BMERG work: Latest BMERG profiles

This week’s blog is a reminder to check out the BMERG profiles pages. This is where we highlight some of our University of Bristol Medical Educators. They share their projects and their journeys to inspire others considering a career in Medical Education.

Our latest profile is Dr David Hettle, a passionate educator working as an Honorary Senior Clinical Teaching Fellow, alongside clinical training in Infectious Diseases and Microbiology. They are involved in work supporting and promoting educator development both locally and nationally through work with the Developing Medical Educators group (DMEG) of the Academy of Medical Educators.

Read more about David and some of our other educators: BMERG Educator and Researcher Profiles

Building Community: Bristol Medical School Qualitative Research Forum

This blog focuses on the Qualitative Research Forum (QRF) led by Sabi Redwood, Jo Kesten and Heather Brant (L-R) from the Social Sciences and Health Team from Bristol Medical School. This informal group offers friendly support for anyone using qualitative methodology working in health research.

Sabi Redwood
Jo Kesten
Heather Brant
Photo by Firmbee.com on Unsplash

Starting to research in the qualitative space can be a challenge for healthcare educators, as many of us have come from an environment more heavily weighted in qualitative research training. The QRF serves as an opportunity for individuals to discuss specific methodological issues or work-in-progress with peers. The forum aims to be a supportive and friendly environment for individuals to present their work and obtain feedback. It also provides an email network as a resource for members to connect with each other.

The lunchtime meetings are relaxed and usually have a methodological slant. They provide an opportunity to discuss common issues and challenges in the application of qualitative methods and health-related research concepts, to develop collaboration and to foster new ideas. Examples of previous topics for discussion include: online data collection, data sharing, working with large qualitative datasets, process evaluation and rapid qualitative research.

The current conveners of the forum are Sabi Redwood, Jo Kesten and Heather Brant. Please contact us if you would like to talk to the group. If you wish to join the QRF, please contact Sabi Redwood. The email address for current members of the Qualitative Research Forum mailing list is grp-phs-qrf@groups.bristol.ac.uk. Resources for members can be found in the UoB QRF SharePoint site (UoB staff and PGR only).

The QRF meets between 12.30-13.30 once every two months, with the day of the week alternating to account for part time staff/students. More information and dates can be found on the QRF website.

An ABCDE to Getting Started with Medical Education Research

Sarah Allsop

In this blog Sarah Allsop, a Senior Lecturer at Bristol Medical School, shares a short 5-point top tip guide to getting started in medical education research.

It was great today to be able to extend a warm welcome to the new intake of Clinical Teaching Fellows (CTFs) working across the NHS Trusts linked to the University of Bristol Medical School, and introduce them to the work of BMERG.

CTFs are not only fantastic teachers and innovators, but also undertake some amazing medical education research projects. Bristol’s recent posters and oral presentations at both AoME and ASME is testament to this, with AMEE still to come at the end of August.

For new CTFs, and in fact anyone starting out undertaking research projects in education, this may be a new task and one which can seem quite daunting. Developing skills in educational research is a journey.

Here is a short 5-point ABCDE guide of top tips for getting started in Education Research – a place to start when you are not sure where to start.

A is for Aim: What are you trying to achieve? What problem are you trying to solve? What is the VALUE of your project? All research projects should start with an aim. Having a clear aim will then help to guide your next steps, study design and methods.

B is for Blueprint: How are you going to blueprint / plan your study? What research paradigm will you use? How will you use educational THEORY to aid the design of your project? What methodology aligns with your research question(s)? What do you need to prepare for your ethical review? Planning your project carefully and considering the alignment of the different elements of your study will ultimately lead to a better quality research project.

C is for Collaborate: Can you work collaboratively to build a stronger, more powerful project? Are there already projects in motion that you can join or build on? How can you work and support each other better? What interdisciplinary angles might be possible? We are stronger together. Talk to your peers and seniors about research projects. You may have ideas of your own that you wish to progress and that is fine, but if these align with the ideas of others, or you can build on previous studies, or try innovations across multiple sites or cohorts, this will improve the POWER and transferability of your work.

D is for Disseminate: How would you like to present or publish your work? Do you want to attend an international medical education or discipline specific conference or publish in a peer-reviewed journal? Would you like to be able to showcase your work across the wider local medical school community? One of the key principle aims of all research is to further knowledge and this means that we need to share our findings. Think about your REACH and influence – where, when and how you might like to share your educational research project results.

E is for Endpoint: What is the potential IMPACT of your study? Who might benefit from learning about your results? What are your personal goals? It may sound counter-intuitive to think about the end-point at the start of your journey, but this will help you to plan and develop a timeline. You will always have finite time to work on a particular project and so understanding your goals and being mindful about what is possible will help you to create the deadlines you need to keep your project on track.

Over the coming months BMERG will be sharing more top tips on undertaking educational research, as well as offering events such as journal clubs, writing groups and more. Subscribe to the blog to get all the latest BMERG news direct to your inbox.


Read more about Bristol conference work this summer at AoME 2023 and ASME 2023


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.