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The Quality Improvement Project is part of the
Final FRCEM examination from August
2018 in place of the Clinical Topic Review. In Wessex we
recommend everyone does a QIP from now
on (although you can still choose a CTR until that date
if you prefer).
There are no absolute rules about when you must
do your QIP, but since the RCEM
has made it possible to spread the burden of exams over the whole
of higher specialist training we encourage you to take advantage of
that by doing your QIP in ST4 – get
started in the first three months.
As with CTRs the choice of topic is key to a good
project. Many of you will already have ideas of Quality Improvement
Work often growing from practice within your own department.
Sources of ideas would be your Supervisors, your department’s
recent yellow or green SUIs and M&M meetings. You must read the
RCEM website for advice about what is
acceptable as a QIP but you should anticipate that a good
QIP will take a minimum of six -12 months to
complete. (Length up to 6000 words).
The College has produced a guide – which is essential
Since this is a new element to the exam, we
are providing training in QIP
methodology. We have a QIP lead in each department and there are
regular QIP “clinics” at WREMTA. The regional lead is Dr Sarah Morrish at
Also, see here
for a really helpful website of previous projects set up by
one of our trainees.
For further information on QIPs and other
training issues please see our Local
Training Guide (pdf)
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