How to get started in research
TL;DR:
- Know what you want to get out of it
- Email supervisors who you are interested working with
- Take advice to get funding for dedicated research time
A big 🧵...
I love my job.
I know there is lots to be downhearted about as a trainee (or consultant) in the UK at the moment, yet I want to pipe up that there are jobs out there that are brilliant.
I get to work in an exciting field with a committed team and have lots of autonomy. There’s
I like nights.
The day before the first shift feels like free time - whatever I get done is a bonus.
Getting into bed during the day is a treat.
If there's nothing happening at 4am, it is the best kind of break - there is genuinely nothing to do. Whereas there is always stuff to
Really excited to say that I’ve been offered a post as NIHR Academic Clinical Lecturer
@unibirmingham
@unibirm_MDS
to start later this year.
I’ll continue to train in hepatology
@BWC_NHS
whilst doing research with
@BirminghamLiver
among others
As several people have highlighted, my research post is a crucial factor in why I enjoy work. This is why I keep banging on about how great these careers are. The 𝗨𝗞 𝗻𝗲𝗲𝗱𝘀 𝗺𝗼𝗿𝗲 𝗰𝗹𝗶𝗻𝗶𝗰𝗶𝗮𝗻-𝘀𝗰𝗶𝗲𝗻𝘁𝗶𝘀𝘁𝘀, 𝗲𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝗹𝘆 𝗶𝗻 𝗽𝗮𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰𝘀.
I love my job.
I know there is lots to be downhearted about as a trainee (or consultant) in the UK at the moment, yet I want to pipe up that there are jobs out there that are brilliant.
I get to work in an exciting field with a committed team and have lots of autonomy. There’s
I've got 'better' at ePortfolio as I approach the end of training.
I realise its extremely boring, but it is necessary. I used allow my resentment for the process mean that I didn't do anything until the last minute.
However, with crunch ARCPs looming, I have aimed to do one
The main paper from my PhD is out!
We found that a very specific mutation in a mitochondrial fusion protein (Mfn2) causes adipocytes to become stressed, which lowers their leptin release.
Full paper:
My (lay) summary:
🧵...
✍️How I approached ‘white space questions’ in ACF applications:
1. For “Describe your suitability for…”-type questions: state three traits/characteristics that would describe the ideal candidate (e.g. ‘communication skills’, ‘breadth of knowledge’, ‘team player’). Then give a
Some good news: after my PhD I'll be moving to
@Bham_Childrens
to train in hepatology. After talking about it for quite some time I'm looking forward to actually doing the clinical job, as well as joining the
@WMPaeds
team.
#GRID
@BSPGHAN
I'm thrilled that our meta-analysis of animal models of NAFLD is going to be coming out in
@eLife
We think our results are important for all involved in pre-clinical studies of NAFLD.
Tweetorial summary to come...
So, if you are a trainee/student/consultant wondering whether there is anyone left in the NHS who feels positive about their job:
yes, yes there’s certainly at least one of us.
Back to clinical full-time for the next 3 months.
Last 3 months on research have let me send off (many!) small grant applications. I have found the process of writing useful for clarifying ideas about exactly what I want to do.
Data and samples coming in just as I go back to
The most common feedback I gave at yesterday's SFP interview practice:
[drop me a message/email if you want a link to the recording and the questions we used]
- Give specific/concrete examples of your experience even when answering a relatively general question. E.g. "What
SFP interview practice session:
Monday 13th November 2000-2200 via Microsoft Teams
Mock interviews for specialised (academic) foundation programme.
We will run it as an open session so everyone listens to each other.
The first 9 signing up will be asked questions and then
Officially begin as a NIHR academic clinical lecturer today.
Starting on a clinical block and with thinking/planning research behind the scenes.
Looking forward to getting back to the liver unit.
For clinical-academics:
What is one thing you wish you had done differently when starting your first mixed clinical-research post?
New job starts soon…
Thinking of applying for GRID? (paediatric sub-speciality training). Here are five things to consider:
1. GRID vs. SPIN
2. How many jobs to rank
3. Get rid of perceived barriers
4. Specialty-specific examples
5. Distinguish audit/QIP/research
1. Be crystal clear about the
I am also aware of my privilege as a white, cis-male, native English speaker from a middle-class family. This has certainly influenced my career trajectory. Individuals from different backgrounds may have an alternative outlook on prospects on working as a NHS clinician.
