Quality Improvement


Trainees are expected to get involved in Quality Improvement (QI) throughout training.

QI is no longer a separate assessment but now will be assessed via a ‘spiral curriculum’.

The RCEM 2021 curriculum key capabilities for each training stage are:

ACCS – contribute effectively to a departmental QI project

Intermediate – show an understanding of QI methods and reflect on a QI Project 

HST – provide clinical leadership on effective QI, support and develop a culture of departmental safety and good clinical governance

HST QI Curriculum from October 2022

ACCS QI Curriculum from September 2022

Trainees are assessed throughout training in a ‘spiral curriculum’

To evidence their participation in QI activity, trainees must complete a QI Assessment tool (QIAT) each year.

The QIAT must be signed off by the Educational Supervisor and uploaded to the eportfolio prior to ARCP

AWSEM and HEIW have arranged training days to help deliver the QI curriculum

‘Bronze Training’ here – an online module (for ST1s) 


‘Fundamentals in QI methodology’ – a ½ day session (for all ACCS  trainees)

Fundamental’s course days and availability can be accessed through the link : QIST training – HEIW (nhs.wales)


‘Improvement in Practise’ – 2 x full day sessions with pre-course material (for ST4s)

See Teaching Programme for dates.

Don’t forget to apply for study leave!!

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