Research

Medicine provides access to a huge number of opportunities to get involved in research, so that we can advance the quality of care in everything that we do. Clinicians have unique opportunities to identify problems on the front line, and I strive to convert this to research ideas that can advance healthcare for all of us.

Highlights

Medical education is still complicit in poor healthcare outcomes for ethnic minority patients

Medical education is failing to prepare clinicians to care for an ethnically diverse population, writes Zeshan Qureshi

Last year I returned to clinical practice in the UK as a paediatric registrar after taking a two year break. I needed a medical refresher, so I attended a compulsory two day course on managing the acutely unwell child. I gained some insights into new approaches, yet it quickly became obvious that the course’s guidance was almost entirely predicated on treating patients with white skin.

BMJ, 2023

Ethnicity, child health and paediatric services

Zeshan Qureshi, Alexandra Richards, Camilla C Kingdon, Ian Sinha, Oluwakemi Lokulo-Sodipe, Anna M Rose

Paediatricians have a moral obligation to promote the health and well-being of all children. To achieve this, unmet health needs of minoritised ethnic groups must be addressed. Language for describing disadvantaged ethnic groups is evolving. The term ‘minoritised’ is useful in this context, acknowledging active processes at play and that this can occur to majority groups.1 In this article, we describe the role of paediatricians in addressing ethnic health disparities.

Archives of Disease in Childhood, 2022

Should medicine be colour-blind?

Mehrunisha Suleman, Zeshan Qureshi

The widely accepted understanding in contemporary discourse is that race and ethnicity fundamentally arose as social constructs devoid of inherent biological or scientific significance. Despite this consensus, discussions abound, including in this journal, regarding the extent and manner in which racial and ethnic categorisations should influence the landscape of medical research, practice and policy.

Journal of Medical Ethics, 2023

Addressing racist parents in a paediatric setting: the nuance of zero tolerance policies

Zeshan Qureshi, paediatric registrar, Mehrunisha Suleman, director of medical ethics and law education, Alexandra Richards, medical student, Julian Sheather, medical ethicist, Hugh Bishop, consultant paediatric oncologist

Healthcare professionals need clearer guidance on responding to racism in paediatric settings, argue Zeshan Qureshi and colleagues

Everyone has a right to healthcare, but on occasion this can conflict with the right of healthcare professionals to dignity in the workplace. One example is when a patient refuses the care of a healthcare professional on the grounds of race. This is an experience that many doctors from an ethnic minority background have faced: in one US study, 23% of ethnic minority doctors reported that a patient had directly refused their care due to their race. The Medical Workforce Race Equality Standard in the UK also reported that 34.4% of doctors in training from an ethnic minority background had experienced “bullying or abuse from patients, relatives, or the public” in the past year, including racist abuse.

BMJ, 2021

A Silenced Cry: Stillbirth still missing on the global health agenda

Zeshan U Qureshi, Joseph Millum, Hannah Blencowe, Maureen Kelley, Edward Fottrell, Joy E Lawn, Anthony Costello, Tim Colbourn.

The global rate of stillbirths was estimated to be 18.9 per 1000 births in 2009, equating to a total of 2.64 million stillbirths, 1.2 million of which were during labour. The burden is heaviest for women in low and middle income countries and the poorest women in high income countries. Given its scale, stillbirth prevention should be high on the global health agenda. However, in the current draft of the United Nations sustainable development goals, which sets global targets for 2015-30, stillbirth is not mentioned, even though neonatal and under 5 mortality rates are included.

BMJ, 2015

Publications

2023

Medical education is still complicit in poor healthcare outcomes for ethnic minority patients

Qureshi Z
BMJ 2023; 383 doi: 10.1136/bmjp2760

The importance of entrepreneurship and innovation in paediatrics: a call to action.

Qureshi Z. London Paediatrics 2023, 4. https://journal.londonpaediatrics.co.uk/index.php/1/article/view/84

Should medicine be colour-blind?

