Dr Penelope Fotheringham

Honorary Senior Lecturer

School of Medicine and Public Health

Career Summary

Biography

Dr Penelope Fotheringham is a dual trained medical specialist in Obstetrics and Gynaecology and Public Health Medicine. She commenced as an academic member of the Central Coast Clinical School of the University of Newcastle in 2021. She actively contributes to RANZCOG and AFPHM, with committee and educational roles, and is a board member of Women's Plans Foundation. She has been teaching medical students at the University of Sydney since 2010 and also lectures in the Masters of Medicine (Sexual and Reproductive Health).

Throughout her training in she developed an interest in population health medicine after working in rural and regional Australia, and through international volunteer work. Penelope has an interest in achieving equity in health care for those that are the most disadvantaged in society due to the social determinants of health and historical disadvantage. Her interests in population health medicine have led her to pursue both formal University and Medical qualifications in these areas, and she is now developing her research capacity while pursuing her PhD in Medical Education where she aims to understand the current status of health literacy in medical education, particularly with relevance to sexual and reproductive health, and to identify levers that can be used to improve health professional understanding to improve the patient experience.




Qualifications

  • Master of Public Health, University of Sydney
  • Bachelor of Medical Science, University of New South Wales
  • Bachelor of Medicine and Bachelor of Surgery (Honours), University of Sydney
  • Master of Science in Infectious Diseases, University of London

Keywords

  • Contraception
  • Health Literacy
  • Obstetrics and Gynaecology
  • Public Health
  • Sexual and Reproductive Health

Fields of Research

Code Description Percentage
321502 Obstetrics and gynaecology 50
420699 Public health not elsewhere classified 50

Professional Experience

Membership

Dates Title Organisation / Department
28/2/2022 -  Member Australian & New Zealand Association for Health Professional Educators (ANZAHPE)
Australia
1/9/2021 -  Member Public Health Association of Australia
Australia
1/7/2021 -  Fellow Australian Faculty of Public Health Medicine, The Royal Australasian College of Physicians
Australia
1/7/2017 -  Fellow The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG)
Australia

Awards

Award

Year Award
2022 Clinical Leadership and Engagement
Academic Excellence, University of Newcastle
2021 Early and Mid Career Teaching Award
College Health, Medicine and Wellbeing - The University of Newcastle (Australia)

Professional

Year Award
2024 Australasian Faculty of Public Health Medicine 2023 President's Award
Australasian Faculty of Public Health Medicine
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Conference (4 outputs)

Year Citation Altmetrics Link
2024 Filipczuk K, Cupitt D, Heiner E, Fotheringham P, Cromer N, Green A, Kennedy D, 'Implementation of a Hyperemesis Gravidarum phone advice service for medications advice', NEUROTOXICOLOGY AND TERATOLOGY, DENMARK, Nyborg
2023 Fotheringham P, Safi N, Martin L, Anazodo A, Redmond M, Lo S, Sullivan E, 'Perinatal outcomes and maternal survival in early or localised pregnancy associated melanoma (stages 0-II)', AUSTRALASIAN JOURNAL OF DERMATOLOGY (2023)
Co-authors Nadom Safi
2021 Fotheringham P, Blair M, Eastwood J, '"Me & My Family" phone application - Lessons learned in collaborative development', "Me & My Family" phone application - Lessons learned in collaborative development, Melbourne (2021)
DOI 10.5334/ijic.s4147
2021 Fotheringham P, Raymond D, Khanlari S, Jiang W, Gleeson S, Miller E, Esatwood J, 'A qualitative study into the health and social care needs and barriers to service access for Sudanese women living in a socioeconomically disadvantaged area of Sydney, Australia', INTERNATIONAL JOURNAL OF INTEGRATED CARE (2021)
DOI 10.5334/ijic.s4005
Show 1 more conference

Journal article (15 outputs)

