Context Involvement and leading on quality improvement projects by trainees is currently recognised as an essential part of training to build up on future NHS leaders. Our aim was to empower our trainees to identify potentials for quality improvement projects.

Problem Many trainees who rotate to our neonatal unit have had some exposure to neonatology before, but they generally have other sub-interests, hence, they lack ideas for quality improvement projects in the speciality.

Assessment of problem and analysis of its causes Trainees are generally motivated but they lack ideas and support to lead on quality improvement projects. We identified the need to create a platform for identifying potential projects which lead to practicing up to date evidence based medicine and subsequent improvement in quality of care.

Intervention Initiated and established a journal club to discuss evidence base practice and to identify potentials for quality improvement projects.

Study design Identified personnel responsible for the overall running of the club, booking the venues, allocating trainees to lead on each club and advertising and inviting staff to attend the club.

Strategy for change Trainees are encouraged and assisted by the club responsible personnel to identify journal articles which may have a potential to change clinical practice and to lead to quality improvement. They are encouraged to lead on projects following discussions with their educational supervisors.

Measurement of improvement Trainees satisfaction with the culture created to identify potentials for quality improvement.

Effects of changes Creating a culture of continuously identifying potential ideas for quality improvement by practicing up to date evidence based medicine.

Lessons learnt Trainees are more aware of their need to be involved with quality improvement projects. Establishing a journal club which provides a platform to discuss potential ideas, overcomes the difficulty which some trainees face with identifying potentials for quality improvement.

Message for others Journal clubs can be a useful platform for creating a culture of looking for quality improvement ideas. Trainees should be encouraged and assisted to actively participate in leading clubs and identifiyng potentials for improvements.