The changing concepts and technology in medicine nowadays increases practice demands. Outcomes measure performance, leadership and business skills determine successful practice and government regulatory mandates are burgeoning by the day. In the field of practice, there’s no reliable way of determining your level of performance as a physician. Did my performance plateaued or dipped. Where or who would you go to? Academe? Previous mentors? Peers? For many physicians and surgeons out of the academe, this isn’t easy.