Radiography career pathways: Clinical (advanced and consultant practice) Dr Bev Snaith Lead Consultant Radiographer

Transcription

1 Radiography career pathways: Clinical (advanced and consultant practice) Dr Bev Snaith Lead Consultant Radiographer

2 Career planning and choices

3 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

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5 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

6 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

7 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

8 Definitions

9 Definitions 1 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

10 SoR Core functions of higher level practice Expert practice Professional leadership and consultancy Education, training and development Practice and service development, research and evaluation

11 Advanced practitioner Clinical Report, intervention, MDT Leadership Protocol development, practice Education Mentor, teach, CPD R&D Audit, evaluation

12 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

13 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

14 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 Hardy & Nightingale Booth, Henwood & Miller 2015

15 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

16 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

17 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

18 Recurrent challenges Research Relevance Confidence Influence Making opportunities Confidence Justifying role and pay Should be easy

19 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

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22 Becoming a Clinical Manager Pam Black Radiology Services Manager Wirral University Teaching Hospital NHS Foundation Trust Pblack UKRC 2015

23 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

24 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

25 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

26 What does a Radiology Manager Do? Perception! Reality! radiology managers rule...ok! Pblack UKRC 2015

27 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

28 radiology managers rule...ok! Pblack UKRC 2015 and so, basically.

29 radiology managers rule...ok! Pblack UKRC 2015 Why on earth would anyone want to take this on?

30 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

31 What are the key skills and knowledge required? Comprehensive knowledge and understanding of the Radiology Service Common sense! Emotional Intelligence Good Communication skills Analytical skills Motivational skills Ability to critically evaluate oneself Ability to delegate Ability to challenge oneself as well as others radiology managers rule...ok! Pblack UKRC 2015

32 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

33 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

34 What s it like to be a Radiology Manager? Work hard. Play hard.. radiology managers rule...ok! Pblack UKRC 2015

35 Rest hard??? Us and our Grani Thank you radiology managers rule...ok! Pblack UKRC 2015

36 Research Careers Karen Knapp PhD Associate Professor in Musculoskeletal Imaging

37 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

38 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 ( ) (Snaith, 2013) Radiography under-performing in research compared to other AHP groups (Needle,2011)

39 Why choose a research career? Pros Cons Stimulating Financial stability Make a difference Rollercoaster Multi-disciplinary working Not easy Opens doors

40 Research jobs Research radiographer Research Assistant (University based) Advanced / consultant practitioner PhD Research Fellow Lecturer Clinical / Academic Professor

41 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

42 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

43 NIHR 1% of Trust budgets historically allocated to research NIHR formed Bigger picture Impact

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45 Clinical Academic Careers University websites Professional journals University advertisements in departments etc. Let academics know you are interested in a doing a PhD NIHR applications allow a minimum of 9 months

46 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

47 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

48 Karen Knapp

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50 Career pathways for Radiographers: Becoming an academic radiographer (educator) U.K. Radiological Congress, 30 th June 2015 Dr Stuart Mackay, Head of Directorate of Medical Imaging and Radiotherapy

51 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

52 The Role of a Radiography Academic Student contact hours (440 hrs) Student support activity (440 hrs) Research & Scholarship (440 hrs) Lectures, Seminars, Group work, e-teaching Academic Supervision (1:1 or group) in person, phone or online Practical Exams test Administration or management roles Lesson planning Assessment activity Academic advisement Recruitment & selection activity Research L&T or professional Scholarly outcomes Teaching informed by theory & research development of research-led teaching

53 John Smith, Lecturer, Radiography, UoL Marker events Job and Role Educational Qualifications 2009 Clinical Radiographer Senior II Role: image interpretation MSc Research Certificate of Education 2014

54 Jo, Lecturer, Radiotherapy, UoL Clinical Cin/Educat. Academ R/T Radiographer Senior II Senior I Role: treatment set, pretreatment setting Supt III [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 Professional updating PG Cert Teaching Train the trainer MSc R/T & Oncology

55 Tony, Lecturer, Diagnostic Radiography, UoL Clinical Manager Academic Radiographer Senior II Supt III Role: Clinical tutor/staff development/reporting Lecturer Role: module leader, admissions Director of Studies u/g MSc Medical Imaging PG Cert Clinical Reporting PG Cert Teaching Professional MSc Mgt Development Doctorate FHEA

56 Andrew, Senior Lecturer, Diagnostic Radiography, UoS Clinical Academic/research Radiographer Senior II Role: CT scanning Senior I Role: Research radiographer interventional radiology Lecturer Role: teaching, module leader 2009 buy out from teaching Senior Lecturer MSc Medical Diagnostic Imaging Diploma HE practice 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 Research FHEA

57 Stuart, Senior Lecturer, Diagnostic Radiography, UoL Clinical -- Academic Manager 1982 Basic grade 1985 Senior II 1987 Senior I 1989 Student Teacher (Hospital School) Role: training as radiography teacher 1992 Lecturer (H.E. environment) Role: teaching, research, admissions, prog leader PG 2000 Senior Lecturer 2005 Role: research, prog leader UG, teaching Professorial fellow HDCR FAETC TDCR MSc Behavioural Biology 2007 Professor: Medical Imaging Education 2013 Role: 50% research 50% teaching Head of University department (S.L.) PhD (P/T) Research

58 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

59 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)

60 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: accessed AfC:

61 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)?

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