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Acf 11

Talking about a revolution: ACADEMIC MEDICINE IN A SOCIAL WORLD

 

FULL PROGRAMME

acf

The University of Manchester is delighted to be hosting the annual ACF conference.  As 2019 is the bi-centenary of the Peterloo massacre, we are keen for the conference to be themed around the social challenges we face in health research and delivery today. 

In 1819, around 60,000 people travelled to Manchester city centre from the surrounding areas to campaign for parliamentary representation in Westminster, alongside votes for working class men and women.  The protest was intended as a peaceful, family friendly occasion but was cruelly broken apart by cavalry with 18 killed and over 600 injured.  There was little victims could do to escape the scene safely.  The social injustice, so visible at the Peterloo massacre, has been repeated throughout history. 

Health inequality continues to be a major determinant of morbidity and mortality in the UK despite public health, policy changes and technological advances aimed at reducing this. As Primary Care doctors we can see the direct impact of this on patient care and as health researchers we have an obligation to consider the difference that we can make.

We hope the conference will provide you with the opportunity to network, present research, feel inspired, learn about leadership, resilience and education as well as provide time to reflect on the future challenges for primary care delivery and research. 

We are pleased to be collaborating with the Liverpool ACF team to organise and host the conference.

KEYNOTE SPEAKERS

We are delighted to be welcoming the following keynote speakers and workshop leads and thank them all for supporting the conference. Details of their talks will be posted closer to the event.

IONA HEATH

Iona Heath is a retired inner city general practitioner in Kentish Town in London (1975-2010). Past President of the UK Royal College of General Practitioners (2009-2012).

Iona has written regularly for the British Medical Journal and has contributed essays to many other medical journals across the world. She has been particularly interested to explore the nature of general practice, the importance of medical generalism, issues of justice and liberty in relation to health care, the corrosive influence of the medical industrial complex and the commercialisation of medicine, and the challenges posed by disease-mongering, the care of the dying, and violence within families.

KASEY BOEHMER

Kasey Boehmer leads work around Treatment Burden and Capacity Theory at the Mayo Clinic, supporting a shift away from deficit models of care. She works with Victor Montori who leads work around Minimally Disruptive Medicine in collaboration with Carl May, Anne Rogers and Frances Mair.

ANEEZ ESMAIL

Aneez Esmail is Professor of General Practice at the University of Manchester and Director of the NIHR Manchester Patient Safety Translational Research Centre.
As a health services researcher he has published work in several areas of public health (prevention of cot deaths, epidemiology of solvent abuse, preventing paediatric admissions, the evaluation of telemedicine and patient safety). He is responsible for a large area of work looking at patient safety in primary care.
He continues his work as a General Practitioner, at the Robert Darbishire Practice, a social enterprise based in one of the most deprived areas of Manchester.
Details of his work can be found on his personal website http://www.aneezesmail.co.uk

NIELS PEEK

Niels Peek is a Professor of Health Informatics at the Health eResearch Centre for North England (www.herc.ac.uk), University of Manchester. His background is in Computer Science and Artificial Intelligence. Professor Peek’s research has focused on data-driven informatics methods for healthcare quality improvement, data mining for healthcare, predictive models, and clinical computerised decision support. Since January 2016, he has been directing the Greater Manchester Connected Health City, which is part of the £20M “Health North” investment to establish a learning health system in the North of England. He also leads the EPSRC-funded “Wearable Clinic” (£2m), a collaboration between the Universities of Manchester and York that deploys emerging digital technologies to help patients with long term conditions to better manage their health in daily life, respond more quickly to changes in symptoms and prevent fall back episodes.

MARGARET WHITEHEAD

Margaret Whitehead holds the W.H. Duncan Chair of Public Health in the Department of Public Health and Policy where she leads the ‘Policy Research on Social determinants and Health Inequalities’ research group. She has expertise in public health, health inequalities, social epidemiology, health and social policy analysis and evidence synthesis.

Professor Whitehead was awarded a Damehood in the 2016 New Year Honours list for services to public health, and in particular the field of health inequalities. In 2018 she was selected by the Royal Colleges of Physicians of the UK as an ‘Outstanding ‘Woman in Medicine’ for the RCP’s celebratory exhibition of ‘women in medicine’

Patient Capacity

Professor Kasey Boehmer

Kasey Boehmer leads work around Treatment Burden and Capacity Theory at the Mayo Clinic, supporting a shift away from deficit models of care. She works with Victor Montori who leads work around Minimally Disruptive Medicine in collaboration with Carl May, Anne Rogers and Frances Mair.

