The aim of Professional Practices Evaluation (PPE) is continuous improvement in the quality and safety of patient care. Over a five year period, each physician in France is required to complete a PPE according to guidelines validated by the Haute Autorité de Santé. This PPE will be overseen by a Committee of the Conseil Régional de l'Ordre des Médecins. The PPE guidelines are suggestions developed to assist healthcare professionals to provide and patients to seek the most appropriate care. Clinical audit is a self-assessment method which allows the practitioner to compare his own health care practices with accepted norms and to improve them.