View further details of clinical academic training including HCRI’s academic clinical fellowship and specialist foundation programme placements.
Dr Darren-Walter - Programme Director of Online Programmes, and Senior Lecturer in Emergency Global Health
Darren's research interests are in emergency care system development and capacity building. He has been involved in the WHO Emergency Medical Teams project and supported the WHO Emergency Care System Assessment process. He is a Consultant in Emergency Medicine at Wythenshawe Hospital and a Royal College of Emergency Medicine representative on the Joint Royal Colleges Ambulance Liaison Committee supporting the UK ambulance services.
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Paul Dark - Professor of Critical Care Medicine and HCRI Research Professor
Paul studied medicine at Manchester and obtained a PhD as MRC Clinical Training Fellow in major trauma. He is Professor of Critical Care Medicine at the University of Manchester and Honorary NHS Consultant (Northern Care Alliance NHS Foundation Trust - Salford Care Organisation). He provides national research leadership for the Department of Health and Social Care and leads a research programme in health and social justice for the National Institute of Health and Care Research (NIHR). He was appointed NIHR Senior Investigator in 2022.
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Dr Anisa Jafar - NIHR Academic Clinical Lecturer
Anisa's PhD focused on medical documentation by emergency medical teams (EMT) in sudden-onset disasters. She continues to work with the WHO EMT working group to refine a minimum data set for different disaster contexts. She is working with the https://rcem.ac.uk/global-emergency-medicine-committee/">RCEM on a project to map the global health engagement of emergency care practitioners in the UK. She looks at a proxy measure of this engagement by practitioners based outside the UK.
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Professor Fiona Lecky - Professor in Emergency Medicine
Fiona is a Clinical Professor of Emergency Medicine at the University of Sheffield, Honorary Consultant in Emergency Medicine at Salford Royal Hospital.
Her major research interests are major trauma and traumatic brain injury. She is a research director of the Trauma Audit and Research Network an investigator on the EU funded Collaborative European Neuro Trauma Effectiveness Research in Traumatic Brain Injury, chaired the 2014 NICE head injury guideline (CG176). As Research Professor at HCRI she leads on collaboration with the NHS, and development of Clinical Academics.
Email Fiona Lecky
Dr Louise Tomkow - NIHR Academic Clinical Lecturer in Complex Health Needs
Louise graduated from the University of Liverpool in 2008 and became a member of the Royal College of Physicians in 2012. Louise has spent time volunteering as a doctor in Malawi and India and has a MA with distinction in Humanitarianism and Conflict Response. In 2019 she was awarded a PhD at the Humanitarianism and Conflict Response Institute. Her ESRC-funded doctorate examined how forced migration impacts health in later life, and therefore integrated her interests of migration, ageing, health and inequalities.
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Since the HCRI was established, it has hosted and supported many clinical academic trainees in academic foundation programmes, academic clinical fellowships and academic clinical lecturers – several of whom continue their work at the Institute. Below is a selection of the work that some of our alumni undertook during their time at the HCRI along with their contact details if you would like to know more.
"I worked at HCRI as part of my Academic Clinical Fellowship in Emergency Medicine, supervised by Professor Anthony Redmond. HCRI, as a World Health Organization (WHO) Collaborating Center, was asked to develop a research program for Attacks on Healthcare in emergency regions: a phenomenon gaining more attention in recent years, and one the WHO wished to know the impact of. As research on the topic was rudimentary, I first conducted a scoping review to understand what is known of the impacts of attacks on healthcare.
I reviewed 223 documents and was able to categorise the impacts into 15 themes. I also highlighted shortcomings in the available data, including the lack of a systematic data collection process, poor probing into secondary impacts, and the failure to distinguish the impact on public health from conflict itself. This work led on to a Delphi study to describe all the impacts of attacks on healthcare. Using a panel of 17 experts on the topic, and a three-round process, the study produced a list of 222 data items that describe the full range of consequences from attacks on healthcare. Both papers have been published and contributed to HCRI's successful application to Department for International Development for a £2.5million grant to further research the impacts of attacks on healthcare.
