• Zeshan Qureshi: “Medical education will change dramatically”

    Zeshan Qureshi is an award-winning paediatrician who has been distinguished both for his work and as a public speaker. He also happens to be an entrepreneur who started his own publishing agency, and is trying to flip standard learning methods on their heads. 

    Now Zeshan shares his story: how he ended up making a book in the first place, why he decided to partner with Indextra, and his vision for the future of medical education.

    When Zeshan Qureshi began working in medicine, he didn’t expect to become passionate about textbooks. 

    “I actually started off doing medicine as my only pursuit and passion,” he recalls. He looked forward to looking after his patients and helping them improve. 

    But working in a hospital as a newly qualified doctor in 2009 presented him with a different routine than he expected. 

    “The reality of working in a hospital, especially as a newly qualified doctor, means not getting to spend much time with patients, and doing a lot of admin work and reports,” he says. “I wasn’t getting to know my patients the way I thought I would, and I wasn’t getting as much satisfaction from my work as I had envisioned.”

    It’s a harsh reality: hospitals throughout the UK are understaffed, and doctors are hard-pressed to fit in all their patients. Quality-time suffers, and doctors can’t build the relationships they would like to. The work, in turn, often doesn’t feel as fulfilling.

    But then Zeshan started teaching. 

     

    “It felt very different. I had the time to spend with my students, explaining complex topics and seeing them improve and learn,” he says. “I felt a very positive relationship with them grow over time – and teaching became something I was very passionate about.”

    At first Zeshan was teaching small groups of students – but the groups grew larger and larger.  He set up a program using the flipped publishing model – which reverses traditional teacher-student dynamics and empowers students to take a more active role in the classroom –  and watched it expand. 

    “Within a few years we were teaching over 1,000 students, and now there are over 100 meetings being organized each year under this model.”

    The next step?

    Produce a book.

    “I saw that people really valued this method of learning, and I saw the potential to reach a lot more people,” Zeshan explains. “So even though it took a lot more time to put this together, I decided it was worth it.”

    So Zeshan applied the flipped model to the publishing process as well.

    “This model essentially turns the students into the teachers; the readers into the writers. It really then allows those studying medicine to be in control of their own learning. We use students as authors, reviewers, and designers for the books.”

    He added a professional element to it by having experts fact-check the content, and of course used a professional publishing process. But the content, the format, the soul of the book, was by and for the students. 

    It was a hit.  

    “The first book we made sold 17,000 copies, and was the best-selling medical book on Amazon for six months,” Zeshan remarks. “And that’s how I went from editing one book to managing my own publishing company.” 

    Today the company has sold over 70,000 books, and Zeshan gets to work with over 500 authors around the world and a social media community of over 40,000 people. The company’s books are all available in e-book and app format, translated into several languages, and accessible all around the world.

    In fact, the books were so popular that they were among the first brought up when medical library app Indextra held focus groups in the UK to find out what literature students preferred.

    “Indextra contacted me about working together – and it was very humbling, because a lot of the publishers Indextra works with are big medical giants,” Zeshan says. “But they really liked the model, the approach, and the quality of the books – so there was our chance to stand alongside the giants.”

    Today Zeshan’s publishing agency has 10 books available via the Indextra service, where users can access the books online or offline, on mobile or desktop, anywhere in the world for a low monthly subscription fee. 

    It’s a great match, Zeshan say – in more ways than one.

    “Indextra is a great fit for us as a publisher, because our books are not just about content. We want them to be user-friendly. And Indextra is the same way: it’s very easy to search for content that you like, everything is made very digestible in how it is formatted, you can quickly go to any part of the book you are interested, jump from one section to another, enlarge images…it’s just consumer friendly.”

    But the two companies also share similar values and perspectives.

    “What I really like about Indextra is that they take the time to speak to doctors, speak to students, speak to developers, and come up with the most-user friendly, searchable platform, so that people can quickly find whatever they need to advance their own professional development and passions.”

     

    The medical literature industry has been relatively slow to catch up on the digital wave seen in many areas, and Zeshan notes that his publishing company still sells many physical books as well. In some places, having many textbooks on the shelf is even a status symbol viewed with pride.  But he believes digital services like Indextra will become more common even in the medical industry, and that this is just the beginning of a wave of healthcare digitalization. 

