Context Relevant Approaches for Acute Multimorbid Disease

A robust clinical approach is key to deliver this project. Specifically, we need a clinical research fellow to support delivery of a prospective cohort study to measure the rates of multimorbidity across four hospitals in Malawi and Tanzania. Informed by this work, this individual will take responsibility for the development of pragmatic guidance to effectively link patient clinical status with their diagnostic results to recommend defined algorithmic clinical actions. This system needs to be robust and easily implementable by junior healthcare workers. We will co-create this system with key stakeholders including nurses, junior and senior doctors, administrators and policy makers. In addition, we need to develop processes to effectively follow up patients after hospital discharge in an outpatient setting to measure outcomes and effectively manage their multimorbid disease.

 

KEY ACTIVITIES

KEY ACTIONS

These set out how the Key Responsibilities will be achieved

 

1

 

Day-to-day work on the design and implementation of the clinical portfolio in the Multilink programme

Design and implement high quality clinical research and support social science, health system and health economic research.

Collaborate with consortium partners in the UK, Malawi and Tanzania

Participate in site visits to partner institutions and attend and contribute to multidisciplinary meetings

 

2

Conduct high quality clinical research to inform the design, development and evaluation of appropriate interventions to improve outcomes for patients with multimorbid disease in Malawi and Tanzania

To support the collection and analysis of clinical data for hospital studies conducted as part of the Multilink programme.

In collaboration with Multilink partners: implement data collection tools for intervention development activities. Liaise with partners and conduct training for robust data collection.

 

Develop clinical algorithms to effectively link diagnostic test results with defined clinical actions to manage chronic multimorbid disease

 

Work effectively with key stakeholders in secondary care settings to refine clinical algorithms for successful implementation

 

Develop robust quality improvement tools to monitor uptake and compliance with clinical algorithms

Implement research in line with all funding and administrative requirements.

 

3

 

Produce articles and policy briefs to communicate research findings to a wider audience

Lead development of academic papers for submission to high impact journals and adapt appropriate project reports for submission to journals

Be responsible for writing of project reports, policy briefs and other technical documents as appropriate

 

COMPETENCY CRITERIA

ESSENTIAL/

DESIRABLE

ASSESSMENT

Qualifications, Training & Knowledge

 

 

MSc in a relevant discipline (e.g. implementation science, public health other quantitative health research, demographics).

E

Application & Certificate

Understanding of health issues, services and systems in Low and Middle-Income countries (LMICs)

E

Application & interview

Training at Masters level in implementation research methods, including critical appraisal and application of theoretical frameworks to drive effective change

E

Application & interview

Familiarity with secondary care diagnostic and treatment processes

D

Application & interview

Familiarity with qualitative research

D

Application & interview

Experience

 

 

At least two years direct clinical work caring for patients in a secondary care setting in Malawi and/or Tanzania

E

CV, References & Interview

Experience in successful delivery of clinical research studies

E

CV, References & Interview

Experienced and competent in clinical governance, data protection and safeguarding for clinical research participants

E

CV, References & Interview

Experienced and competent in delivery of quality improvement and/or implementation science driven clinical projects

D

CV, References & Interview

Experience in publishing in journals in the area of clinical research

D

CV, References & Interview

Experience in project supervision, including training and leading teams of research assistants

D

CV, References & Interview

Skills & Behaviours

 

 

Excellent verbal and written communication skills, with the ability to communicate at all levels

E

CV, References & Interview

Demonstrable attention to detail and accuracy, leading to high quality control of research data and results

E

CV, References & Interview

Excellent organisational skills with the ability to achieve research objectives independent of day to day supervision

E

CV, References & Interview

Ability to work as an integral, productive and co-operative member of a multi-disciplinary team in a flexible and competent manner and to liaise effectively with collaborators from different cultures

E

References & Interview

 

Circumstances

 

 

Conduct work based in Malawi or Tanzania

E

CV & interview

Demonstrate a confident, enthusiastic, and energetic approach, with a willingness to get involved in all aspects of the project

E

References & Interview

Determination to contribute programme productivity (publication, teaching, public engagement)

E

References & Interview

Ability to work productively and co-operatively and to develop excellent working relationships with academic and non-academic colleagues

E

CV & interview

Proficient in MS Office Software especially Excel, Word and PowerPoint

E

CV & interview

Flexibility to occasionally work outside of normal hours to meet deadlines

E

CV & interview

Ability to undertake national and international travel

E

CV & interview

Malawi or Tanzania national

D

CV & interview

Closing date: Monday 7th March 2022

Shortlisting: 11-18 March

Interviews: expected to be 28th March - 4th April

For more information on this PHD opportunity visit the Multilink PhD page