This change initiative involved the inception of a trial involving peer observation of teaching (POT), executed solely by the writer who received facilitative aid from a corresponding team on the trial site. The rationale for selecting this project was the impetus for developing augmented quality assurance in teaching and learning at a higher education medical organization in the Middle East. The highest aim of this impetus was to ensure that education be offered to the ultimate standards, evaluated over a continuum, preferably by POT.