The College of Physicians and Surgeons of Nova Scotia (CPSNS) wished to undertake a pilot study of the College of Physicians and Surgeons of Alberta (CPSA) Physician Achievement Review (PAR) program. PAR assesses physician performance using a multi-source feedback approach which includes responses from physicians themselves, their medical colleagues, patients, and co-workers. The goal of PAR is to enhance physician performance using the principles of quality improvement. CPSNS invited Dalhousie University Office of Continuing Medical Education to conduct the pilot study of PAR for Nova Scotia family physicians (NSPAR).