I went to undergraduate Medical School at the University of Leeds and graduated in 2001 and attaining MBChB. I then worked mostly in the Yorkshire region for my Senior House Officer years in Obstetrics and Gynaecology before acquiring my National Training Number in Sheffield in 2006. I passed my membership examinations in 2009 becoming a Member of the Royal College of Obstetricians and Gynaecologists (MRCOG). I then attained my Certificate of Completion of Training (CCT) in 2013, before being appointed as a Clinical Research Fellow at the University of Oxford and Honourary Clinical Fellow at the Oxford University Hospitals NHS Trust. I registered for a Masters of Sciences (MSc) in Obstetrics and Gynaecology in 2014 in the Health Economics of Infertility Investigations.
MBChB, DFRSH, MRCOG
MSc by Research Student
Inspiration to Work in Fertility:
Having a child is the fulfilment of the dreams of many people around the world. From the very first child I helped deliver as a 4th year medical student in Leeds, the joy I saw on the faces of the new parents made me decide to become an Obstetrician and Gynaecologist. However, I found a significant number of people do have difficulty realising their desire to become parents, helping those who need assistance in conceiving has become my new challenge.
The focus of my Masters is the "Health Economics of One-stop Infertility Investigations". The UK and indeed most of the world is going through a period of austerity and the field of Medicine is not immune to this. In-Vitro Fertilisation (IVF) funded by the NHS is sometimes the only treatment for many. IVF treatment is expensive and yet also a soft target for funding cuts.
However, there may be saving to be made in the investigative pathway where many investigations are duplicated, irrelevant or delayed, sometimes taking over 3 years before necessary treatment is initiated. Savings could be made in the investigative pathway that make cuts to an already limited yet vital NHS IVF treatment cycles unnecssary.
There has been a new trend in One-stop Fertility Clinics, mainly in the private sector which appear to provide an efficient system with patients having most or all relevant investigations carried out within 7 to 14 days and treatment started appropriately. It is known that the younger a woman is before she starts her fertility treatment, the greater the possibility of success. The focus of my research is to see if One-stop fertility clinics can play a role in the NHS in helping reduce costs, increase efficiency and lead to better satisfaction and outcomes for our patients.
Additional Research Work:
A separate area of research I am looking at is on the question of if the Degree of Down Regulation after Gonadotrophin treatment (measured by the oestradiol level) prior to the start of ovarian stimulation has an influence on the success of stimulation (number of mature eggs collected) and success of IVF treatment (biochemical and clinical pregnancy).
Areas of Special Interest:
Hystero-Contrast-Sonography (HyCoSy) scanning which combines a pelvic ultrasound Scan and test of fallopian tube patency in a simple outpatient setting is a tool I believe every doctor dealing in Infertility should have at their disposal to allow for more efficient investigation of patients. This allows for reassurance of patients or quick referral for further investigation in one visit therefore making better utilisation of the clinician's time and better satisfaction of the patient. I am an advocate for more wide spread use of this investigative service.