Learning to Make a Difference is all about empowering junior doctors to learn and develop skills in quality improvement and put these new skills into practice to make a real difference to their patient care. Find information and examples on how to get quality improvement projects started and keep going until the project is completed.


  • Drop-in quality improvement support sessions are being held on Monday evenings at 8pm. Details of how to join are in the flyer in the downloads section.
  • Join the meeting on Monday 28 April at 8pm via Webex.
  • Use the resources, links and examples on this site to help get your project underway.
  • Then please register your project on the LTMD database by emailing details of your name, project title, aim and hospital trust to LTMD@rcplondon.ac.uk.
  • Upcoming WORKSHOP – Learning to make a difference: quality improvement for consultants
    30 September at the RCP. This interactive one-day workshop has been designed specifically to enable consultants from any specialty to identify learning opportunities relating to quality improvement to support and guide their trainees. Book now – early bird discounts are available until 4 August 2014.
  • Contact us at LTMD@rcplondon.ac.uk if you need help or clarification about anything on this site.

Background to Learning to Make a Difference

The Royal College of Physicians of London and the Joint Royal Colleges of Physicians Training Board (JRCPTB) worked together to pilot the feasibility for a core medical trainee to undertake and complete a quality improvement project in place of audit in a 4–6 month training period. The value of this proposed change was assessed both in terms of the learning and development of the trainee and the impact on patient care.  The framework and infrastructure needed for successful implementation of such a strategy was also identified.

Watch an interview with programme lead Dr Emma Vaux:

Why a quality improvement project?

Quality improvement projects represent a realistic and dynamic process that enable trainees to bring about a visible change to their training environment.  The methods and techniques learnt during the quality improvement project will help trainees to make change and enhance service quality throughout their careers.

Key findings of the Learning to Make a Difference pilot

The Learning to Make a Difference Pilot project showed that trainees were enthused by undertaking quality improvement projects that they could complete within the timeframe of their training posts. They felt that they made a real difference to patient care at the front line. 61 trainees undertook 46 improvement projects.

Next steps

We want more trainees to get involved in quality improvement projects over the next year. We want to provide the support for this through the resources available on this site and by developing support at local Trust level and central support from the college itself..

If you have any comments about the project or have difficulty finding any information, please contact LTMD@rcplondon.ac.uk.

Overview of the project

View the 2012 Clinical Medicine paper on introducing quality improvement methods to core medical trainees at the Clin-Med journal site

Last updated on: 15 April 2014

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