Sarah began developing teaching materials and joined the Sustainable Healthcare Education network in 2009, during medical undergraduate training at Leeds Medical School. During Foundation training, she began working as a Clinical Teaching Fellow in Sustainability, Health and Healthcare at the University of Leeds, developing and delivering teaching for medical undergraduates and BSc and Masters students. As an NIHR Academic Clinical Fellow, she completed a Best Evidence in Medical Education systematic review: "What do tomorrow's doctors need to learn about ecosystems?" https://www.tandfonline.com/doi/full/10.3109/0142159X.2015.1112897 In 2017, she co-led a project which engaged teams from eight medical schools in developing and delivering new teaching on environmental sustainability: https://www.sciencedirect.com/science/article/abs/pii/S0033350617301944.