The Tuning Project is an initiative funded by the European Commission to develop learning outcomes/competences for degree programmes in Europe and to promote harmonisation in the Higher Education sector. It is closely linked to the Bologna Declaration and subsequent developments. Under the auspices of the MEDINE Thematic Network for Medical Education in Europe, the Tuning (Medicine) Task Force has generated a draft set of learning outcomes for primary medical degree qualifications in Europe. These take account of previous work on learning outcomes in medicine, have been generated through an iterative process of expert review and development, and have been the subject of a Europe-wide internet-based opinion survey and subsequent analysis. They have been approved by the MEDINE Network and validated (subject to some additional analysis) by an Expert Panel of the European Commission.