Research Fellow (Pharmacy)
A clinical pharmacist by training, I am a postdoctoral researcher within the Quality, Safety and Informatics research group (Population Health Sciences Division) at the University of Dundee.
Since I started my research career I have had an interest in the quality and safety of prescribing and I am currently working on a programme to develop and evaluate a complex prescribing safety improvement intervention in primary care (DQIP). The cluster trial evaluating the intervention will report in late 2014.
More recently, I have developed an interest in pharmacoepidemiolgy and have recently completed a nested case control study quantifying the renal risks of commonly prescribed drugs. I will shortly start working on a series of interrupted time series studies to investigate the impact of regulatory warnings on primary care prescribing.
During the four years as a PhD-candidate (2008-2012) I participated in national and international interinstitutional cooperation programmes on the diagnosis and treatment of pulmonary embolism. My research concerning diagnosing pulmonary embolism was focused on the use of the Wells clinical decision rule combined with a point-of-care D-dimer testing to exclude pulmonary embolism in primary care. Furthermore, I visited the Ottawa Hospital Research Institute in Canada, which resulted in several papers on outpatient treatment of pulmonary embolism.
Currently, during my postdoc period (2013-present), I am involved in a large research project titled ‘Detecting and Diagnosis Atrial Fibrillation (D2AF): enhanced opportunistic case-finding in high risk patients from general practice and evaluating three ways of irregular pulse detection. A cluster randomized trial with nested diagnostic studies.’ Around 125 general practices in the Netherlands will be involved to evaluate the extra yield of cases of atrial fibrillation in patients of 65 years or older by a multifaceted intervention in primary care: a consistent diagnostic protocol (pulse irregularity, standard ECG; if indicated ambulant event recorder); and 2 promising new technologies: an electronic sphygmomanometer with AF-detection and a hand-held ECG monitoring device.
Furthermore, I have written a grant application aiming to develop a support tool for nurses specialized in atrial fibrillation to select, in collaboration with the patient, the most effective self-management tool to improve patient participation in and adherence to anticoagulant treatment. By improving self-management in anticoagulant treatment we eventually aim to reduce complications such as stroke, to optimize the patient’s quality of life and to minimize health care costs.
Lecturer in Physiotherapy
Dr. Rose Galvin graduated from Trinity College Dublin, Ireland in 2004 with an honours degree in Physiotherapy. She subsequently completed clinical rotations in both the hospital and primary care settings. In 2006, she was successful in a grant application to the Irish Heart Foundation to complete a PhD in the area of exercise and stroke rehabilitation. She conducted a mixed-methods study including a randomised controlled trial that examined the impact of a family mediated exercise programme in people with stroke.
In 2009, Dr. Galvin was the first physiotherapist in Ireland to undertake a post-doctoral research fellowship at the Health Research Board funded national Centre for Primary Care Research (CPCR). The CPCR is led by the Royal College of Surgeons in Ireland in conjunction with Trinity College Dublin and Queens University Belfast. Over the past five years, she has led and collaborated on a number of research projects broadly focussed on methods to improve the quality and safety of care that vulnerable patient groups, in particular older adults, receive in Ireland. She has also completed a number of diagnostic accuracy systematic reviews that examine predictors of falls and adverse events in the elderly.
In 2013, she was promoted to the role of Senior Research Fellow and Programme Manager of the CPCR, with responsibility for coordinating the overall programme of research at the CPCR. She moved to the University of Limerick in March 2015 to take up a position as a Lecturer in Physiotherapy. Dr. Galvin is also the Hon. Treasurer of the Irish Gerontological Society, one of the oldest societies in the world dedicated to research in ageing.
I am currently supervising 5 postgraduate students as Chair, and have 3 on-going research projects as Principal Investigator. Other than that, I am currently teaching in several undergraduate and postgraduate courses at the Faculty of Medicine & Health Sciences, UPM. I conduct my clinics once a week at a government primary care clinic.
Juliana Petersen has been working as a postdoctoral researcher at the Institute of General Practice, Goethe-University Frankfurt/Main in Germany since 2007. She is a physician and holds a master's degree in Public Health with a focus on epidemiology. For her doctoral thesis she developed and conducted a prospective cohort study on suspicious findings in antenatal care involving 360 participants. For her master's thesis she analyzed antenatal care utilization patterns using a population-based dataset of > 250,000 participants.
Her ongoing research areas are collaborative care for depression, case management for improved antithrombotic management, and multimorbidity (with a focus on the user’s perspective of care received). She has coordinated a major trial on collaborative care for depression ('Primary Care Monitoring for Depressive Patients Trial', PRoMPT). The main results were published in Annals of Internal Medicine and the study received the first German General Practice Research Prize.
She is also the main coordinator (and co-applicant for the grant) of a large ongoing trial aimed at testing a best practice model for improved anticoagulation in primary care (‘Primary care management for optimized antithrombotic treatment, PICANT). In 2012 and 2013 she had a fellowship from the foundation 'Stiftung Polytechnische Gesellschaft'.
Juliana is involved in medical training at the university and gives seminars in medical education for postdoctoral researchers and clinicians.
Head Primary care Specialty Training Department
I am general practitioner since 1994. I combine my work in general practice with academic tasks. After being a program director for GP trainees, I gradually took more interest in research and management. My research interests are in the field of chronic kidney disease management in primary care and educational research. The interface between primary and secondary has my special interest. Driven by the idea of seamless care, I developed a web based consultation tool between primary care and nephrology. It aims to help general practitioners to provide optimal care in primary care and to adequately refer when necessary.
Director NIHR Diagnostic Evidence Cooperative Oxford
My research focuses on diagnostic tests.
Diagnostic tests help doctors to identify illnesses and other conditions so that patients may be treated or given a prognosis about the course of the illness. It is important to study the added value of tests because a better understanding leads to more efficient healthcare and better outcomes for patients.
Over the past years, I have worked mainly on the diagnosis of serious infections in children. More precisely I conducted a large-scale study in primary care to analyse the value of clinical features for this diagnosis. In addition, we looked at how laboratory tests can help with this diagnosis, and how parents and doctors view the diagnostic process when a child is admitted to hospital with a serious infection. The results of these studies have been used in several guidelines including one on feverish children by NICE.
More generally, I have collaborated with colleagues in other studies on diagnostic tests, such as clinial features in patients with chest pain, ultrasound for patients with shoulder problems, exercise testing to identify coronary disease, etc.
Currently I am the Director of the NIHR Diagnostic Evidence Cooperative Oxford which aims to facilitate diagnostic innovations in the NHS. We offer training and advice for anyone who is developing a new diagnostic test for primary care.
In addition to research, I'm also involved in teaching for the Centre for Evidence Based Medicine and other institutions across Europe.