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  1. Article ; Online: A shared wave is a clinical test of health--and humanity.

    Fitzgerald, J Edward

    BMJ (Clinical research ed.)

    2014  Volume 348, Page(s) g281

    MeSH term(s) Attitude of Health Personnel ; General Surgery/standards ; Humanism ; Humans ; National Health Programs/organization & administration ; Patient Advocacy/standards ; Public Health ; United Kingdom
    Language English
    Publishing date 2014-01-17
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.g281
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pressure of academic publishing for medical students: a student's perspective.

    Mahalingam, Jeevahan / Khatri, Chetan / Fitzgerald, J Edward

    Postgraduate medical journal

    2018  Volume 94, Issue 1112, Page(s) 367–368

    MeSH term(s) Biomedical Research/education ; Education, Medical, Undergraduate ; Humans ; Manuscripts as Topic ; Motivation ; Periodicals as Topic ; Publishing ; Research Personnel/education ; Students, Medical/psychology
    Language English
    Publishing date 2018-05-19
    Publishing country England
    Document type Letter
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1136/postgradmedj-2017-135440
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Digital health technology-specific risks for medical malpractice liability.

    Rowland, Simon P / Fitzgerald, J Edward / Lungren, Matthew / Lee, Elizabeth Hsieh / Harned, Zach / McGregor, Alison H

    NPJ digital medicine

    2022  Volume 5, Issue 1, Page(s) 157

    Abstract: Medical professionals are increasingly required to use digital technologies as part of care delivery and this may represent a risk for medical error and subsequent malpractice liability. For example, if there is a medical error, should the error be ... ...

    Abstract Medical professionals are increasingly required to use digital technologies as part of care delivery and this may represent a risk for medical error and subsequent malpractice liability. For example, if there is a medical error, should the error be attributed to the clinician or the artificial intelligence-based clinical decision-making system? In this article, we identify and discuss digital health technology-specific risks for malpractice liability and offer practical advice for the mitigation of malpractice risk.
    Language English
    Publishing date 2022-10-20
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2398-6352
    ISSN (online) 2398-6352
    DOI 10.1038/s41746-022-00698-3
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  4. Article ; Online: Gum chewing is associated with early recovery of bowel motility and shorter length of hospital stay for women after caesarean section.

    Lepore, Mario / Fitzgerald, J Edward

    Evidence-based medicine

    2015  Volume 20, Issue 1, Page(s) 22

    MeSH term(s) Cesarean Section ; Chewing Gum ; Female ; Humans ; Ileus/prevention & control ; Intestines/physiology ; Postoperative Complications/prevention & control ; Pregnancy ; Recovery of Function
    Chemical Substances Chewing Gum
    Language English
    Publishing date 2015-02
    Publishing country England
    Document type Comment ; Journal Article
    ZDB-ID 1324346-9
    ISSN 1473-6810 ; 1356-5524
    ISSN (online) 1473-6810
    ISSN 1356-5524
    DOI 10.1136/ebmed-2014-110058
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: What is the clinical value of mHealth for patients?

    Rowland, Simon P / Fitzgerald, J Edward / Holme, Thomas / Powell, John / McGregor, Alison

    NPJ digital medicine

    2020  Volume 3, Page(s) 4

    Abstract: Despite growing interest from both patients and healthcare providers, there is little clinical guidance on how mobile apps should be utilized to add value to patient care. We categorize apps according to their functionality (e.g. preventative behavior ... ...

