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APPLICANT - Imperial College London

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the research programme according to their interests. During the clinical placement, the<br />

trainee will develop core competencies within the context of the healthcare management of<br />

newborn infants and their families, assist in teaching of undergraduate students and be<br />

involved in the research interests of the department. The Divisional research programmes<br />

are internationally competitive and in 2005, the MRC awarded funds to establish a MRC-<br />

Asthma UK Centre in Allergic Mechanisms of Asthma in partnership with Asthma UK,<br />

<strong>Imperial</strong> <strong>College</strong> and associated NHS Trusts. The associated F2 clinical attachments will be<br />

A&E and Paediatrics.<br />

Post 2 – Diabetes (Professor S Amiel) – based at KCH<br />

CODE: KCL/002<br />

F1<br />

F2<br />

King’s<br />

<strong>College</strong><br />

Hospital<br />

King’s<br />

<strong>College</strong><br />

Hospital<br />

General<br />

Medicine<br />

Diabetes/<br />

Endocrinology<br />

(Clinical<br />

Attachment)<br />

3m<br />

4m<br />

General<br />

Medicine<br />

Diabetes/<br />

Endocrinology<br />

(Academic<br />

Attachment)<br />

3m Trauma &<br />

Orthopaedic<br />

Surgery<br />

3m<br />

4m A&E 4m<br />

General<br />

Surgery<br />

3m<br />

The Diabetes Research programme has grown from observations of clinical problems in<br />

diabetes. Prof Amiel’s major interests are prevention of hypoglycaemia in Type 1 patients<br />

using intensified insulin therapy and the central control of metabolism in diabetes as a whole.<br />

We have used insulin clamping, cognitive testing and neuroimaging (positron emission<br />

tomography and functional magnetic resonance imaging) to understand the generation of<br />

symptoms in hypoglycaemia and find out what goes wrong when patients lose the ability to<br />

recognise when their blood glucose is low; to investigate the role of insulin resistance on<br />

appetite control and progression to obesity and Type 2 diabetes and the central actions of<br />

incretin-based therapies and of bariatric surgery. We have developed islet transplantation in<br />

the UK as a therapy for intractable hypoglycaemia and although this is now a clinical service,<br />

it supports a major laboratory-based research programme in islet physiology and function.<br />

We have a vigorous academic programme in mental health in diabetes which is currently<br />

investigating the impact of depression at diagnosis on outcomes in Type 2 diabetes and the<br />

role of “talking therapies” in improving diabetes control. Previous academic F2 posts have<br />

assessed a novel method for arterializing venous blood in neuroimaging studies; developed<br />

new protocols for assessing the brain’s response to food intake using fMRI; investigated the<br />

potential for on-line glucose monitoring to predict hypoglycaemia risk and studied the<br />

prevalence and duration of diabetes after liver transplantation. The associated clinical<br />

attachments are in general medicine is with the Diabetes and Endocrine firm, allowing<br />

exposure to specialist clinics in this field, while its primary focus is to ensure good F2 level<br />

training in hospital medicine and in the Accident and Emergency Department.<br />

Post 3 – Hepatology (Dr V Aluvihare) – based at KCH<br />

CODE: KCL/003<br />

F1<br />

F2<br />

King’s <strong>College</strong><br />

Hospital<br />

King’s <strong>College</strong><br />

Hospital<br />

General Surgery 4m General Medicine -<br />

Liver<br />

4m General<br />

Medicine<br />

Hepatology (Clinical 4m A&E 4m Hepatology<br />

Attachment)<br />

(Academic<br />

Attachment)<br />

4m<br />

4m<br />

The main focus of research in the laboratory is transplantation tolerance. This is divided in to<br />

2 areas:<br />

1. Characterisation of tolerance and rejection signatures on transplant patients using<br />

quantitative PCR (on candidate genes), microarray analysis and immunophenotyping.<br />

2. Tolerance inducing treatment strategies using regulatory T cells and additional<br />

immune modulation.<br />

www.stfs.org.uk/student/academic-programmes<br />

Email: tfsacademicrecruitment@stfs.org.uk<br />

Page 46 of 70<br />

Updated: 27 May 2010

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