What do i need to do in my project?

  • Your QI project can be done at any point during your training but needs to be completed by the end of ST3. Ideally this will have involved at least one PDSA cycle.

 Does my project have to be in primary care?

  • Ideally yes, however it may well have some overlap with secondary care.

  • The purpose of this is to enable skill development in the setting that you will be based long term. We all know how different working in primary care is compared to working in secondary care.

Do I still need to do an audit?

  • No. The requirement is QI project OR a full cycle of audit.

  • However, our aim is that all trainees will engage with QI projects.

 Is QI the same as audit?

  • No. Audit falls under the banner of QI. Audit is more about quality assurance. It compares current practice to predetermined evidence based standards. It may well result in an idea for change.

  • A full cycle audit will take measures at two points in time. A well-run QI project will take serial measurements to evaluate the variation seen in change cycle.

  • QI has a more flexible component as in essence it allows you to take everyday frustrations and develop improvement through change ideas.

 There is already so much to do during training, will I get extra time?

  • Yes. Time will be given during HDRC to learning about QI and being supported through your projects. How much will ultimately be at the discretion of your APD/TPD team.

 What happens if my project is not successful?

  • Don’t worry. Hopefully by following the model for improvement and utilizing QI methodology this wont be the case. But occasionally it doesn’t work out. Take the time to reflect on why this is so. What were the main problems? Where did you experience resistance? How might you change your approach in the future?

 Do I have to work by myself?

  • No. One of the key themes of QI is that of collaborative working and networking. Sharing ideas is one of the goals.

  • It may be that a multi-practice project allows for better data collection and larger scale change.

 I still don’t understand what QI is?

  • Have you tried the e-learning packages listed in the resources section?

  • Don’t forget there are plenty of resources out on the web. There is also your TPD/QI lead and colleagues there to help you.

  • Don’t forget to keep a look for QI training days.