Dan, Anderson
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Biography
I have been a consultant psychiatrist since 2010 and have held consultant positions in Merseyside, Wales and York in liaison psychiatry, old age psychiatry and medical management. I worked as a medical director for three years for an independent hospital where I was also the Caldicott Guardian and the Responsible Officer for revalidating doctors’ licences to practice. I have held academic positions (employed and honorary) with the University of Central Lancashire, Bangor University and the Institute of Mental Health (University of Nottingham).
Institutional profile
Here is a summary of our UG output over the past couple of years. Prizes: 2021 and 2022 Education, Innovation, and Excellence Award in Clinical Oncology, Royal College of Radiologists. Awarded for our online and collaborative approach to the teaching of communication skills in oncology to year 4 medical students. 27th – 31st August 2022 short communication to be presented at AMEE 2022, Lyon, France (Co-design, delivery, and evaluation of a patient-centric medical education resource for virtual platforms). Frost, J., Teodorescu-Arghezi, E., Anderson, D., and Bhatt, L.. (2023). Exploring Why Cancer Patients Engage Into Medical Education. Cureus, 15(3), e36358. That paper has also been accepted by ASME at this year’s conference. My honorary appointment as assoc prof in psychotherapy means I supervise the psychotherapy teaching team. And I’m a fellow of the HEA.
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Publication Open Access Exploring why cancer patients engage into medical education(2023) Frost, Joshua; Teodorescu-Arghezi, Ertan; Anderson, Daniel; Bhatt, Lubna; Dan, Anderson; Radiology and Interventional Radiology, The Christie National Health Service (NHS) Foundation Trust, Manchester, GBRBackground and Objectives Patients are recruited to act as educators, sharing experiences of their illness to facilitate active student learning. At our institution, cancer patient educators have been recruited to participate in a weekly teaching session for students. Our study was designed to assess the benefits that partaking in medical education confers on patients who were treated for cancer, as well as explore their motivations for becoming educators and how we can improve their experiences in the future. Methodology Our study used a qualitative exploratory research design, with four current patient educators being selected to participate. The interviews were conducted virtually and were designed to allow patients the opportunity to provide a rich narrative of their experiences. Their accounts were transcribed using built-in transcription software and analysed using interpretative phenomenological analysis (IPA). IPA is an in-depth analytical method used to identify common themes between patients' experiences and explore why these themes exist. Results Four superordinate themes, each with its subthemes were identified following analysis of patient transcripts: the perceived success of the session (relationship between patient educator and facilitator, willingness of students to participate, organisation and planning of the session), motivations for becoming a patient educator (wanting to give something back, personal attributes making them suitable for the role and improving experiences of future patients), perceived benefits of engaging in medical education (improvement in mental health and engaging with medical students) and suggested improvements for the session (logistics and recruitment). Conclusions Being a cancer patient educator offers significant benefits for patients' well-being, particularly in mental health. Cancer patient educators are motivated by the need to give something back to the staff and institution where they were treated. The educators also referred to improving care for future patients by educating students about negative experiences they encountered and how these could have been avoided. Finally, educators suggested improvements for future sessions by addressing the length of the sessions and having a formal recruitment process.Publication Open Access The impact of changes in service delivery in patients with colorectal cancer during the initial phase of the COVID-19 pandemic(2020) Kamposioras, Konstantinos; Saunders, Mark P; Lim, Kok Haw Jonathan; Marti, Kalena; Anderson, Daniel; Cutting, Mark; McCool, Danielle; Connell, Jacqueline; Simpson, Lilly; Hasan, Jurjees; Braun, Michael S; Lavin, Victoria; Mullamitha, Saifee A; Barriuso, Jorge; Dan, Anderson; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.Background: The Coronavirus disease 2019 (COVID-19) pandemic has imposed significant changes in cancer service delivery resulting in increased anxiety and distress in both patients and clinicians. We aimed to investigate how these changes have been perceived by patients diagnosed with colorectal cancer and identify determinants of increased anxiety. Patients and methods: An anonymized 32-item survey in the specialized lower gastrointestinal cancer outpatient clinics at a tertiary cancer center in North West England between May 18 and July 1, 2020. Self-reported anxiety was based on the General Anxiety Disorder-7 screening tool. Results: Of 143 participants who completed the survey (response rate, 67%), 115 (82%) were male, and the median age group was 61 to 70 years. A total of 112 (78%) participants had telephone consultation (83% met needs), and 57 (40%) had radiologic scan results discussed over the phone (96% met needs). In total, 23 (18%) participants were considered to have anxiety (General Anxiety Disorder-7 score ≥ 5), with 7 (5.5%) scoring for moderate or severe anxiety. Those concerned about getting COVID-19 infection, and worried COVID-19 would