    Abstract Despite growing interest from both patients and healthcare providers, there is little clinical guidance on how mobile apps should be utilized to add value to patient care. We categorize apps according to their functionality (e.g. preventative behavior change, digital self-management of a specific condition, diagnostic) and discuss evidence for effectiveness from published systematic reviews and meta-analyses and the relevance to patient care. We discuss the limitations of the current literature describing clinical outcomes from mHealth apps, what FDA clearance means now (510(k)/de novo FDA clearance) and in the future. We discuss data security and privacy as a major concern for patients when using mHealth apps. Patients are often not involved in the development of mobile health guidelines, and professionals' views regarding high-quality health apps may not reflect patients' views. We discuss efforts to develop guidelines for the development of safe and effective mHealth apps in the US and elsewhere and the role of independent app reviews sites in identifying mHealth apps for patient care. There are only a small number of clinical scenarios where published evidence suggests that mHealth apps may improve patient outcomes.
    Language English
    Publishing date 2020-01-13
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2398-6352
    ISSN (online) 2398-6352
    DOI 10.1038/s41746-019-0206-x
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  6. Article ; Online: Global Academic Surgery and Global Outcomes in Surgery: Developing a Sustainable Model for the Development of Audit and Research Capacity.

    Bhangu, Aneel / Fitzgerald, J Edward F / Harrison, Ewen M

    JAMA surgery

    2016  Volume 151, Issue 1, Page(s) 94–95

    MeSH term(s) Ethics, Medical ; General Surgery/ethics ; Humans ; Morals ; Specialties, Surgical/ethics
    Language English
    Publishing date 2016-01
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2015.3082
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    Uk I Zs.72: Show issues Location:
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  7. Article ; Online: Idiopathic calcinosis cutis infection as an unusual mimic of pilonidal abscess.

    Fitzgerald, J Edward F / Lepore, Mario

    ANZ journal of surgery

    2012  Volume 82, Issue 10, Page(s) 758–759

    MeSH term(s) Abscess/diagnosis ; Aged ; Calcinosis/diagnosis ; Diagnosis, Differential ; Female ; Humans ; Pilonidal Sinus/diagnosis ; Sacrococcygeal Region ; Skin Diseases/diagnosis
    Language English
    Publishing date 2012-10
    Publishing country Australia
    Document type Case Reports ; Letter
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/j.1445-2197.2012.06224.x
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    Zs.A 180: Show issues Location:
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  8. Article ; Online: Less than full-time training in surgery: a cross-sectional study evaluating the accessibility and experiences of flexible training in the surgical trainee workforce.

    Harries, Rhiannon L / Gokani, Vimal J / Smitham, Peter / Fitzgerald, J Edward F

    BMJ open

    2016  Volume 6, Issue 4, Page(s) e010136

    Abstract: Objectives: Generational changes in lifestyle expectations, working environments and the feminisation of the medical workforce have seen an increased demand in postgraduate less than full-time training (LTFT). Despite this, concerns remain regarding ... ...

    Abstract Objectives: Generational changes in lifestyle expectations, working environments and the feminisation of the medical workforce have seen an increased demand in postgraduate less than full-time training (LTFT). Despite this, concerns remain regarding access to, and information about, flexible training for surgeons. This study aimed to assess the opinions and experiences of LTFT for surgical trainees.
    Design: Prospective, questionnaire-based cross-sectional study.
    Setting/participants: An electronic, self-administered questionnaire was distributed in the UK and Republic of Ireland through mailing lists via the Association of Surgeons in Training and British Orthopedic Trainee Association.
    Results: Overall, 876 completed responses were received, representing all grades of trainee across all 10 surgical specialties. Median age was 33 years and 63.4% were female. Of those who had undertaken LTFT, 92.5% (148/160) were female. Most worked 60% of a full-time post (86/160, 53.8%). The reasons for either choosing or considering LTFT were childrearing (82.7%), caring for a dependent (12.6%) and sporting commitments (6.8%). Males were less likely to list childrearing than females (64.9% vs 87.6%; p<0.0001). Only 38% (60/160) found the application process easy and 53.8% (86/160) experienced undermining behaviour from workplace staff as a result of undertaking LTFT. Of all respondents, an additional 53.7% (385/716) would consider LTFT in future; 27.5% of which were male (106/385). Overall, only 9.9% of all respondents rated current LTFT information as adequate. Common sources of information were other trainees (47.3%), educational supervisors (20.6%) and local postgraduate school website (19.5%).
    Conclusions: Over half of surgical trainees working LTFT have experienced undermining behaviour as a result of their LTFT. Despite a reported need for LTFT in both genders, this remains difficult to organise, access to useful information is poor and negative attitudes among staff remain. Recommendations are made to provide improved support and information for those wishing to pursue LTFT.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Clinical Competence ; Cross-Sectional Studies ; Education, Medical, Graduate/organization & administration ; Female ; Humans ; Ireland ; Male ; Middle Aged ; Personnel Staffing and Scheduling ; Prospective Studies ; Specialties, Surgical/education ; United Kingdom ; Workplace/psychology
    Language English
    Publishing date 2016-04-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2747269-3
    ISSN 2044-6055 ; 2044-6055 ; 2053-3624
    ISSN (online) 2044-6055
    ISSN 2044-6055 ; 2053-3624
    DOI 10.1136/bmjopen-2015-010136
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Trainee-led research collaboratives: a novel model for delivering multi-centre studies.

