The outcomes are available for use by educational managers in curriculum planning, or as part of quality enhancement or quality assurance processes. These would provide the core learning outcomes of a primary medical degree programme, although each country, medical school and student would also be expected to achieve additional learning outcomes tailored to their local and individual needs. If applied appropriately and linked to effective assessment, this approach allows each school or country to have a distinct profile and to focus on particular areas of strength (. research, professionalism, patient safety) while still ensuring that all of their graduates.