role and going to places that perhaps no-one has ever been before.2 • … there is such a gap ... I look back at what I’ve learned, I’ve learned so much that I think that if I’d just gone straight into a [consultant] position, I would not necessarily have had the time to learn something and digest it ... the trust probably wouldn’t have got somebody that’s as suitable for the position, but now I feel that I have the qualities.1 1. Hardy & Nightingale 2014 2. Booth, Henwood & Miller 2015 My journey highlights • • • • • • • • • • • • • • • • 1987 ‘Basic grade’ (equiv B5) 1988 Started HDCR 1990 ‘Basic grade’ (equiv B5) 1996 PgC reporting 1997 SoR council 1998 Senior 2 (equiv B6) 1999 MSc 2000 Secondment NHSIA Sen Mgr 2002 Clinical Specialist (equiv B8a) 2003 Academic collaboration 2004 First publication 2004 Consultant 2006 PgC CXR/AXR 2010 PgD Ultrasound 2013 PhD by published work 2014 Lead consultant My enablers • • • • • • • • • • • • • • • • 1987 ‘Basic grade’ (equiv B5) 1988 Started HDCR 1990 ‘Basic grade’ (equiv B5) 1996 PgC appendicular reporting 1997 SoR council 1998 Senior 2 (equiv B6) 1999 MSc 2000 Secondment NHSIA Sen Mgr 2002 Clinical Specialist (equiv B8a) 2003 Academic collaboration 2004 First publication 2004 Consultant 2006 PgC CXR/AXR 2010 PgD Ultrasound 2013 PhD by published work 2014 Lead consultant Non-appointments • • • • • Lack of strategic experience Lack of political awareness No Masters degree No publication and/or presentation record Little/no evidence of: – Service improvement – Practice change Recurrent challenges • Research • Relevance • Confidence • Influence • Making opportunities • Confidence • Justifying role and pay • Should be easy If still interested • Scope out roles • Identify specialist practice which excites you • Educational pathway (Masters) – Include leadership, research, personal and service development • Educational pathways (Doctoral) – Developing practice • Make opportunities bev.snaith@midyorks.nhs.uk Becoming a Clinical Manager Pam Black Radiology Services Manager Wirral University Teaching Hospital NHS Foundation Trust Pblack UKRC 2015 Becoming a Clinical Manager To be a Radiographer or not to be a Radiographer….that is the question What does a Radiology Manager actually do? Why on earth would anyone want to take this on What key knowledge and skills are required? What’s it like to be a Radiology Manager? radiology managers rule...ok! Pblack UKRC 2015 To be (a radiographer) or not to be (a radiographer)!!! That is the question! The answer; Professional Leadership Core radiographic skills and knowledge Complete understanding of Imaging Know what it’s like to do the job! And……… radiology managers rule...ok! Pblack UKRC 2015 To be (a radiographer) or not to be (a radiographer)!!! Because it makes perfect sense to coach our radiographers in the art of leadership and management, rather than coach managers to understand the science of radiography. radiology managers rule...ok! Pblack UKRC 2015 What does a Radiology Manager Do? Perception! radiology managers rule...ok! Pblack UKRC 2015 Reality! What does a Radiology Manager Do? They are Responsible for the Radiology service Strategic Planning Professional Leadership Manage and motivate workforce Establish clear vision Operational Management Financial Management Performance Management Business Planning Workforce Planning Ensure robust governance Transformation Innovation This list is not exhaustive!!!!!!!! radiology managers rule...ok! Pblack UKRC 2015 and so, basically…. radiology managers rule...ok! Pblack UKRC 2015 Why on earth would anyone want to take this on? radiology managers rule...ok! Pblack UKRC 2015 Because…….. As a Radiology Manager you have the opportunity to influence the way the imaging service is delivered for patients and raise the profile of those that deliver it. radiology managers rule...ok! Pblack UKRC 2015 What are the key skills and knowledge required? Comprehensive knowledge and understanding of the Radiology Service Analytical skills Common sense! Ability to critically evaluate oneself Emotional Intelligence Ability to delegate Good Communication skills Ability to challenge oneself as well as others radiology managers rule...ok! Pblack UKRC 2015 Motivational skills How Educational and Career Framework (SCoR) Supervisory Management courses Project to develop College of Radiographers accreditation scheme for managers NVQ levels4/5 NHS Leadership programme MBA radiology managers rule...ok! Pblack UKRC 2015 Take the knowledge, skills and experience as a radiographer, add developed leadership and managerial skills and you get;- A Good Clinical Radiology Manager! radiology managers rule...ok! Pblack UKRC 2015 What’s it like to be a Radiology Manager? Work hard……. Play hard….. radiology managers rule...ok! Pblack UKRC 2015 Rest hard??? Us and our Grani Thank you radiology managers rule...ok! Pblack UKRC 2015 Research Careers Karen Knapp PhD Associate Professor in Musculoskeletal Imaging Why do research? • One of the four tenants of NHS Constitution • Research active trusts deliver better patient outcomes • Move away from isolated academics • Clinicians ask more relevant, potentially impactful questions • Patients and public are demanding it Where are we now? • Emerging academic profession • Markers of research productivity low • Comparatively few radiographers with PhD’s (<0.2% of radiography population) • 4 radiographers with NIHR fellowships (<0.02% of radiography population) • H-index of the 23 most prolific publishers ranged from 0-8 (20042011) (Snaith, 2013) • Radiography under-performing in research compared to other AHP groups (Needle,2011) Why choose a research career? Pros Stimulating Make a difference Multi-disciplinary working Opens doors Cons Financial stability Rollercoaster Not easy Research jobs • Research radiographer • Research Assistant (University based) • Advanced / consultant practitioner • PhD • Research Fellow • Lecturer • Clinical / Academic Professor Research radiographers • Increasing capacity and expertise in research • Creating a robust evidence base for practice • Supporting radiographers in NIHR fellowship applications • Increasing the number of radiographers with PhD’s • Increasing research leadership expertise • Mentorship Getting involved • • • Band 5 • Audit • Assisting with research • Be pro-active if you want to do it Band 6 • Greater possibility of audit and leading audit Band 7 (advanced practitioners) – More opportunities and expectations • Band 8’s (consultant radiographers) – Requirement of the job • Research radiographer roles – Data collection radiographers – Part of research team – Leading own research – Leading others NIHR • 1% of Trust budgets historically allocated to research • NIHR formed • Bigger picture • Impact Clinical Academic Careers • University websites • http://www.jobs.ac.uk • Professional journals • http://www.findaphd.com • University advertisements in departments etc. • Let academics know you are interested in a doing a PhD • NIHR applications – allow a minimum of 9 months Other funding • Funding bodies – NIHR, Trust charitable foundations, MRC, Wellcome Trust, local and national charities • CORIPS – up to £10k • CORIPS Fellowships – up to £25k • Doctoral pathway Conclusion • Research is a viable and exciting career • Can be unstable • Contributing to evidence base of profession • Not everyone will be a researcher • All radiographers – research users – TRIP • Great need to reduce uncertainties in our professional practice Karen Knapp K.M.Knapp@exeter.ac.uk Career pathways for Radiographers: Becoming an academic radiographer (educator) U.K. Radiological Congress, 30th June 2015 Dr Stuart Mackay, Head of Directorate of Medical Imaging and Radiotherapy Overview • Describe the role of radiography academic in an HEI • Present 4 case studies to explain career paths in education • Summarise common issues and explore motivations • Offer some key discussion points The Role of a Radiography Academic Student contact hours (440 hrs) • Lectures, Seminars, Group work, e-teaching • Academic Supervision (1:1 or group) in person, phone or online • Practical Exams Student support activity (440 hrs) test • Administration or management roles • Lesson planning • Assessment activity • Academic advisement • Recruitment & selection activity Research & Scholarship (440 hrs) • Research L&T or professional • Scholarly outcomes • Teaching informed by theory & research • development of research-led teaching John Smith, Lecturer, Radiography, UoL Marker events 1996 1997 1999 Job and Role Clinical Radiographer Senior II Role: image interpretation 2004 2007 2009 2014 Educational Qualifications MSc Research Certificate of Education Jo, Lecturer, Radiotherapy, UoL Clinical ------------Cin/Educat. Academ 1996 1997 1999 2004 2007 2009 2014 R/T Radiographer Senior II Senior I Role: treatment set, pretreatment setting Supt III Professional updating [went P/T] Advanced Practitioner (Ed & training) Band 7 Role: education team, staff dev, work with graduates Lecturer Role: teaching clinical RT, admissions, placement support Train the trainer MSc R/T & PG Cert Teaching Oncology Tony, Lecturer, Diagnostic Radiography, UoL Clinical Manager Academic 1997 Radiographer 2000 Senior II 2002 2008 2010 2015 Supt III Role: Clinical tutor/staff development/reporting Lecturer Role: module leader, admissions Director of Studies u/g MSc Medical Imaging MSc Mgt Development PG Cert Clinical Reporting PG Cert Teaching Professional Doctorate FHEA Andrew, Senior Lecturer, Diagnostic Radiography, UoS 1999 2004 Academic/research 2006 2013 Senior II Role: CT scanning Senior I MSc Medical Diagnostic Imaging Role: Research radiographer – interventional radiology Lecturer Role: teaching, module leader 2009 buy out from teaching Senior Lecturer Diploma HE practice Research Clinical 2002 Radiographer FHEA PhD - NIHR fellowship 1yr PT 4yrs FT Role: 60% teaching/40% Res. -UG & PG, Yr 1 manager, Prog Leader, Enterprise -Papers, grant apps, PhD’s in UoS themed areas Stuart, Senior Lecturer, Diagnostic Radiography, UoL 1985 1987 1989 1992 2000 2005 2007 2013 Basic grade Senior II Senior I Student Teacher (Hospital School) FAETC HDCR Role: training as TDCR radiography teacher MSc Lecturer (H.E. environment) Behavioural Biology Role: teaching, research, admissions, prog leader PG PhD Senior Lecturer Role: research, prog leader UG, teaching (P/T) Research Manager Clinical -- Academic------------------- 1982 Professorial fellow Professor: Medical Imaging Education Role: 50% research 50% teaching Head of University department (S.L.) In Summary • Period of clinical experience common (7-18yrs) • A career in “education” can involve teaching/ management/ research • All individuals have undertaken further study – post-graduate – educational (compulsory) – clinical – managerial • Some career planning… some opportunism Expressed motivation to work in an education environment • • • • “Like working with students” “Personal development” “Enjoy learning” “Enjoy seeing students develop from new nervous first year to confident practitioner” • “Like the flexibility of the job (manage own time)” Salary scales (starting) UoL Lecturer £38,511 Senior Lecturer £50,200 Professor £65,453 AfC Band Band 5, Point 16 £21,692 Band 7, Point 26 £31,072 Band 8b, Point 37 £46,164 UoL: https://www.liv.ac.uk/working/whyworkhere/salaryscales/ accessed 19.06.15 AfC: http://www.nhscareers.nhs.uk/explore-by-career/allied-health-professions/payand-benefits-for-ahp-staff/accessed 19.06.15 Discussion points • How many years of clinical practice are needed before starting a teaching career? • How do you keep up-to-date? – clinically – educationally – own research area • What qualifications do you need for a career in education? – Educational – PhD (becoming a requirement) • Is there value in having Accreditation with Higher Education Academy (HEA)?