Year Citation Altmetrics Link
2025 Fotheringham P, Safi N, Martin LK, Lo SN, Anazodo A, Remond M, Sullivan EA, 'In situ and localized primary invasive pregnancy-associated melanoma: Maternal and perinatal outcomes', Journal of the European Academy of Dermatology and Venereology (2025) [C1]
DOI 10.1111/jdv.20894
Co-authors E Sullivan, Nadom Safi, Marc Remond
2025 Rudland J, Ash J, Barclay L, Bloomfield J, Bogossian F, Byrne K, Butler M, Chur-Hansen A, Clark S, Edgar A, Fotheringham P, Forbes R, Green E, Haworth N, Hays R, Judd B, Martin P, Macdiarmid R, McNally C, McNeill L, McGee R, Needham J, Poole P, Raymond J, Ridd M, Schoo A, Tran M, Virtue D, Wilkinson T, Wright J, Ní Chróinín D, 'Rethinking clinical placements: A response to changing healthcare demands', Focus on Health Professional Education: A Multi-Professional Journal, 26, 60-77 (2025)
DOI 10.11157/fohpe-vol26iss1id782
Co-authors Richard Mcgee
2025 Petherbridge RL, Peters J, Smithson K, Mollart L, Cheney K, Lewis S, Fotheringham P, 'Outpatient models of care for pregnant women with hyperemesis gravidarum: a scoping review', British Journal of Midwifery, 33, 208-219 (2025) [C1]

Background/Aims Hyperemesis gravidarum can significantly impact physical and mental health and adversely affect quality of life.The aim of this review was to describe c... [more]

Background/Aims Hyperemesis gravidarum can significantly impact physical and mental health and adversely affect quality of life.The aim of this review was to describe current literature regarding outpatient services for women experiencing hyperemesis gravidarum. Methods This scoping review searched a range of databases for studies conducted between January 2010 and October 2024. Results Overall, 18 papers were included. Descriptions of investigations, treatments and medications varied and were poorly reported. Outpatient care decreased inpatient admissions and length of stay without negatively impacting women's health.Women receiving outpatient care were as satisfied as those receiving inpatient care. Conclusions There is significant variation in outpatient models of care for hyperemesis gravidarum. Further research is needed to address the large evidence gaps in optimising models of care. Implications for practice Outpatient services should be considered as an alternative to inpatient care. Development of standardised, evidence-based protocols for outpatient management is required including consistent approaches to investigations, treatments and education.

DOI 10.12968/bjom.2024.0105
Co-authors Lyndall Mollart
2024 Fotheringham P, Safi N, Li Z, Anazodo A, Remond M, Hayen A, Currow D, Roder D, Hamad N, Nicholl M, Gordon A, Frawley J, Sullivan EA, 'Pregnancy-associated gynecological cancer in New South Wales, Australia 1994-2013: A population-based historical cohort study', ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 103, 729-739 (2024) [C1]
DOI 10.1111/aogs.14530
Citations Scopus - 3Web of Science - 1
Co-authors Nadom Safi, Marc Remond, E Sullivan
2024 Gaborit L, Kalyanasundaram K, Vu J, Basam A, Elhadi M, Wright D, Martin J, Park M, Pockney P, Ntalouka M, Abubaker N, Elhadi M, Saeed U, Abdulwahed E, Alsori M, Alrifae GMH, Farrell M, Liu G, Smith N, Xu W, Varghese C, Harrison E, Basam A, Goh S, Li J, Shah J, Waraich A, Gaborit L, Pathak U, Hilder A, Elhadi M, Jabur A, Kalyanasundaram K, Ohis C, Ong CFK, Park M, Siribaddana V, Raubenheimer K, Vu J, Wells C, Liu G, Ferguson L, Xu W, Varghese C, Pockney P, Atherton K, Dawson A, Martin J, Banerjee A, Dudi-Venkata N, Lightfoot N, Ludbrook I, Peters L, Sara R, Watson D, Wright D, Adeyeye A, Alvarez-Lozada LA, Atici SD, Buhavac M, Calini G, Elhadi M, Ioannidis O, Tepe MD, Nath U, Uzair A, Yang W, Zaidi F, Singh S, Abdullah B, Garces Palacios DS, Ragab A, Ahmed A, Raubenheimer K, Daudu D, Goh S, Benyani SV, Karthikeyan N, Mansour LT, Seow W, Tasi Z, Jabur A, Pathak U, Park M, Abdelmelek DE, Boussahel IFZ, Kaabache O, Lemdaoui N, Nebbar O, Rais M, Abdoun M, Kouicem AT, Bouaoud S, Bouchenak K, Saada H, Ouyahia A, Messai W, Choong ZS, Ting C, Larkin M, Fong PJ, Soh I, De Grandi A, Iftikhar H, Sinha A, Kapoor D, Chlebicka T, Singer D, Goddard K, Matthews L, Lin R, Chambers J, Chan J, Macnab B, Barker J, Mckenzie M, Ferguson N, Juwaheer G, Muralidharan V, Gill S, Sung N, Patel R, Walters C, Nguyen K, Liu D, Cabalag C, Lee J, Leow S-HA, Ng SL, Ashraf H, Mulder F, Loo J, Proud D, Wong S, Zhou Y, Soh QR, Chye D, Stevens S, Tang P, Kritharides S, Dong J, Morice O, Huang D, Hardidge A, Amarasekara M, Kink A, Bolton D, Rawal A, Singh J, Heard M, Hassan Y, Naqeeb A, Cobden A, Prinsloo D, Quadros D, Gunn E, Kim HJ, Ekwebelam J, Shanahan J, Alkazali M, Hoosenally M, Nara N, Nguyen P, Barker S, Tamsett Z, Rigby N, Patel H, Ferguson E, Byrnes L, Bravo A, Hilder A, Hui A, Karmakar A, Wang B, Goonawardena J, Cheung KT, Chan N, Natarajan R, Cade R, Jin R, Sengupta S, Snider R, Morisetty H, Weeda L, Sun P, Chilaka L, Cover J, Gunasekara ADSA, Senthilrajan R, Alwahaib A, Limmer A, Zamanbandho

