The skills, behaviours and knowledge of improving service delivery and quality are a core part of professionalism for physicians. Within the core medical training (CMT) curriculum this is supported by the requirement to undertake a quality improvement (QI) project each year.
The key skills that core medical trainees should be developing from engaging in QI are:
Completing a meaningful QI project with outcomes is challenging in training posts, but participating in or even leading part of a project and learning from doing so is certainly possible.
Approaches to engaging core medical trainees in QI vary across the UK, with inconsistent advice sometimes provided. Current curriculum requirements are clear but can result in variable interpretation.
As mandated in the curriculum, core medical trainees should participate in and lead (where possible) a number of components of a QI project as part of a multi-professional team. This should be reflected in their assessments.
QI projects should:
QI projects may:
A 1-hour online learning resource for educational supervisors on how to supervise CMT QI projects will be launched in spring 2018.
The RCP is also supporting the development of a more detailed spiral QI curriculum that is currently being led by the Academy of Medical Royal Colleges and will be available in 2018.