PRISM is a free online course in Quality Improvement for trainees and is available at

What does the RCoA say on Quality Improvement in the 2010 curriculum?

Participation in audit is an essential part of anaesthesia training, which enables trainees to reflect on and review their practice and improve the delivery of anaesthetic services.

There is increasing recognition given to the value of using audit to drive meaningful change. Involving doctors in meaningful quality improvement projects develops their leadership and organisational skills and improves the quality of NHS care. The competencies involved with quality improvement projects can address the Medical Leadership Competency Framework (MLCF)32, which describes the leadership competences that doctors need to become more actively involved in the planning, delivery and transformation of health services.

The RCoA expects trainees to participate in a quality improvement project, and by formally recognising this in the CCT Curriculum and by evaluating a trainee’s endeavours in the realms of improvement, it will enable credit to be given.

PRISM is a free, improvement science website that will provide the tools specifically for anaesthetists and the perioperative multidisciplinary team to deliver good QI projects.

Level 1 is an introductory module comprising of 9 chapters covering all of the requirements of annex G syllabus required to CCT.