Background: Excessive opioid prescribing following surgery contributes to the growing opioid crisis. Prescribing practices are modifiable, yet data to guide appropriate... [more]

Background: Excessive opioid prescribing following surgery contributes to the growing opioid crisis. Prescribing practices are modifiable, yet data to guide appropriate prescription of opioids at surgical discharge remain sparse. This study aimed to evaluate factors associated with opioid consumption following discharge from surgery. Methods: An international prospective multicentre cohort study was performed recruiting adult patients undergoing common general, orthopaedic, gynaecological and urological surgery, with follow-up 7 days after discharge. The primary outcome measures were the quantities of prescribed and consumed opioids in oral morphine milligram equivalents. Descriptive and multivariable analyses were performed to investigate factors associated with the primary outcome measures. Results: This analysis included 4273 patients from 144 hospitals in 25 countries. Overall, 1311 (30.7%) patients were prescribed opioids at discharge. For those patients prescribed opioids, mean (SD) 179 (240) oral morphine milligram equivalents were prescribed, yet only 81 (145) oral morphine milligram equivalents were consumed within the first 7 days after discharge. An increased dose of opioids prescribed at discharge was associated with an increased dose of opioids consumed during the follow-up period (ß = 0.33 (95%CI 0.31¿0.34), p < 0.001). The risk of prescribing more opioids than patients consumed increased as quantities of opioids prescribed at discharge exceeded 100 oral morphine milligram equivalents, independent of patient comorbidity, procedure and pain. Patients were prescribed more than twice the quantity of opioids they consumed in the first 7 days following discharge from surgery. Conclusions: Our data suggest that the current quantities of opioids provided at discharge exceed patient needs and may contribute to increasing community opioid use and circulation.

