BMERG Committee Profile

Dr Ed Luff, BSc, MB ChB, PG Dip, MAcadMEd, MRCEM

In the second of our BMERG Committee profiles, we asked Ed Luff to tell us a bit about himself.

Ed is a Bristol Medical School graduate, working as a Clinical Lecturer at Bristol Medical School and a Speciality Teaching Fellow and Tutor at South Bristol Academy, based in the Bristol Royal Infirmary.

He is currently finishing his MSc dissertation exploring students’ experiences and perceptions of using simulation to teach human factors and non-technical skills, as part of his studies on the Health Professionals Education (TLHP) course.

What was your first role or job as an educator?

When I was a medical student at Bristol, I was involved with a peer teaching scheme, educating other healthcare students, including pharmacy and nursing students, and in my later clinical years I also helped to mentor and teach more junior medical students on placements. I then went on to mentor final-year students placed on the same wards as me when I was working as a Foundation Doctor, as well as helping to teach in tutorials and at the bedside.

My first formal role was working as a Clinical Teaching Fellow in Swindon, where I spent 50% of my time teaching medical students from Bristol, Oxford and Kings College London, at The Great Western Hospital, and the other half of my time working clinically in Emergency Medicine and Obstetrics and Gynaecology.

What inspired you to become an educator and/or education researcher?

I was really inspired by all of the amazing teachers and educators that I met on my journey through medical school at Bristol. This included many extremely enthusiastic and gifted Clinical Teaching Fellows, who I saw as wonderful role models. I aspired to be like them in my future career, and planned to work as a Clinical Teaching Fellow after completing my Foundation Training.

I was fortunate to get a job as a CTF, and during this, I was encouraged to pursue some small medical educational research projects, I was supported by some excellent seniors, including some more experienced CTFs, who allowed me to start exploring the world of education research. After this, I was hooked and was determined to incorporate education research into my educational career!

Alongside my CTF job, I was able to complete my PG Cert in Teaching and Learning for Health Professionals (TLHP, now HPE), which I thoroughly enjoyed. I then went on to complete the PG Dip, including a module on Research Methods, which I found fascinating. This gave me the final push to go on and complete my MSc dissertation, continuing my journey in medical education research, alongside my teaching and clinical commitments.

What challenges have you faced in your journey as a medical education researcher and how have you overcome these?

Finding time to complete research, alongside other teaching and educational responsibilities, supporting students, clinical duties, further study and everything else outside of work is always challenging. I’m currently in the process of completing my MSc dissertation, and at times, finding the motivation to sit down and do some reading, or write some words can be challenging.

Having supervisors and others to keep me motivated and working as part of a team has always really helped me. Seeking the advice, guidance and support of more experienced people is invaluable and bouncing ideas around with someone else, as well as working collaboratively, is extremely important to me. I strongly believe that research should never be conducted in isolation.

What is your current medical education research project on?

I’m currently writing my dissertation for my MSc in Health Professionals Education (previously Teaching and Learning for Health Professionals/ TLHP). I chose to explore students’ experiences and perceptions of using simulation as a method to teach human factors and non-technical skills. These are two areas that I’m really passionate about, using simulation as a teaching and learning tool, and the interplay of humans, communication, environment, and everything else that forms human factors and non-technical skills. I’m relatively new to qualitative research but I’ve thrown myself into it and am really enjoying all the new skills I’m learning along the way.

Who are your medical education/education research role models?

I’ve been privileged enough to be taught by and now work with many amazing individuals at Bristol Medical School. These include Professor Karen Forbes, Professor Andrew Blythe and Dr Sarah Allsop. All of whom have provided advice and guidance as I develop my academic and educational career. I also admire and looked up to many of my former CTFs who inspired me to apply for the roles that opened many doors to get me to where I am today.

What would you consider your greatest academic success?

