Publishing in Medical Education: Matching

Sarah Allsop

In this blog, Sarah Allsop discusses the challenge of navigating how to choose and ‘match’ with your perfect publisher.

Thinking about how, when and where you are going to publish and disseminate the findings of your medical education research is an important step in your research journey. In fact, it should probably be a really early step, as consideration for how you are going to share your work can influence the type of journal or publisher that you look for.

Ask yourself right from the start,

  • What is the reach of this work, what audience am I trying to communicate with?
  • What is the value of this work, who will benefit from seeing the results and how can I make this most accessible to my target group?
  • What do I want the impact of my work to be, who am I hoping to influence?

By considering these types of questions, it can help you to consider where you want to publish your work. You can then try to match this with the aims and objectives of selected medical education journals.

Always cross-check the aims and author guidelines of your chosen journal to check the scope matches with your manuscripts content, design and emphasis

TOP TIP

The challenge will be that if you don’t match your work to the journal or publisher, this can be a swift road to rejection – and this is hard. It doesn’t however mean that your work is not good enough to be published. In fact a rejection at a very early stage is far more likely simply to mean that you have not matched the scope of the journal. Don’t be disheartened, as there is a place for all good work to be shared.

One of the things that can really help you when thinking about how to navigate the publishing journey is to make a list of your top five journals or publications where you would most like to publish your work. To start with do this really spontaneously and go for what you really want.

Then take a step back and carefully consider and critique these choices. Does my work match the scope of this journal? Is my work likely to be written up or is written up in the style that suits the readership of the journal? Is my work realistic for this publisher? You need to be honest – for example, if a particular journal states in its aims that it only publishes international collaborative work, if you have undertaken a small single-centre study, this is unlikely to get published in that particular journal.

Revisit your list and see if there are any journals that don’t match the work. Make sure you still have 3-5 options, so that you know from the start when your next submission will be if you get rejected from the first, it not only saves time but reminds you that the process might include rejection and that’s ok.

Next take a look at the manuscript types on offer from each of the journals on your list. These can usually be found in the ‘Author Guidelines’ section. It will describe in details all of the manuscript types, which are commissioned, which are accessible to all authors. It will also highlight formatting and referencing requirements, word lengths and open access agreements. Check again that your work matches closely to one of the manuscript types listed. If it does great, if not do you need to rethink your journal list.

Hopefully, by the end of this second step you have a list of journals that firstly, publish the type of manuscript you are writing to an audience you want to reach, and secondly you now know the word count, style and formatting you need to use to move forward.

Good luck with your writing and watch out for more blogs on publishing coming soon.

You may find the list of journals written by Olle ten Cate shared in our blog on journal lists useful: BMERG Blog: Publishing in Medical Education: List of Journals.

Hot Topics: Researcher skills – 5 key learning points about Reflexive Thematic Analysis

This blog is written for BMERG by one of our committee members Dr Grace Pearson. Grace is Bristol Medical School graduate and a current Clinical Research Fellow in Population Health Sciences. Her research interests are in undergraduate medical education, specifically curriculum development and evaluation and geriatrics education.  

Grace shares her experience and tips after attending a workshop hosted by BMERG and the School of Policy Studies on ‘Reflexive Thematic Analysis’ from the expert Qualitative researcher, Professor Virginia Braun from the University of Auckland. 

Image of a galaxy Photo by Bryan Goff on Unsplash
Image of buckets Photo by Sixteen Miles Out on Unsplash

At medical school, future doctors are taught to detect patterns in history and examination to reach a diagnosis. Moving into medical research, this scientific pattern-recognition continues in quantitative data analysis and interpretation. As a result, approaching mixed methods studies or pure qualitative research can be daunting for those of us in medical and other scientific fields – it certainly was for me.  

There are several core aspects of qualitative data analysis that I’ve never truly got to grips with, despite attending multiple training courses… Therefore, getting the chance to learn directly from a world-leading expert was an opportunity not to be missed.  

I went into this workshop wanting to learn how to analyse or ‘code’ my data and develop my themes. I came away with a much wider appreciation of the importance of exploring context, embracing subjectivity, finding latent meaning, and conceptualising what Prof Braun called ‘galaxy’ themes rather than ‘buckets’. Let me explain a bit more.  

When we first look at qualitative data during analysis, certain things can jump out at us as topics. We may think these may start to look like our themes, but if we are not careful, they can end up looking like our original questions and, because everything we connect to a particular topic ends up together ‘in a bucket’ so to speak, may have lots of conflicting ideas within them.  

