Free access. Every registered doctor in the United Kingdom has to have an annual appraisal. This involves completing an extensive online form with reflections on the activity of the previous year, including details of continuing professional development (CPD), quality improvement projects, significant events, feedback from colleagues and patients, and any complaints and compliments received.1 The most important part of the exercise takes place a couple of weeks after this, in a one-to-one meeting with a colleague to review the completed form.......