Helping to support all the students I have worked with, through various challenges, to achieve their academic potential. Many of them have now graduated and started working as doctors, and some of whom I have since met as colleagues! I now also have a leadership role within the medical school assessments team, which is equally exciting as it is daunting.

Have you ever had a piece of work go wrong and how did you deal with this?

Many! Ask for help. Find someone who can support you. See if there are any solutions that you might not have thought about initially and don’t give up at the first hurdle. But also reflect on what went wrong and where things didn’t work out as expected. And know when it is a better use of your time to let this one go, learn from it and put your time into something more productive. Sometimes it’s a tricky balance to strike.

What helps you to maintain your work life balance as a medical educator/researcher?

I think this is something that I struggle with generally. My family are amazingly supportive of all of my endeavours, both work-related and outside of work. I like to set myself challenges and have completed a few triathlons, including an Ironman distance event. My 2 young sons keep me busy at home and seeing friends and family is extremely important to me and keeps me grounded. I enjoy playing hockey for a local team and try to get outside as much as possible. I think that trying to carve out time to focus on things away from work is important, and something I am trying to do more of.

What do you think will be the greatest change to medical education over the next decade?

The ever-increasing demands placed on the national health service, from all angles, is a huge challenge. I see this especially, in my clinical work as an Emergency Medicine Doctor. This will require more health professionals to be employed, meaning increases in education, both undergraduate and postgraduate, increases in student numbers, and changes in the ways we plan and deliver teaching, requiring innovation across the board, as well as more inter-professional and cross-institution collaboration.

What book are you reading at the moment?

I’m not a big reader, so I often start something and never quite finish it…but the books that I really got into were all from Atul Gawande. He captivated me and I couldn’t put them down.

What is your favourite quote?

“The definition of insanity is doing the same thing over and over again, but expecting different results” – Albert Einstein

If something doesn’t work, give it a couple of goes, but don’t keep ploughing on with it. You never know what trying something else might lead to!

What job would you do if you were not a medical educator/researcher?

I spent a season working in the French Alps before starting medical school, and then also worked as a SCUBA diving instructor. My youthful dream would be to work as a skiing instructor in the winter and teach people to SCUBA dive in the summer. Or, working as a barista in a speciality coffee shop somewhere, as my other hobby is trying to perfect making and then drinking delicious coffee.

What three top tips would you give to new medical education researchers?

  1. Research things that interest you
  2. Make contacts near and far and collaborate with others
  3. Find a supervisor and value their experience

Where is your favourite place in the world and why?

I love being in the mountains, surrounded by the beautiful scenery and the fresh mountain air. I enjoy skiing and snowboarding, as well as the hearty apline food and warm fires at the end of the day.

Getting started in pedagogical research

In this week’s blog, Dr Andy Bond reflects on how to get started in pedagogical research, especially when coming from a non-teaching background, highlighting some insights from experienced members of BMERG.

I am a scientific researcher! This is ingrained into me as it was my career for over 20 years since starting out on my PhD ‘journey’ in 2003. It therefore came as a bit of a shock to the system to become a Pathway 3 member of the teaching staff at the University of Bristol, and feel like I had left basic science research behind. Yes, there is the chance to supervise student projects and live research vicariously through them, however it isn’t quite the same as being hands on, actually doing experiments for hours on end in the lab, with varying degrees of success. As teaching staff, we are required to complete our Postgraduate Certificate in Academic Practice (PGCAP). This introduced me to pedagogy and opened my eyes to a very different way of working, thinking and writing; pedagogical research values people’s opinions just as, if not more, importantly than “hard evidence”. Having purely been in the quantitative, basic science, school of research, I found the academic papers to be written in a very different style and tone that felt very alien, and not quite right to me!! This is where the dreaded imposter syndrome starts to creep in, and that sense you’re not doing things correctly, and you don’t quite know how to get started.