Takeaways from the AASLD-EASL Masterclass 👇
- You need to be persistent in grants/papers/discoveries
- Tell the story of your research
- Friends made through collaboration can last a lifetime
Thanks to all the organisers.
Yes, pay should be higher, there’s well described concerns about the roles of non-medical graduates, we get messed around on rotas, the workload is heavy, we do unpaid extra hours, waiting lists continue to climb, we aren’t paid for study leave/courses, the job application system
The world’s kindest delivery-person from
@UPS
just stacked 600kg of books in 51 boxes in my shed today. Totally above and beyond.
@UPSHelp
can you help me find them so I can say thank you?
I was talking to a ST3-4 trainee this week about sub-specialisation.
They were leaning away from sub-specialities with high 'competition'* for consultant jobs.
I suggested not to worry about competition, if you can become 𝘁𝗿𝘂𝗹𝘆 𝗲𝘅𝗰𝗲𝗹𝗹𝗲𝗻𝘁 in your niche.
🧵
I’m chuffed to have finished 6th in the Hardwolds 80miler yesterday.
I feel like I can definitely call myself an ultrarunner now.
Absolutely perfect conditions and brilliant organisation by the lovely
@HardmoorsUltras
team. Would highly recommend.
🚨 New pre-print following on from our last analysis of rodent models of NAFLD.
We analysed over 4,500 papers and found 3,920 unique model designs. [Quite a lot more than we had anticipated when starting.]
Full database of models free available.
🎉 Celebrate! 🥳
Your regular reminder that:
You are allowed (/encouraged) to celebrate ‘small’ papers / ‘just’ a poster / ‘only’ passing ARCP.
Take the opportunity to celebrate. Have an evening off. Go for a beer.
At least pause before moving onto the next, ‘bigger’ thing.
Doing the “school run”.
One of the many benefits of doing research is being able to work a bit more flexibly:
Start early -> pause work 4-7pm for pick-up, dinner, and bed time -> data analysis & writing after the kids are in bed.
As a university employee with an honorary NHS contract, I’m not eligible to take part in the industrial action this week.
I am in full support of all junior doctors striking over the next three days.
Wrap up warm and best of luck.
#payrestoration
#JuniorDoctorsStrike
@KateBurkeNHS
the older I get the more I realise life is about intermittently partly neglecting one of those things then oscillating back to it to compensate whilst then neglecting something else for a while
I've had a few people ask about interview practice for ACFs.
I can do an open session one evening next week, if that would be of use?
Also, if you would like me to connect you with other people applying for ACFs for practice, then just message me your email.
I wrote some
All my typed notes from medschool and MRCP/MRCPCH revision are still available for free here:
Note that they are old (so guidelines may have changed), though the fundamentals should still be the same.
P.s. And please read the 001_ReadMe
Want some interview practice for ACFs?
Wednesday 15th November 2000-2200 via Microsoft Teams
We will run it as an open session so everyone listens to each other.
The first 9 signing up will be asked questions and then given feedback in front of the rest of the group listening.
I've had a few people ask about interview practice for ACFs.
I can do an open session one evening next week, if that would be of use?
Also, if you would like me to connect you with other people applying for ACFs for practice, then just message me your email.
I wrote some
@ollieburtonmed
@Doc_IonaCollins
If rotation were so absolutely critical to training, all the other countries that don’t have rotation systems would be producing less trained specialists, which clearly isn’t the case.
Just like bottlenecks at ST1/4: it’s a choice (for opaque reasons).
@thegradmedic
In addition, with appropriate supervision and training, a foundation year doctor can do complex procedures.
E.g. lumbar puncture on a 2 month old.
Every penny spent on doctors, especially more junior, is an investment.
Devastated to hear about the passing of Valerio. The hepatology community has lost one its most loved members. He brought major scientific advancements in the field. I am grateful to all he taught me and his kind support. Condolences to all his family and friends.
@EASLnews
@DrEilidhMaria
I remember being told on day 1 that no matter our backgrounds we should all expect to find it hard; 50-60% on an exam is a good mark.
And I did a 5 year degree, the grad-entry 4 year programme seemed incredibly tough.
🤞🏻 for all getting
#SFP
jobs released today.
11 years ago I didn’t get any offers at all from my first choice deanery for SFP and things have panned out okay so far, even though I was disappointed at the time.
