Barts-MS is one of six regional neuroscience centres in London that manages patients with MS. It is part of a network of 4 centres under the UCL Partnership. In total UCLP manages the care of over 10,000 people with MS. We are therefore one of the largest groups managing MS in the world. Our network provides secondary, tertiary and quaternary care for people with MS and have a large number of patients referred into our network from outside our regional referral base; this included international referrals. At Barts-MS we have five full-time neurologists, five MS clinical nurse specialists and other para-clinical staff dedicated to the management of MS.
Barts Health NHS Trust is an NHS Trust operating in the City of London and East London. It is part of UCL Partners. It is the largest NHS Trust in the UK and has five hospitals under its management; (1) Mile End Hospital, (2) Newham University Hospital, (3) The Royal London Hospital in Whitechapel, (4) St Bartholomew's Hospital in Smithfield in the City and (5) Whipps Cross University Hospital.
The Barts-MS clinical fellowship is a formal training programme where the clinical fellow will be exposed to a wide range of topics. The fellowship is hands-on in that all trainees are expected to see patients and get involved with clinical research and service development. Our training philosophy is that fellows should learn from seeing and discussing cases rather than attending didactic lectures and learning facts. In our opinion, case-based learning is far superior, and offers a deeper and richer learning experience, to theoretical or factual learning.
(1) very active MS clinical trials unit and MS basic science research group, (2) formal training in data-basing and data analysis, (3) an active public and patient engagement programme (PPI), (4) early adopters of treat-2-target of NEDA, (5) regular MDT (multidisciplinary treatment) meetings, (6) regular MS preceptorships, (7) weekly neuroradiology teaching, (8) opportunity to get involved with clinical audit and clinical research, (8) expectation to get involved in MS service developments and improvements, (9) opportunity to publish original work, (10) formal evaluation programme.
(1) we don't offer a formal University ratified diploma course in MS, (2) fellows have to speak and understand English, (3) fellows have to be GMC (General Medical Council) registered to physically see patients - if they are not GMC registered they can only observe, (4) and as we are based in London living expenses are higher than most other European cities.
At the end of the fellowship the clinical fellow will be formally evaluated by their outputs:
In addition, to the above the clinical fellow will be expected to complete a clinical diary to document the cases he has seen and what he has learnt from studying each case. The diary will be reviewed prior to completing the fellowship. The fellow will also be expected to complete a list of objectives and be encouraged to self-reflect on these.
The clinical fellow will have weekly or biweekly meetings with his/her supervisor(s) to make sure his/her fellowship training programme is running according to plan and to address any specific issues. The fellow will be expected to write an essay describing their fellowship and to reflect on the programme including its weaknesses and strengths. The essay will form the basis of an exit interview he will have with his/her supervisor(s); the aim of the interview is to improve the experiences of future fellows.
London is one of the most vibrant, multi-cultural, creative and energetic cities in the world. We would expect the fellow to take full advantage of this unique opportunity to see and experience Greater London. Fellows will be encouraged to experience and learn about London and its history outside as part of their training.
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2.0, 13th March 2017