During my time at HCRI I was also invited by the WHO Attacks on Healthcare team to their headquarters in Geneva to work as an advisor for the development of their Surveillance System. This system creates a standardised approach to the collection of data on attacks on healthcare globally. My roles included revising their methodology on data collection, providing support to country offices for data collection, analysing attacks data and rolling out the Surveillance System. We officially launched the system in January 2019, and is currently operating in 12 conflict-afflicted countries."
1. Afzal MH, Jafar AJ. A scoping review of the wider and long-term impacts of attacks on healthcare in conflict zones. Medicine, conflict and survival. 2019 Jan 2;35(1):43-64. https://doi.org/10.1080/13623699.2019.1589687
2. Afzal MH, Jafar AJ. Attacks on healthcare: what information is needed to understand their impact?–a Delphi study. Medicine, Conflict and Survival. 2020 Apr 2;36(2):137-61. https://doi.org/10.1080/13623699.2020.1745999
Contact at email@example.com
"My time at the HCRI was spent focussed on forced migration: specifically looking at the delivery of healthcare to forced migrants whilst in transit using an interdisciplinary approach with particular reference to EU borders and transit. During this period I worked as a ship doctor for Sea-Watch in the central Mediterranean, and have since worked with Médecins Sans Frontières in Palestine, Iraq, and Belarus, where I continue to write critically on humanitarianism with reference to forced migration for the operational reflection unit. I am also an active medicolegal report writer for Freedom From Torture.
Alongside my humanitarian research I collaborated with other Manchester based clinical academics in Emergency Medicine at the outset of the COVID-19 pandemic, participating in what began as weekly critically appraised rapid literature reviews to filter relevant clinical insights from the volume of literature produced. This evolved into the Royal College of Emergency Medicine COVID-19 CPD team. We have since published our methodology, and now have a regular slot in the Emergency Medicine Journal which rotates through academic centres internationally."
1.Reynard, C., Darbyshire, D., Prager, G., Jafar, A., Naguib, M., Oliver, G., van den Berg, P., Body, R., Ambroziak, H., & Carley, S. (2021). Systematic literature search, review and dissemination methodology for the COVID-19 pandemic. BMJ Simulation & Technology Enhanced Learning, bmjstel-2020-000817.
2.Jaffar AJN, Darbyshire D, Prager G, Reynard C, Naguib MP. EMJ COVID-19 monthly top five. Emerg Med J. 2021 Jan;38(1):73-75. doi: 10.1136/emermed-2020-210979. Epub 2020 Dec 18. PMID: 33355245.http://dx.doi.org/10.1136/emermed-2020-210979
3.Reynard C, Prager G, Oliver G, Jafar AJN, Naquib M, Body R, Carley SD. Journal update monthly top five. Emerg Med J. 2021 Nov;38(11):858-859. doi: 10.1136/emermed-2021-212053. PMID: 34686540.http://dx.doi.org/10.1136/emermed-2021-212053
4.Reynard C, van den Berg P, Oliver G, Naguib MP, Sammut-Powell C, McMillan B, Heagerty A, Body R. The prognostic value of emergency department measured hypertension: A systematic review and meta-analysis. Acad Emerg Med. 2021 Sep 22. PMID: 34553441.https://doi.org/10.1111/acem.14324
British Red Cross and HCRI Research Fellowship (2015-2016)
"Working alongside Professor Tony Redmond and Dr Darren Walter, I researched the preventability of pre-hospital deaths from trauma with specific focus on those who die prior to arrival at hospital and are not included on the Trauma Audit Research Network. I worked closely with Her Majesties Coroners for Manchester and Cheshire and was granted permission to review cases of pre-hospital death under their jurisdiction. I studied the inquest for each death and in particular the medical cause of death and pattern of injury at autopsy. Using historical methodology, we performed a direct historical comparison to Prof. Redmond’s earlier work to assess what had changed in two decades.
We performed a second analysis using contemporary methodology to analyse the survivability of injuries and whether any there were any potential avenues to improve outcomes. This work highlighted key areas for improvement and led to three peer reviewed publications in high impact factor emergency medicine journals. In addition to being presented at one national and two international conferences, this work led to a national campaign #DontsStopAt999 with media coverage and a parliamentary launch through our study funders the British Red Cross."
