- Cardiac, Anesthesia and Surgical Outcomes
- Surgical Simulation and Training
- Healthcare Technology and Patient Monitoring
- Musculoskeletal pain and rehabilitation
- Hemodynamic Monitoring and Therapy
- Health and Medical Research Impacts
- Anatomy and Medical Technology
- Decision-Making and Behavioral Economics
- Non-Invasive Vital Sign Monitoring
- Healthcare Operations and Scheduling Optimization
- Simulation-Based Education in Healthcare
- Economic and Environmental Valuation
- Patient Safety and Medication Errors
- Respiratory Support and Mechanisms
- Auction Theory and Applications
- COVID-19 and healthcare impacts
- Diverticular Disease and Complications
- Frailty in Older Adults
- Quality and Safety in Healthcare
- Gastrointestinal disorders and treatments
- Trauma and Emergency Care Studies
University of Edinburgh
2021-2024
Edinburgh Royal Infirmary
2024
University Hospital Crosshouse
2022
This article highlights the importance of considering Cognitive Load (CL) and Theory (CLT) during surgical training, focusing on acquisition intra-operative skills. It describes basis CLT with overarching aim describing CLT-based techniques to enhance current training strategies performance, many which are instinctively already employed in practice. Currently, methods feedback assessment imperfect - typically subjective, unsystematic, opportunistic, or retrospective, at risk human bias....
Objective: To evaluate the current evidence for surgical sabermetrics: digital methods of assessing non-technical skills and investigate implications enhancing performance. Background: Surgeons need high-quality, objective, timely feedback to optimise performance patient safety. Digital tools assess have potential reduce human bias aid scalability. However, we do not fully understand which myriad metrics assessment efficacy surgeons. Methods: A systematic review was conducted by searching...
Abstract Introduction Surgeons strive to continually enhance performance. Currently, assessment relies on subjective, retrospective methods-hindering real-time improvement and error prevention. Learning from sports, surgeons can utilise surgical sabermetrics for data-driven analysis. Cognitive load(CogL) impacts performance, with overload impairing skills judgement. Sabermetrics be leveraged measure CogL objectively(e.g.Electrodermal activity(EDA)) subjectively. This study aimed combine...
Abstract Intraoperative crisis events, such as haemorrhage or iatrogenic perforation, can cause considerable stress in the operating surgeon. Little standardized training exists for managing especially surgical trainees. Cognitive load (CogL) is extent to which a task places demands on cognitive resources. Such resources are finite, and when overwhelmed, lead stress, turn negatively affect intraoperative technical non-technical performance. Surgical sabermetrics novel field that involves...
Abstract Aims Patients’ Length of stay (LoS) has increased due to increasing age and co-morbidities. The British Geriatric Society 2020 Position statement states patients >65 being considered for laparotomy should have a documented Clinical Frailty Scale (CFS) within 72hrs admission and, if >5, receive Geriatrician lead Comprehensive Assessment (CGA) which improves patient outcomes. We sought quantify CFS documentation in Emergency General Surgery (EGS) District Hospital before...
Abstract Aims To investigate whether endoscopic follow up after a CT proven diagnosis of acute uncomplicated diverticulitis detected additional pathology, specifically colorectal cancer, and if our findings support the European Society Coloproctology's consensus statement that “a single episode verified follow-up remains controversial may not be necessary”. Methods A retrospective study evaluated every General Surgical emergency admission with to unit in 5 year period (2015–2020) assess for...