BMJ Qual Saf doi:10.1136/bmjqs-2011-000370
  • Viewpoint

Instigating change: trainee doctors' perspective

  1. Masood Moghul
  1. Department of Surgery, The North West London Hospitals NHS Trust, Northwick Park Hospital, Watford Road, Harrow, Middlesex, UK
  1. Correspondence to Dr Nassim Parvizi, The North West London Hospitals NHS Trust, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ, UK; nparvizi{at}
  1. Contributors All authors have contributed to this submission. The majority of the written work was done by Nassim Parvizi, Ahmir Ahmad, Sumera Shahaney and Guy Martin.

  • Accepted 21 October 2011
  • Published Online First 18 November 2011


In the 21st century, the core skills of trainee doctors are evolving as clinicians, leaders and innovators. Leadership skills are an essential tool for all doctors and need to be an integral part of their training and learning as set out in the General Medical Council's Good Medical Practice. It is essential to develop these skills at an early stage and continually improve them. A group of junior doctors participated in a pilot programme for leadership with the aim of executing a quality improvement (QI) project. This article describes our experiences of both the course itself and the project undertaken by our group. As part of the process of implementing change, we faced a number of challenges which contributed to our learning. These have been explored as well as potential ways to overcome them to enable the swift and smooth development of future QI projects. Using an example of a QI project looking at handover, this article demonstrates how a trainee doctor can implement their project for both professional and institutional improvement.


  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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