I’ll be offering some suggestions on Making the most of your SFP
SFP jobs releasing tomorrow 👇🏽
🔊Our last
@NorwichAFP
course session Friday 12/01 at 19:00 on ‘Making The Most of Your SFP’ with 3 excellent speakers ranging SFP->ACF->ACL.
Come learn about clinical academic careers and what the SFP could mean for you!
@DrAliHosin
Similarly, at annual review all we can be is ‘making progress at the expected rate’
It is compounded how we have a lack of belonging / attachment to any one department-due to the rotational system.
Usually not in one place long enough for it to matter if we’re really good/bad.
Not sure how I hadn't found any of this before:
But a whole series of excellent tools here to generate figures to neatly display the raw datapoints from a whole variety of experiment types.
Check it out!
Thanks
@joachimgoedhart
& others
I think that how you treat trainees/colleagues when they leave a department speaks volumes.
A card, cake, or even just a cup of tea is symbolic that your valued them.
And our most recent/last experience of a place usually has a disproportionate effect on how we remember it.
We are deeply concerned about some of the food packages sent to families who rely on the school meals programme. Thanks to
@BootstrapCook
and families for sharing. We've written to
@GavinWilliamson
seeking an urgent review. Statement from
@maxdavie
👇👇👇
An major update to our pre-print using lipidomics to understand lipid metabolism in paediatric fatty liver disease:
Plasma lipidomics identifies a signature of NAFLD in children that couples with cardiometabolic outcomes in adults
Inspiring day celebrating the career of Prof. David Adams yesterday.
Some key ideas I took away:
- Follow your curiosity when you observe something that stands out
- Important discoveries were met with skepticism when the ideas were first suggested
- Great research comes from
And I'm delighted to say that this pre-print has now emerged from its chrysalis and is a much improved piece of work available
@JHepatology
Thanks to all involved in this massive project.
@MRC_Epid
[Thread to follow at some stage.]
@felicitydevere
@RCoANews
It is evidently a choice to have a bottleneck at this level across almost all specialities.
The numbers quite clearly show a bottleneck isn’t needed at all.
If it’s a concern about having too many permanent consultants(¿?) then the bottleneck could still be post-CCT.
🔥 You have until 14th December to apply to the
@BHPComms
New Consultant Fellowship scheme 🔥
It funds 2 PAs for research for three years to consultants appointed within the last 18 months who hold an MD or PhD
Sounds like a great scheme for people who have doctoral level
For clinical-academics:
What is one thing you wish you had done differently when starting your first mixed clinical-research post?
New job starts soon…
Pleased to share my first preprint!
@medrxivpreprint
We have performed a meta-analysis to try and establish whether rs641738C>T near MBOAT7 has a role in NAFLD or not...
(1/15)
Reading some (excellent) ACF applications the last few days.
I'm surprised the number of people who have done PGCert/MSc, and particularly who have done those (usually) expensive courses but not any membership exam parts.
That seems strange to me. Am I out of touch??
There have been many jobs/rotations I disliked until this point. There have been times when I’ve thought of changing career/country. And there are few other roles I could imagine myself doing now.
Really pleased with the update and 2nd edition of my Physiology textbook.
Artwork is improved and lots of new sections including adipose, appetite, and circadian rhythm.
Having given my opinion on several GRID applications yesterday, my most common suggestions were:
- Give specific details about projects/experience. Summarise in 1-2 sentences, rather than using lots of adjectives.
- Relate all transferable skills back to the speciality applied
Thinking of applying for GRID? (paediatric sub-speciality training). Here are five things to consider:
1. GRID vs. SPIN
2. How many jobs to rank
3. Get rid of perceived barriers
4. Specialty-specific examples
5. Distinguish audit/QIP/research
1. Be crystal clear about the
It’s interesting how cannulation is an absolutely core skill for me currently.
Yet, post-CCT I will very rarely use it.
I understand why this is the case; it just seems strange to be reaching my ‘peak’ at a skill that I will then not use long-term.
I am often asked “how did you decide on academic paediatric hepatology?"
Remarkably passively and gradually...
Like many, by the end of FY2, I had already built a specialty-specific portfolio. So, due to the desire to avoid having wasted input (‘sunk cost bias’) and bad outcomes
This is a conceptually really important study and fits in with much of the work from
@MRC_Epid
and
@MRL_Cam
Here is some genetic evidence that ‘lean NAFLD’ is part of the spectrum of lipodystrophy seen in the general population
@AASLDtweets
#nafld
Your regular reminder that everyone is still trying to figure out what they want to do and who they want to be.
