The Rotunda Hospital (Irish: Ospidéal an Rotunda; legally the Hospital for the Relief of Poor Lying-in Women, Dublin) is a maternity hospital on Parnell Street in Dublin, Ireland, now managed by RCSI Hospitals. The eponymous Rotunda in Parnell Square is no longer a part of the hospital complex.
BackgroundThe transition from clinical practice to research represents a significant yet under-studied career pivot for health care professionals. Despite the growing emphasis on research integration in health care careers and increasing numbers of clinicians pursuing advanced research degrees, the transition experience remains poorly understood. This protocol outlines a scoping review aimed at examining the nuanced experiences of clinicians moving between full-time clinical practice and research roles, exploring the challenges, adjustments, and impacts on professional identity, decision-making, and career trajectories. ObjectiveThis scoping review aims to systematically map and synthesize existing literature on health care professionals’ experiences in transitioning between clinical practice and research roles. MethodsThis scoping review will follow the JBI methodology for scoping reviews and validated frameworks. Comprehensive searches will be conducted across 8 databases: PubMed, Ovid, Scopus, Embase, CINAHL, PsycInfo, Sage Journals, and Web of Science. Studies will be eligible for inclusion if they (1) focus on health care professionals providing direct patient care (physicians, nurses, midwives, pharmacists, dieticians, and other allied health professionals), and medical students, (2) examine transitions between clinical practice and research roles, (3) report empirical data, and (4) are published in English from 1980 onward. Two independent reviewers (SA-T and CK) will screen titles, abstracts, and full texts. A rigorous data extraction tool will be developed and piloted. Qualitative thematic analysis will be used to synthesize findings. ResultsThis protocol was registered with the Open Science Framework in January 2024. This scoping review will be conducted as part of SAT’s MD (doctor of medicine, University College Dublin, commenced July 2023) conducted at the National Maternity Hospital. As of January 2026, pilot database searches identified approximately 3000 potentially relevant studies. Preliminary analysis of a subset of randomly chosen studies was performed as a pilot test to refine the search strategy and inclusion or exclusion criteria. Full data collection will commence following protocol acceptance, with complete results expected to be submitted for publication in 2026. ConclusionsBy synthesizing existing knowledge on clinical-research transitions, this review will aim to inform evidence-based support mechanisms, guide institutional policies, and enhance the training experience for the growing number of health care professionals navigating this career pathway. The findings will provide a foundation for a larger mixed methods study addressing identified knowledge gaps. Trial RegistrationOSF Registries BRJA7; https://osf.io/brja7 International Registered Report Identifier (IRRID)PRR1-10.2196/76490
BACKGROUND:Magnetic resonance imaging (MRI) is often routinely used to complement ultrasound for the prenatal diagnosis and surgical management of placenta accreta spectrum (PAS). However, several studies suggest there is no additional benefit of MRI, and it requires additional costs and resources. Furthermore, centers are gaining more expertise in ultrasound, frequently using it to correlate to the expected surgical topography, further questioning the role of MRI which typically was reported to provide additional information for surgical planning. OBJECTIVES:To evaluate the additional clinical value that MRI adds when used routinely as an adjunct to expert ultrasound for the prenatal detection and severity assessment of PAS within a specialist multidisciplinary service. STUDY DESIGN:A multi-site retrospective cohort study conducted across two tertiary maternity centres (2018-2023). Consecutive patients with clinical risk factors and ultrasound findings suspicious for PAS who underwent adjunctive antenatal MRI and gave birth at a participating centre were included. Ultrasound and MRI reports classified PAS risk as low, suspected mild disease, or suspected severe disease. Final diagnosis and grading were determined by intraoperative findings and histopathology. Diagnostic performance of MRI and ultrasound was compared, along with agreement between modalities and associations with clinical management and outcomes. RESULTS:70 patients were included, of whom 56 (80%) were diagnosed with PAS. MRI demonstrated a sensitivity of 0.83 (95% CI 0.70-0.92) and specificity of 0.24 (95% CI 0.07-0.50), compared with ultrasound sensitivity of 0.88 (95% CI 0.76-0.95) and specificity of 0.62 (95% CI 0.32-0.86). Overall agreement between prenatal ultrasound and MRI was low at 44%, with correct concordance in only 27% of cases. In 34.5% of cases, MRI incorrectly disagreed with the ultrasound impression, most commonly by misclassifying disease severity. Disagreement between modalities was not associated with differences in gestational age at delivery, rate of Caesarean hysterectomy, estimated blood loss, or use of interventional radiology procedures. CONCLUSION:The role of MRI as a routine complementary imaging modality to US in a specialist, moderate volume PAS service is uncertain and may incorrectly change the suspected diagnosis. Where expert ultrasound is available, given the additional cost and resources required, the use of routine MRI in this setting warrants further exploration and may be better reserved for select cases.
