Joel did his medical school training at Oxford University at a time when evidence based medicine was taking off. He then went to Manchester for his junior doctor positions and worked for Professor Mackway Jones who had just set up Best Evidence Topics in Emergency Medicine. He was encouraged to set up a 10 centre study in children's head injuries that became his PhD and he helped NICE to create National Guidelines in this area.
Joel then entered Cardiothoracic Surgery and continued projects in Evidence Based Surgery first inspired by Prof Ludwig Von Segesser to create Best BETS in Cardiothoracic Surgery for the ICVTS and then by Sam Nashef on the EACTS Clinical Guidelines committee to start to produce guidelines for the community.
He is currently promoting guidelines for the management of arrests after cardiac surgery which he thinks is the most important guideline that he has ever helped to create and has the potential to save the most lives.
Clinically he spends a lot of his time doing minimally invasive Thoracic Surgery. He particularly likes trying new techniques for both robotic and VATS surgery including subxiphoid approaches for lobectomy and the thymus. He is involved in the development of a few novel devices including a new 5mm stapler.