Suleman M, Qureshi Z. Journal of Medical Ethics. 2023;49:725-726. doi: 10.1136/jme-2023-109634

2022

Ethnicity, child health and paediatric services

Qureshi Z, Richards A, Kingdon C, Sinha I, Lokulo-Sodipe O, Rose AM. Archives of disease in childhood 2022; Published Online First: 27 June 2022. doi: 10.1136/archdischild-2021-323599

Rapid response to: Acting on historically offensive content in BMJ’s archive

Qureshi Z. BMJ 2022; 378 doi: 10.1136/bmj.o1829

Rapid response to: A cautionary tale for potentially dishonest doctors

Qureshi Z, BMJ 2022; 377 doi:10.1136/bmj.o1298 

Recognising the rights of doctors within GMC guidelines

Qureshi Z, Suleman M, BMJ Medical Ethics, 2022.
https://blogs.bmj.com/medical-ethics/2022/07/29/recognising-the-rights-of-doctors-within-gmc-guidelines/

Bringing diverse voices together

Qureshi Z, Suleman M, BMA, 2022.
https://www.bma.org.uk/news-and-opinion/bringing-diverse-voices-together

2021

Addressing racist parents in a paediatric setting: the nuance of zero tolerance policies

Qureshi Z, Suleman S, Richards A, Sheather J, Bishop H. BMJ 2021; 375 doi:10.1136/bmj.n3067

Rapid response to: Addressing racist parents in a paediatric setting: the nuance of zero tolerance policies 

Qureshi Z, Suleman S, Richards A, Sheather J, Bishop H. BMJ 2021; 375 doi: 10.1136/bmj.n3067

Addressing racist parents in a paediatric setting: the nuance of zero tolerance policies

Qureshi Z, Suleman S, Richards A, Sheather J, Bishop H. BMJ 2021; 375 doi: 10.1136/bmj.n3067

The return to school is welcome, but we must minimise shared air

Qureshi ZU, Greenhalgh T, Bourouiba L. BMJ Opinion 2021. https://blogs.bmj.com/bmj/2021/03/09/the-return-to-school-is-welcome-but-we-must-minimise-shared-air/

Rapid response to: Addressing racist parents in a paediatric setting: the nuance of zero tolerance policies 

Qureshi Z, Suleman S, Richards A, Sheather J, Bishop H. BMJ 2021; 375 doi: 10.1136/bmj.n3067

How should we deal with racist carers?

Qureshi Z, Suleman M, Richards A, Sheather J, Bishop H. Don't Forget the Bubbles, 2021. doi: 10.31440/DFTB.46773 

How does ethnicity affect child health outcomes?

Qureshi Z, Richards A, Sinha I, Lokulo-Sodipe O, Rose A. Don't Forget the Bubbles, 2021. doi: 10.31440/DFTB.46593

All paediatricians are complicit in delivering a racist healthcare service

Qureshi Z, Rose A. Don't Forget the Bubbles, 2021. doi: 10.31440/DFTB.33938 

2020

Racism is everywhere in the NHS and we urgently need to find solutions

Qureshi ZU, Sheikh J. BMJ Opinion 2021. https://blogs.bmj.com/bmj/2021/06/24/racism-is-everywhere-in-the-nhs-we-urgently-need-to-find-solutions/

Two metres or one: what is the evidence for physical distancing in covid-19?

Jones NR, Qureshi ZU, Temple RJ, Larwood. JPJ, Greenhalgh T, Bourouiba L. BMJ 2020; BMJ 2020;370:m3223. doi:10.1136/bmj.m3223

2018

Women's Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal

Devakumar D, Qureshi Z, Mannell J, Baruwal M, Sharma N, Rehfuess E, Saville N, Manandhar D, Osrin D. International Journal of Environmental Research and Public Health. 2018; 1;15:248. doi: 10.3390/ijerph15020248.

2017

Effects of staffing on improving newborn health

Qureshi Z. Lancet 2017; Jan 14;389(10065):155. doi: 10.1016/S0140-6736(17)30020-X.

2016

Technology and medical education: change for the better?

Qureshi ZU. Clinical Teacher. 2016; 13:461

Stillbirths: rates, risk factors, and acceleration towards 2030

Lawn JE, Blencowe H, Waiswa P, Amouzou A, Mathers C, Hogan D, Flenady V, Froen F, Qureshi ZU, Calderwood C, Shiekh S, Jassir FB, You D, McClure EM, Mathai M, Cousens S. Lancet. 2016. 6;387(10018):587-603. doi: 10.1016/S0140-6736(15)00837-5.