Conversely, true themes are more like a galaxy with a clear core, a ‘central organizing concept’ holding together all the ideas which although may be different, just like stars and planets are in a galaxy, they remain inherently linked. 

Here are my 5 key learning points from Professor Braun’s fantastic reflexive thematic analysis (RTA) workshop, which I hope might help others to approach their own qualitative data analysis in a reassuringly robust way:  

  • Scientifically Descriptive vs Artfully Interpretive analysis: Descriptive describes and summarises the data in an ‘experiential’ or ‘realist’ manner. Interpretive tells a story, locating the data within a wider context and presents an argument in a ‘critical’ or ‘constructionist’ way. Approaches to thematic analysis (TA), range from ‘scientifically descriptive’ deductive methods such as coding reliability, to ‘artfully interpretive’ inductive methods such as reflexive TA. 
  • Small q vs Big Q: Descriptive analysis suits ‘Small q’ research questions that seek to explore or describe peoples’ experiences, understandings, or perceptions – their ‘individual reality’. Interpretive analysis suits ‘Big Q’ research questions that seek to explore the ‘wider context’, for instance influencing factors, representations, and constructions.  
  • Context and Subjectivity: Analysis occurs in the intersecting space between the researcher(s), the data, and the research question. Subjectivity is present in all 3, as all are influenced by sociocultural, disciplinary, and scholarly context – as a result, analysis is situated in context, which must be clearly communicated.  
  • Coding: codes are ‘units of analytic interest’, the smallest unit of analysis capturing a single analytic idea or facet. These can be semantic (explicit) or latent (implicit) – descriptive analysis generally uses more semantic codes, whilst interpretive analysis uses both. Codes are not ontologically ‘real’, they exist only for the researcher(s) to foster engagement with the data – they need to capture the meaning of the data along with the researchers’ interpretation, orientated towards answering the research question.   
  • Themes: a theme is a construction that captures shared or repeated meaning in the data around a ‘central organising concept’. Themes are conceptual, therefore semantic-level data may seem disparate, but it is unified by latent meaning representing diverse manifestations of the core concept (like a galaxy).  Themes sit in the analytic narrative – they must tell a story of how the data is meaningful and answers the research question.   

Some examples of recommended resources for getting started using reflexive thematic analysis 

  • https://www.thematicanalysis.net/  
  • Braun, V, & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. SAGE. 
  • Braun, V, & Clarke, V. (2022). Thematic analysis: A practical guide. SAGE. 
  • Braun, V, & Clarke, V. (2021). Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern-based qualitative analytic approaches. Counselling and Psychotherapy Research, 21(1), 37-47. https://doi.org/https://doi.org/10.1002/capr.12360 
  • Braun, V, & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328-352. https://doi.org/10.1080/14780887.2020.1769238 

More about Professor Braun https://profiles.auckland.ac.nz/v-braun

Virginia “Ginny” Braun is a New Zealand psychology academic specialising critical psychology of health and gender. She is internationally recognised for expertise in qualitative methodologies, and particularly the now widely utilised method of (reflexive) thematic analysis – developed in collaboration with Victoria Clarke (UWE).

Launching Bristol Medical School Educator and Researcher Profiles

As part of our objective to ‘Innovate and Inspire’, this page is dedicated to showcasing not only the work of these individuals, but also a bit about their journey and their top tips for working in the discipline.

We will be adding a new profile every month to our educator and researcher profiles page, and our first profile spotlight is….

Annie Noble-Denny

Annie is the Director of BMERG, which she conceptualised as part of her vision to build the infrastructure needed to enhance the educational research portfolio at Bristol Medical School. She is the currently the School Education Director for Bristol Medical School and the Programme Director for the Teaching and Learning for Healthcare Professional Programmes (bristol.ac.uk/tlhp). 

 


If you want to nominate someone from Bristol Medical School to feature on these pages contact us at brms-bmerg@bristol.ac.uk.


Hot Topics: Researcher skills – Creating your database search strategy

This blog is kindly written for BMERG by one of our amazing subject librarians, Richard Kielb. Richard takes us through some top tips around searching databases whilst undertaking your research, and some tips for breaking down the process.

Books on shelves
Photo by Paul Melki on Unsplash

When it comes to research, different search strategies are needed dependent on the nature and context of your work. Sometimes you may just need a book or a few relevant articles on a subject, and in this situation a quick search of your local library catalogue can often be sufficient. For more detailed research, it is likely to be more important to be able to carry out a comprehensive review of the literature, and this will usually require an advanced search using bibliographic databases.

