Vaux, E. & Gamble, J. (2014) ‘Learning leadership skills in practice through quality improvement’, .

Vaux, E. & Gamble, J. (2014) ‘Learning leadership skills in practice through quality improvement’, .

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Nassim Parvizi and Kent Woods 12 © Royal College of Physicians 2014. All rights reserved. Medicines and Healthcare Products Regulatory Agency. 8 Licensing of medicines. Available at: Howweregulate/Medicines/Licensingofmedicines/ [Accessed 29 November 2012]. Ernst & Young et Associés 9 . Evaluation of the European Medicines Agency, final report. London: European Commission, 2010. Pharmacovigilance legislation EMA/441425/2012. 10 Directive 93/42/EEC. 11 Department of Health. Poly Implant Prosthese (PIP) silicone breast 12 implants Review of the actions of the Medicines and Healthcare products Regulatory Agency (MHRA) and Department of Health. London: DH, 2012. uploads/attachment_data/file/216537/dh_134043.pdf [Accessed 2 January 2014]. Proposal for a regulation of the European Parliament and of the 13 Council on medical devices, and amending Directive 2001/83/EC, Regulation (EC) No 178/2002 and Regulation (EC) No 1223/2009 EEC/2012/0266. Al-Khatib SM, Sanders GD, Mark DB, 14 et al . Implantable cardioverter defibrillators and cardiac resynchronization therapy in patients with left ventricular dysfunction: randomized trial evidence through 2004. Am Heart J 2005;149:1020–34 Harris PL, Vallabhaneni SR, Desgranges P, 15 et al . Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience. J Vasc Surg 2000;32:739–49. Kastrati A, Mehilli J, Pache J, 16 et al . Analysis of 14 trials comparing sirolimus-eluting stents with bare-metal stents. N Engl J Med 2007;356:1030–9. General Medical Council. 17 Good practice in prescribing and managing medicines and devices. London: GMC, 2013. Medicines and Healthcare products Regulatory Agency. 18 Committee on the Safety of Devices, 2013. Committees/Devices/CommitteeontheSafetyofDevices/ [Accessed 29 November 2013]. Johnson JA. 19 FDA regulation of medical devices . Washington DC: Congressional Research Service, 2012. Basu S, Hassenplug JC. Patient access to medical devices — a 20 comparison of U.S. and European Review Processes. N Engl J Med 2012;363:485–8. Address for correspondence: Dr N Parvizi, 151 Buckingham Palace Road, Victoria, London SW1W 9SZ. Email: [email protected] Authors: James Gamble A and Emma Vaux B Learning leadership skills in practice through quality improvement The development of leadership skills in doctors in training is essential to support both their professional development and the future supply of clinical leaders the NHS so desperately needs. There is, however, limited opportunity in current training programmes for trainees to learn and develop these skills, and what opportunity there is has often focused on management rather than leadership skills. Involvement in trainee-led supported quality improvement projects can teach these skills. We summarise the current limitations in leadership training and discuss how the College’s ‘Learning To Make a Difference’ programme, and others like it, are helping to teach leadership.
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