PhD Studentship in Primary Care and General Practice - University of Birmingham
Studentship What is the Optimum Model of Service Delivery for Transient
Ischaemic Attack?
Department of Primary Care and General Practice
People who have had a transient ischaemic attack (TIA) are at high risk of
subsequently having a stroke, and these risks are greatest in the initial
period following the event, with 8% of people going on to have a stroke within a week and 12% within a month. National Clinical Guidelines for
Stroke recommend that patients with a TIA should be investigated as soon as
possible in a specialist service within 7 days. While there is a broad based
clinical consensus that management of patients with TIA and minor stroke
should be more pro-active than it currently is, it is not possible to
recommend a single model of care, since there are a number of unresolved
issues. Should the emphasis be on the development of rapid access specialist
clinics (analogous to rapid access chest pain clinics)? Should this involve
a 'one stop' service, with same day access to brain scans and carotid
ultrasound? What is the trade off in terms of cost versus outcome if these
clinics have the capacity to see all patients on the same day that they are
referred, or if there is a maximum wait (e.g. 7 days)? What would be the
impact if more patients with TIA were seen in hospital within a few hours of
symptom onset (e.g. if health education campaigns alert people to the
symptoms of stroke, and are encouraged to dial '999)? Alternatively, should
GPs manage patients more actively, without referring all to specialist
clinics?
The aim of this research is to inform how best to configure TIA services by
using mathematical modelling. Four different patterns of service provision
will be assessed (current practice; enhanced primary care services; a '999'
service; and a rapid access neuro-vascular clinic) in terms of strokes
averted, quality adjusted life years and costs.
No formal PhD project has been designed as the successful candidate will be
involved in its development. The research will, however, be carried out in
the area described above. Training and support will be provided. The
postholder will be based in the Department of Primary Care and General
Practice, part of the Division of Primary Care & General Practice, Public
and Occupational Health, at the University of Birmingham.
To be eligible for this studentship, applicants must have a class I or II:i
degree in a relevant subject.
Application forms are available from Kathleen Waldron, 0121 414 8582, oravailable online at http://www.apply. bham.ac.uk/ . Please do not complete the
section describing the project, as the protocol will be designed by the
candidate once in post.
Closing date: *30th November 2006*, the stipend is £12,000 per annum plus
tuition fees.
Please return application forms to Dr Jonathan Mant, Department of Primary
Care & General Practice, Clinical Sciences Building, University of
Birmingham, Edgbaston, Birmingham, B15 2TT.
For more information about this project, please contact Dr Jonathan Mant on
0121 414 82657, or by email onj.w.mant@bham. ac.uk.
-------------------------------------------------
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Ischaemic Attack?
Department of Primary Care and General Practice
People who have had a transient ischaemic attack (TIA) are at high risk of
subsequently having a stroke, and these risks are greatest in the initial
period following the event, with 8% of people going on to have a stroke within a week and 12% within a month. National Clinical Guidelines for
Stroke recommend that patients with a TIA should be investigated as soon as
possible in a specialist service within 7 days. While there is a broad based
clinical consensus that management of patients with TIA and minor stroke
should be more pro-active than it currently is, it is not possible to
recommend a single model of care, since there are a number of unresolved
issues. Should the emphasis be on the development of rapid access specialist
clinics (analogous to rapid access chest pain clinics)? Should this involve
a 'one stop' service, with same day access to brain scans and carotid
ultrasound? What is the trade off in terms of cost versus outcome if these
clinics have the capacity to see all patients on the same day that they are
referred, or if there is a maximum wait (e.g. 7 days)? What would be the
impact if more patients with TIA were seen in hospital within a few hours of
symptom onset (e.g. if health education campaigns alert people to the
symptoms of stroke, and are encouraged to dial '999)? Alternatively, should
GPs manage patients more actively, without referring all to specialist
clinics?
The aim of this research is to inform how best to configure TIA services by
using mathematical modelling. Four different patterns of service provision
will be assessed (current practice; enhanced primary care services; a '999'
service; and a rapid access neuro-vascular clinic) in terms of strokes
averted, quality adjusted life years and costs.
No formal PhD project has been designed as the successful candidate will be
involved in its development. The research will, however, be carried out in
the area described above. Training and support will be provided. The
postholder will be based in the Department of Primary Care and General
Practice, part of the Division of Primary Care & General Practice, Public
and Occupational Health, at the University of Birmingham.
To be eligible for this studentship, applicants must have a class I or II:i
degree in a relevant subject.
Application forms are available from Kathleen Waldron, 0121 414 8582, oravailable online at http://www.apply. bham.ac.uk/ . Please do not complete the
section describing the project, as the protocol will be designed by the
candidate once in post.
Closing date: *30th November 2006*, the stipend is £12,000 per annum plus
tuition fees.
Please return application forms to Dr Jonathan Mant, Department of Primary
Care & General Practice, Clinical Sciences Building, University of
Birmingham, Edgbaston, Birmingham, B15 2TT.
For more information about this project, please contact Dr Jonathan Mant on
0121 414 82657, or by email onj.w.mant@bham. ac.uk.
-------------------------------------------------
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