Projects per year
After graduating from Manchester medical school, I worked in a variety of medical and public health junior doctor positions in the North West of England and Wellington New Zealand. These were all enjoyable, but I realised none could provide the balance of clinical experience, research and public health that I desired, hence my decision to return to my home territory of Norfolk to complete general practice training.
My academic career developed after qualification as a GP. Shortly after qualifying I completed a self-funded Masters in Clinical Education. The results of my dissertation, a qualitative study about developing professional identity during the transition to qualifying as a GP, were published in Education for Primary Care. Following my Masters I retained an interest in research, collaborating with colleagues around the country. I conducted and published the results of a national survey about the experience of early career educators, and as a member of the RCGP (Royal College of General Practice) Junior International Committee I ran and analysed data from an international focus group on the topic of generalist practice - our results featured in the analysis of a wider body of published work on Expert Generalism. My skills in academic writing were further developed through over 5 years of writing and editing the RCGP’s journal for Associates in Training, InnovAiT, in roles as Junior and Deputy Editor.
I am currently a member of the Public Health and Primary Care Research Group at the University of East Anglia (UEA), where I have been a CLAHRC (Collaborations for Leadership in Applied Health Research) East of England GP Research Fellow and now have a role developing a training package for a future research project. I also retain my clinical work as a partner in general practice for 3 sessions a week.
- GP Research Fellow, UEA, Norwich, 2013 –
- Associate GP Tutor and Honorary Senior Lecturer UEA, Norwich, 2008 -
- GP Partner, Norwich, Norfolk, 2009 -
- Salaried GP, Norwich, Norfolk, 2008 - 2009
- General Practice Vocational Training, Norwich, Norfolk, 2007 - 2008
- Senior House Officer Senior House Officer inPublic Health Medicine, High Peak & Dales Primary Care Trust, Derbyshire, 2006 - 2007
- Senior House Officer in A&E, Royal Preston Hospital, Lancashire, 2005 - 2006
- Second Year House Surgeon, Wellington, New Zealand, 2004 - 2005
- House Officer, Royal Preston Hospital, Lancashire, 2003 - 2004
- Masters in Clinical Education (Distinction), University of East Anglia, 2011
- Member of the Royal College of General Practitioners, 2008 (made a Fellow in 2014)
- MBChB (Hons), University of Manchester, 2003
- BSc (Hons) International Health, University College London, 2002
I am a GP Associate Tutor and Honorary Senior Lecturer at Norwich Medical School. I have been a Problem Based Learning tutor and Communication Skills tutor in the Medical School, and I have a particular interest in patient-centred communication and shared decision making. I have also been involved in training GP trainees in communication skills.
For several years I have been involved in the assessment of students as an OSCE (objective structured clinical examination) examiner and I also interview prospective medical students for entry into the School.
Key Research Interests
Key Research Interests
My research interests focus on the provision of patient-centred care in the primary care setting, particularly for patients with multimorbidity. This interest has evolved during my work as a GP Research Fellow. I have published the results of an analysis of the use of care plans in primary care amongst the frail older population using data from the GP Patient Survey. I have also recently been a co-applicant on a NIHR funded (RfPB) trial of goal setting with high risk patients in primary care: ‘Goal Plan’. These projects, coupled with my clinical experience, has fuelled my interest in studying the interaction between patient and health professionals during consultations, as I believe this is fundamental to understanding and delivering patient-centred care.
The GoalPlan study included a number of scenarios in which medication use was discussed within patient goals, and as a clinician I have seen first-hand the problems of managing polypharmacy and stopping medications. I am passionate about deepening the understanding of this complex area through studying the interaction between patient and health professionals during consultations, including an examination of patient-centred decision-making.
Other Research Interests
I am a member of the Wonca (World Organisation of Family Doctors) Working Party for Women in Family Medicine, and I am collaborating with 3 colleagues from this group on an international qualitative study of resilience amongst women family doctors during times of transition. I have led the conduct, analysis and publication of data from a series of semi-structured interviews using Skype. I have also analysed data from international focus groups at conferences. My colleagues and I have presented the results at conferences, including selection for oral presentation at the 2018 RCGP Annual Conference.
I also have a background in medical education and have been involved in related research projects, particularly regarding the inclusion of global health in the medical curriculum and the recognition of early-career medical educators.
Key WordsPrimary care
Expertise related to UN Sustainable Development Goals
In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This person’s work contributes towards the following SDG(s):
General Practitioner, Lawson Road Surgery
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Shiner, A., Player, E., Salter, C. & Steel, N., 1 Mar 2020, In: InnovAiT. 13, 3, p. 179-185 7 p.
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile8 Downloads (Pure)
Learning or leaving? An international qualitative study of factors affecting the resilience of female family doctorsShiner, A., Watson, J., Doohan, N. & Howe, A., 1 Apr 2020, In: BJGP Open. 4, 1, bjgpopen20X101017 .
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile1 Citation (Scopus)5 Downloads (Pure)
Player, E., Shiner, A., Steel, N. & Rodrigues, V., 1 Sep 2020, In: InnovAiT. 13, 9, p. 522-527 6 p.
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile4 Downloads (Pure)
The "unknown territory" of goal-setting: Negotiating a novel interactional activity within primary care doctor-patient consultations for patients with multiple chronic conditions.Murdoch, J., Salter, C., Ford, J., Lenaghan, E., Shiner, A. & Steel, N., Jul 2020, In: Social Science & Medicine. 256, 10 p., 113040.
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile9 Citations (Scopus)7 Downloads (Pure)
Can goal-setting for patients with multimorbidity improve outcomes in primary care? Cluster randomised feasibility trialFord, J., Lenaghan, E., Salter, C., Turner, D., Shiner, A., Clark, A. B., Murdoch, J., Green, C., James, S., Koopmans, I., Lipp, A., Moseley, A., Wade, T., Winterburn, S. & Steel, N., 3 Jun 2019, In: BMJ Open. 9, 6, e025332.
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile13 Citations (Scopus)27 Downloads (Pure)