Oral sessions of circumcision, and encouraged patients on ARVs to continue treatment. However, protective and preventive properties of traditional medicines were frequently highlighted. Conclusion It was clear from this study that for many in South Africa traditional beliefs are often held alongside an acknowledgement of some aspects of germ theory. Given the pervasive traditional belief-based explanatory model of disease, health messaging and interactions that do not acknowledge this are likely to fail. It is critical that the allopathic/western system understands these core beliefs of patients accessing their services so as to optimise health messages, treatments, behaviours and clinical outcomes in SSA. Understanding experiences and impact Of dOmestic ViOlence and abUse in gay and bisexUal men attending a sexUal HealtH serVice in tHe UK

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for latent TB in selected cases. We are the only unit in UK to have used this regimen.The prevalence rate of latent TB was higher than anticipated at 15%. Identifying active TB cases further demonstrated that this is a group worth targeting. These preliminary results led to an extension of this project.

, UK, introduced a new undergraduate medical curriculum with one of its themes being 'Population science and quality improvement' (QI). To develop understanding of QI methodology and skills within a clinical setting, every fourth year medical student participates in a module undertaking a QI project in a healthcare setting. The module was taught online on the virtual learning environment, with four 'face-to-face' tutorials with a project supervisor. The aim of this study was to assess the impact of the QI projects and student and supervisor evaluation of the first year of this module.