 Study Population. RDOC will enroll 200 physicians from rural Alabama, Mississippi, Georgia, Tennessee, Florida, Arkansas, Kentucky, North Carolina, South Carolina, Missouri, and West Virginia. Participating physicians will be randomized to receive the intervention or to a comparison group, which will receive traditional, text-based continuing medical education CME. Each participating physician will allow two rounds of medical record abstraction to be conducted in hisher office. Results from the medical record review: 1 be used in the intervention to provide physicians with personal performance feedback and 2 used to examine change in performance for the intervention and comparison physicians as an evaluation of the entire study. 