Students will gain an understanding of the principles and application of clinical governance. The course develops in the student an appreciation of the role of clinician-managers in health care delivery systems within the social, legal, economic, organisational, informational and political contexts. The course will be taught within the broad imperative of social and economic accountability. The teaching methodology will be that of case study analysis and problem-solving. The aim of the methodology is to create student critical analysis and problem-solving that will develop clinician-management skills. On successful completion of the course students will be equipped to exercise managerial autonomy within cooperative structures and processes.