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Introduction
Additional affiliations
February 2018 - present
February 2016 - February 2017
February 2014 - February 2015
Publications
Publications (32)
Abstract Effective feedback on performance is an integral part of clinical training. It allows the trainee to critically reflect on their development, as well as enable the teacher to chart progress and detect areas for development. In order to provide effective feedback, we need to take into account the performance itself, but also the setting whe...
Background
Audience response system provides a mechanism to engage larger groups as active participants in teaching sessions. However, they are traditionally based on ‘fixed’ closed loop system, which limits their functionality to a single geographical location, thus has the effect of confining their use to universities and other larger institution...
Burnout represents an increasing problem to the welfare and productivity of the medical workforce, with a resulting detrimental impact on patient care and the health of individual physicians.
The increasing complexity of medical practice has coincided with an increased incidence in the reporting of burnout. Simultaneously, the understanding of the...
Different theoretical frameworks offer specific, but separate, understandings of the same phenomenon. With the increasing use of simulation for training and assessment in medical education, it is vital to consider how different frameworks grant various insights into the pedagogical value of simulation. In this article, the author evaluated three ex...
Objectives
To compare patient-reported outcome measures (PROMs) for patients with symptomatic renal stone disease treated by flexible ureterorenoscopy (fURS) and shockwave lithotripsy (SWL)
Introduction
Historically, surgical outcomes are measured by surgeon-specific outcomes such as ‘stone-free rates’. More recently, there is increasing emphasis...
The introduction of interprofessional education (IPE) at undergraduate is supported by multiple research programs (Eddy, Jordan, & Stephenson, 2016; West et al., 2015). A survey of IPE was sent to UK medical schools aiming to establish if there were correlations between factors related to institution, faculty, students and the IPE. The response rat...
Ureteral stricture disease is a luminal narrowing of the ureter leading to functional obstruction of the kidney. Treatment of strictures is mandatory to preserve and protect renal function. In recent times, the surgical management of ureteral strictures has evolved from open repair to include laparoscopic, robotic and interventional techniques. Pro...
BACKGROUND
Management of urinary tract infections (UTIs) is compounded by the rising rates of resistance to antimicrobials. Public Health England highlighted areas of the North West of England as having suboptimal practices in the treatment of UTIs. This project aims to evaluate the resistance in Merseyside compared to the national rates, examine r...
This article was migrated. The article was marked as recommended.
Over the years, surgical training has been standardised and centralised with less emphasis on a mentorship style of training. However, having a consistent mentor during surgical training can overcome obstacles faced by trainees. It has been shown to improve career success as well as...
Background:
Management of urinary tract infections (UTIs) is compounded by the rising rates of resistance to antimicrobials. Public Health England highlighted areas of the North West of England as having suboptimal practices in the treatment of UTIs. This project aims to evaluate the resistance in Merseyside compared to the national rates, examine...
Introduction Prostate cancer is the most common cancer in men. 1 Laparoscopic radical prostatectomy is a recommended treatment for localised prostate cancer. Recognised complications of this procedure include erectile dysfunction (25–50%) and urethral/bladder neck stricturing (2–5%). 2 We present a rare case of intermittent priapism following this...
The uptake of small group teaching in both undergraduate and postgraduate medical education has been extensive. Overall, it has proved to be a valuable asset in the repertoire of clinical teachers and is generally accepted and enjoyed by trainees. Here, I will describe a new technique for small group teaching, drawing inspiration from traditional S...
A 65-year-old man presented with a rapidly enlarging pre-auricular lump, with pruritis and contact bleeding. The patient was referred to dermatology due to the high index of suspicion for malignancy. Following excision of the lump and histological analysis it was found to be a metastasis from renal cell carcinoma. The patient had had a T1bN0M0 rena...
Spontaneous atraumatic mediastinal hematomas are rare. We present a case of a previously fit and well middle-aged lady who presented with acute breathlessness and an increasing neck swelling and spontaneous neck bruising. On plain chest radiograph, widening of the mediastinum was noted. The bruising was later confirmed to be secondary to mediastina...
Myxofibrosarcoma of the spermatic cord is a rare condition. We present an unusual case of a 69-year-old gentleman who presented to the emergency department on two occasions with a right inguinoscrotal swelling. We will explore the diagnostic difficulties encountered and subsequent management. We will also highlight the importance of histological an...
OBJECTIVE:
Guidelines for the diagnosis and management of
new presentations of urolithiasis recommend performing both
X-Ray Kidney-Ureter-Bladder (XR-KUB) and CT Kidney-Ureter-
Bladder (CT-KUB). We assessed the sensitivity of the CT scout
topogram compared with XR-KUB in the detection of urinary
tract calculi.
METHODS:
Patients that underwent both...
OBJECTIVE:
The introduction of Extracorporeal Shockwave lithotripsy (ESWL) in the 1980s revolutionised the treatment of
urinary stones. ESWL is a popular treatment option due to the low risk of morbidity and the reported good rates of stone clearance. Mobile lithotripters offer an ESWL service for DGH populations at a fraction of the cost of a fixe...