 crisis framework for effective learning. C stands for convenience that makes voluntary participation easy. R stands for relevance which reflects the user's day-to-day role in medical practice. I stands for individualization which allows learners to say in what is learnt and adapt from the program to their own needs. S stands for self-assessment which encourages doctors to evaluate their understanding of the subject and to fill any gaps identified. I stands for interest which arouses attention and encourages learners to participate in the program and S stands for systematic. The learning should offer a planned program with coverage of a whole subject or an identified part of it. So crisis framework is for effective learning so it should be convenient, relevant, individualized, self-assessed. It should create interest and it should be systematic.