Dr Fleming Explores how Dentistry can be Decolonised

This blog post was authored by Dr Eleanor Fleming. Dr Fleming is a Clinical Associate Professor of Dental Public Health and Assistant Dean for Equity, Diversity, and Inclusion at the University of Maryland School of Dentistry in West Baltimore, Maryland, USA. Dr Fleming visited the University of Bristol as a Next Generation Visiting Researcher January-February 2024 to collaborate with Dr Patricia Neville on several research activities focused on decolinizing dentistry.

Dr. Patricia Neville and I collaborated on a manuscript exploring the diversity of women’s identities in dentistry in 2021 (https://onlinelibrary.wiley.com/doi/full/10.1111/cdoe.12796). From the success of our collaboration and based on our shared intersectional and interdisciplinary lens of approaching oral health, Dr. Neville invited me to Bristol. My visit had a two-fold purpose: first, Patricia and I explored opportunities for our continued scholarly collaborations, and second, I supported her work at the Bristol Dental School as its Equality, Diversity and Inclusion (EDI) Lead, as an outside consultant. 

Over the course of my six-week visit, I gave three lectures: one, to the dental students on justice-centered approach to clinical practice; a second to dental school faculty and staff on transforming dental education; and the final, a university talk on decolonising dentistry to centre health justice. The university talk was co-sponsored with the Centre for Black Humanities and the Black and Brown Bioethics Network. There was a reception afterwards which facilitated rich conversation and relationship building. I am grateful to Dr Elizabeth Robles, Dr Harleen Johal and Dr Matimba Swama for their hospitality and support of my university lecture. Because of the success of the university lecture, Patricia and I submitted an abstract to The First Black and Brown in Bioethics conference 2024 “Engaging Diversity in Bioethics Theory and Practice”. Our abstract was accepted, and our presentation entitled, “A Critical Retelling of Dental Ethics Told Through “George Washington’s Complete Denture” won first place. 

In addition to my collaboration with Dr. Neville, my time at Bristol was well-spent and supported by other colleagues at Bristol Dental School. In particular, Dr. Nilu Ahmed shared her work on antiracism and inclusive pedagogy. As a result of conversations, personally, my approach to teaching is elevated and I am grateful that I was able to grow in both my critical scholarship and pedagogy. To have this opportunity to enrichen my perspective and also to connect with preeminent scholars like Professor Kehinde Andrews made this a trip of a lifetime. 

Photograph of Eleanor Fleming, Kehinde Andrews and Nilu Ahmed standing together.
Left to right: Dr Eleanor Fleming, Prof Kehinde Andrews, Dr Nilu Ahmed

In consultation with faculty, staff, and students, I offered feedback on Bristol Dental School’s decolonising efforts. I was also able to learn more about the General Dental Council’s Standards for Education. In observing the focus on communication and the use of standardised actors to assess student learning and to provide them with timely feedback as they progress in developing their competency for clinical practice, I have brought my observations back to support my home institution. In curriculum innovation work at my home institution, I have shared what I learned, and we are working to apply these best practices for dental education. In this regard, my time at Bristol has led to cross-pollination of best practices to support student learning and clinical practice. 

My six-week experience at the University of Bristol was truly life changing. For someone like me (Black scholar focused on anti-racism and practicing in dentistry), opportunities like this rarely happen. I am grateful to have spent time reading, thinking, reflecting, building relationships, and collaborating with new colleagues on work that is so needed in oral health and academic dentistry. I loved staying at the Principal’s House, and everyone I interacted with in preparing for the visit and getting settled were warm, generous, and kind people. I also enjoyed being on a university campus (my home institution is a professional campus in the middle of West Baltimore). It was nice to have access to the Royal Fort Garden and to explore, even in the winter, the beauty of the campus. The university events that I attended, the conversations that I had with leading UK scholars and scientists, and the warm reception to my ideas have truly changed how I think about my professional work.  

To say that I flew back to Baltimore rejuvenated is an understatement. In Bristol, I was able to reconnect to my professional and personal purpose, nurture my curiosity, pause and reflect on structural questions, expand my scholarly breadth and depth, and make new friends (across the university, not just at Bristol Dental School). I look forward to looking back in five or so years and seeing the fruits of all the seeds planted during my visit. I hope that my relationship with Bristol and the University of Bristol continues to grow. 

Photograph of Eleanor Fleming and Patricia Neville standing in front of a castle.
Left to right: Dr Eleanor Fleming, Dr Patricia Neville

Dr Hartwig’s sixth visit to Bristol: “It does not get boring!”

Dr Fernando Hartwig is an assistant professor in Epidemiology at Federal University of Pelotas, Brazil. He returned to the University of Bristol as a Benjamin Meaker Follow-on Fund Visiting Researcher in January 2024 to continue working with Professor George Davey Smith in the Bristol Medical School.

In January 2024 I had the pleasure to visit Bristol yet again, for the sixth time now since my first visit in 2013. Such frequent visits are not an accident: every new visit is an opportunity to get to know a bit more about this charming city, feel welcomed by its lovely people and see old friends and make new ones. It is also a great opportunity to further strengthen collaborations with the Integrative Epidemiology Unit (IEU) team at the University of Bristol – which was the main motivation (and a very good one!) for all these visits. 

The last visit was funded by the Bristol Benjamin Meaker Follow-on Fund, which greatly facilitated developing the relationships and projects established in my previous visit in 2022 (funded by the Bristol ‘Next Generation’ Visiting Researcher Programme). This time we worked on an important limitation of epidemiological studies to establish whether a given risk factor causally influences disease risk: the problem of unmeasured confounding. For those interested in learning more about this topic, the research paper and a seminar are available. 

Instead of talking about my specific research activities, I would like to take this opportunity to describe my overall experience as a visitor under this programme. I do believe that the University of Bristol offer an excellent environment for anyone committed to improving society through scientific research. In my specific field, I had the chance to work with world-leading experts in the field at the IEU. Of course, developing our planned project and presenting seminars to a qualified and interested audience was great. Nevertheless, what marks and humbles me the most is to truly feel welcomed by such high-profile researchers, who are genuinely interested in hearing my ideas, discussing collaboration possibilities in a horizontal manner, ensuring my visit was productive and making an effort to socialize outside the workplace. This combination of academic excellence and friendliness is perhaps one of the elements responsible for the top-tier status of the IEU team – and the university as a whole – worldwide. 

Another important ingredient for the success of the visit was the support received from the International Research Development team, starting at the application stage (when we received fair and useful reviews) going all the way until the end of visit. During all this time I received timely and efficient help from all my inquiries. All this gave me confidence that practicalities/logistics of my visit were well covered, so I could dedicate my attention to research activities. 

I am grateful for this experience and already looking forward to being back in Bristol. If you ask me if I plan to do anything different for the next visit, I would only say that I would like to visit during the summer so I can bring my family along for them to also fall in love with this charming, vibrant city, its lovely people and excellent university. 

Dr Fernando Hartwig