Dr Creer believes in old-fashioned clinical values, like good history taking which requires listening to the patient carefully before an appropriate clinical examination. These clinical skills may need to be coupled with the use of up to date modern diagnostic technologies after discussion with the patient to establish their expectations and identifying their main health concerns before embarking on a investigation and management plan. Clear communication is vital. The key to clinical success is patients having trust and faith in the skill of their clinician within a caring and honest doctor-patient relationship.