Colleagues introduced me to BMERG, and in particular the Journal Club. If I’m being honest, the imposter syndrome still continued for a while, with unfamiliar terms, phrases and methodologies being common place, however as with many things, learning through immersion fosters deeper understanding. I am now finding that pedagogical research (as a branch of social science) and basic science research share many similarities – forming research questions, gathering data (quantitative or qualitative), using reasoning, analysing results, and (hopefully) publishing the findings. Ultimately, both with the aim to advance knowledge.

To gain further insight for this blog, I asked some members of BMERG for their top tips for getting started, and have tried to summarise their insights below.

Collaboration

A common theme that emerged was that collaboration is key, especially when starting out, but also for the more experienced pedagogical researcher. In the early stages, teaming up with someone with experience, ideally that shares your interests, enables you to get feedback and validation for your ideas, but also to take on more ambitious projects, and increase chances of funding. Collaboration can also give you access to a wider group of students e.g. you may teach to postgraduates, but have an idea also relevant to undergraduate students, and need collaborators to help facilitate the transition.

Plan upfront

Another key theme was planning. All projects need to be carefully planned out in advance to focus the investigation, and start with a clear aim (the simpler the better) for what you want to achieve. Knowing the focus is vital, whether looking at teaching innovation (designing new methods of teaching to help students learn) or educational research (investigating an issue or challenge discovered when teaching). Both are equally valid, but require different approaches. Engaging with the ethics process early on helps to clarify your study design, and check the data you will receive is robust and reliable. It’s much harder to start with the methodology and work backwards. To prevent unintentionally marginalizing participants, it is vital at the research design stage to put the learners first; knowing who you are researching (considering inclusivity), and modifying research practices accordingly, rather than just accepting standard methods. Caution should be exercised at all stages of the project, from planning through to interpretation and analysis of results, considering the researchers beliefs or world view (paradigm), and their positionality (acknowledging how a researcher’s identity influences their research).

Use the resources available to you

In addition to the people within your network, and communities such as BMERG with its aforementioned Journal Club, there are a number of other Scholarship of Teaching and Learning (SoTL) resources available to the new pedagogical researcher within the University of Bristol, under the Bristol Institute for Learning and Teaching (BILT) umbrella (Scholarship of Teaching and Learning | Bristol Institute For Learning and Teaching | University of Bristol) e.g. Show, Tell and Talk Workshops, and the BILT Annual conference. Attending these events helps to widen your network, see what other research is taking place, helps to validate your own ideas, and gain confidence to undertake your own projects. Previous examples of published pedagogical research are an excellent resource, enabling you to see how other people structure their projects, and also their writing.

A final point suggested that has helped adjust my way of thinking, especially coming from a basic science research background, is to try to think of it not just as pedagogical research (studying something and trying to discover facts), but pedagogical insight (deep understanding). Put another way, research tells us what is happening, but we also need insight to understand why it is happening and what we can do about it. Looking at teaching practices through the insight lens can give a different perspective, and can open up alternative avenues for consideration.

So to sum up how you get started in pedagogical research, you just go for it, and you will find an extremely friendly and helpful community of like-minded people, that will support you, and help you build the confidence needed to do great things for the benefit of students. If anyone has further insights into how to get started on the pedagogical research journey then I would welcome your input via a comment below.

With thanks to Sarah Allsop, Sarah Mclaughlin, Fiona Holmes, Claire Hudson and Sally Dowling for their insights.


Dr Andrew Bond is a Lecturer in Cardiovascular Medicine, in Bristol Medical School, and Co-Director of MSc Cardiovascular Perfusion. In 2023 he switched to the Teaching and Scholarship Pathway at the University of Bristol, and his teaching role predominantly involves developing and delivering content on the MSc Translational Cardiovascular Medicine, MSc Clinical Perfusion Science and MSc Cardiovascular Perfusion. Andy recently joined the BMERG Committee, and sees it as the beginning of his pursuit of pedagogical research, and the chance to better understand how students learn and thrive. His hope is to integrate insights from this research into his own teaching practice, so that research and practice continually inform one another.

