Table 4

Changes in practice identified by course participants 6 months after completing the course

New activityCourse element(s) used by participants
A new approach to the treatment of corneal abrasionsClinical audit and the use of evidence
Reviewing and altering the system for late reporting of x rays in the A & EClinical governance basics, project, personal development
Collecting evidence for using warming blankets for patients undergoing certain proceduresClinical audit, presentation skills
Reviewing and altering the use of agency nursesTime management, project planning
More consistent and careful documentation of unexpected incidentsClinical governance basics, quality and complaints
Career planning for personal developmentCareer planning, other personal development
Closer adherence to procedures for proper consent in theatresClinical governance basics, quality and complaints
Review and alteration to the treatment of acute urinary retention (there was an audit for this in train, but it has been changed in the light of “Managing Life” knowledge to a more focused study)Clinical audit
Checking more closely that there is evidence for pharmaceutical advice given, and being clearer with people when it is absentLibrary work on finding evidence, clinical governance  basics, personal development
Reviewing the logistics of a walk in GUM/HIV clinicProject planning, clinical audit
Reviewing the clinical management of pulmonary emboliClinical audit, personal development
Beginning a journal club at which the clinical team meet at regular intervals to analyse and discuss newly published work in their area of expertiseUse of evidence, personal development and reflections on practice
Spending time each day reflecting on practice and being more assertive over imperfectionsClinical governance basics, remembering course evaluation time, personal development