Table 1.

Using the CORE chief registrar framework to positively and effectively influence change. Adapted from the Future Hospital’s 11 Principles of Care3

Collaborative MDT working
I am part of the ACU group, in which a comprehensive multidisciplinary team meets to discuss issues; I ensure that the trainees experiences and views of ACU are discussed.
Organisational change
I visited sites across Wales with established ACU units, which enabled me to view and encourage adopting of good practise for our unit.
Reflective processes
I was able to reflect, discuss and evaluate the process with the network of chief registrars, which helped to ensure timely progression and enabled the overcoming of obstacles and sharing of innovative ideas.
Effective timely patient centred care
I am currently organising a patient questionnaire to ensure co-production of future development of the unit.