Students complete a large clinical service development project in teams of four over a 10 week period using an action learning approach - this is a pass/fail component assessed by their clinical supervisor. During the semester, student teams attend five set meetings at which one student from each team presents an update on their project and facilitates discussion. The set presentation and a short written report have a individual mark worth 20%. A 30% mid-semester exam tests understanding and application of action learning and service context and development knowledge. Group work and professional communication skills are assessed by a 15% Conference Abstract and 35% Conference Presentation. I run two linked courses using this format: HRSS4210 - for 80-100 final year undergraduate occupational therapy students; and HRSS7200 - for 60 final year Graduate Entry Masters occupational therapy and audiology students.