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Professor Joanna Szram

ALAMA Annual Conference 2025

May
21
2025

Professor Joanna Szram will be speaking at the ALAMA Annual Conference this year, on a topic titled "Occupational Lung Disease in the 21st Century".

Taken from the conference website: The ALAMA Annual Conferences are unmissable events for Occupational Health physicians to polish their skills, network with others and earn valuable CPD. The Conferences are open to ALAMA members.

Read the full programme on the conference website.

Click here to register (external link)

Artificial stone silicosis: A UK case series

Article

Silicosis due to artificial stone (AS) has emerged over the last decade as an increasing global issue. We report the first eight UK cases. All were men; median age was 34 years (range 27–56) and median stone dust exposure was 12.5 years (range 4–40) but in 4 cases was 4–8 years. One is deceased; two were referred for lung transplant assessment. All cases were dry cutting and polishing AS worktops with inadequate safety measures. Clinical features of silicosis can closely mimic sarcoidosis.

Chronic obstructive pulmonary disease and breathlessness in older workers predict economic inactivity. A prospective cohort study

Article

Rationale

There is an aspiration to retain increasing numbers of older workers in employment, and strategies to achieve this need to make provision for the increasing prevalence of chronic diseases with age. There is a consistent body of cross-sectional evidence that suggests that patients with chronic obstructive pulmonary disease are more likely to have adverse employment outcomes.

Objectives

We report the findings of the first longitudinal study of this issue.

Methods

Creation of novel training programmes mapped to the Joint Royal Colleges of Physicians Training Board Internal Medicine stage 1 curriculum

Article
The successful mapping of the IMT curriculum to medical trainee rotations in London demonstrated that major curriculum changes are possible at scale, with regional and local cooperation. The opportunity for any issues of concern within the new rotations to be flagged up in advance of IMT recruitment in 2019 are seen as an advantage, as well as potentially reduced burden of work for local trainers and TPDs in the lead-up to 2019 national recruitment.

Development of a north-west London paracentesis simulation course for core medical trainees

Article

We designed, implemented and evaluated a near-peer simulation training programme teaching diagnostic and therapeutic abdominal paracentesis to core medical trainees (CMTs). We taught diagnostic and therapeutic abdominal paracentesis to 77 north-west London CMTs over 8 training days over 4 years, 2015 to 2019. The programme was optimised by use of plan, do, study, act (PDSA) cycles and the content was evaluated by anonymous pre- and post-course questionnaires.

Follow-up survey of patients with occupational asthma

Article
Using a postal questionnaire, we surveyed all patients attending our specialist occupational lung disease clinic 1 year after having received a diagnosis of OA due to a sensitizer (n = 125). We enquired about their current health and employment status and impact of their diagnosis on various aspects of their life. Additional information was collected by review of clinical records.

Learning to speak up and to learn differently

Editorial

We are delighted to introduce an issue of FHJ in which we have focused our minds, and hopefully those of our readers, on the ever-present activity of all clinicians (and humans) – learning. This is such a wide topic, so we have considered a number of different dimensions with the confidence that these will stimulate interest, debate and discussion. Firstly, we have considered the important issue of learning to speak up in our workplaces.