2015

A Silenced Cry: Stillbirth still missing on the global health agenda

Qureshi Z, Millum J, Blencowe H, Kelley M, Fotrell E, Lawn JE, Costello A, Colbourn T. BMJ. 2015: 351:h4620

How to write a medical textbook

Rodrigues M, Qureshi Z. Student BMJ. 2015

Potential Benefits of Student- and Junior Doctor-Led Textbooks

Qureshi Z, Lattey K, Rodrigues M, Ross M, Byrne P, Maxwell SM. Perspective in Medical Education. 2015; 4:149-152

Guidance for Junior Doctors and Medical Students Writing Undergraduate Textbooks

Bradley A, Mason K, Rodrigues M, Tang CM, Wood M, Lattey K, Byrne P, Ross M, Maxwell M, Qureshi Z.
International Journal of Medical Students. 2015 Sep-Dec;3(3):150-2

Cyberbullying: the impact on trainee doctors

Qureshi Z, Mason K. Clin Teach 2015; 12 (3), 214-217

Flipped Publishing: A New Paradigm for Medical Textbooks

Shahid S, Rodrigues M, Maxwell S, Tang CM, Mason K, Qureshi Z. Res Medica. 2015, 23(1):92-94

2014

Junior Doctor-Led 'Near-Peer' Education for Medical Students

Gibson K, Qureshi Z, Ross M, Maxwell S. British Journal of Clinical Pharmacology. 2014; 77:122-9

Back to the Bedside: the role of bedside teaching in the modern era

Qureshi Z, Maxwell S. Perspect Med Educ. 2014; 3:69-72 PMID: 24567253

A Long-Term, Sustainable, Inclusive, International Model for Facilitating Junior Doctor and Medical
Student–led Publishing

Qureshi Z, Rodrigues M, Lattey K, Tang CM, Gimzewska M, Gee C, Ross M, Byrne P, Hotton E, Hunt T, Andrews J, Wood M, Maxwell S.
Res Medica 2014 22:149:158

2013

Centrally Organised Bedside Teaching Led By Junior Doctors

Qureshi Z, Seah M, Ross M, Maxwell S. Clinical Teacher 2013;10:141-5

Perceived tutor benefits of teaching near peers: Insights from two near peer teaching programmes in South East Scotland

Qureshi ZU, Gibson KR, Maxwell S Ross MT. Scottish Medical Journal. 2013; 58: 188-192

Clopidogrel Resistance: Where are we now?

Qureshi Z, Hobson AR. Cardiovascular Therapeutics 2013:31:3-11 PMID: 21884029

Developing junior doctor delivered teaching

Qureshi ZU, Rodrigues M, Parisinos C, Hall N, Ross M, Maxwell S. Clinical Teacher 2013; 10: 118-23 PMID: 23480115

Perceived tutor benefits of teaching near peers

Qureshi ZU, Gibson K, Maxwell S, Ross M Medical Teacher 2013;35:261-2. PMID: 23137247

2012

Has Bedside Teaching Had Its Day

Qureshi Z, Maxwell S. Advances in Health Sciences Education 2012; 17:301-304 PMID: 21681592

2011

Adverse Reactions of Activated Charcoal

Qureshi Z, Eddleston M. Adverse Drug Reaction Bulletin 2011; 266:1023-6 doi: 10.1097/FAD.0b013e328345389e

The case for launch of an international DNA-based birth cohort study

Rudan I, Chopra M, Aulchenko Y, Baqui A, Bhutta ZA, Edmond K, Horta BL, Klugman KP, Lanata CF, Madhi SA, Nair H, Qureshi Z, Rubens C, Theodoratou E, Victora CG, Wang W, Weber MW, Wilson JF, Zgaga L, Campbell H. Journal of Global Health, 2011 1:39-45. 2011. PMID: 23198101

Bedside Teaching

Qureshi Z, Maxwell S Medical Teacher 2011; 33:594-5 PMID: 21681592

2010

The potential value of near patient platelet function testing in PCI: Randomised comparison of 600mg versus 900mg clopidogrel loading doses

Hobson A, Qureshi Z, Banks P, Curzen N. Thrombosis Research. 2010; 2010:908272

2009

Effects of clopidogrel on “aspirin specific” pathways of platelet inhibition

Hobson A, Qureshi Z, Banks P, Curzen N. Platelets. 2009; 20:386-90 - PMID: 19811222

Gender and responses to aspirin and clopidogrel: insights using short thrombelastography

Hobson A, Qureshi Z, Banks P, Curzen N. Cardiovasc Ther. 2009; 27:246-52 - PMID: 19903188

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