Chair of Medical Education, lead for the first three years of Primary Care/Community Medicine
University of Aberdeen
I am a clinical and research psychologist working in primary care and medical education. Originally employed in a 50:50 teaching/clinical post, I developed research interests in respiratory disease and pedagogic research. From 2002-2008, I worked on primary care research, providing input on psychological and behavioural aspects of disease management and patient care to a respiratory team and a pharmacy research unit. At the same time, my medical education research interests and activities flourished and, in 2008, I was core funded to lead medical education research across the College of Medicine and Dentistry, University of Aberdeen, first as a Senior Lecturer, then as a Personal Chair. I have held the John Simpson Chair of Medical Education since 2011.
I lead on Clinical Communication within the Aberdeen MBChB (2001-2011) and now Chair the Community Course, which introduces medical students to the community specialties through Years 1-3 of the MBChB. I lead this teaching and learning through two curriculum reforms. As Professor of Medical Education Research, I provide strategic leadership for research, build research capacity and create effective research partnerships. I am Chair of the Association for the Study of Medical Education (ASME) (formally Chair of ASME's Research Group), Vice-Chair of the Association for the Study of Medical Education, Europe (AMEE) International Research Board, and Associate Editor for The Clinical Teacher. I have published extensively in primary care and medical education.
I have had an active interest in leadership for nearly 20 years, from a light bulb moment studying leadership as a Masters student, to an ongoing, reflexive exploration of leadership across the contexts of research, practice and personal development. Finally, I have appreciated support and mentoring in my own career and strive to value, encourage and enable others.
I completed GP training in the UK in 1990. Since 2000 I have been involved in primary care research. I completed my PhD in 2007, in which I explored the way patient centeredness is used in addressing social disadvantage and health inequalities in the care of patients with diabetes. I am currently (2012-2015) a senior research fellow at the Department of General Practice at the University of Melbourne supported by an NHMRC/PHCRED Career Development Fellowship. My recent and current research has focused on two related areas.
Firstly I am involved in interventions to improve quality of care and outcomes in diabetes care in General Practice including an evaluation of a telephone coaching trial of diabetes care in General Practice, a study to improve the cultural appropriateness of diabetes care in mainstream General Practice for urban Indigenous people and more recently I have commenced a cluster RCT of an intervention to enhance Practice Nurse led insulin initiation in General Practice. I have also been involved in a study of a novel continuous glucose monitoring technology to assist insulin initiation and up-titration.
Secondly I am involved in a number of studies of depression, often co-morbid with physical illness, and my Fellowship explores the notion of best practice in managing multi-morbidity in the context of social disadvantage. I am keen to explore how General Practice and Primary care can mitigate rather than worsen health inequity.
Senior Interface Physician/Associate Professor
Oxford University Hospitals NHS Foundation Trust/Nuffield Department of Medicine
I am a Senior Interface Physician in Acute and Complex Medicine at Oxford University Hospitals NHS Trust and Associate Professor of Ambulatory Care, Nuffield Department of Medicine, Oxford University. This combines my previous clinical and research training in hospital medicine and primary care. My clinical care and research are now based in innovative acute ambulatory care units including the Emergency Multidisciplinary Unit based in Abingdon which won the Guardian Healthcare Innovation Award for Service Delivery in 2013. I have recently developed an acute ambulatory care unit in a busy tertiary academic centre with embedded research through fellows funded by the NIHR Oxford Biomedical Research Centre. My acute care research interests include out of hours primary care and patient pathways that involve the interface between primary and secondary care. Service innovations related to my research are progressed through my role as Clinical Lead for Diagnostics and Pathways, Oxford Academic Health Science Network.
I am involved in a major collaborative project with Dr Parker Magin, University of Newcastle, NSW, from my Primary Care Leadership cohort, comparing health care system performance in stroke prevention in Australia and the UK. This collaboration resulted in a large $1.1 million AUSD Australian NHMRC funded cohort study of the process of care and cardiovascular risk of patients presenting to general practice in the Hunter Valley after TIA or minor stroke, as well as transient neurological symptoms in general. This project includes research collaborators from internationally renowned TIA/stroke cohort studies (Professors Alan Barber and Valery Feigin from ARCOS in New Zealand, Professor Helen Dewey from NEMESIS in Melbourne and Professor Peter Rothwell from OXVASC, UK)
I have also completed the NIHR Ashridge Leadership Programme and continue developing with my cohort.