    Bhangu, Aneel / Fitzgerald, J Edward / Kolias, Angelos G

    ANZ journal of surgery

    2014  Volume 84, Issue 12, Page(s) 902–903

    MeSH term(s) Cooperative Behavior ; Education, Medical, Graduate ; General Surgery/education ; Humans ; Multicenter Studies as Topic/methods ; Randomized Controlled Trials as Topic/methods ; United Kingdom
    Language English
    Publishing date 2014-07-01
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.12797
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  10. Article ; Online: Health Education England, Local Education and Training Boards (LETBs) and reform of healthcare education: implications for surgical training.

    Wild, Jonathan R L / Fitzgerald, J Edward F / Beamish, Andrew J

    BMC surgery

    2015  Volume 15, Page(s) 3

    Abstract: Background: National Health Service (NHS) reforms have changed the structure of postgraduate healthcare education and training. With a Government mandate that promotes multi-professional education and training aligned with policy driven initiatives, ... ...

    Abstract Background: National Health Service (NHS) reforms have changed the structure of postgraduate healthcare education and training. With a Government mandate that promotes multi-professional education and training aligned with policy driven initiatives, this article highlights concerns over the impact that these changes may have on surgical training.
    Discussion: The creation of Health Education England (HEE) and its local education and training boards (LETBs), which are dominated by NHS healthcare providers, should result in greater accountability of employers in workforce planning, enhanced local responsibility and increased transparency of funding allocation. However, these changes may also create a potential poacher-turned-gamekeeper role of employers, who now have responsibility for junior doctors' training. Analysis of LETB membership reveals a dearth of representation of surgeons, who comprise only 2% of board members, with the input of trainees also seemingly overlooked. A lack of engagement with the LETBs by the independent sector is a concern with increasing numbers of training opportunities potentially being lost as a result.The new system also needs to recognise the specific training needs required by the craft specialties given the demands of technical skill acquisition, in particular regarding the provision of simulation training facilities and trainer recognition. However, training budget cuts may result in a disproportionate reduction of funding for surgical training. Surgical training posts will also be endangered, opportunities for out-of-programme experience and research may also decline and further costs are likely to be passed onto the trainee.
    Summary: Although there are several facets to the recent reforms of the healthcare education and training system that have potential to improve surgical training, concerns need to be addressed. Engagement from the independent sector and further clarification on how the LETBs will be aligned with commissioning services are also required. Surgical training is in danger of taking a back seat to Government mandated priorities. Representation of trainees and surgeons on LETB committees is essential to ensure a surgical viewpoint so that the training needs of the future consultant workforce meet the demands of a 21st century health service.
    MeSH term(s) Education, Medical, Graduate/organization & administration ; England ; General Surgery/education ; General Surgery/organization & administration ; Governing Board ; Health Care Reform ; Humans ; Interdisciplinary Communication ; State Medicine
    Language English
    Publishing date 2015-01-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050442-1
    ISSN 1471-2482 ; 1471-2482
    ISSN (online) 1471-2482
    ISSN 1471-2482
    DOI 10.1186/1471-2482-15-3
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