    “Theoretically, everyone has the possibility of having their own personalized learning environment with all of the resources they require for their specific work and patients,” Zeshan explains.  

    “With wearable devices there is also potential to monitor patients much more closely, and get bespoke data on their physiology, blood levels, lung function, etc. And you could take all of that medical history and generate even more specific information on how to treat that patient.”

    Through an intelligent learning system that effectively captures that patient data, knowledge and wisdom which usually only comes from 30 years of experience could be shared and applied to create a whole new standard of healthcare, he says.

    “The potential is huge. We could have a type of medicine that has never existed on earth before, and deliver the most individualized care with the best possible standard.”

    For now, that might be far off – but with services like Indextra, we’re at least headed in the right direction.

    “I have huge hopes for the impact this will have worldwide,” Zeshan says. “There is no doubt that medical education will change dramatically over the next few decades. And Indextra is a key leader in that transformation.”



  • How can advances in medical technology support junior doctors’ studies?

    There are more than 50,000 junior doctors in England[i]. Junior doctors are vital to the future of the UK health services, yet, they are often the ones that feel the most overworked.[ii] Recent research from the Royal College of Physicians found that 70% of junior doctors worked on a rota that was permanently understaffed, while 80% felt their job put them under too much stress, and 25% said it had a serious effect on their mental health.[iii]

     

    With this in mind, it is no surprise that junior doctors are feeling increasingly time poor. Indeed, research from Indextra revealed that almost two-thirds (60%) feel they do not have enough time to spend in CPD training[iv]. Furthermore, 80% of junior doctors feel the need to be more knowledgeable because patients are now more informed than ever before; and 78% feel increasing pressure from their patients to know everything.iv

    The study from Indextra also revealed that over four-fifths (84%) of junior doctors believe there needs to be better integration of digital tools and resources to support improved diagnosis, treatment and management of patients. The need for improved health technology tools and resources has been set out in recent, NHS Technology Enhanced Learning (TEL) guidelines, advising how best to offer health technology as a form of education, such as computer-based simulations and mobile apps for e-learning. [v]

    The General Medical Council also recently updated its requirements for medical education and training, noting that trainees should use technology enhanced learning opportunities such as simulated patient environments, to improve clinical and practical skills.vi With the Department of Health also saying that innovative educational technologies provide unique opportunities for health care students[vi], it is clear that technologies including mobile apps, virtual reality and integrated simulators, could go some way in enabling junior doctors to develop essential knowledge and skills, needed for safe and effective patient care. vi

    With the rise of new state of the art training centres in NHS trusts allowing junior doctors to develop their skills using brand new VR technology; those undertaking training in medical specialities such as general surgery, psychiatry, or respiratory medicine, can now use VR to help them learn how to perform new procedures. Simulation-based training could also boost junior doctors’ confidence in handling critically ill patients, including diagnosis skills and decision-making.

    The majority of junior doctors, who have access to mobile apps, use them to help diagnose and manage their patients, as well as for education purposes.[vii]  Apps can also be extremely useful on busy wards, which have a limited number of computers, providing quick access to information. Indeed, Indextra research showed that 96% of junior doctors would feel more confident diagnosing, treating and managing their patients if they had an app with medical resources and information, to hand.

    The advancement of digital tools and medical apps like Indextra can be used to support junior doctors in their studies, optimize their time, and enable them to be up to date with the most readily available resources. For your free 30-day trial of Indextra, visit the sign up page.

    [i] https://www.bbc.co.uk/news/health-34798215 (Last Accessed: February 2019)

    [ii] Working in a system that is under pressure, BMA, 2018: (Last Accessed: February 2019)

    [iii] https://www.standard.co.uk/futurelondon/health/what-tech-is-already-doing-for-our-healthcare-a3885911.html  (Last Accessed: February 2019)

    [iv] Indextra research, conducted by Censuswide, June 2018   (Last Accessed: February 2019)

    [v] Guidelines for commissioning Technology Enhanced Learning in the NHS, 2017  (Last Accessed: February 2019)

    [vi] A Framework for Technology Enhanced Learning, Department of Health, 2011  (Last Accessed: February 2019)

    [vii] https://www.ncbi.nlm.nih.gov/pubmed/23110712/    (Last Accessed: February 2019)