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Dr Joanna Szram

Dr Joanna Szram

Dr Jo Szram

Consultant in occupational lung disease
and asthma

Honorary senior lecturer, 

National Heart and Lung Institute,

Imperial College London

Director of medical education

Following her graduation from the University of Cambridge, Dr Joanna Szram continued her training in Cambridge, Nottingham and London before completing her PhD in occupational lung disease at Imperial College London.


Dr Szram was appointed as director of medical education in October 2014.

Work and expertise

Dr Szram’s work and expertise in the occupational lung disease service encompasses:

  • outpatient care and assessment of patients referred with work-related respiratory symptoms
  • inpatient specific inhalation challenge testing
  • follow-up and advice following diagnosis
  • pre-placement assessment of potential employees with respiratory disease
  • workplace clinics and visits, telephone consultations and specialist opinions on work-related respiratory issues
  • review of employment consequences (current and future) of employees with chronic respiratory symptoms and disease
  • investigation of respiratory symptoms related to environmental triggers such as allergens and chemicals
  • dedicated laboratory service providing occupational and environmental allergen testing, including bespoke IgE and IgG assays, precipitins and beryllium proliferation tests
  • dedicated occupational lung disease clinic

Current research interests

  • Colt Foundation funded longitudinal population study examining the impact of respiratory symptoms, COPD and airflow obstruction (FEV1) on present and future employment in 51 to 60 year olds in Kent.
  • Welding and lung function decline (in collaboration with the Welding Institute) and outcome of occupational asthma on continuing exposure.
  • Pre-placement and other employment issues in asthma and other cardio-respiratory diseases, with a focus on safety-critical roles such as fire fighting and the armed forces.
  • Occupational respiratory surveillance.

Education and training

Dr Szram is involved in internal and external education and training for occupational health, respiratory specialists and primary care health professionals in occupational lung disease.


She regularly works with visitors from the UK and other countries for clinical and/or research attachments.

Panel memberships

  • Member of UK GORDS (Group of Occupational Respiratory Disease Specialists)
  • Member of British Thoracic Society education and training committee


Read more information about Dr Szram’s work on the Lungs at Work website.


Royal Brompton

Sydney Street,
London SW3 6NP
Tel: +44 (0)20 7352 8121


Read about Royal Brompton’s adult severe asthma service