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AFP > Cambridge > Flashcards

Cambridge Flashcards

1
Q

Lister Hospital Rotations

A

Robust spectrum of:
Geriatrics
General Surgery
Trauma and Orthopaedics

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2
Q

Addenbrooke’s Hospital Rotations

A

F2 year has a strong neuroscience focus:
Neurosurgery
Neurology
Neuroscience Research

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3
Q

Pros of a DGH (Lister)

A

Working in a smaller team so I will quickly learn more about medical decision making and initial management of patients
Less senior support generally, meaning a steep learning curve for basic management and medical decision making.

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4
Q

Pros of Tertiary Centre (Adenbrooke’s)

A
  • more research opportunity
  • greater variety of patients
  • specialist services and imaging facilities
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5
Q

Pros of University of Cambridge

A

Major international research strengths and innovative cross-cutting technologies

  • Developing new treatments to stop neurodegeneration and dementias including Parkinson’s disease and Alzheimer’s disease.
  • Surgical and metabolic interventions to reduce the impact of head injury,
  • Understanding the causes and consequences of stroke,
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6
Q

Addenbrooke’s basic Info

A
  • Internationally renowned teaching hospital and research centre in Cambridge
  • First Major Trauma Centre (operates in EoE)
  • Busy neurosurgery centre providing assessment, diagnosis and treatment of complex neurological disorders and head injury
  • largest neuro ICU in europe which takes international referrals
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7
Q

Lister Hospital Basic Info

A
  • 730-bed district general hospital in Stevenage
  • There are specialist sub-regional services in urology and renal dialysis.
  • 150 million refurbishment in 2014 for emergency and inpatient care
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8
Q

Why Cambridge (Clinical)

A
  • Neurosurgery, Neurology and Neuroscience research at an Internationally renowned teaching hospital
  • This will allow me to build upon my interested in neurosurgery which was previously developed through neuroSSCs in Neurosurgery and my Clinical Anatomy BSc.
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9
Q

Why Cambridge (Academic)

A
  • Cambridge hosts some of the worlds most exceptional research facilities, and of particular inteerst to me is the Cambridge Brain Tumour Imaging Laboratory research group.
  • Through work as a radiography assisstant in MRI over the past 6 years I have developed an understanding of the importance of brain imaging. I have a particular interest in DTI as a research area and I have contacted Mr Price who said he would be delighted t strides towards research goals
  • In collaboration with the Wolfson Brain Imaging Centre novel MR and PET/MR techniques are forefronting much of the research at Cambridge.
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10
Q

Why Cambridge (Personal)

A

Personally as somoene who has lived in Yorkshire all thier life, I would like to venture out, explore the south and enjoy the beautiful city that is Cambridge

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11
Q

Why Cambridge (Other)

A
  • Build upon teaching skills at Addenbrooke’s teaching hospital
  • Leadership skills by leading research under supervision
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12
Q

What will I get out of the research groups at Cambridge?

A

There are seven research groups, spanning much of experimental and clinical neuroscience. This makes for a vibrant and multidisciplinary research training environment. Many research students have projects that span two or more of the divisions of the Department.

Mr Price agreed I could be part of his

Of particular interest: brain imaging, spinal cord injury and brain oncology

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13
Q

PRaM GBM

A

Better understanding of the invasive margin might improve outcomes by facilitating more complete surgical resection beyond the traditional contrast enhancing margins. Diffusion tensor MRI (DTI) is an imaging technique which may be able to predict the site of tumour recurrence. DTI has previously been shown to identify regions, which have been confirmed with biopsies, to be areas of invasive tumours and are present before progression is seen with an MRI.

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14
Q

Cambridge Brain Tumour Imaging Laboratory

A
  • Research group ran by Mr Price
  • Wolfson Brian Imagine Centre facilitates this
  • UNDERSTANDING SPATIAL HETEROGENEITY IN GLIOMAS
  • IMAGING OCCULT INVASION OF THE PERITUMOURAL BRAIN
  • THE IMPACT OF TUMOURS AND TREATMENT ON THE NORMAL BRAIN
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15
Q

Why Cambridge Outro

A

The culture of balancing academic and clinical training is ingrained within the rich and lively Cambridge unit. Such infrastructure provides the ideal opportunity to further my passion for neurosurgery and research.

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16
Q

What is DTI

A
  • DWI is a variant of conventional Magnetic Resonance Imaging based on the tissue water diffusion rate (no new equipment or contrast enhancement).
  • While DWI refers to the contrast of the acquired images, DTI is a specific type of modeling of the DWI datasets.
  • Water molecules diffuse differently along the tissues depending on its type, integrity, architecture, and presence of barriers, giving information about its orientation and quantitative anisotropy
  • With DTI analysis it is possible to infer, in each voxel, properties such as the molecular diffusion rate and direction
17
Q

Brain Repair Centre (BRC)

A
  • component of the Department of Clinical Neurosciences at University of Cambridge
  • cross-disciplinary research efforts directed at the problems associated with preventing or repairing the effects of brain damage
  • The effects are not only devastating for the individuals concerned and for their families
18
Q

iPAM robot for stroke patients

A

iPAM is a robot system for providing targeted upper-limb exercise to people with arm movement deficit as a result of stroke. Consisting of two pneumatically powered robot arms, the system mimics the way a physiotherapist provides assistive exercise to a patient’s upper-limb, holding the arm in two places and coordinating the joints to promote normal movement patterns. The system can assist a wide range of patients undertake targeted therapeutic exercise with only indirect therapist supervision, potentially increasing the duration spent undertaking physiotherapy, resulting in an improved outcome for the patient.

19
Q

Immersive technologies

A

Immersive Technology is any technology that extends reality or creates a new reality by leveraging the 360 space
360, AR, VR and MR
- In a recent study I analysed the use of VR in neuroanatomy teaching across the UK

20
Q

Research plans for Cambridge

A

Importantly I am open minded about the types of study I immerse myself in and what research project I decide to carry out.
Once I have more clinical experience I want to decide on the type of research however current topics of interest include, neuroimaging (DTI) and spinal projects.
I am keen to participate in any research project of interest and do not want to restrict myself now by homing in on a particular area, given it is still early days.

21
Q

AI

A

Surgery is unpredictable as such, a surgeon is required.

Robots can only manipulate and position instruments

22
Q

Summarise research experience

A

My extensive research experience is far beyond what is expected for a medical student at my stage. In summary I have 2 published papers, 6 papers submitted to journals and 6 papers being produced. I am also a collaborator on a number of studies.
Much of my research holds a neurosurgical focus with a wide variety of projects spanning from; elderly patients in neurosurgery, neuroanatomy, chiari malformations, colloid cysts and neuroanatomy education.
My projects are both retrospective and the prospective ideal.

23
Q

Future of Research

A

Short term - covid
Long term - online meetings, AI - simulation and tumour progression, robotics e.g. IPAM robot, hollistic outcomes, black lives matter
In medicine we are subject to unpredictability and change, as such we need to adapt

24
Q

Current Challenges Faced in Research

A

Short term - covid

long term - culture of balancing clinical and academic medicine.

25
Q

Research plans

A

Remain open minded so I can discuss ideas with my academic supervisor and gain more clinical experience. 2 specific areas of particular interest.

26
Q

What will you bring to Cambridge

A

Innovation - Harness my innovative thinking surrounding a patient and radiographers experience of an MRI scan
Communication - clinical
Leadership -

AFP (5 decks)

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