Introduction:
Quality improvement (QI) methods are arguably essential for enhancing care quality and are mandated by the UK General Medical Council. In 2016, a London medical school introduced a QI module in its MBBS curriculum. Initial feedback highlighted the need for improvement in supervisor support, learning experience, and project standardisation. This evaluation aims to assess the impact of changes implemented on the delivery of the module to share insights for other centres.

Methodology:
A retrospective qualitative analysis of anonymised student feedback was conducted to focus on experience of module delivery. Inductive thematic and sentiment analysis of white-space questions was used to explore student perspectives. Proportion X-tests and chi-squared tests were applied to assess changes in feedback across cohorts.

Results:
Analysis revealed overall improvements in student experience across themes. Supervisor involvement was a key theme, with positive feedback fluctuating significantly, indicating varied experiences. The introduction of supervisor job descriptions, standardised briefings and annual faculty development days was associated with increased student satisfaction. The learning experience saw a marked increase in positive responses over time, reflecting improvements in module delivery. A decline in feedback in the final year, potentially influenced by COVID, was noted.

Conclusion:
This study highlights the importance of using student feedback to drive continuous improvement in the delivery of a QI module. The significant positive shift in student satisfaction over the years reflects the effectiveness of responsive adaptations. Key improvements, particularly in supervisor involvement and learning experience, demonstrate the module's capacity to evolve and align more closely with student needs. The module's evolution demonstrated actionable insights for other centres implementing QI curriculums, and the transformative potential in medical education.

Keywords: Medical Education, Management, Leadership, NHS.