have effect on their mental health, and affect their experience of cancer care, were most likely to have anxiety (P < .05, multivariate analysis). The majority did not feel they needed support during this phase of the pandemic. Participants felt that friends and family had been very supportive, but less so the primary care services (P < .05). Conclusions: The findings of this survey suggest that some of the service changes implemented may have already improved the overall experience of cancer care among patients with colorectal cancer at our institute. Reassuringly, the incidence of participants with moderate to severe anxiety levels during the peak of COVID-19 in the United Kingdom was much lower than anticipated. Importantly, patients were much more concerned about their cancer treatment than COVID-19, emphasizing the need to continue to provide comprehensive cancer care even with a "second wave" of COVID-19.Publication Open Access Psychological interventions for cancer-related post-traumatic stress disorder: narrative review(2023) Anderson, Daniel; Jones, V.; Dan, Anderson; The Christie NHS Foundation Trust, Manchester, UAims and method: This narrative review updates the evidence base for cancer-related post-traumatic stress disorder (PTSD). Databases were searched in December 2021, and included EMBASE, Medline, PsycINFO and PubMed. Adults diagnosed with cancer who had symptoms of PTSD were included. Results: The initial search identified 182 records, and 11 studies were included in the final review. Psychological interventions were varied, and cognitive-behavioural therapy and eye movement desensitisation and reprocessing were perceived to be most efficacious. The studies were also independently rated for methodological quality, which was found to be hugely variable. Clinical implications: There remains a lack of high-quality intervention studies for PTSD in cancer, and there is a wide range of approaches to managing these conditions, with a large heterogeneity in the cancer populations examined and methodologies used. Specific studies designed with patient and public engagement and that tailor the PTSD intervention to particular cancer populations under investigation are required.Publication Metadata only Trauma-psychotherapy and cancer: where are we at and a proposed novel intervention(2022) Jones, Victoria; Anderson, Daniel; Dan, Anderson; The Christie NHS Foundation Trust, ManchesterConclusion IBDM is feasible in breast radiotherapy and the accuracy of DIR was found acceptable. Nevertheless, larger cohorts of patients are needed to clarify the existence of a sensitive sub-region related to breast pain and/or other side effects. Further work will investigate increasing the power of the analysis by mirroring the patients’ anatomy to overlay left/right sided dose distribution, and including patients treated in the prone position.Publication Metadata only The impact of changes in service delivery in patients with colorectal cancer during the first peak of the COVID-19 pandemic(2021) Kamposioras, Konstantinos; Lim, Kok Haw Jonathan; Saunders, Mark P; Marti, Kalena; Anderson, Daniel; Cutting, Mark; McCool, Danielle; Connell, Jacqueline; Simpson, Lilly; Hasan, Jurjees; Braun, Michael S; Lavin, Victoria; Mullamitha, Saifee A; Barriuso, Jorge; Dan, Anderson; The Christie NHS Foundation Trust, Manchester, United KingdomBackground: Increased levels of anxiety and distress in both patients and physicians have been reported in response to the significant impact COVID-19 has on cancer service delivery globally. We aimed to investigate how these changes have been perceived by patients diagnosed with colorectal cancer and identify determinants of increased anxiety. Methods: Survey (32-item) of consecutive patients diagnosed with colorectal cancer attending a large tertiary comprehensive cancer centre in the United Kingdom (18 May to 1 July 2020). Self-reported GAD-7 (both paper/electronic forms) was used as a screening tool for anxiety. Statistical analyses of associations:Chi-square, Fisher’s exact, and uni- and multi-variable analyses were performed using SPSS v19 and R. Results: A total of 143 patients (response rate 67%), 82% male, and median age of 61-70 years were included. Majority of patients had telephone consultation (78%), including 40% who had scan results discussed over the phone; with favourable feedback received with both respectively. Twenty-three patients (18%) were considered to have anxiety, with 7 (6%) scoring for moderate or severe anxiety. Three items asked patients if they had concerns about getting COVID-19, were worried that COVID-19 would have effect on mental health, and affect their experience of cancer care. Patients answering positively to any of these items were most likely to have anxiety; multivariate analysis – OR 2.361 (95% CI 1.187-4.694, p=0.014), 3.219 (95% CI 1.401-7.395, p=0.006) and 3.206 (95% CI 1.036-9.920, p=0.043), respectively. Majority of the patients did not feel that they needed support during the pandemic period and hence the available well-being services were not used. Patients felt that friends and family had been very supportive but less so the primary care services (p<0.05). However, they felt they were supported by the clinical team. Conclusions: At our centre, during the first-peak of COVID-19 pandemic in the UK, patients with colorectal cancer did not display increased rates of significant anxiety. The findings of this survey suggests that some service changes implemented, including increased telephone follow-up, may have already improved the overall experience of cancer care. Importantly, patients were much more concerned about their cancer treatment than COVID-19, emphasising the need to continue to provide comprehensive cancer care even if we get a “2nd wave” of COVID-19.