- Innovations in Medical Education
- Primary Care and Health Outcomes
- Ear Surgery and Otitis Media
- Child and Adolescent Health
- Healthcare Systems and Challenges
- Empathy and Medical Education
- Esophageal Cancer Research and Treatment
- Healthcare cost, quality, practices
- Dental Education, Practice, Research
- Advanced Radiotherapy Techniques
- Obesity and Health Practices
- Radiation Therapy and Dosimetry
- COVID-19 and healthcare impacts
- Hearing Loss and Rehabilitation
- Gastric Cancer Management and Outcomes
- Medical Malpractice and Liability Issues
- Diagnosis and Treatment of Venous Diseases
- Clinical Reasoning and Diagnostic Skills
- Diversity and Career in Medicine
- Employment and Welfare Studies
- Media Influence and Health
- Patient Safety and Medication Errors
- Pancreatic and Hepatic Oncology Research
- Cardiovascular Effects of Exercise
- Health and Medical Research Impacts
Imperial College London
2019-2022
The London College
2022
National Institute for Health Research
2020
University of Oxford
2012-2016
Harvard University Press
2016
John Radcliffe Hospital
2012-2015
Harvard University
2015
University of Manchester
2011-2012
Importance In 2022, the US House of Representatives passed a bipartisan resolution (House Resolution 1118 at 117th Congress [2021-2022]) calling for meaningful nutrition education medical trainees. This was prompted by increasing health care spending attributed to growing prevalence nutrition-related diseases and substantial federal funding via Medicare that supports graduate education. March 2023, professional organizations agreed identify competencies Objective To recommend inclusion in...
Abstract Background Following CT, guidelines for staging oesophageal and gastro-oesophageal junction (GOJ) cancer recommend endoscopic ultrasonography (EUS), PET–CT laparoscopy T3–T4 GOJ tumours. These recommendations are based on generic utilities, but it is unclear whether the test risk outweighs potential benefit some patients. This study sought to quantify investigation risks, benefits in order develop pragmatic, personalized recommendations. Methods All patients with a histological...
The NHS response to COVID-19 altered provision and access primary care.To examine the impact of on GP contacts with children young people (CYP) in England.A longitudinal trends analysis was undertaken using electronic health records from Clinical Practice Research Datalink (CPRD) Aurum database.All CYP aged <25 years registered a CPRD database were included. number total, remote, face-to-face during first UK lockdown (March June 2020) compared mean for comparable weeks 2015 2019.In 47 607...
There is substantial variation in nervous system and intracranial tumour incidence worldwide. UK data have limited utility because they group these diverse tumours together do not provide for individual ethnic groups within Blacks South Asians. Our objective was to determine the of types seven groups.We used from National Cancer Intelligence Network on site, age, sex deprivation identify 42,207 cases. Self-reported ethnicity obtained Hospital Episode Statistics database. We mid-year...
Hearing impairment is a significant burden in the developing world. However, no suitable quality of life (QoL) measures exist for use Nepal. We aimed to amend and translate Glasgow Health Status Inventory (GHSI), assessing QoL at any given time, Benefit (GBI), change following intervention, into Nepali assess impact ear disease effect surgery on QoL.The GHSI GBI were translated independently verified. The was administered by interview patients before surgery, 6 months after surgery....
The UK has a long history of attempts to integrate child health services improve outcomes, an ambition renewed in the recent
Hospital mergers are common in the United Kingdom and internationally. However, rarely achieve their intended benefits often damaging. This study builds on existing literature by presenting a case evaluating merger of two hospitals Oxford, with three distinct characteristics: between university hospitals, generalist specialist hospital differing size. In doing so, draws practical lessons for other healthcare organisations.Mixed-methods single-case evaluation. Qualitative data from 19...
This structured case report is a brief describing an episode of complete circumferential rectal ulceration and haemorrhage secondary to the use faecal management system. An elderly lady was admitted for elective cardiac surgery. Prior admission, patient taking warfarin in view her atrial fibrillation. Following surgery, developed incontinence, which managed with However, subsequently massive from area rectum. resulted pressure necrosis system balloon placed patient’s The implication care...
We investigated possible associations between planned dose-volume parameters and rectal late toxicity in 170 patients having radical prostate cancer radiotherapy.For each patient, the rectum was outlined from anorectal junction to sigmoid colon, dose parametrized using (DVH), dose-surface (DSH) dose-line (DLH) histograms. Generation of DLHs differed previous studies that without first unwrapping onto 2-dimensional maps. Patient-reported outcomes were collected a validated Later Effects...
Abstract Background In 2019 a new Lifestyle Medicine (LM) module was introduced to the undergraduate medical curriculum at Imperial College London. is an emergent discipline which aims tackle increasing burden of non-communicable disease. Previous work has suggested that students value clinical teaching over traditional Public Health topics. Taking constructivist view learning, this paper assesses changes in students’ attitudes towards and LM response living through pandemic. We then make...
Recently, medical students have taken an increasingly assertive and autonomous view of their education. This is demonstrated by the increasing numbers undergraduate surgical societies organising targeted teaching for student peers in order to fill perceived gaps curricula. These also collaborate with bodies such as RCS its Women Surgery (WinS) network broaden students' exposure careers. The Medical Student Liaison Committee (MSLC) brings together representatives from more than twenty...
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The 2012 London Olympic and Paralympic Games were widely regarded as an organisational sporting success for the United Kingdom. Therefore, it is prudent to consider what other large, public endeavours might learn from Games’ success. Team GB worked develop a positive team culture based around shared values. This something National Health Service (NHS) could from, organisation which can appear lack this culture. NHS should also work harder adopt evidence-based practices, them quickly, often...
<h3>Aims</h3> To characterise the patient population of an NHS tertiary adolescent Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) service. <h3>Methods</h3> We retrospectively collected data about 118 patients aged 11–19 referred between April 2012-April 2014 who were followed up for two years or more. Patients seen but not diagnosed with CFS/ME excluded. Notes reviewed and relevant collected. The analysed to produce descriptive statistics. <h3>Results</h3> Most female (67%)...