DOI 10.1111/anae.16297
Citations Scopus - 8Web of Science - 2
Co-authors Peter Pockney, Amanda Dawson, Jenniferh Martin, Richard Mcgee, Alpha Gebeh
2024 McNamara KA, Murnion B, Fotheringham P, Terplan M, Lintzeris N, Oei JL, Bond DM, Nassar N, Black K, 'Interconnections between unintended pregnancy, alcohol and other drug use, and pregnancy, birth, infant, childhood and socioeconomic outcomes: a scoping review', BMJ SEXUAL & REPRODUCTIVE HEALTH, 50, 285-293 (2024) [C1]
DOI 10.1136/bmjsrh-2023-202140
Citations Scopus - 1Web of Science - 1
Co-authors Kelly Mcnamara
2023 Fotheringham P, Dorney E, Mckinn S, Fox GJ, Bernays S, 'Protecting mental health in quarantine: Exploring lived experiences of healthcare in mandatory COVID-19 quarantine, New South Wales, Australia', SSM-POPULATION HEALTH, 21 (2023) [C1]
DOI 10.1016/j.ssmph.2022.101329
Citations Web of Science - 4
2023 Safi N, Li Z, Anazodo A, Remond M, Hayen A, Currow D, Roder D, Hamad N, Nicholl M, Gordon A, Frawley J, Fotheringham P, Sullivan E, 'Pregnancy associated cancer, timing of birth and clinical decision making-a NSW data linkage study', BMC PREGNANCY AND CHILDBIRTH, 23 (2023) [C1]
DOI 10.1186/s12884-023-05359-1
Citations Scopus - 1Web of Science - 6
Co-authors Marc Remond, E Sullivan, Nadom Safi
2022 Mukumbang FC, De Souza D, Liu H, Uribe G, Moore C, Fotheringham P, Eastwood JG, 'Unpacking the design, implementation and uptake of community-integrated health care services: a critical realist synthesis', BMJ GLOBAL HEALTH, 7 (2022) [C1]
DOI 10.1136/bmjgh-2022-009129
Citations Scopus - 7Web of Science - 7
2022 Fotheringham P, Dorney E, Copp T, 'Understanding health literacy in practice', O&G magazine, 24 43-46 (2022)
2021 Todd K, Eastwood JG, Fotheringham P, Salinas-Perez JA, Salvador-Carulla L, 'Using Geospatial Analysis to Inform Development of a Place-Based Integrated Care Initiative: The Healthy Homes and Neighbourhoods Experience', INTERNATIONAL JOURNAL OF INTEGRATED CARE, 21 (2021) [C1]
DOI 10.5334/ijic.5430
Citations Scopus - 6Web of Science - 4
2021 Fotheringham P, Anderson T, Shaw M, Jewitt J, Storey H, Hutchings O, Cartwright J, Gupta L, 'Control of COVID-19 in Australia through quarantine: the role of special health accommodation (SHA) in New South Wales, Australia', BMC PUBLIC HEALTH, 21 (2021) [C1]
DOI 10.1186/s12889-021-10244-7
Citations Scopus - 2Web of Science - 26
2020 Eastwood J, Barmaky S, Hansen S, Millere E, Ratcliff S, Fotheringham P, Coupland H, De Souza D, 'Refining Program Theory for a Place-Based Integrated Care Initiative in Sydney, Australia', INTERNATIONAL JOURNAL OF INTEGRATED CARE, 20 (2020) [C1]
DOI 10.5334/ijic.5422
Citations Web of Science - 8
2020 Eastwood JG, Dewhurst S, Hansen S, Tennant E, Miller E, Moensted ML, Fotheringham P, De Souza D, 'Care Coordination for Vulnerable Families in the Sydney Local Health District: What Works for Whom, under What Circumstances, and Why?', INTERNATIONAL JOURNAL OF INTEGRATED CARE, 20 (2020) [C1]
DOI 10.5334/ijic.5437
Citations Web of Science - 11
2020 Tennant E, Miller E, Costantino K, De Souza D, Coupland H, Fotheringham P, Eastwood J, 'A critical realist evaluation of an integrated care project for vulnerable families in Sydney, Australia', BMC HEALTH SERVICES RESEARCH, 20 (2020) [C1]
DOI 10.1186/s12913-020-05818-x
Citations Web of Science - 13
Show 12 more journal articles

Preprint (2 outputs)

