Table 1

Good CPD guide's classification of resources20 36

Clinician’s own experiences in direct patient care
  • ‘Blind spots’

  • Clinically generated unknowns

  • Competence standards

  • Diaries

  • Difficulties arising in practice

  • Innovations in practice

  • Knowledgeable patients

  • Mistakes

  • Other disciplines

  • Patients’ complaints and feedback

  • Necropsies and the clinicopathological conference

  • PUNs and DENs

  • Reflection on practical experience

Interactions within the clinical team and department
  • Clinical meetings—department and grand rounds

  • Department business plan

  • Department educational meetings

  • External recruitment

  • Junior staff

  • Management roles

  • Mentoring

Formal approaches to quality management and risk assessment
  • Audit

  • Morbidity patterns

  • Patient adverse events

  • Patient satisfaction surveys

  • Risk assessment

Specific activities directed at needs assessment
  • Clinical incident surveys

  • Gap analysis

  • Objective tests of knowledge and skill

  • Observation

  • Revalidation systems

  • Self-assessment

  • Video assessment of performance

Peer review
  • External

  • Informal—of the individual doctor

  • Internal

  • Multidisciplinary

  • Physician assessment

Non­clinical activities
  • Academic activities

  • Conferences

  • International visits

  • Journal articles

  • Medicolegal cases

  • Press and media

  • Professional conversations

  • Research

  • Teaching

  • CPD, continuing professional development; DENs, doctor's educational needs; PUNs, patient unmet needs.