Professor Thomas Ledowski provides a reference letter for Bruce Ratcliffe. He describes how Ratcliffe approached him in 2011 to establish a partnership between the University of Western Australia and MSD to host a new clinical course on anesthesiology. Despite initial difficulties, Ratcliffe showed great enthusiasm for the project and the first course was held in 2012. Ratcliffe also collaborated with Professor Ledowski on a project to provide clinical education and accreditation for MSD employees, which involved additional universities and organizations and succeeded despite challenges. Professor Ledowski recommends Bruce Ratcliffe for his enthusiasm and ability to engage healthcare providers with industry.