The workshop aims to:

  1. Distinguish communicative from protocol-driven approaches to chronic care.
  2. Understand conceptual foundations for discussing chronic conditions.
  3. Gain experience in using the ICAN Discussion Aid and consider how it applies to individual and team practice for the future.

SHERPA & Clinical decision making tool

Dr Edmund Jack and Dr Neil Maskrey

Patients with multimorbidity have worse health outcomes and struggle with a fragmented health system. They’re often left without a clear understanding of their health. Practitioners recognise many of this difficulties too – how to provide person centred care, balance the need for quality and quantity of life and to do this across in the complex and uncertain setting of multimorbidity. The NICE guidelines on multimorbidity sets out goals for the care of those with multimorbidity but little in the way of practical guidance. The SHERPA (Sharing Evidence Routine for a Person Centred Plan of Action) model was developed to address these issues.


Our objectives for workshops participants are to be able to:

  1. Describe the SHERPA models 3 step approach
  2. Apply it to some example cases and consider how it could work for their practise.
  3. Give feedback to help refine and develop the model.

 

 

PORTFOLIO VERSUS ACADEMIC CAREERS IN MEDICAL EDUCATION – WHAT ARE THE OPTIONS?


Dr Peter Yeates (Clinical Lecturer in Medical Education, Keele University), Dr Rebecca Farrington (Senior lecturer in Community Based Medical Education at Manchester Medical School), Dr Rebecca Baron (Associate Director GP for HEE (North West)) Dr Adam Firth (GP trainer and ST3 teaching lead), Geraldine Murphy (GPST4) and Emma Morris (GPST1)

This workshop will provide a panel of experts involved in Medical Education research and delivery. We aim to answer your questions on how to get involved in teaching and training at an Undergraduate and Postgraduate level and how pursue an academic career in Medical Education.

Peter Yeates started his academic career as a teaching fellow in 2005 in Northumberland, just after membership exams. He then moved to Manchester to take up an ACF in medical education and started speciality training. He was supported by departmental funding to do a PhD between 2009-12, and then in 2013 obtained an NIHR-matched clinical lectureship during which he completed his training as a respiratory physician and did early post-doctoral work. He moved to Keele University in 2015, working half time clinically and half time as a lecturer in medical education research. In March 2018 he was awarded an NIHR clinician scientist award which he is using to develop a programme of research around examiners’ judgements in OSCEs.

Rebecca Farrington works as a clinical lecturer and deputy lead for Community Based Medical Education at the University of Manchester.  Rebecca also works as a GPwSI in Asylum Seeker Mental Health, a role that also involves providing specialist training to GP surgeries.  Finally, Rebecca works as a salaried GP for one session per week. Rebecca received the Teaching Excellence Award from the University of Manchester in 2017.  She is on the national board for the DIMAH group (Diversity in Medicine and Health).

Rebecca Baron has been Associate Dean for General Practice since 2003 in Health Education England.  She qualified from Manchester University in 1984 and worked as GP partner in Stockport for 28 years. She has been a GP Educator, a trainer and Clinical Governance Lead for Stockport. She has run a Masters level leadership course for GPs in the North West for over 20 years, and her key interests are how we can use the evidence from leadership and resilience training to support ourselves, our teams and the work we do as doctors.

Adam Firth is a previous Manchester ACF who is now a GP trainer and Primary Care Medical Educator running the ST3 teaching programme in Stockport. He has experience of organising, writing and delivering postgraduate teaching to align with the RCGP curriculum.  He also maintains an academic interest working on NICE Guideline Committees to help get research into practice.   

The workshop will be facilitated by Geraldine Murphy and Emma Hughes who are both current GP ACFs in Medical Education

Quality Improvement in General Practice – an optional extra , or crucial to survival?

Dr Joanna Bircher RCGP QI lead

Joanna is a GP in Greater Manchester. She is Clinical Director to the RCGP/Greater Manchester GP Excellence Programme, Clinical lead for Quality Improvement at Tameside and Glossop CCG, a Generation Q Fellow of the Health Foundation and a board member of AQuA (Advancing Quality Alliance). She has a Masters degree in Leadership for Quality Improvement from Ashridge Business School and is co-author of the RCGP Guide to Quality Improvement. Her particular interest is in making established QI methodology relevant and accessible for Primary Care.

