Flashcard health education for British Asians with diabetes.

enormous burden of paperwork in addition to what has been imposed on general practice over the past five years, particularly as the West of Scotland has been piloting summative assessment. As 1 took part in this marking exercise, which was a very artificial one, I know that I spent very little time looking through for criteria when marking these papers. If I thought there was a good outcome from the project, and that this could be implemented relatively easily and then re-audited, I gave a passmark. I certainly did not work 1-2 hours as suggested in the discussion, and the 72% response rate reflects just how well local trainers had been trying to help the Department of Postgraduate Medical Education to get summative assessment in place. We are now more interested in outcomes from audit projects, and the majority of practices in one of the Health Board areas are routinely undertaking audit that have positive outcomes.2 This would suggest that considerable help needs to be given to the authors by the trainers to help them overcome false perceptions before a similar exercise is imposed on the profession under the guise of reaccreditation. The philosophy of the discussion paper on reaccreditation by C Salisbury in the same issue of the BJGP seems to have a more positive approach.3