So what is a bibliographic database? A database will allow you to search across very large numbers of academic sources simultaneously. Most of these sources will be academic journals, but some databases will include book chapters, conference proceedings, systematic reviews etc.

Different subjects will be supported by particular databases, so it will be important to identify the ones that are most relevant for you. Medical education would be a good example of a topic which would cross over more than one subject, so you would need to consider searching in databases recommended for both Medicine and Education as well as others with a multi-disciplinary focus.

Which databases you choose to use will depend very much on the topic you are researching and also what resources you have access to as an individual or a member of an institution. Many databases are not free to access and can be extremely expensive, but they are often provided by library services in organisations such as Universities and in the NHS.

Although the various databases have search interfaces that look quite different, the basic principles listed below will generally apply to all of them. Some of the functionality and ‘wildcard’ symbols etc might be slightly different, but there are usually help pages and guides available that will help indicate how it all works.

There are four basic stages to the database searching process:

  • Break your question down to its main concepts
  • Decide on the relevant search terms
  • Combine your search terms
  • Review your results

Breaking your question down to its main concepts

For clinical questions you may have come across the PICO formula to identify your concepts, and you can consider doing something similar for your medical-education topic. The social science framework called SPICE can be useful:

S – Setting Where does the research happen?
P – Population Who is your research focused on? Is your population defined by age, gender, ethnicity etc?
I – Intervention What are you investigating? Is it the use of technology or participation in a particular educational programme?
C – Comparator Are you comparing anything with your main intervention?
E – Evaluation Appraising the value, validity, or effectiveness of the intervention.

As with PICO you do not necessarily need to have a concept for every SPICE element.

Decide on the relevant search terms

Next you will need to consider what terms to search in relation to all of the different concepts. Include likely variations in terms in order to carry out a comprehensive review and to avoid missing any papers which are relevant to your topic. It will be important to factor in all synonyms, related terminology and any variations in spelling (particularly UK/US).

Keyword searching, also known as free-text searching, is where you will look for exact matches for your search terms in the titles and abstracts of journal articles. It is also useful to include searches in any controlled vocabulary offered by your chosen database, for example resources like Medline, ERIC and Cinahl offer ‘Subject Headings’, which make it easier to locate papers on a specific subject. Each article listed in the database is assigned a number of Subject Headings which represent what topics it covers. The advantage of this is that all of the articles on the same subject will be given the same subject heading, independent of the terminology used by the individual authors.

Combine your search terms

The Boolean search operators (OR, AND, NOT) can be used to combine your searches effectively.

  • Use OR to combine searches about the same concept – synonyms, related terms, variant spellings (e.g. Vitamin C OR ascorbic acid). This will broaden your search.
  • Use AND to combine searches about different concepts (e.g. caffeine AND asthma). This will narrow your search.
  • Use NOT to exclude terms from your search. This can be useful if you are retrieving some irrelevant content but use an element of caution as this can also remove useful material that may have mentioned the excluded term.

Review your results

Critically appraise your results (are they relevant to your research topic?) and decide if you need to make any changes to your search strategy. When you have run your search, you will often find that you either have more or fewer results than you were expecting.

  • Too many? Look for ways to make your search more specific. Can you add concepts? Are there valid ways to limit your results (publication date range, age group, language etc)?
  • Too few? Look for ways to make your search more general. Are there any terms that could be removed? Would broader search terms be useful?

Setting ‘limits’ can also be helpful as many of the databases will provide a series of in-built limits and filters, so it can be useful to investigate the options available.

Remember that your local Librarian will be more than happy to answer any questions you might have about using bibliographic databases and finding information more generally! At the University of Bristol you can find your subject specific librarian at: www.bris.ac.uk/library/subject-support/

Building Community: BMERG is on Twitter

You can now follow Bristol Medical Education Research Group on Twitter!

twitter logo

Whilst there are of course many different social media platforms that offer ways of collaborating and learning, you will find on twitter most of the big medical education associations and publishers, along with many educators and researchers who share practice ideas through their content. So for now at least, twitter remains a great platform for connecting with the rest of the Medical Education community.

BMERG will also be regularly sharing news and events from Bristol through its new twitter account, as well as highlighting the work of other colleagues from around the world with ideas on best practice in Medical Education. Follow us at @BristolUniBMERG

Not sure who to follow?

