Introduction: Continuous Medical Education (CME) is the engagement of health professional in educational activities to support their continuing professional development. The situation in Sri Lanka shows that almost all the educational institutes related to health sector in Sri Lanka are providing variety of learning opportunities to improve CME programmes. However, there is a great opportunity for further streamlining this system. Root cause analysis: Out of several key problems identified, “The National CPD Certificate is not well implemented” was selected as the priority problem for root cause analysis. Conclusion: Findings concluded that absence of a health policy; absence of an efficient process; non - availability of a focal point; CME is not a requirement for registration, promotion or transfers; lack of sufficient academic facilities; limited E - learning facilities; inadequate encouragement; doctors are less motivated with no tangible gains; inadequacy of government funds; and inadequate material for reference were the root causes and recommendations were made accordingly.