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Driven to make the difference

By Julie Bernhardt, AM

Seeing patients suffer, and not being able to help drove Julie Bernhardt towards researching the brain to help stroke patients recover. Improving the talent pipeline for women in medical research brings science closer to finding the answers that can help save lives.

If I think back on my younger self, could I have predicted that I would pursue science as a career and love it? Perhaps. I certainly have a strong recollection of an early and deep interest in understanding the world around me, a healthy scepticism and questioning of accepted ‘truths’ and a joy in discovering something new. Yet my pathway to a science career was not linear. I considered a career in hairdressing, because I liked people; a teacher, because I valued great teachers; a translator, because I liked languages. In the end, life pointed me in the direction of neurological physiotherapy. Why? Because my uncle had a stroke at the age of 50, I was 16. 

I became fascinated with the brain, an organ I hadn’t given much thought to before. The problems that arise when our brains are injured, and the job of helping people retrain and overcome these problems seemed exciting, and my early path was set. Science subjects are a pre-requisite for physiotherapy, and early detailed study of how the brain and body works was simply riveting. I loved the training and challenge of this broad career but was not surprised to find that within 2 years of graduation, I’d once again gravitated back to working with people with brain disorders – neurological physiotherapy. The complex presentation, the challenge of developing and executing training programs and the strong, sustained personal connection you form with patients and their families, often over many weeks and months, was deeply satisfying. 

I can’t pinpoint the exact moment in the early 90’s when I started on a more singular scientific path. But I do remember my growing frustration with what I didn’t know. I felt that my ignorance was stopping my patients from having the outcomes they deserved. Why couldn’t I help that person recover their ability to use their arm and go back to playing the piano? Why could we only get so far in recovering from injury? It rarely felt far enough. Going back to the books, I realised that we just didn’t know, and didn’t understand how the brain worked in health, let alone in disease. It was time to start learning how to turn my clinician-driven questions into research questions, and to develop the skills to answer them in a rigorous way.

My PhD was completed part time over many years while I kept working. It was at times hard and lonely, but I loved learning how to do research! I felt transformed from a questioning, frustrated clinician to an enthusiastic, informed early phase researcher. The crisis came at the end. With a PhD in hand and a young child, what would I choose to do next? I gave myself permission to take time to decide, declining offers to teach, or go full-time back in the clinic. In a light bulb moment, I realised that I needed to be true to my reasons for learning about research in the first place; I needed to work towards developing new understanding and testing new treatments to help stroke patients achieve better recovery. 

For the past 18 years I have pursued that goal. Diversity of thought, skills and approaches is something I value deeply as a pathway to better science and scientific discovery. My work crosses disciplines, boundaries and countries, and as a woman who has always believed in equality, it was natural for me to advocate for women in science and diversity more broadly. It is not always easy being a woman in science or medicine, but I do believe things are slowly changing for the better. Just last year, at the first organising committee meeting for a major world conference, younger men were advocating for gender balance on the programme and room for young researchers to showcase their talent – not me. We must work together to advocate for and champion diversity.

It is a privilege to be a scientist. We have a responsibility to rigorously test important questions, and to clearly communicate what we do and what we find to the public, who largely fund our work. Scientists must be truth-tellers. I am grateful to be one of them.

Image © Commonwealth of Australia 2020

This piece is taken from our upcoming book, Australia's Nobel Laureates, Vol. III, celebrating Australian science and innovation. Taking a whole-of-economy healthcheck on Australia's innovation ecosystem, the book features words from industry, academia, and Government. 

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