Oliver GJ, Walter DP, Redmond AD. Are prehospital deaths from trauma and accidental injury preventable? A direct historical comparison to assess what has changed in two decades. Injury. 2017 May;48(5):978-984. PMID: 28363752
Oliver GJ, Walter DP, Redmond AD. Prehospital deaths from trauma: Are injuries survivable and do bystanders help? Injury. 2017 May;48(5):985-991. PMID: 28262281
Oliver GJ, Walter DP. A Call for Consensus on Methodology and Terminology to Improve Comparability in the Study of Preventable Prehospital Trauma Deaths: A Systematic Literature Review. Acad Emerg Med. 2016 Apr;23(4):503-10. PMID: 26844807
"Having undertaken an intercalated MA at the HCRI during my undergraduate medical training, I was fortunate enough to complete a four month research block in 2019 as part of an academic foundation programme (now known as specialist foundation programme), working with Dr Amy Hughes and Professor Bertrand Taithe.
My project discussed human factors approaches to error reduction in UK healthcare, and how it has been incorporated in training and everyday practice. Drawing parallels between the creation of Pre-hospital Emergency Medicine as an independent subspecialty and the WHO Emergency Medical Teams initiative, I explored what benefits a human factors approach to error reduction may have to the provision of medical care in the humanitarian context.
Since then I have been working in Salford Royal Intensive Care and for Canterbury District Health Board in New Zealand before recently started anaesthetic training in Swansea."
HCRI alumni staff
Paul Kailiponi is a Senior Disaster Risk Analyst at the Pacific Disaster Center (PDC) in Hawaii, USA. He works on developing risk analyses for Pacific Rim countries to estimate the effects of large-scale disaster events on social, political and economic institutions. Prior to working at the PDC, Dr Kailiponi was a Lecturer in Disaster Management at the Humanitarian and Conflict Response Institute (HCRI) at the University of Manchester, UK.
His research interests include applied quantitative econometrics, decision theory, geographic information systems (GIS) and the application of these techniques to emergency management. He holds a PhD from Aston University, UK in operations research where he worked in the Aston CRISIS Centre. He completed his Bachelor's degree in International Economy from Brigham Young University in Provo, Utah. He also holds a Master's degree in International Development from the University of Pittsburgh.
During his career he has also worked at the Aston CRISIS Centre, City of Pittsburgh Emergency Operations Center, the Pacific Disaster Center (Kihei, Hawaii), and the Ford Institute of Human Security (Pittsburgh, PA).
Jenny Peterson joined the HCRI from the University of British Columbia in Canada where she completed a Post-Doctoral Fellowship in the Department of Political Science.
She conducted research on the politics of conflict response and critiques of liberal peacebuilding. With a particular interest in the concept of political space and its impact on aid policy and practice, her research agenda questioned the possibilities for policy innovation and increasing levels of agency within the aid industry.
Her doctoral work included research trips to Kosovo in 2005 and 2006 during which she investigated the norms and processes relating to 'rule of law' projects and economic reforms which were used to fight criminality and political corruption.
Dr Peterson is currently a lecturer in the department of Political Science at the University of British Colombia, Canada.
Dr Alison Howell was a Postdoctoral Fellow at the HCRI. She conducted and teaching in the areas of health and conflict, with a specific interest in the relationship between medicine and militarism. Her research examined how psychiatric practices in Western militaries have evolved in the contemporary context of 'counterinsurgency' and 'humanitarian' wars.
Prior to joining HCRI Dr Howell was a Social Sciences and Humanities Research Council of Canada (SSHRC) Postdoctoral Fellow in Politics at Manchester, and completed a doctorate at York University in Toronto, Canada. Her PhD research examined the role of psychology and psychiatry in global affairs, with a particular interest in post-conflict mental health interventions. This research was funded by SSHRC and the Canadian Consortium on Human Security, and is now being published as a sole-authored book with Routledge. Prior to her doctorate, Dr Howell completed two interdisciplinary degrees: an MA in Political Economy at Carleton University, and a BA Hons in International Studies at Trent University, Canada.
Dr Howell is currently Assistant Professor in the department of Political Science, Rutgers University, USA.