As Health professionals we are being challenged to do more with less. For most of us, our clinical training alone does not equip us for this task. We need to find ways to improve systems and processes so that they achieve high quality outcomes for patients as efficiently as possible. Quality Improvement skills and tools provide a way of diagnosing system problems, planning an alternate way of doing things, and generating the evidence to determine which ways are most efficient.  We will describe The RCGP Quality Improvement Framework for general practice, and illustrate some of the tools from the framework with real examples of their use from the frontline.  

National primary care research collaborative for academic trainees and early career researchers

Professor Debbie Sharp and Dr Polly Duncan

Debbie Sharp is professor of primary care research and Polly Duncan is an In-Practice Fellow at the University of Bristol.

The workshop is an exciting opportunity to share ideas for setting up a National primary care research collaborative for early career researchers in primary care. Highly successful trainee research collaboratives have been established in surgery and anaesthetics and provide an opportunity for trainees to take part in well-designed large-scale research projects. This new model for primary care research has enormous potential, particularly for research into hard to reach groups, such as older housebound patients who are difficult to identify within Clinical Practice Research Datalink data.

Getting the most out of your ACF: using your ACF to accelerate your clinical academic career. 

NIHR Academy: Dr Nicola Melody, Dr Helen Harris-Joseph, Ailsa Donnelly and Dr James Fenton

This workshop will bust myths around your ACF, give tips and advice on how to get the most out of your ACF and give you some ideas on preparing for the next step; that all important PhD fellowship application. 

THE DOCTOR V THE MACHINE


Professor Niels Peek

Data Science and Artificial intelligence (AI) are becoming increasingly effective, and are increasingly being used, to guide decision-making in healthcare. But there are many controversies around the role that data and technology should play, and whether their disruptive nature is actually beneficial for the NHS. We will present a number of controversial statements on Data Science and AI and discuss their underlying rationale. 

SYSTEMS THINKING FOR EVERYDAY WORK


Drs Duncan McNab and Sarah Luty 

‘Systems thinking’ is often recommended to support quality and safety activities but a shared understanding of this concept and purposeful guidance on its application are limited. Healthcare systems have been described as complex where interactions are difficult to understand, and conditions are unpredictable and change rapidly. Despite this complexity, simple, linear approaches are often adopted when attempting to explore, analyse and improve systems.

This workshop introduces key principles that support a way of thinking about performance in complex systems that encourages an exploration of how people adjust performance to cope with unpredicted and rapidly changing condition.


The aims of this workshop are to:

  • Describe why a ‘systems approach’ is needed to understand performance in healthcare
  • Introduce a framework that can be used to analyse everyday work in complex systems
  • Apply this framework using a short video scenario
  • Discuss the potential application of the framework to study everyday work

Duncan McNab and Sarah Luty are Associate Advisers at NHS Education for Scotland. Tom Blakeman is Clinical Senior Lecturer at The University of Manchester as well as RCGP Clinical Champion for Acute Kidney Injury (AKI). A ‘systems approach’ offers the potential to address key challenges facing the NHS. Through the lens of AKI, this workshop will introduce principles adapted from air navigation to inform improvement and safety work in general practice and across the interfaces of care.

AN OPPORTUNITY TO EXPERIENCE A BALINT GROUP CASE DISCUSSION AND TO DISCUSS THE PROCESS

Dr Simon Henshall and Dr Jeani Lingam

This experiential workshop will create a space to think about the impact of the doctor-patient relationship in the consulting room. There will be a space to think about the importance of reflective practice in our work as doctors as a source of support for ourselves and also as a tool to deepening our understanding of our work with our patients. 

Simon is a GP working in central Manchester at the Robert Darbishire Practice. He is involved in GP education and co-leads Balint groups for GP trainees in the Salford and Trafford training scheme. He has been a member of a Balint group for 10 years and co-leads a Balint group in south Manchester. When he asked himself ‘Why do you turn up at your Balint group on a cold, wet Manchester evening after a long day at work?’, the answer had, at its heart, the human connection between doctors and patients that took him into medicine.

