Academic Unit of Medical Education projects

Intercalated BSc Medical Sciences Research available projects

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Projects: 

Exploring patient’s views of receiving supported self-management of asthma in general practices implemented as part of the UK-wide IMP2ART Cluster Randomised Trial

Main Supervisor

Mrs Brigitte Delaney (b.delaney@sheffield.ac.uk)

Second Supervisor

Dr Atena Barat (a.barat@qmul.ac.uk)

Aim and Objectives

To explore patients experience of their asthma reviews in general practices that have been randomised to the implementation arm of the IMP2ART Cluster RCT.

Research Methodology

Background literature review and synthesis
A literature review of current relevant literature in this topic area will be undertaken. The literature review will guide the development of topic guide questions and prompts and refine the attached guide. Qualitative study.


The study will be informed by a review of the literature and consultation with IMP2ART's PPI panel. Informed by the review, a priority service user group will be selected, taking into account patient and practice characteristics. The studen will purposively recruit up to 15 patients (male and female) who are on the active asthma list from a small sample of General Practices who are randomised to the implementation arm of the IMP2ART study, and have had an asthma review during the trial period.

Expected Outcome

To incorporate the findings into the nested Process Evaluation which is being carried out to explore the feasibility/acceptability of the IMP2ART implementation strategy in primary care. The findings from this project will add the patient experience to those data which are being collected from a number of randomised practices in the IMP2ART trial. There will be an opportunity to publish the work (with other members of the team). The student will also gain the experience of working under the umbrella of a NIHR-funded Programme Grant

Type of Project

Qualitative Project/non-lab based - primarily using qualitative methods

Additional Training

Support and supervision will be provided for students so that they develop the skills to carry out background literature work, recruit participants, undertake qualitative interviews, transcribe and analysis the data.

Developing and refining a new intervention seeking to improve cultural competence and improve quality of life in dementia care - the Caribbean Dementia Toolbox

Main Supervisor

Dr Josephine Reynolds (josephine.reynolds@sheffield.ac.uk)

Second Supervisor

Dr Caroline Mitchell (c.mitchell@sheffield.ac.uk)

Aim and Objectives

Aim:
- To develop and refine the Caribbean Dementia Toolkit intervention which seeks to improve cultural competence in dementia care, improve quality of life for people with dementia and enhance the caring dyad.

Objectives:
- To qualitatively evaluate people with dementia, informal/family carers, professional carers and health professionals' useability and experience of the Caribbean Dementia Toolkit, considering the acceptability of the content, format, style and delivery of the intervention.

- To feedback the findings of this research to the intervention development team and collaboratively develop an improved intervention prototype for further refinement.

Research Methodology

The role will include recruitment of participants from each category of interest, communication with participants throughout the research process, gaining informed consent from participants, organisation and facilitation of the qualitative 'think aloud' interviews, rapid analysis and synthesis of the findings, presentation of findings to the intervention development team, organisation and faciliation of check back qualitative interviews with participants once a refined intervention prototype has been developed.

Expected Outcome

It is expected that the participants will suggest minor changes towards the content, format, style and delivery of the intervention but that overall the intervention will be acceptable to all groups. We anticipate the professional carers and health professionals from cultural backgrounds other than African Caribbean may have the greatest learning curve in terms of cultural skills and knowledge and therefore may struggle more with the delivery of the intervention. This may lead to the intervention being refined into seperate versions targeted at different audiences.

Type of Project

Qualitative Project/non-lab based - primarily using qualitative methods

Additional Training

Introduction to qualitative research methods
Training on intervention development methodology and evaluation studies

International medical graduates and their postgraduate career paths in general practice

Main Supervisor

Dr Laura Emery (l.j.emery@sheffield.ac.uk)

Second Supervisor

Dr Ben Jackson (ben.jackson@sheffield.ac.uk)

Third Supervisor

Dr Caroline Mitchell

Aim and Objectives

To identify what factors influence career decisions for general practitioners and whether factors differ between UK graduates and international graduates.

Research Methodology

The student will be an integral member of the research team for this project. October to December- Student will co-design an electronic survey with the lead supervisor to be disseminated to postgraduate general practitioners across Yorkshire and the Humber. January to April- Student will be supported in analysis of the quantitative and qualitative data generated by the survey. May to July- Time to write up project. Student will have the opportunity to present findings and co-author on any resulting papers.

Expected Outcome

This issue of differential attainment between international graduates and their UK trained colleagues is of great importance in postgraduate medical education and especially in primary care, but the research in this area is significantly lacking. So far most research has been focused around postgraduate exam outcomes, but it is likely that there is also an effect on long term career trajectories. Any research which provides concrete data on this issue is likely to be very well received.

A similar project completed by the lead supervisor won poster prize at a national conference, was presented as an oral presentation in an international conference and was published in a peer reviewed journal - see here

Type of Project

Qualitative Project/non-lab based - primarily using qualitative methods

Additional Training

Design of an online survey, introduction to qualitative data analysis and basic training in use of NVivo software for qualitative analysis.

Qualitative study of the impact of different levels of health literacy on consultations within a Symptoms Clinic.

Main Supervisor

Professor Christopher Burton (chris.burton@sheffield.ac.uk)

Second Supervisor

Dr Catie Nagel (c.nagel@sheffield.ac.uk)

Third Supervisor

Professor Gill Rowlands (Newcastle University)

Aim and Objectives

Aim: to understand the way that complex consultations reflect / adapt to / are limited by different levels of health literacy.

Objectives:
1. transcribe a selected set of consultation transcripts from a special clinic for people with multiple persistent physical symptoms (already recorded)
2. Apply a framework of health literacy (the ability to access, understand, evaluate and implement information to take more control of ones health) to the transcripts.
3. Describe how clinicians adapt to different levels of health literacy in consultations
4. Identify particular problems or successes in consultations reflecting this
 

Research Methodology

Materials: consultation recordings (some transcribed) will be made available from Multiple Symptoms Study 3, a trial of extended role GP consultations. Trial participants completed a measure of health literacy at enrolment and this will be used to select cases for analysis,
Data preparation: you will transcribe some of the consultations (others will be ready-transcribed)
Analysis: you will conduct a qualitative analysis of the consultation content. The specific approach is still to be decided.

Expected Outcome

1. Literature review specifically focusing on health literacy in relation to persistent physical symptoms.
2. Project report describing the qualitative analysis
3. A conference poster (probably regional academic primary care, possibly the year after BSc)
4. There should be sufficient material (review or analysis) to write a peer reviewed publication following the BSc. You will have the option of this as first author but will be fully supported to publication.
5. You will understand the principles of qualitative research, and be able to critically appraise qualitative research.

Type of Project

Qualitative Project/non-lab based - primarily using qualitative methods

Additional Training

You will learn and use qualitative research skills through a combination of guided reading and practical supervision.
We will provide expert input relating to the concept of health literacy.

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