Academic radiology

As well as standard ST1 Clinical Radiology training, there is also the option to undertake a National Institute for Health Research (NIHR) Academic Clinical Fellowship (ACF).  An academic clinical fellowship is a specialty training post that incorporates academic training.  It’s aim is to give a platform to simultaneously develop academic and clinical skills for aspiring clinical academics.



NIHR Academic Clinical Fellows (ACFs) spend 75% of their time undertaking clinical radiology training and 25% undertaking research or educationalist training.  Doctors undertaking an ACF also receive a National Training Number (NTN) for Clinical Radiology.  It is important to note that usually you do not extend your 'normal' radiology training, even though you are only spending 75% of your time doing this.  This is what makes it so hard, and why deaneries rigorously interview you - you essentially have to do all clinical competencies whilst also doing academic work.

ACFs typically last 3 years and are usually during ST1-3.  During this time, alongside clinical radiology training, ACFs will be able to develop their academic skills and be supported in preparing an application for a Research Training Fellowship (to undertake a higher research degree such as a PhD) or an application for a place on an educational programme (also leading to a higher degree).  Success in these applications is defined as the end point of an ACF. 

Therefore at the end of the 3 years of ACF you will either take time out-of-programme to complete the higher degree or you go back into training to complete ST4-5.  You still get your CCT after 5 years of training, however this does not include the extra time out-of-programme to undertake the higher degree, which is typically 3 years.


Radiology research looking at the quantitative analysis of fractional anisotropy on colour-coded principle eigenvector maps

Radiology research looking at the quantitative analysis of fractional anisotropy on colour-coded principle eigenvector maps at the level of the decussation of the superior cerebellar peduncles (Nottingham)


Application process

Applications for ACFs start earlier than normal speciality training.  The programmes on offer vary and change year-on-year depending on what funding is available to the deaneries and research networks.  For example, in the 2016/2017 year, the applications opened in early October with 6 vacancies.

You must apply for the ACF post and also apply for standard ST1 clinical radiology training

The ACF application process includes several steps in addition to the normal ST1 recruitment process.  It is best to think of it as an additional process to go through.

ACF Recruitment

ACF applications are all done through Oriel, exactly the same as normal clinical radiology ST1 applications.  They are advertised separately for each deanery so you will need to fill in each ACF application independently.  For example, a candidate may make 5 applications on Oriel - 4 ACFs to 4 deaneries and 1 generic clinical radiology ST1 application.

The selection process for ACF varies widely depending on each deanery and post, however there are some common elements.  At time of submitting the application, you need to answer white-space questions.  The length and type of questions may vary between deaneries, but common questions include ‘Why do you want to do an ACF?’ and ‘Why you do want to come to this deanery?’.  It is worth preparing answers to these before the applications open.

After shortlisting, most deaneries then invite their top 5-10 candidates for interview.  Interviews vary widely, and can be single or multiple station.  They are often chaired by the Academic Radiology lead and Training Programme Director.  Questions cover both academic and clinical topics.

National ST1 Recruitment

All ACF offers are conditional on ‘clinical benchmarking’ in the national recruitment.  Therefore, in order to be successfully appointed as an ACF, you need to pass national ST1 clinical radiology recruitment as well.  This includes the SRA and interviews.  The rank itself doesn’t matter, but needs to be high enough to get a normal training number.  Look at our resources on the ST1 National Recruitment for further information.

Some ACF jobs are advertised as ST1-3, therefore if you already hold a Radiology NTN you do not go through the national application process again.


5 Top tips for ACF

  1. Thoroughly research the ACF programme you are applying to

    • Know what sub-speciality research they do, and does that suit you? Are there links with a University to do an additional degree?
  2. Consider the impact on clinical training

    • Radiology training alone is an incredibly short and intense training programme, unlike FY1/2 or CMT. Make sure you understand the challenges and demands of doing an ACF alongside clinical radiology training. Remember you spend most of your time as a clinical trainee. Do you have a preference for large, medium sized or small training programme? Do you want to be in University hospital or get some DGH experience?
  3. Prepare early

    • ACF posts are extremely competitive and there is a lot to do in a small space of time. Write draft answers to common white space questions. Tie up any loose ends in your research and push to publish any existing work. Likewise, close any incomplete audit loops.
  4. Mock interviews

    • Academic ones in particular are particularly helpful, as this is a new experience.
  5. Do not disregard the national training application