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Faculty of Medical Sciences

Dr. Paula M. Lashley

Dr. Paula M. Lashley

Head, Department of Clinical Sciences
Lecturer in Child Health

-Consultant Paediatrician/ Associate Consultant at Queen Elizabeth Hospital
-Post Graduate Coordinator for DM Paediatrics program at Cave Hill

FMS
Clinical Faculty (Phase II)

Bio

Over the last 12 years ,since the establishment of the full faculty I have been heavily involved with the medical curriculum of the University of the West Indies- Cave Hill Campus . In addition, as a Paediatrician I have been seeing an increase both locally and worldwide in childhood obesity and metabolic syndromes. This has translated to my interest in childhood diabetes and the development of child diabetes clinics at Queen Elizabeth Hospital.

In my role as Deputy Dean of the clinical phase of the faculty, I believe that my commitment to personal and professional development, and my ability to lead through the integration of organizational change and staff engagement processes to achieve results, has made my input in the faculty invaluable.

Qualifications

  • MBBS (Hons.) U.W.I. 1985,   
  • DCH, U.W.I. 1988, 
  • DM (Paeds) U.W.I. 1991
  • MRCP (UK) 1991,   
  • FRCP (Edin.) 2004,   
  • MRCPCH 2017

Research Areas

My present research work spans both Childhood Diabetes and Medical education. My work with the HAPO follow up study has produced several papers which have been important in the understanding of the intergenerational risks of Diabetes and the inherent health consequences. As the Deputy dean for the clinical phase , the evolution of the curriculum and recent modification changes related to the COVID -19 pandemic are presently my focus. I hope that this unprecedented experience for our faculty will strengthen our expertise and allow us to showcase our agility in teaching clinical students.

1.  Hyperglycemia and Pregnancy Outcome (HAPO)
Follow-up Study
Grant Number: U01DK094830
Under: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Value: Total Value USD 20 million. Value to UWI- USD 1 million (2013-2017)
Local Fundholders: Dr P M Lashley (Sub PI), through the Director of the GA-CDRC.

Present Research
2.  The type 1 diabetes Registry Project
This project started in 2017 aims to identify all persons living with Type 1 diabetes in Barbados and is funded through the Diabetes Foundation by the Ian Woosnam group

3. Caribbean Collaborative Paediatric Covid Survey (2020) This observational cohort study of the paediatric population in the Caribbean (Jamaica, Trinidad, Bahamas, OECS countries) will assess outcomes during the COVID pandemic in the Paediatric Populations.

There is currently limited comprehensive data available on the impact of COVID-19 on children and insufficient evidence on which to formulate clinical decisions. A rapid and robust understanding of the disease in the local population is needed. The Element Guidelines Words Copy goes here information generated from this collaborative paediatric survey will provide data to contribute to the clinical management of COVID-19 and assist program managers, policymakers, and researchers to make evidence-based decisions to improve health outcomes in the paediatric population.

4.  Initial Paediatric COVID in the Caribbean context (2020)
In this paper we describe outcomes in children in 22 Caribbean countries and territories during the first 3 months of the COVID pandemic against a background of public health interventions to mitigate spread 5) Impact of a modified on line curriculum on student satisfaction and performance in Four selected clinical clerkships during the covid 19 epidemic (2020) In this paper we will be documenting the experiences and performance of the 4th and 5th year students with fully online curriculum in the clinical phase.

Teaching Areas

Teaching Undergraduate (MBBS) Course. There are 50 to 60 medical students who rotate through the pediatrics department in batches in their 3rd year and 5th (the final year) of their training. Coordinating and Teaching Post graduate (DM) course in Pediatrics. This is a four year postgraduate (DM) course for the doctors specializing in Pediatrics. There are currently 5 candidates enrolled in this course at the Queen Elizabeth Hospital and they are at different years of the program.

Teaching the overseas elective medical students/doctors. On an average 8 to 10 overseas medical graduates choose to undertake elective rotation in Pediatrics at the QEH through the FMS, UWI annually.

Publications

1. Lashley PM, Emmanuel M, Campbell M, (2015) Psychological stress and burnout among medical students at the University of the West Indies WIMJ 10.7727/wimj.2014.311.(IMPACTFACTOR 0.111)

2. Atherley, A. E., Hambleton, I., George, C., Unwin, N., Lashley, P.M. & Taylor Jr., C.G (2016), Exploring the transition of undergraduate medical students into a clinical clerkship using organisational socialisation theory. Perspectives on Medical Education DOI: 10.1007/s40037-015-02415. IMPACT FACTOR -N/A

3. Grannum D, Lashley PM. (2017) The Morbidity Pattern of Children with Sickle Cell Disorders admitted to the Queen Elizabeth Hospital, Barbados (2009-2013) Tropical Doctor Vol48,1:11-16 (IMPACT FACTOR 0.582)

4. Lowe WL Jr, Scholtens DM, Lowe LP, Kuang A, Nodzenski M, Talbot O, Catalano PM, Linder B, Brickman WJ, Clayton P, Deerochanawong C, Hamilton J, Josefson JL, Lashley M, Lawrence JM, Lebenthal Y, Ma R, Maresh M, McCance D, Tam WH, Sacks DA, Dyer AR, Metzger BE; HAPO Follow-up Study Cooperative Research Group.
Association of Gestational Diabetes With Maternal Disorders of Glucose Metabolism and Childhood Adiposity JAMA. 2018 Sep 11;320(10):1005-1016. doi: 10.1001/jama.2018.11628. (IMPACT FACTOR: 47.7)

5. Gray NJ, Chanoine JP, Farmer MY, Jarvis JD, Armstrong K, Barr RD, Faunce TA, Lashley PM, Ndikumwenayo F, Hauerslev M, Karekezi CW, Klein JD; NCD Child Task Force on Essential Medicines and Equipment. 
NCDs and the WHO Essential Medicines Lists: children need universal health coverage too.Lancet Child Adolesc Health. 2019 Sep 16. pii: S2352-4642(19)30294-9. doi: 10.1016/S2352-4642(19)30294-9. [Epub ahead of print]. (IMPACT FACTOR: 4.850)

See additional publications 

Keywords

Child Health, Childhood Diabetes, Medical Education


Faculty of Medical Sciences
Telephone: (246) 417-4694/4703/4264 Fax: (246) 438-9170 Email: fms@cavehill.uwi.edu