The GMC recommend that all doctors demonstrate involvement in Quality Improvement at least once a year and this will be either in the form of a QIA (found in Learning Logs detailed in this article) or a QIP (found in Assessments).
QIA's should be recorded electronically in your Portfolio as shown:
This reflective learning log entry enables QIA to be captured across the full training programme and should involve a personal connection to the work and include an element of evaluation and action, and where possible, demonstrate an outcome or change.
Please note you do not need to also do a QIA in the same training year as your QIP.
For more detailed information about what you should include in Quality Improvement exercise please visit the RCGP assessments page here