If you are new to twitter, here is a list of a few great medical education feeds to get you started:

  1. Teaching and Learning for Health Professionals, Bristol @TLHPBristol
  2. Incubator for Clinical Education Research @ClinEdResearch
  3. Association for the Study of Medical Education @asmeofficial
  4. Developing Medical Educators Group (DMEG) @DevMedEd
  5. The International Network for Health Workforce Education @INHWE_Network
  6. The Academy of Medical Educators @MedicalEducator
  7. International Association For Health Professions Education @AMEE_community
  8. International Association of Medical Science Educators @iamse

Which other great medical educators, researchers, associations and organisations would you add to the list? Add your ideas in the comments below.

BMERG News: BMERG wins Award from ASME

BMERG has won an Award from the Association for the Study of Medical Education (ASME) to launch the work of the group across the next academic year

Flyer of winners of ASME Educator Development Awards from ASME 2022

We are thrilled to announce that the BMERG team have won an Educator Development Award from the Association of Medical Education (ASME).

These sought after awards are aimed to provide funding to support educator development. We look forward to sharing more about how this funding will support us to build and develop the community of practice to support excellence in Medical Education Research at Bristol in the coming months.

Read more about the awards at: Recipients of the 2022 round of EDC Educator Development Awards Announced

BMERG News: BMERG goes live on the Bristol Medical School Webpage

As part of the work of the new BMERG group, one of our missions is to maximise the visibility of the work of researchers and innovators in Medical Education here at the University of Bristol Medical School.

Part of this was the creation of this blog – we are glad you’re here and don’t forget to click subscribe to get regular updates and news if you haven’t done already! We also wanted to give medical education research a space on the University webpages alongside our highly successful and established clinical research institutes.

The BMERG webpage is now live on the Bristol Medical School webpage under the research tab. From here you can directly access links to the BMERG blog, the events pages and find out about our mission and objectives. You will also find links to the profiles and research of individuals undertaking medical education work and research here at Bristol (via the University research information PURE system).

We are very grateful to Mike Cameron, an independent digital education consultant, and Clare Tremlett and her team from the Senior Executive team at Bristol Medical School for supporting the BMERG team to launch the new page on the Bristol Medical School Website.

Take a look at: www.bristol.ac.uk/medical-school/research/medical-education-research/

BMERG News: The Inaugural BMERG Committee Steering Group

The work of the new BMERG group is being overseen by a steering group from across Bristol Medical School. This group of passionate individuals will be working behind the scenes to create a programme of exciting new events and support opportunities for those involved in Medical Education Research both at Bristol and beyond.

Committee members join for one year with the option to stay on for a further year. Expressions of interest are welcomed throughout the year from both academics and professional service staff.

BMERG Committee 2022-23

Annie Noble-Denny
Sarah Allsop
Steve Jennings
Sharon Usher
Andrew Blythe
Claire Hudson
Santi Rodriguez
David Rogers
Liang-Fong Wong
Sally Dowling
David Hettle
Fiona Holmes
Grace Pearson

Through collaboration we aim to be able to better share practice, learn together, and showcase our fantastic and innovative Medical Education work as well as building the culture for publishing and disseminating work more widely.

The BMERG Blog

Introducing BMERG

Sarah Allsop
Profile Picture Steve Jennings

By Sarah Allsop, Senior Lecturer in Medical Education at Bristol Medical School and Steve Jennings, Lead for the MSc Programme at TLHP, Bristol Medical School

Welcome to the blog of the University of Bristol Medical Education Research Group, from Bristol Medical School.

This Group aims to bring together all staff who have an interest in Medical Education Research both here at Bristol Medical School and beyond. We hope this group will foster a great sense of collaboration between all those involved in the education of healthcare professionals, and how they might evaluate, research and share their innovate work.

BMERG was conceptualised by our School Education Director, Annie Noble Denny to bring together all of the fantastic work at Bristol Medical School around a wide variety of Medical Education research topics. BMERG is co-led by Sarah Allsop and Steve Jennings. Both are happy to be contacted about the work of the group at brms-bmerg@bristol.ac.uk.

Our research spans a wide variety of project themes across both undergraduate and postgraduate medical education delivery including curriculum design and innovation, assessment and evaluation, digital learning environment, equality, diversity and inclusion, student wellbeing and supporting educators.

Over the course of the next year, BMERG will be launching a series of workshops and guidance around topics such as publishing, collaborating, and building your profile as an education researcher.

You can subscribe to our blog at the side of this page. More blogs, news and events coming soon.