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?Workplace-specific interventions to reduce WRMD in PTs should be developed and tested in future studies. Copyright ? 2009 John Wiley & Sons, Ltd. ""Pain has been reported in cystic fibrosis (CF), but its clinical significance and the physical and psychosocial impact in adults find more who are clinically stable and acutely unwell have not been well described. The aim of this study was to describe the intensity and location of pain and its relationship with health-related quality of life (HRQOL) and pain catastrophizing in adults with CF. This study was an observational study of adults with CF. Participants completed three questionnaires, the Brief Pain Inventory, Pain Catastrophizing Scale and the CF-Quality of Life questionnaire, when clinically stable and during an acute exacerbation. A total of 73 participants were included during a period of clinical stability, with 33 repeating the measurements during an acute illness, with a mean (SD) age of 29 (9) years and forced expiratory volume (FEV1) of 60.5 (24.9)% predicted. Mild pain was reported by 89% of stable participants and 79% of those with exacerbations. Severity of lung disease did not affect prevalence or intensity of pain. Pain interfered with airway clearance therapy during exacerbations (p?Cilengitide and was related to a poorer physical function, regardless of clinical status (p?see more managed the process to provide an appropriate level of challenge to junior and senior therapists, and to avoid disrupting professional relationships. Those being reviewed reduced anxiety about the process and risk of negative feedback by putting their best practice on show, and where they could, by carefully choosing the reviewer and patient interaction to be reviewed.?Conclusion.?When peer review has competing purposes it is neither an effective professional development tool nor an accurate measure of competence. Power and interpersonal relationships need to be acknowledged if peer review is used to assess practitioner competence.