Editor – I appreciate the excellent quality improvement researchpresented by Earnshaw and colleagues.1 The authors havetaken considerable effort with a rigorous approach to improvingthe quality of discharge summaries through a direct feedbacksystem. I found their ‘rapid improvement event’ (RIE) using LEANmethodology, and their suggestion of greater involvement ofallied healthcare professionals particularly worthy.The importance of good discharge communication by newdoctors was a subject we chose to tackle as near-peer teaching forthe then new Final Year Transition course pioneered at ImperialCollege in 2012. Assessment of written communication, such asdischarge summary writing, should by now be embedded in the UKundergraduate medical school curriculum.
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