Jeani Lingam is a Consultant Medical Psychotherapist and Psychoanalytic Psychotherapist. She works in private practice in Leeds and also as an NHS Consultant for Bradford District Care Foundation Trust where she is the Psychotherapy tutor for medical trainees on the Psychiatry training programme. She is an accredited Balint group leader with the Balint Society UK and runs a variety of regular Balint groups for medical staff of all grades, including FY and GP trainees. She is also a training therapist, clinical supervisor and tutor on the D58 Tavistock Psychotherapy course in Leeds.

REGISTRATION LINK HERE 
A fantastic opportunity to share research experiences, learn more about career in education, explore leadership development, network and make friends with fellow colleagues. In addition to current GP ACFs, we welcome early career clinical academics.

Please note: Keynote speakers and workshop convenors are not required to pay but must please register.

Delegate price

  • Two days: £300 including dinner and drinks reception. 
  • One day (incl. Dinner & drinks reception): £190
  • One day (excl. Dinner & drinks reception): £150


The following oral presentations have been accepted:

Thursday 14 March 14.30 - 15.15

THEME

 

AGEING AND END OF LIFE CARE

FEV1 and baseline saturations may be associated with domain specific cognitive impairment in COPD and the implications of this in primary care.
Charlotte Morris

 

A Review of Facilitators and Barriers to Opioid Access in African and Lower Income Countries
Felicity Knights

 

Improving advanced care planning in the hospital setting and beyond
Agalya Ramanathan 

PRESCRIBING AND CHRONIC DISEASE MANAGEMENT

Application of the incremental cost-effectiveness ratio to low-cost, long-term medications: implications for cost-effective prescribing in neuropathic pain
Sam Hodgson

 

Variability in clinicians’ antibiotic prescribing propensity in Out of Hours primary care: A retrospective cohort study in Oxfordshire
Rachel Brettel

 

Improving the care of Coeliac Patients in General Practice
Daniel Evans

MEDICAL EDUCATION AND CHILD DEVELOPMENT

Responding to third-party information about domestic violence and abuse: a qualitative interview study with general practitioners
Katherine Pitt

 

The Association between Type 1 Diabetes Mellitus and Educational Attainment in Childhood: A Systematic Review
Natalie Oakley

 

Not quite a doctor, but should I help? A qualitative exploration of medical students’ attitudes towards responding to medical emergencies that occur in the public domain
Jessica Xie

Friday 15 March 10.15 - 11.15

THEME

 

URGENT CARE

A systematic review showing the lack of diagnostic criteria and tools developed for lower limb cellulitis
Mitesh Patel

 

The management of Otitis Externa: a scoping review
Miranda Rogers

 

Analysis of the ENT Emergency Clinic Referrals
Alice Roche

 

Antibiotic prescribing trends across England in out-of-hours primary care
Tahiya Chowdhury

OBESITY AND MATERNAL HEALTH

Cognitive and behavioural strategies for weight loss during an intervention study
John A Henry

 

Maternal haemoglobin in pregnancy and offspring weight and height trajectories: or ‘how to - surprisingly - make bigger kids’
Yvette Pyne

 

A primary care approach to preventing obesity in pregnancy: a qualitative study investigating the views, thoughts and experiences of community midwives who took part in the Pregnancy Obesity Prevention Study Pilot and Randomised Controlled Trial (POPS pilot and POPS2 RCT)
Rabia Hassam

GLOBAL AND PREVENTATIVE HEALTH

A randomised controlled trial of the effect of providing online risk information and lifestyle advice for the most common preventable cancers
Golnessa Masson

Effectiveness of interventions to identify and manage patients with familial cancer risk in primary care: a systematic review
Siang Ing Lee

 

Learning on International Health Electives: A qualitative comparison of benefits for UK and Tanzanian Medical Students
Felicity Knights

 

An applied training programme to increase local capacity and motivation to improve healthcare quality in the Eastern Cape, South Africa
Daniel Knights

 

Alongside keynote talks and workshops we hope to be able to offer some exciting networking opportunities and time to explore Manchester.

Learning café – is it your cup of tea? Brewing some fresh ideas…

Come along to our café – a place to share ideas and collaborate with others. Grab a table with some fresh faces.  Bring your cuppa and get your teeth into our questions about current issues in delivery of healthcare, education, recruitment and the potential for technology in healthcare. Stimulate fresh ideas and sample a new teaching tool which can be applied to a diverse range of topics and learners. Hopefully you will meet new people and have some interesting discussions

Academic speed networking – We hope to be able to organise a pre-dinner networking event to give early career academics the chance to hear words of wisdom from senior colleagues.  Drinks and nibbles will keep the conversation flowing. 

