Chapter 23

Next steps, specialisms, and finding a place to contribute

Somewhere to use the portfolio, and a decision about how deep to go

Human Biology for the Medical Maker

Where to look

SettingWhy they might want you
Hospital simulation centreTrainers need repair, instrumentation, and parts; scenarios need props and software — usually the easiest door
Occupational therapy and rehabilitationCustom adaptations: textiles, machined and moulded parts, electronics, environmental controls
Clinical engineering and medical physicsTest rigs, electronics interfacing, jigs, mounts, parts for obsolete equipment, software
Prosthetics and orthoticsAlready a making profession: thermoforming, lamination, machining, scanning
Innovation or R&D officeTheir job is to connect people like you to people like them
Medical and nursing schools; research groupsTeaching aids and instrumented tools; engineering capacity is a bottleneck
Hospice and community servicesHighly individual adaptations with little commercial provision

Organisations that exist for this

OrganisationWhat it is
Tikkun Olam MakersInternational community matching makers with people who have unmet needs; makeathons and open designs
REMAPUK charity: volunteer engineers build one-off custom equipment for disabled people, free
UTMB MakerHealthA model of a hospital-embedded maker space
Local makerspaces and hackspacesOften have healthcare contacts; some run assistive technology groups

Check availability and eligibility — hospital maker facilities are often restricted to staff and students.

What to actually say

Specific, small, and clear about supervision

The outreach message

  • Who you are: software, electronics, and a full fabrication workshop
  • Evidence: a documented elbow-model prototype, failures included, attached
  • The ask: a small supervised bench project; no patient work
  • Three questions: volunteers and onboarding? a small problem? if not you, who?
  • An offer: twenty minutes in person

Why that works

The message

  • Says what you can do, concretely
  • Shows evidence, not claims
  • Names its own limits before being asked
  • Asks a small, answerable question; offers an exit

The attachment

  • The portfolio that records failures
  • "Failed at attempt seven, here is what I changed"
  • Proves you report accurately — which they cannot verify any other way

Realistic expectations

ExpectBecause
Slow repliesClinical staff are busy; email is not their main channel
Being redirectedYou rarely reach the right person first — each redirect is progress
Onboarding requirementsHonorary contracts, occupational health, checks, training — weeks to months
A smaller first project than you hopedA finished small thing builds the trust for a bigger one
Some doors closedPolicy, insurance, or capacity — not personal
"Who owns this?" asked earlyIt is the right question

Choosing a specialism

Depth comes after a project, not before

Directions: working with people

DirectionDeepenExit evidence
Assistive technologyUpper-limb function, ergonomics, accessibility, participatory designHow real user feedback changed a design
Simulation and trainingEducational design, tissue simulants, repeatability, maintenanceAn educator-reviewed aid with objective, assessment, maintenance
Rehabilitation engineeringSeating, positioning, mobility, pressure managementWork alongside a clinical specialist — heavily clinical

Directions: systems, data, and production

DirectionDeepenExit evidence
Medical softwareUsability, data governance, IEC 62304, HL7, FHIR, DICOMFictional-data tool with tested error handling and a dependency inventory
Clinical engineering and instrumentationEquipment management, electrical safety, embedded systems, IEC 60601A test rig accepted by a clinical engineering team, calibration recorded
Design for manufactureTolerancing, moulding and machining, textiles, ISO 13485, process validationA design taken from one-off to a documented small batch
Anatomical models from imagingModalities, DICOM, segmentation, scale and accuracySource, processing, and limitations reviewed
Biosignals; biomechanicsSignal conditioning and safety; statics, dynamics, gaitRecorded or synthetic data only; stated assumptions and a sensitivity check

On imaging-derived models

A reconstruction from a CT or MRI scan can look extraordinarily convincing and be wrong.

Threshold choices, partial volume, motion, scaling, orientation. Validate with someone qualified — and imaging data is patient data from the first file.

Going further: formal study

RouteNote
Biomedical engineering degreeAn MSc conversion is realistic with an existing technical degree
Clinical engineering training schemesFor example, the NHS Scientist Training Programme
Regulatory affairs and qualityA distinct, employable specialism; often employer-funded
Human factors in healthcareRelevant to anyone designing interfaces, controls, or products
Professional bodiesIPEM, AAMI, IEEE EMBS, BMES
Reading standards directlyScope and definitions of ISO 14971, IEC 62366-1, IEC 62304, ISO 13485

Portfolio over certificates

Certificates demonstrate attendance. A portfolio demonstrates judgement.

A finished, honestly documented small project plus a clear statement of what you do not yet know opens more doors than a list of courses.

A compact resource shelf

ResourceUse
OpenStax Anatomy and PhysiologyMain free reference — keep it bookmarked
Crash Course Anatomy and PhysiologyShort video companion for a first pass
Stanford Student Guide to BiodesignBeside your project notes for need-finding and prototyping
Biodesign (book)Deeper development guidance — borrow it
Winter, Biomechanics and Motor ControlIf you go toward biomechanics
A specialist atlasOnly when a project justifies it

Resist the urge to build a library before you need one.

Exit criteria for this stage

  • One target role, one potential host, one specific knowledge gap
  • Three specific outreach messages sent, portfolio attached
  • One concrete conversation about your portfolio
  • One sentence each: unsupervised, supervised, not at all
  • A specialism chosen, with a reason from your capstone

A closing note

Recognise which questions are not yours to answer, and write down what you actually established rather than what you hoped.

Those two things make you safe to work with. Safe to work with is how you get the second project.

Thank you for working through Human Biology for the Medical Maker.