The intent is that CRSM [Med] could provide a fairly well effective reciprocal communicative pathway for continuing medical education development. The text delivers the details of good basic and clinical medical practice clearly and concisely .It is a unique contribution to medical specialty practice development nationally, regionally and globally, in the context of ongoing health trends. Although the current directions in health care developments were highlighted, an unpretentious emphasis to quite often unavailable advanced technological innovations and models were reasonably weighted.