Skip to main content

Main menu

  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us

Future Healthcare Journal

  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

User menu

  • Log in

Search

  • Advanced search
RCP Journals
Home
  • Log in
  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us
Advanced

Future Healthcare Journal

futurehosp Logo
  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

Quality improvement programmes: a model for clinical leadership training for foundation doctors

Kimberly Tagle, Soo Yoon, Ranu Malhi, Ana Sofia Da Silva, Archana Depala, Ronan Doherty, Samantha Greenfield, Anthony James, Dominic Sparkes, Aarthy Uthayakumar, Liam Watson, Howell Jones, Li Wu and Fiona Pathiraja
Download PDF
DOI: https://doi.org/10.7861/futurehosp.3-2-s34
Future Healthcare Journal June 2016
Kimberly Tagle
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Soo Yoon
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ranu Malhi
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ana Sofia Da Silva
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Archana Depala
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ronan Doherty
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Samantha Greenfield
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anthony James
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dominic Sparkes
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Aarthy Uthayakumar
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Liam Watson
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Howell Jones
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Li Wu
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Fiona Pathiraja
University College London Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
Loading

Aims

Develop leadership skills amongst foundation doctors through the completion of a supervised quality improvement (QI) project over a 6-month period.

Methods

Volunteers were sought amongst foundation year one (FY1) doctors to participate in the pilot programme. Meetings were held out of hours each Monday and training used a combination of interactive lectures, guided group discussions, and workshops with both in-house and external speakers. Through these methods, trainees were able to choose a feasible topic, develop their own objectives and project charters, and use the PDSA method of QI to introduce change and demonstrate improvement. Project management was led by the participants with senior supervision. Trainees were actively involved in stakeholder engagement and negotiations through meetings with both clinical and non-clinical stakeholders to support their projects. Feedback was given at the weekly meetings, with opportunities to reflect as a group and individually. After 6 months, a questionnaire was released to evaluate the programme.

Results

Thirteen FY1s volunteered for the pilot programme and two QI projects were completed in the 6-month period. Both projects had trainee-led objectives and aimed to improve patient safety and clinical outcomes, while also aiming to reduce waste in processes, time and/or money. Attendance at the Monday meetings was consistently high, with 60–100% attendance rates. After the programme, all trainees strongly agreed that they understood the process of QI. 86% of trainees approached members of the multidisciplinary team (MDT) throughout the course of the project and, of those, all agreed or strongly agreed that they were successful in engaging the MDT in planning or implementing a solution. All participants successfully engaged non-clinical stakeholders such as managers, directors and department leads. One hundred per cent of trainees agreed or strongly agreed that the objectives of their projects were met, with 86% strongly agreeing that the involvement of non-clinical stakeholders was significant in achieving the objectives. All trainees agreed or strongly agreed that the programme helped to develop leadership skills and would recommend the programme to incoming FY1s.

Conclusions

Voluntary involvement in a supervised QI programme with trainee-led objectives resulted in completed projects with demonstrable improvement and sustained motivation, as evidenced by the high attendance rate at weekly meetings despite being held out of hours. Leadership development through an active project gave trainees the opportunity to put skills into practice, gain feedback, reflect and develop. Given the correct guidance, foundation doctors have the capacity and motivation to become clinical leaders and improve patient safety, clinical outcomes and systems.

  • © Royal College of Physicians 2016. All rights reserved.
Back to top
Previous articleNext article

Article Tools

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Quality improvement programmes: a model for clinical leadership training for foundation doctors
Kimberly Tagle, Soo Yoon, Ranu Malhi, Ana Sofia Da Silva, Archana Depala, Ronan Doherty, Samantha Greenfield, Anthony James, Dominic Sparkes, Aarthy Uthayakumar, Liam Watson, Howell Jones, Li Wu, Fiona Pathiraja
Future Healthcare Journal Jun 2016, 3 (Suppl 2) s34; DOI: 10.7861/futurehosp.3-2-s34

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Quality improvement programmes: a model for clinical leadership training for foundation doctors
Kimberly Tagle, Soo Yoon, Ranu Malhi, Ana Sofia Da Silva, Archana Depala, Ronan Doherty, Samantha Greenfield, Anthony James, Dominic Sparkes, Aarthy Uthayakumar, Liam Watson, Howell Jones, Li Wu, Fiona Pathiraja
Future Healthcare Journal Jun 2016, 3 (Suppl 2) s34; DOI: 10.7861/futurehosp.3-2-s34
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Aims
    • Methods
    • Results
    • Conclusions
  • Info & Metrics

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Learning from total 2222 calls and leading to an improvement work for quality patient care: a respiratory experience
  • Improving safety and quality of care for the local care home population through integrated working in the community between primary and secondary care
  • Huddle up for safer healthcare: how frontline teams can work together to improve patient safety
Show more QUALITY AND SAFETY

Similar Articles

Navigate this Journal

  • Journal Home
  • Current Issue
  • Ahead of Print
  • Archive

Related Links

  • ClinMed - Home
  • FHJ - Home

Other Services

  • Advertising
futurehosp Footer Logo
  • Home
  • Journals
  • Contact us
  • Advertise
HighWire Press, Inc.

Follow Us:

  • Follow HighWire Origins on Twitter
  • Visit HighWire Origins on Facebook

Copyright © 2021 by the Royal College of Physicians