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Hire Dr. Dr Emma H.

United Kingdom

USD 250 /hr

Clinician-scientist & founder, safety expert. Clinical evidence and validation for wearables, sensors & SaMD

Profile Summary

I'm a clinician-scientist and founder working at the intersection of surgery, human factors, and health technology. I trained as a general surgeon (MB ChB, MRCS(Ed)) and hold a PhD in medical informatics and surgical human factors from the University of Edinburgh, where I now lead the MSc in Patient Safety and Clinical Human Factors and hold an honorary academic post at the Usher Institute. My research programme, MARS (Mental Readiness for Surgery), applies continuous physiological measurement — electrodermal activity and heart rate variability — to understand cognitive load, stress, and performance in surgical teams. My doctoral thesis, "Surgical Sabermetrics," spanned seven empirical studies and helped build one of the largest in-vivo physiological datasets in surgical performance research. This work runs in collaboration with Harvard Medical School and the Scottish Rugby Union, and has produced publications in the Journal of Surgical Education, Annals of Surgery, and beyond. I bring deep technical skills in EDA signal processing, HRV, statistical modelling in R, and human factors frameworks such as SEIPS 2.0. Alongside my academic work, I founded Metriqx, an evidence-led advisory practice focused on wearables, sensors, and software as a medical device. My core expertise is clinical validation and evidence assessment — separating what health technology genuinely proves from what it merely claims — supporting device companies, investors, and health systems through validation, due diligence, and digital safety. I am also a certified Clinical Safety Officer. I publish evidence-led analysis of wearable health technology through my platform, Calibrated, and am a genuine advocate for wearables done rigorously and safely.

Subject Matter Expertise

• ☆ Biostatistics
• ☆ R
• ☆ Medical Devices
• ☆ Medical Device Development
• ☆ Wearable Technology
• ☆ Medical Device Regulatory Consulting
• ☆ Biomarker Analysis
• ☆ Human Biology
• ☆ General Surgery
• ☆ Clinical Laboratory Science
• ☆ Clinical Physiology
• ☆ Medical Education
• ☆ Continuing Medical Education (CME)
• ☆ Medical Terminology

Services

• Writing
• Research
• Consulting
• Data & AI
• Product Development

Writing Medical Writing, General Proofreading & Editing

Research Feasibility Study, Fact Checking, Scientific and Technical Research, Systematic Literature Review

Consulting Digital Strategy Consulting, Healthcare Consulting, Scientific and Technical Consulting, Regulatory Consulting

Data & AI Statistical Analysis, Big Data Analytics, Data Processing, Data Insights

Product Development Quality Assurance & Control (QA/QC)

Work Experience

University of Edinburgh

- Present

Education

PhD

University of Edinburgh

August 2021 - Present

Certifications

• Certified Healthcare Technology Specialist - Clinician/Practitioner Consultant

  University of Edinburgh

  January 2026 - Present

Publications

JOURNAL ARTICLE

Emma Elizabeth Howie, James Murray, Rory Clarke, Nikki Totton, Adam Peckham-Cooper, Helen R. Church, Steven Yule, James Tomlinson (2026). Applying Elite Sports Coaching Routines to Enhance Cognitive Load Management and Skill Development in Trainee Surgeons: A Pilot Study . Journal of Surgical Education.

Dharanikota H, Howie E, Hope L, Wigmore SJ, Skipworth RJE, Yule S(2024). Debiasing Judgements Using a Distributed Cognition Approach: A Scoping Review of Technological Strategies . Human factors.

Emma E. Howie, Ryan Harari, Roger D. Dias, Stephen J. Wigmore, Richard J.E. Skipworth, Steven Yule (2024). Feasibility of Wearable Sensors to Assess Cognitive Load During Clinical Performance: Lessons Learned and Blueprint for Success . Journal of Surgical Research.

NIHR Global Health Research Unit on Global Surgery, STARSurg Collaborative(2024). A prognostic model for use before elective surgery to estimate the risk of postoperative pulmonary complications (GSU-Pulmonary Score): a development and validation study in three international cohorts . The Lancet. Digital health.

Howie EE, Ambler O, Gunn EGM, Dias RD, Wigmore SJ, Skipworth RJE, Yule SJ(2024). Surgical Sabermetrics: A Scoping Review of Technology-enhanced Assessment of Nontechnical Skills in the Operating Room . Annals of surgery.

Emma E Howie, Harini Dharanikota, Eilidh Gunn, Olivia Ambler, Roger Dias, Stephen J. Wigmore, Richard J.E. Skipworth, Steven Yule (2023). Cognitive Load Management: An Invaluable Tool for Safe and Effective Surgical Training . Journal of Surgical Education.

Emma Howie, Stephen J Wigmore, Roger Daglius Dias, Richard Skipworth, Steven Yule (2023). Protocol for a scoping review on ‘surgical sabermetrics:’ technology-enhanced measurement of operative non-technical skills . BMJ Open.

Clifford RE, Harji D, Poynter L, Jackson R, Adams R, Fearnhead NS, Vimalachandran D, ReCaP Steering Committee and Collaborators(2021). Rectal cancer management during the COVID-19 pandemic (ReCaP): multicentre prospective observational study . The British journal of surgery.

COVIDSurg Collaborative, GlobalSurg Collaborative (2021). SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study . The British journal of surgery.

COVIDSurg Collaborative, GlobalSurg Collaborative(2021). Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study . Anaesthesia.

COVIDSurg Collaborative, GlobalSurg Collaborative(2021). SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study . Anaesthesia.

COVIDSurg Collaborative, GlobalSurg Collaborative(2021). Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study . Anaesthesia.

RIFT Study Group on behalf of the West Midlands Research Collaborative(2020). Appendicitis risk prediction models in children presenting with right iliac fossa pain (RIFT study): a prospective, multicentre validation study . The Lancet. Child & adolescent health.

Bhangu A, RIFT Study Group on behalf of the West Midlands Research Collaborative(2019). Evaluation of appendicitis risk prediction models in adults with suspected appendicitis . The British journal of surgery.

GlobalSurg Collaborative(2019). Global variation in anastomosis and end colostomy formation following left-sided colorectal resection . BJS open.

GlobalSurg Collaborative(2019). Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy . The British journal of surgery.

GlobalSurg Collaborative(2018). Management and Outcomes Following Surgery for Gastrointestinal Typhoid: An International, Prospective, Multicentre Cohort Study . World journal of surgery.

GlobalSurg Collaborative(2018). Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study . Surgical endoscopy.

Howie E, Pournaras DJ, Mahon D(2017). Staple line integrity test in sleeve gastrectomy . Annals of the Royal College of Surgeons of England.

GlobalSurg Collaborative(2017). Determining the worldwide epidemiology of surgical site infections after gastrointestinal resection surgery: protocol for a multicentre, international, prospective cohort study (GlobalSurg 2) . BMJ open.

GlobalSurg Collaborative (2016). Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries . BMJ global health.

GlobalSurg Collaborative(2016). Mortality of emergency abdominal surgery in high-, middle- and low-income countries . The British journal of surgery.