LTMD projects

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The aim of the LTMD initiative is to enable trainees to deliver change in practice through the acquisition of new knowledge and the practical application of skills within a quality improvement (QI) project using the model for improvement. LTMD also enhances the trainee's own learning and skills in order to make a visible difference to patient care within their organisations in a short timeframe.


Through the evaluation of trainee physicians, the Joint Royal Colleges of Physicians Training Board (JRCPTB) and the Royal College of Physicians (RCP) became aware that the requirement ‘to do an audit’ had, in many cases for junior doctors, been little more than a data collection exercise with no subsequent learning, action or long-term consequences for patient care. The LTMD project has specifically explored the acceptability and feasibility of introducing a QI project within core medical training, and tested one method for engaging and inspiring frontline junior doctors.

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