Honorary Clinical Senior Lecturer
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Angharad trained as a doctor and then developed an interest in the care of patients with kidney disease. She undertook clinical nephrology training in Wales and South West England. To investigate the outcomes in those identified with chronic kidney disease she undertook a PhD in the epidemiology of chronic kidney disease in Grampian, Scotland. She has worked in both a clinical and research capacity as Honorary Consultant Nephrologist in Aberdeen, Scotland (2013-2018). She now practices as a Consultant Renal Physician in Swansea, Wales but continues to have an Honorary Clinical Senior Lecturer role in Aberdeen to facilitate kidney research and ongoing PhD student supervision.
Greater awareness of both chronic kidney disease and acute kidney injury has revealed that impairment of kidney function is very common. Risk factors for both chronic and acute impairment of kidney function are also incredibly common and as the population becomes older and likely more multi-morbid, the number of people both with kidney impairment and risk factors for it will increase.
I use epidemiological methods and routine health care data to elucidate the relationship between these risk factors, kidney impairment (whether acute or chronic) and outcomes whether good or bad to help inform care of people who experience kidney impairment. Much of this work has been based around GLOMMS (Grampian Laboratory Outcomes Morbidity and Mortality Studies) which uses data-linkage of routine healthcare data including biochemistry, hospital admissions and deaths.
As a clinician caring for people who are approaching the need for renal replacement therapy (dialysis or transplant) I am very interested in being able to predict who will need these therapies and when so that they can be adequately prepared. I am also interested in what other events happen to people with kidney impairment and whether less good outcomes could be avoided.
CDRG The Chronic Disease Research Group (CDRG) is a research group of the Institute of Applied Health Sciences at the University of Aberdeen. CDRG is an alliance of researchers working with patients with chronic diseases including kidney, neurological and cardiovascular.
HEADLINES Health and Data Linkage in North East Scotland, is a research network who's purpose is to optimise the secondary use of health data in research and link datasets within and out with the NHS to improve healthcare.
CKD-PC The Chronic Kidney Disease Prognosis Consortium (CKD-PC) is a research group composed of investigators representing cohorts from around the world. Investigators share data for the purpose of collaborative meta-analyses to study prognosis in CKD.
Farr The Farr Institute of Health Infromatics Research is a UK-wide research collaboration involving 21 academic institutions and health partners in England, Scotland and Wales. Publically funded by a consortium of ten organisations led by the Medical Research Council, the Institute is committed to delivering high-quality, cutting-edge research using ‘big data’ to advance the health and care of patients and the public.
In Aberdeen Angharad has had numerous teaching, supervision and coordinating roles with both postgraduate and undergraduate learners.
Roles with Postgraduate Learners
Post-graduate supervision / teaching
PhD, Applied Health and Medical Sciences (Clinical & Non-clinical) (2014 onwards):- with students interested in 'the epidemiology and outcomes of acute kidney injury'; 'the health burden of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis'; 'an in-vitro model of ANCA-associated vasculitis'; and 'medication and kidney disease'.
MSc, International Health and Management, Public Health - Supervisor (2010, 2013)
MSc (various) PU5030 Epidemiology introduction course, tutor (2017)
PG Cert PU5538, on-line Epidemiology course, tutor (2015-2018)
NHS Educational supervision / teaching
Core Medical Trainees – Educational supervisor (Aberdeen Renal Unit 2014 - 2018)
Tutorials – CMT regional teaching program (Renal – AKI and CKD) (2014 - 2018)
Small group teaching – Renal Unit CMTs/FY2s “Haemodialysis”, “Sorting problems on the Renal Unit” and “CKD” (every 4 months)
Roles with Undergraduate Learners
MBChB Year 4 renal block (2014 - 2018): This involved facilitating and delivering clinical placements; block tutorials (Chronic Kidney Disease, Acute Kidney Injury, Transplantation and Glomerulonephritis); and small group weekly teaching on the practical aspects of preparation for Renal replacement therapy.
B MedSci Intercalated degree (2014-2015)
Aberdeen Summer Research Studentship (2011, 2013, 2014, 2016)
Phase III SSM III “Clinical Effectiveness” (2009, 2011, 2013, 2014, 2015, 2016, 2017)
Year 3 - 5 MBChB Medical Students (2009 – 2018)
MBChB Year 4 renal block tutorials (2014 -2018)
MBChB Year 2 “Chronic Kidney Disease” and “Acute Kidney Injury” (2014 - 2018)
- Further Info
NHS and Clinical
Scotland From 2013-2018 Angharad practiced clinical medicine as an Honorary Consultant within NHS Grampian, based at Aberdeen Royal Infirmary Renal Unit which provides nephrology services to North-East Scotland including the islands of Orkney and Shetland. She contributed to the in-patient service, both on the renal ward (108) and acute (across the hospital); out-patient service (General Nephrology and Low Clearance); and to the on-call service.
Wales In 2018 Angharad returned to Wales to practice clinical medicine as a Consultant Renal Physician within the Renal Unit at Swansea Bay University Health Board based at Morriston Hospital, Swansea which provides nephrology services to South-West Wales. She also has out-reach responsibilities for Bronglais Hospital and the Renal Unit in Aberystwyth within the Hywel Dda University Health Board.