Year Citation Altmetrics Link
2023 A KM, Murnion B, Fotheringham P, Terplan M, Lintzeris N, Oei JL, Bond D, Nassar N, Black K, 'Interconnections between unintended pregnancy, alcohol and other drug use, and pregnancy, birth, infant, childhood, and socio-economic outcomes: a scoping review' (2023)
DOI 10.22541/au.169618686.66430081/v1
Co-authors Kelly Mcnamara
2020 Fotheringham P, Anderson T, Shaw MM, Jewitt J, Storey MH, Hutchings O, Cartwright J, Gupta L, 'Control of COVID-19 in Australia through quarantine: the role of Special Health Accommodation (SHA) in New South Wales, Australia' (2020)
DOI 10.21203/rs.3.rs-34542/v1
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Grants and Funding

Summary

Number of grants 2
Total funding $2,035,980

Click on a grant title below to expand the full details for that specific grant.


20241 grants / $1,960,980

Treatable Traits for Asthma Management during Pregnancy$1,960,980

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Professor Vanessa Murphy, Professor Craig Pennell, Doctor Penelope Fotheringham, Doctor Soriah Harvey, Professor Michael Peek, Dr Annemarie Robijn, Dr Helen Barrett, Dr Sean Seeho, Dr Marjorie Atchan, Dr Sameh Samuel
Scheme MRFF - PPHRI - Chronic Respiratory Conditions
Role Investigator
Funding Start 2024
Funding Finish 2028
GNo G2300790
Type Of Funding C1300 - Aust Competitive - Medical Research Future Fund
Category 1300
UON Y

20211 grants / $75,000

COVID-Home qualitative study$75,000

Funding body: RPA Greenlight Institute

Funding body RPA Greenlight Institute
Scheme RPA Greenlight Institute
Role Investigator
Funding Start 2021
Funding Finish 2022
GNo
Type Of Funding Other Public Sector - Local
Category 2OPL
UON N
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Research Projects

COVIDsurg 3 2021 - 2022

COVIDsurg3 was an international prospective cohort study on the outcomes of patients with peri-operative SARS-CoV-2 infection during the vaccination and Omicron era.  It aimed to determine the 30 day mortality in patients with peri-operative SARS-CoV-2 infection and to inform future risk stratification, decision making and patient consent.

Patient-level Component.

Objective: Assess the outcomes of patients with peri-operative SARS-CoV-2 and evaluate the implementation of SARS-CoV-2 adaptations.  

Inclusion criteria: Surgery performed by a surgeon in an operating theatre AND a positive SARS-CoV-2 PCR swab or rapid antigen test within 7 days before and 30 days after surgery.

All eligible patients across all specialties within 13 December 2021 and 28 February 2022.

Hospital-level Component

Objective: Determine the frequency of peri-operative SARS-CoV-2 infection and same day elective cancellations.

Inclusion criteria: Any hospital with data collection mapped to one or more pre-defined body regions specified in the protocol.

All elective and emergency surgical activity relating to the selected body regions during a 14 day block.

Participating Central Coast Hospitals: Gosford Hospital, Wyong Hospital, Gosford Private Hospital

Collaborators

Name Organisation
Miss Charlotte Elizabeth Cornwell University of Newcastle
Doctor Sharon Laura
Doctor Penelope Ann Margaret Fotheringham University of Newcastle
Gabrielle Francis CCLHD
Doctor Elizabeth Lun
Doctor Indu Gunawardena
Doctor Daniel Kai Hin Wong University of Newcastle
Doctor Daniel Kai Hin Wong University of Newcastle

COVID-Home qualitative Study 2020 -

A qualitative study examining the impact of compulsory quarantine for cases and close contacts of COVID-19 and their healthcare needs.


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Research Collaborations

The map is a representation of a researchers co-authorship with collaborators across the globe. The map displays the number of publications against a country, where there is at least one co-author based in that country. Data is sourced from the University of Newcastle research publication management system (NURO) and may not fully represent the authors complete body of work.

Country Count of Publications
Australia 15
United Kingdom 2
United States 2
Spain 1
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Dr Penelope Fotheringham

Position

Honorary Senior Lecturer
Central Coast Clinical School
School of Medicine and Public Health
College of Health, Medicine and Wellbeing

Contact Details

Email penelope.fotheringham@newcastle.edu.au
Phone 0243484652
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