There have been a number of influences on arrangements for CME for GPs in the UK since the NHS was launched in 1948, the most profound being the 1990 introduction of the Postgraduate Education Allowance. This massively increased the market for GP education, but no mechanism was put in place to ensure quality or fulfilment of individual need. Despite increasing interest in self-directed learning. the PGEA appeared to discriminate against reflection and planning as part of the adult learning cycle. The PGEA also discriminated against GPs who did not enjoy easy access to the evolving market. In 1994, money was released by SCPMDE to increase the number of GP Associate Adviser sessions in North-East Scotland, Orkney and Shetland. This opportunity was used to appoint a team of CME Advisers to work with GPs to help increase elements of reflection and planning in their learning. In defining and developing their role, an opportunity arose to research four different facets of their work, ie: 1. A description of how the CME Advisers came to be doing what they eventually did, their tools and their operational and support systems. 2. An analysis of participation, or participants views on the work of CME and the work of developing a Personal Learning Plan. 3. A cost analysis of the process. 4. The views of GP Educators nationally on the future of CME for GPs, examining the context into which the work in North-East Scotland would fit. The research showed that it was possible to develop acceptable, effective and enduring tools and systems to support the process, which did not diminish ownership or self-direction. The participants valued periodic review and planning meetings with a trusted peer. The process was cost efficient and largely achievable within existing budgets. The concept was commensurate with GP educators' views of how CME should develop nationally.