BMERG Committee Profile

In the first of our BMERG Committee profiles, we shine the spotlight on Fiona Holmes, our School Education Director.

Fiona is Associate Professor in Health Science Education and School Education Director. She is Programme Director of MSc Clinical Perfusion Science and Co-Director of MRes Health Sciences Research. During her long career as a neuroscientist she enjoyed combining research with teaching, aiming to inspire the next generation of biomedical and clinical researchers. She has a particular interest in students’ academic and research skills development.

What was your first role or job as an educator?

I have been involved in teaching and supervising students for many years but my first formal role was as Co-Director of MRes Health Sciences Research over 10 years ago.

What inspired you to become an educator and/or education researcher?

I want to encourage and support the medical researchers of the future and hopefully instill a curiosity and passion for discovery science. I love working with students and see them achieve their full potential.

What challenges have you faced in your journey as a medical education researcher and how have you overcome these?

Making the switch from biomedical research (PhD and 20+ years of experience) to pedagogical research (starting from scratch, learning to appreciate qualitative research, developing more of a ‘social sciences head’ and finding my niche).

What is your current medical education research project on?

I am working with a colleague (Jody Stafford) on using desk-based simulation to support cardiopulmonary bypass training. With Gemma Ford and BMERG Committee members, we are piloting a project to embed the Bristol Skills Profile into academic personal tutoring.

Who are your medical education/education research role models?

My mum worked as a school lab technician and was full of ideas to add interest to the classroom (many projects were tried out at home from stick insects to eyeballs to hatching chicks). The school and university lecturers who stick in my mind (along with what they taught) were really enthusiastic and committed to our learning, with a bit of showmanship and eccentricity thrown in!

What would you consider your greatest academic success?

My first, first author paper – perhaps not my greatest academic success but it felt like it at the time.

Have you ever had a piece of work go wrong and how did you deal with this?

Yes! Who hasn’t?! This is particularly true of biomedical research which can be a roller coaster of highs and lows – you need patience and resilience and to try and let the highs carry you through the lows. You learn more from work not going the way you expect / hope – problem solving, criticality, insight. The important thing is that you do learn and don’t – to misquote Einstein – do the same thing over and over again and expect different results. I bang on about this a lot to my students!

What helps you to maintain your work life balance as a medical educator/researcher?

A nagging husband who thinks I love the University of Bristol more than him! To be more serious, work can be such a big part of your identity so it’s important to be doing something that you really care about. Prioritising family (I am bonus mum to 2 step-daughters – a primary school teacher and a nurse), friends and outside interests (travel, gardening and running) can enhance your A game at work.

What do you think will be the greatest change to medical education over the next decade?

At the moment I’m grappling with artificial intelligence (AI) and the challenges and opportunites it brings to teaching and learning per se. Besides this, it is essential to integrate understanding of the potential (and pitfalls) of AI to transform medical practice into medical education curricula.

What book are you reading at the moment?

I have recently read Lessons in Chemistry by Bonnie Garmus – after being fired from her job as a lab tech, chemist Elizabeth Zott uses her new job hosting a 1950s television cooking show titled Supper at Six to educate housewives on scientific topics.

What job would you do if you were not a medical educator/researcher?

I probably would have done something clinical / patient-focussed. My retirement job idea is to be a florist.

What three top tips would you give to new medical education researchers?

  1. Collaborate: 2+ heads are better than one, there’s shared expertise and work-load and you are accountable to others which helps keeps you on track.
  2. Just do it: Make a start – fail, flounder – but do something. If you don’t start you will never have the opportunity to finish.
  3. Be a lifelong learner: Stay curious and open-minded, and being a student helps you put yourself in the shoes of your own students and be reminded of their perspective.

Where is your favourite place in the world and why?

Difficult to choose one favourite – lots of places hold special memories for all sorts of reasons – but I got engaged on the Franz Josef Glacier in New Zealand which was pretty cool (literally!).