This reflective learning log entry enables QIA to be captured across the full training programme. At present, the GMC and RCGP are promoting quality improvement activity projects, which use a different methodology to audits (Old Audit/Project entries will be mapped to this area). The quality improvement activity should be robust, systematic and relevant to the trainees work. The QIA reflection should include an element of evaluation and action, and where possible, demonstrate an outcome or change.
The GMC recommend that all doctors demonstrate involvement in Quality Improvement at least once a year. The definition of QIA includes a wide range of activities including Significant Events and Learning Event Analysis, this mirrors the broad definition for post-CCT doctors and ensures that the trainees are equipped with appropriate quality improvement methods for lifelong competence.