I was speaking with a mentee this week and I think they were a little disappointed to hear that I am continuing to make it up as I go along.
Do something for a bit,
I've got a 4 spare copies of this book sat on my desk.
Would anyone like one?
Just send me a message and I can post it out.
It is well suited to pre-clinical medical students or physiology revision for MRCP/MRCPCH.
#MedTwitter
#MedStudentTwitter
Really pleased with the update and 2nd edition of my Physiology textbook.
Artwork is improved and lots of new sections including adipose, appetite, and circadian rhythm.
It was a few years ago that I realised I had lost almost all my previous identities/aspects to my personality that weren't related to medicine or family (e.g. runner, musician).
Getting back into doing running races has been challenging (mostly meaning a lack of sleep) but has
What is it with medicine?
You came in with lots of interesting things you do outside of work.
You came out of med school, became a doctor and struggle to maintain anything else outside of work.
😅🥲🤣
“This is a big deal” is how I’ve felt coming up to ‘step’ in the clinical-academic pathway (e.g. SFP, ACF, PhD fellowship)
“No, the next one is actually a big deal” is how I’ve felt once in the role
Is this the infamous hedonistic treadmill?
It is interesting that, on the one hand, many feel that training is too long.
Yet many experienced, senior clinicians suggest extending training.
It seems to me that the key is autonomy.
I have had 6 ½ years out of training & I don’t regret a thing
Anyone telling you that you need to stay on track/time out is wasted time/something something don’t do it, is daft
You do you
1 yr
#MedEd
fellow
1 yr in 🇦🇺
1 year at
@RNOHnhs
&
@ChelwestFT
3.5 yr
#PhD
#MedTwitter
Delighted to share a Comment from
@ESPGHANSociety
and
@EASLnews
Thanks to the many paediatric and adult hepatologists who have helped put this together.
Five things I learnt doing a basic science PhD as a paediatrician:
[In retrospect all seem really obvious.]
1. Data organisation. It took time and failure to learn how to store all the different data types (gel images, plate data, transcriptomics, microscope images etc.) Even
Why I think doctors are in an ideal position to lead a fulfilling life:
Fulfillment comes from doing meaningful things, building relationships, and the satisfaction from striving towards something challenging.
The things that will matter in three decades time come from working
How I looked up information about clinical-academic careers:
- General overviews (e.g. CATCH)
- Specific programmes (e.g. ECAT, GW4-CAT)
- Individual institutions (e.g. Crick) and then read about the careers of inspirational clinician-scientists
[All links in 🧵 below👇👇]
👇👇👇
Lots of interesting discussion below about portfolio inflation in AFP/ACF applications.
My TL;DR: need to find a way to support people to do research at all stages...
- Just want to try it out and see if its for them
- Develop ideas into application for PhD fellowship
-
@jakepmann
How do you feel about the portfolio inflation happening in academic applications? A lot of successful AFPs and ACFs seem to have PhDs prior to applying now, reflecting competition. Sometimes it feels like this detracts from the original purpose of this being a pathway into
Your regular reminder:
Everyone is out there doing their best.
If it’s not very good, it’s because we don’t know how to do it better, are having a tough day, or need more training.
Just for the record, I am someone who likes to focus on 'meaningful' or fun things. I would not consider ePortfolio either.
(Meaningful learning/development/reflection can occur without the filling in of a form or linking on an electronic curriculum.)
i.e. I dislike ePortfolio as
I found Talk like TED a really useful book for giving presentations. It’s key points:
1You must be truly passionate about what you are talking about. This will translate into mastery of the topic
2Tell three stories, or make three key points. Three is the magic number.
•But
Sometimes I wonder whether a chronic lack of time for general chat / team coffee should be exception report-able…
To recognise that short staffing and workload has a cumulate effect on the vital informal learning and team bonding that happens in this ‘down time’
***Looking for feedback & comments on a preprint***
Ever wondered what determines whether an animal model 'responds' to treatment with a drug?
Well, we've done a large meta-analysis of rodent models of NAFLD and found some surprising results... (1/10)
The downside of nights is that it’s time “out of speciality” so for me it’s general paediatrics + ward cover of specialities.
Of course it would be lovely to just do liver overnight too, but I do get to CCT in general paeds so this is part of the job.
So when seeing the n^th