LTMD projects

Produced by:

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.

Quality Improvement

The downloads below contain information on a number of quality improvement tools along with links to other organisations and initiatives concerned with quality improvement (QI) in healthcare:

The attached Quality Improvement Assessment Tool should be used to assess the quality of the trainee's project and should be completed with the trainee at the end of the project.

*The presentations attached below were delivered to the project group as part of the LTMD project and as such, represent the views of the individual participants and are not owned by, and do not necessarily represent the views of, the RCP.

Next step

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.