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Later post-doctoral clinical academic medicine

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As a medical clinical academic, the middle and later post-doctoral stages represent a shift from developing independence to leading your own research and shaping clinical practice.

By this point, you will have completed your doctoral training, gained post-doctoral experience and begun to demonstrate leadership through publications, grant funding, supervision and teaching. You will balance your clinical expertise with a growing academic profile, often leading teams and contributing to institutional, national and international research agendas.

Your career stage

Academics at this level will be established post-doctoral clinical researchers with:

  • a strong publication record and emerging reputation within your specialty
  • evidence of independent funding or successful co-applicant experience
  • experience supervising junior doctors, PhD students or post-docs
  • a clear research vision that aligns with health system or translational priorities
  • ongoing clinical activity, typically as a senior trainee or consultant

Focus will be moving towards becoming a Principal Investigator (PI) responsible for designing studies, securing external funding and leading collaborative projects that advance both science and patient care.

Senior career stages and roles

  • For doctors with substantial post-doctoral research experience and a growing leadership profile.
  • Usually university-based, with honorary NHS consultant contracts.
  • Combine teaching, research and clinical practice (typically 60–70% academic / 30–40% clinical).
  • Expected to supervise research students, apply for grants and publish regularly.
  • Acts as a stepping stone to Reader or Professor roles.

Funded by major UK research organisations, these fellowships support doctors who are ready to lead their own independent research programme.

Normally 3–5 years. Programmes focus on stablishing research independence, leading a small research team and transitioning to long-term institutional funding or senior academic appointment.

  • University or research institute posts for clinicians with an established track record of external funding.
  • These roles provide stability and resources to expand research groups.
  • You may also serve as co-investigator or lead on large clinical trials, NIHR programmes or translational collaborations.
  • Senior post combining consultant-level clinical duties with significant academic responsibilities.
  • Often paired with honorary or substantive university appointment (e.g. Senior Lecturer, Reader or Professor).
  • Lead multidisciplinary teams, contribute to guideline development and influence national health research strategy.
  • Funded jointly by NHS Trusts and universities or through sustained grant income.

Structure and duration 

Career Level

Typical roles

Duration

Focus

Middle Post-Doctoral

Senior Clinical Lecturer, Clinician Scientist Fellow

3–5 years (fellowship) or permanent academic appointment

Establish independent programme, supervise researchers, apply for major grants

Later Post-Doctoral

Senior Research Fellow, Reader, Consultant Academic

Ongoing / permanent

Lead research groups, major funding, national influence, translational impact

Senior Leadership

Professor, Clinical Academic Director

Permanent

Strategic leadership, mentoring, policy engagement, cross-institutional research

Key funding opportunities 

Several major funders offer prestigious awards that support the transition to independent research leadership and are accessible to clinical academics across the UK.

Funders across the UK have mapped out where clinical researchers can access funding at different stages of their careers.

Four nations specific funding and schemes

Each of the four UK nations has specific mechanisms to support senior clinical academic careers, balancing local health needs with national research goals.
  • NIHR Senior Clinical and Practitioner Research Award (SCPRA) offer between 20% and 50% protected time for research activities within an individual’s current clinical role. It is aimed at senior clinicians and practitioners who have a PhD and wish to develop their academic leadership skills.
  • NIHR Clinical Academic Research Partnerships (CARP) support senior, research-qualified health professionals who are returning to or increasing their research activity. It provides funding for protected time and research costs to form collaborative research partnerships.
  • NIHR Integrated Academic Training (IAT) programme oversees the delivery of NIHR-funded Clinical Lectureships in England. NIHR funding and administration are specific to England, although NIHR-recognised posts may be funded locally elsewhere. 

While NIHR primarily supports England-based researchers, individuals in Wales and Northern Ireland may access certain NIHR schemes by contacting their local R&D offices, who may manage the awards.

Visit the NIHR website

  • Scottish Senior Clinical Fellowship Scheme is a five-year, tenure-track fellowship for early to mid-career clinical academics, funded by NHS Research Scotland (NRS) and partner universities. It is part of the Scottish Clinical Research Excellence Development Scheme (SCREDS).

Visit the CSO website

Health and Care Research Wales (HCRW) supports research and training opportunities within Wales. Their schemes align with NIHR programmes, and HCRW may offer its own fellowships or fund NIHR-recognised posts in partnership with local institutions. 

Visit HCRW website

Health and Social Care (HSC) R&D Division funds health and social care research and training in Northern Ireland. It works to align with UK-wide schemes while addressing local needs. Senior clinical academic funding is often through locally-funded posts or by competing for UK-wide schemes like those from UKRI or MRC.

Visit the HSC website

Dr Natalie Blencowe

Dr Natalie Blencowe is a Consultant Upper GI Surgeon at the University Hospital Bristol and an MRC Clinician Scientist and...

What you’ll need

To be competitive for mid- and late-stage post-doctoral posts, you should demonstrate:

  • sustained publication and grant-winning record as lead or co-investigator
  • evidence of successful supervision and mentorship
  • ability to secure independent funding and manage budgets
  • strong collaborations across clinical and research networks
  • leadership skills such as managing research teams, committees or multi-centre projects
  • ongoing contribution to clinical service, education and research translation

Most candidates at this stage are either approaching or have achieved Certificate of Completion of Training (CCT) and hold substantive consultant posts alongside their academic work.

Why pursue a middle or later post-doctoral clinical academic role?

  • Shape the research agenda in your specialty and supervise the next generation of clinical academics.
  • Translate findings directly into patient benefit through trials, innovation and implementation science.
  • Fellowship or senior lectureship funding often leads to permanent academic or consultant appointments.
  • Contribute to research consortia, advisory boards and policy development.
  • Maintain clinical practice while leading cutting-edge academic work.

The review of this page has been supported by Dr Claire Keeling, Academic Clinical Lecturer in Paediatric Oncology.

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Last updated on 2 February 2026.