Walking tour – A chance to see the city, stretch your legs and learn about some hidden gems of the Manchester

The conference will take place at the Museum of Science and Industry (MOSI), Liverpool Road, Manchester, M3 4FP.  The conference centre is located on the second floor of the Grade II listed New Warehouse.  The museum has been chosen as the venue to allow delegates to experience the industrial heritage of Manchester and we hope you will get an opportunity to explore the museum during your stay.

About MOSI

The Science and Industry Museum is devoted to inspiring our visitors through ideas that change the world, from the Industrial Revolution to today and beyond.

It's a story that MOSI are uniquely placed to tell—on the site of the oldest surviving passenger railway station, in the heart of the world’s first industrial city, today alive with innovative discoveries in science and technology.

MOSI is a globally important heritage site comprising five listed buildings, two of them listed Grade 1. This site was the original terminus of the world’s first inter-city railway and our characteristic 1830 Warehouse epitomises Manchester’s 19th-century reputation as the "warehouse of the western world".

The museum opened in 1969 and moved to its current location in 1983 following the closure of Liverpool Road Station.

Please see https://www.scienceandindustrymuseum.org.uk/about-us for more information

Getting to MOSI

 By Metroshuttle (free city centre bus)

Metroshuttle services 1 and 3 stop on Byrom street which is a 5 minute walk from the museum.  Please see following link with map of bus routes https://www.tfgm.com/public-transport/bus/metroshuttle

 

By Metrolink (Greater Manchester Tram Network)

The nearest Metrolink stop is Deansgate-Castlefield which is three stops from Manchester Piccadilly on the tram.  To reach the museum from Deansgate-Castlefield station it is helpful to take the lift to street level, then turn right out of the lift and left at the first major junction down Liverpool Road (opposite the Hilton Hotel).  It is a 5 minute walk at most.  Please see the following tram network map: https://tfgm.com/public-transport/tram/network-map

Manchester airport is also accessible via the tram network however the train to Piccadilly is a quicker option.

By train

The nearest railway station is Deansgate, which is a 5 minutes’ walk away.

MOSI is 15 minutes’ walk from Manchester Oxford Road station, 25 minutes’ walk away from Manchester Victoria station, and 30 minutes’ walk away from Manchester Piccadilly station.

You can travel to Deansgate station on the train from Manchester Piccadilly and Manchester Oxford Road railway stations.

The Metroshuttle bus and the Metrolink tram network links Piccadilly, Victoria and Deansgate train stations.  See network map above.

By bicycle

There is a bike stand on Lower Byrom Street outside the main entrance to the museum. 

By car

There is no longer parking specifically at MOSI so if you intend to drive to the conference we recommend you book accommodation with parking or you can pre-book parking via this site within walking distance of MOSI - https://www.ncp.co.uk/parking-solutions/attractions/mosi/

Transport for Greater Manchester Journey Planner

For any additional transport information please use the transport for Greater Manchester journey planner - https://my.tfgm.com/#/planner/

There is a wide variety of accommodation options available within Manchester City Centre.  We have provided a list of options close to MOSI and will also provide some links to smaller local businesses if delegates would prefer this option.

The Castlefield Hotel

Very close to MOSI and does have some parking available at additional charge

https://www.castlefield-hotel.co.uk/

Address:  Liverpool road, Manchester, M3 4JR

Telephone: 0161 832 7073

Manchester Marriott Victoria and Albert Hotel

Close to MOSI, parking available, 4 stars

https://www.marriott.co.uk/hotels/travel/manva-manchester-marriott-victoria-and-albert-hotel/

Address: Water Street, Manchester, M3 4JQ

Telephone: 0161 832 1188

Great John Street Hotel: The Old School House

Eclectic boutique hotel – 4/5 star, good trip advisor rating, no parking

http://www.eclectichotels.co.uk/great-john-street/

Address:  Great John Street, Manchester, M3 4FD

Telephone: 0161 831 3211

Jury’s Inn Manchester

5 minutes away from MOSI walking, no parking

https://www.jurysinns.com/hotels/manchester

Address: Great Bridgewater St, Manchester, M1 5LE
Telephone: 0161 953 8888