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There is a growing emphasis on teaching patient safety principles and quality improvement (QI) processes in medical education curricula. This paper aims to present how the Faculty of Medicine at Memorial University of Newfoundland engaged medical students in quality improvement during their recent curriculum renewal process.

In the 2013-2014 academic year, the Faculty of Medicine at Memorial University of Newfoundland launched an undergraduate medical education curriculum renewal process. This presented a unique opportunity to teach quality improvement by involving students in the ongoing development and continuous improvement of their undergraduate curriculum through the implementation of quality circles and other related QI activities.

The authors’ experience shows that implementing QI processes is beneficial in the medical education environment, particularly during times of curriculum redesign or implementation of new initiatives.

Student engagement and participation in the QI process is an excellent way to teach basic QI concepts and improve curriculum program outcomes.

This chapter investigates children’s play and social interactions in a multilingual preschool context where the lingua franca (common language) is English. This investigation follows the experiences of one child for whom English is a second language (L2). The analytic focus explores how the child gains access and participation in play activities in relation to the peer culture of the group.

Drawing on ethnomethodology and conversation analysis approaches, this chapter offers turn-by-turn analysis to show how the children’s interactions unfold and identifies children’s interactional approaches as they enter play and make friends. Particular attention is focused on how one of the children manages his attempts at entry into the peer group’s games using the building blocks.

The close detailed analysis of one extended episode highlighted the co-produced nature of interaction. The findings identify a repertoire of four resources used by one of the L2 children within the peer group, to access play activities in the building space: (1) linguistic resources of requests, such as “Can I play?” “Are you building?”; (2) “tailing” others closely; (3) references to the moral obligations of being a best friend; and (4) using objects as resources for entry. While the analytic focus is on one child’s strategies, analysis considers this child’s individual actions in relation to his peers. What is made apparent is that children’s uptake and participation in peer interaction is dependent on the social agenda and the local aspects of peer culture, not solely on children's language proficiency.

Attention to how children employ strategies to play and understanding the local conditions of peer culture can assist educators to support children’s attempts for participation and friendship in multilingual early years settings.