I am a general practitioner in Newcastle, Australia, who commenced an academic career through part-time teaching of medical undergraduates in 1998. I have since become involved in research and my main research interests are the psychological effects of skin disease (the subject of my PhD), occupational violence in general practice, stroke and TIA management in primary care, and the in-practice educational experience of GP registrars. In research projects in these areas I have utilised both quantitative and qualitative research methodologies. I completed a Graduate Diploma in Clinical Epidemiology in 2002, prior to commencing a PhD which I completed in 2006.
My current positions are:
Medical Educator, General Practice Training valley to coast. GPTVtC is the regional consortium delivering General Practice post-graduate vocational training in the Hunter region of New South Wales. I am responsible for the critical evaluation, dermatology and research elements of GPTv2c's curriculum and coordinate GPTVtC's research program as well as having a general Medical Educator's role.
Conjoint Professor, Discipline of General Practice, University of Newcastle.
Part-time GP in an urban general practice.
Reader in Health Informatics
1993-1999: Course director community Attachment Scheme MBChB
Currently Senior Clinical Lecturer (0.4 WTE) AUPMC University of Sheffield: supervision and research training for Academic GP Training Fellows, BMedSci research students, postgraduate students; own research; departmental management group. Approved as a trainer August 2009. 2003 to date: GP appraiser & GP peer appraiser;
2007 to 2009: Impact of NICE guidelines and the quality and outcomes framework in primary care; a qualitative study of patient and professional perspectives on treatment.
2007-2010: Co-: A qualitative study of factors influencing late booking for antenatal care.
2006-2009: SDO 'Costs and Outcomes of Older People's services'
GMC commissioned research study:
'A study to assess the impact of CPD on doctor's performance, patient and service outcomes' N Mathers, C Mitchell, A Hunn
NIHR in practice training fellowship co-supervisor Helen Twohig- successful application to IPTF develop a patient reported income measure for Polymyalgia Rheumatica (and application for RCGP grant for project funding)
Interests in musculoskeletal research:
Development and evaluation of quality and outcome measures for musculoskeletal problems in primary care. Development and evaluation of shared decision making aids for musculoskeletal disorders. Evidence based commissioning of services for musculoskeletal disorders. Co-authored new e-learning module for RCGP - 'Shoulder problems' & a chapter RCGP text book 'Primary care management musculoskeletal problems'.
Current other roles:
2011 to date: RCGP national representative Q-Research programme and National Joint Committee for Rehabilitation Medicine at Royal College of Physicians
2010- Steering Group Keele University: Depression screening and osteoarthritis (POST) study and external examiner for Masters programme and PhD student
Dr Marie Pirotta is a member of the inaugural BI cohort. She is practicing general practitioner and an associate professor at the Department of General Practice, University of Melbourne. Her research interests include medicines and how they are used, in particular complementary medicines, as well as women's health and cancer in primary care. Marie is currently leading two NHMRC project grants: one study is exploring how people negotiate their way between complementary and orthodox medical systems; the second study is a randomised controlled trial of acupuncture for menopausal hot flushes. She has also been involved in trials of probiotics in treatment of vaginal thrush, bacterial vaginosis and neonatal sepsis and of acupuncture for knee pain.
Marie is Chair of the Royal Australian College of General Practitioners' National Standing Committee- Research, a member of the executive group of the Australian Association for Academic Primary Care (AAAPC) and recently retired Vice-Chair of the RACGP's National Evaluation and Ethics Committee. Marie is the Chair of VicReN - the practice-based research network in her department. She is also a member of the Therapeutic Goods Administration's committee that advises on regulation of complementary medicines.
Prior to taking up a full-time academic post as a senior clinical lecturer in 2006, I spent a year in the National Office of Public Health Genomics at the CDC on a US Harkness fellowship. Before this sabbatical I was a Principal in General Practice and a part-time clinical lecturer at the University of Nottingham.
Between 1998 and 2009 I have led an NHS funded 'Clinical Genetics in Primary Care' programme. This programme involves 3 strands of activity: (1) evaluating the potential of the genetic family history; (2) evaluating the educational needs of primary care professionals; and (3) exploring strategies to implement genetic screening. This includes studies with Exeter University & UCL on the potential of the family history and genetic testing in cardiovascular risk assessment.
In collaboration with McMaster and Ottawa Universities, I have completed systematic reviews for the US Agency for Healthcare & Quality culminating in a NIH consensus conference 'Family History and Improving Health'. Recently, I have also collaborated with the Free Amsterdam University (EMGO) on assessing diabetic family history in risk assessment.
Over the past 2 years I have been developing primary care genetic health service research projects through the Regional NIHR CLAHRC programme and as part of the research portfolio of the National School of Primary Care Research.