Josh Totty

Josh Totty

NIHR Clinical Lecturer in Plastic Surgery

Faculty and Department

  • Faculty of Health Sciences
  • Hull York Medical School

Qualifications

  • PGDip (Royal College of Surgeons)
  • PGCert (Hull York Medical School)
  • MD (Hull York Medical School)

Summary

Josh is an NIHR Academic Clinical Lecturer in Plastic Surgery, working under the supervision of Professor Ian Chetter (Professor of Surgery) and Professor Mat Hardman (Chair in Wound Healing), conducting research into surgical wound infections, wound healing, hand surgery and skin cancer. He is also a Plastic and Reconstructive Surgery trainee, working in the Yorkshire region.

After completing his undergraduate medical degree at the Hull York Medical School, he underwent foundation training in West Yorkshire. He then went on to complete a two-year research fellowship under the supervision of Professor Chetter, culminating in the award of MD by Research Thesis. He was also successful in completing a Postgraduate Certificate in Health Professionals Education, and meeting the requirements for admission to Fellowship of the Higher Education Academy.

His doctoral research centred around prevention of surgical site infection in primarily closed wounds, through the use of active wound dressings. As part of this, he designed and implemented a pilot randomised controlled trial. The findings from this work have been presented on an international stage, and published in peer-reviewed journals. As a result of this work, he was invited as an expert panelist to contribute to new NICE guidance on the topic.

Following his research fellowship, he completed core surgical training, again in Yorkshire. This led to him successfully obtaining a national training number in Plastic Surgery in 2020. He was appointed a Clinical Lecturer in Plastic Surgery in February 2021.

Since appointment, he has continued to conduct research in surgical wound infection and wound healing. He has been successful in securing grants as Principle Investigator from the Academy of Medical Sciences and from the British Association of Plastic, Reconstructive and Aesthetic Surgeons, as well as grants as co-investigator from the Healthcare Infection Society and the National Institute for Health Research.

As well as surgical site infection and wound healing, other areas of research interest include skin cancer and the surgical management of skin cancers, hand surgery and soft tissue infection. He sits on the executive committee of the Reconstructive Surgery Trials Network as vice-lead, and collaborates closely with departments both within the University and externally.

Recent outputs

View more outputs

Journal Article

The incidence and cost implications of surgical site infection following lymph node surgery for skin malignancy

McMillan, A., Ho, N., Izard, C., Matteucci, P., & Totty, J. (in press). The incidence and cost implications of surgical site infection following lymph node surgery for skin malignancy. Journal of plastic, reconstructive & aesthetic surgery : JPRAS, https://doi.org/10.1016/j.bjps.2023.10.086

Electrochemotherapy vs radiotherapy in the treatment of primary cutaneous malignancies or cutaneous metastases from primary solid organ malignancies: A systematic review and narrative synthesis

McMillan, A., McElroy, L., O’Toole, L., Matteucci, P., & Totty, J. (2023). Electrochemotherapy vs radiotherapy in the treatment of primary cutaneous malignancies or cutaneous metastases from primary solid organ malignancies: A systematic review and narrative synthesis. PLoS ONE, 18(7), Article e0288251. https://doi.org/10.1371/journal.pone.0288251

Considerations for a Post-Surgical Wound Dressing Aligned with Anti-Microbial Stewardship Objectives: A Scoping Review

Ousey, K., Rippon, M., Rogers, A., & Totty, J. (2023). Considerations for a Post-Surgical Wound Dressing Aligned with Anti-Microbial Stewardship Objectives: A Scoping Review. Journal of Wound Care, 32(6), 334-347. https://doi.org/10.12968/jowc.2023.32.6.334

PRESS survey: PREvention of surgical site infection—a global pan-specialty survey of practice protocol

Heinz, J., Walshaw, J., Kwan, J. Y., Long, J., Carradice, D., Totty, J., …Yiasemidou, M. (2023). PRESS survey: PREvention of surgical site infection—a global pan-specialty survey of practice protocol. Frontiers in Surgery, 10, Article 1251444. https://doi.org/10.3389/fsurg.2023.1251444

Long term outcomes of 'Christmas Tree' banding for haemodialysis access induced distal ischemia: A 13-year experience

Ravindhran, B., Totty, J. P., Sidapra, M., Lathan, R., Carradice, D., Chetter, I. C., & Smith, G. E. (in press). Long term outcomes of ‘Christmas Tree’ banding for haemodialysis access induced distal ischemia: A 13-year experience. The journal of vascular access, https://doi.org/10.1177/11297298221141497

Lead investigator

Project

Funder

Grant

Started

Status

Project

First-in-man clinical trial investigating the effect of hair cycle modulation on wound healing

Funder

Academy of Medical Sciences

Grant

£30,000.00

Started

1 March 2023

Status

Ongoing

Project

Evaluating the current standard of care for patients diagnosed with Malignant Melanoma of the head and neck – access to staging and surgical treatment

Funder

BAPRAS

Grant

£0.00

Started

1 December 2022

Status

Ongoing

Project

Patients and clinicians experiences of hair cycle modulation to facilitate wound healing: a qualitative study within a trial (SWAT)

Funder

BAPRAS

Grant

£19,247.00

Started

1 January 2024

Status

Ongoing

Project

Depilation Feasibility PPI: The Impact of Depilation upon Wound Healing and Post-Surgical Complications: A Feasibility Study (The DEPILATION-Feasibility STUDY) - Patient and Public Involvement

Funder

NIHR National Institute for Health Research

Grant

£450.00

Started

1 July 2021

Status

Complete

Co-investigator

Project

Funder

Grant

Started

Status

Project

The DRESSINg trial: A multicentre randomised controlled trial to assess the effectiveness of Dialkylcarbamoylchloride (DACC) coated post-operative dressings versus standard care in the prevention of Surgical Site Infection in clean or clean contaminated vascular surgery

Funder

Healthcare Infection Society

Grant

£80,076.00

Started

1 October 2023

Status

Ongoing

Project

Validation of a mixed digital reporting outcome measure for surgical site infection diagnosis

Funder

NIHR National Institute for Health Research

Grant

£0.00

Started

1 December 2022

Status

Complete

Membership/Fellowship of professional body

Fellowship of the Higher Education Academy

2018

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