Explore Our Work
- TACTPublished
Time Allocation in Clinical Training
View articleTACT is a national study examining how resident doctors allocate their time across key activities, including in-person and remote consultations, clinical and non-clinical admin, and other responsibilities. It also investigates clinician satisfaction to inform strategies improving efficiency, job satisfaction, and resource allocation.
- Published
Administrative Overload Harms Patient Care
View articleThis month, 7000 new resident doctors have started their foundation training in the NHS. It is not uncommon for a resident doctor to wait 20 minutes for a ward computer to boot up, only to spend the next 40 minutes copying and pasting information between different windows. When the time spent on this is multiplied by the thousands of doctors across the NHS, the scale of wasted clinical time becomes impossible to ignore.
- Published
Nil-Per-Os (NPO) Before Cardiac Catheterization: A Literature Review
View articleThis review evaluates the longstanding practice of fasting prior to elective cardiac catheterization. Originally intended to reduce aspiration risk, NPO has since been linked to hypoglycemia, dehydration, reduced patient satisfaction, and healthcare inefficiencies. Emerging evidence, including randomized and observational studies, suggests non-fasting does not increase aspiration or complication risk, while improving patient comfort and outcomes. Updated guidelines and risk-stratified protocols are needed to modernize fasting practices in the catheterization lab.
- Published
Gastric Motility Disorders Post Organ Transplantation—A Comprehensive Review
View articleGastroparesis is a common complication after solid organ transplantation and can affect nutrition, quality of life, graft outcomes, and survival. It arises from surgical factors, immunosuppressive drugs, metabolic disease, and microbiome disruption, with the highest risk in pediatric and thoracic recipients. Diagnosis usually involves gastric emptying scintigraphy or wireless motility capsules. Management includes prokinetics, gastric electrical stimulation, and nutritional support. Emerging approaches such as microbiome modulation and AI based prediction models show promise for improving outcomes.
- MAP-GPPending Publication
Mapping Activities of Practitioners in General Practice
MAP-GP is a national study examining how general practitioners (GPs) allocate their time during a typical working day. It quantifies time spent on patient consultations, administrative duties, and other responsibilities. By collecting real-time observational data, MAP-GP aims to provide meaningful insights into the daily demands of general practice and inform future improvements in primary care delivery.
- IMPEDEPending Publication
Impact on Medical Professional Education of Doctors' Strikes
IMPEDE is a national retrospective cohort study investigating the effects of doctors' strike action on medical education in medical schools across England, crucial for developing strategies to mitigate future disruptions.
- MEDimatchPending Publication
Medical Students' and Resident Doctors' Involvement in Research (MEDimatch)
MEDimatch is an international, multi-center, cross-sectional study (with the MEDimatch team) evaluating research opportunities, motivations, and challenges faced by medical students and resident doctors.
- VOICEPending Publication
Views Of Incoming Clinicians on Assisted Dying and End-of-Life Safeguards
VOICE is a national study mapping how UK medical schools prepare students for assisted dying debates and future practice. In 2025 we surveyed 896 medical students on ethics, legal knowledge, confidence, and curricular exposure. While nearly two-thirds felt assisted dying can be ethically justified, most reported little or no teaching and low confidence discussing it, revealing a clear readiness gap. Findings highlight the need for structured education, including conscientious objection and safeguards, to guide safe, values-aware end-of-life care.
- EXAMINEPending Publication
EXAMINE Study: Experiences of Medical Students with Algorithmic Learning and Independent Question Bank Engagement
EXAMINE is a national study exploring how UK and Ireland medical students use digital question banks (QBs), and how this impacts their learning, clinical confidence, and patient-centred care. The study examines frequency and modes of QB use, perspectives on algorithmic learning, and perceived preparedness for real-world clinical encounters. It also investigates whether reliance on QBs enhances exam performance but risks eroding experiential learning, with the goal of informing future educational strategies and assessment practices.
- Pending Publication
Comparative 5-Year Outcomes of Rosuvastatin vs. Atorvastatin in Familial Hypercholesterolemia
This real-world study used a propensity-matched cohort of over 41,000 patients with familial hypercholesterolemia to compare the long-term effects of rosuvastatin and atorvastatin. At five years, rosuvastatin was associated with lower all-cause mortality, major adverse cardiovascular events, and acute heart failure compared with atorvastatin, while myocardial infarction rates were similar. These findings highlight potential differences in clinical outcomes between commonly prescribed statins and inform future treatment strategies for this high-risk population.
- Pending Publication
Anticoagulation Strategies After Surgical and Transcatheter Valve Replacement
This narrative review synthesizes evolving evidence on anticoagulation following valve replacement. It highlights how valve type (mechanical vs. bioprosthetic), implantation mode (surgical vs. transcatheter), and rhythm status (AF vs. sinus rhythm) shape therapy, alongside patient-specific bleeding and thrombotic risks. Recent trials support DOACs in bioprosthetic valves with AF, aspirin monotherapy after TAVR in sinus rhythm, and continued warfarin for mechanical valves. Key uncertainties remain in managing subclinical AF, high-risk populations, and optimal regimens after bioprosthetic SAVR, underscoring the need for stratified prospective trials.
- Pending Publication
Myocardial Infarction due to Coronary Embolism in Infective Endocarditis: Systematic Review and Meta-Analysis
This review examines the rare but life-threatening complication of acute myocardial infarction caused by coronary embolism in infective endocarditis. It synthesizes evidence on patient characteristics, diagnostic challenges, management strategies (medical therapy, PCI, and surgery), and outcomes including mortality, heart failure, arrhythmias, and recurrent embolic events. By consolidating fragmented observational data, the study aims to guide therapeutic decision-making and highlight priorities for future research in this high-risk population.
- Pending Publication
Artificial Intelligence in Cardiac CT: A Literature Review
This review synthesizes how AI is transforming cardiac CT at every stage, from workflow automation and radiation dose optimization to motion correction, plaque characterization, and CT-derived fractional flow reserve. AI consistently improves image quality, reduces variability, accelerates reporting, and enhances risk stratification across coronary artery disease, plaque analysis, and structural heart assessment. While integration challenges remain, evidence shows AI-enabled CT delivers expert-level diagnostic accuracy in minutes, with potential to reduce unnecessary invasive testing and improve cardiovascular outcomes.
- Pending Publication
Scar-specific Outcomes Following Minimally Invasive Versus Conventional Median Sternotomy in Cardiac Surgery: A Systematic Review and Meta-Analysis
This review compares scar related outcomes between minimally invasive cardiac surgery and conventional median sternotomy. Evidence suggests minimally invasive approaches are associated with reduced visible scarring, improved cosmetic satisfaction, and fewer wound complications, while maintaining comparable clinical safety. Further high quality studies are needed to standardise assessment and confirm long term benefits.