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In both time periods, male and female patients were referred at similar rates. In 2008–11, adult patients were significantly more likely to be referred to A&E than in 2003–07. While A&E referral rates did increase for children, the small numbers involved meant the change was...

Figure 1. Right fundus photoFigure 2. Left fundus photoQuestion 1Describe the fundus findings.Question 2What dilating drops would you use to perform a dilated fundus examination? What precautions would you consider when using dilating drops?Question 3What systemic disease is most likely...

Figure 1 demonstrates a relatively steady increase over the decade in the number of thyroid function tests ordered for every 100 problems managed, from 1.1 (95% CI: 1.0–1.2) per 100 problems in 2001–02 to 1.7 (95% CI: 1.6–1.8) per 100 in 2010–11. We estimate that this significant increase in...

Chronic conditions managed in general practice were defined according to the work of O’Halloran et al.2 Between April 2011 and March 2012 there were 98 400 encounters recorded in the BEACH (Bettering the Evaluation and Care of Health) program, of which 41.6% included at least one chronic problem...

The start of a new year can be a time for reflection of the past and consideration of the future. Whether or not you are a fan of new year resolutions, there is usually something that you want to change. This issue of Australian Family Physician considers gaps in practice. Sometimes as general...

The University of Wollongong Graduate School of Medicine (UWGSM) opened in 2007. This is one of a new wave of medical schools to enable the more than doubling of the number of medical students graduating in the period from 2006–2014.1 However, this rapid expansion has exposed a relative paucity...

Many ‘bag carrying’ general practitioners believe there is a gulf between the ivory tower of academia and the coalface of every day general practice. However, there are ways to share common ground.

Ensuring that all Australians have access to high quality healthcare has been a longstanding passion for me. Indeed, it is a driving concern for the majority of general practitioners I know. Taking maternity leave from my clinical work has given me the mental space to wonder if my clinical...

Thirty-five health sciences students and four mentors, including myself, were participating in a ‘Country Week’ rural health experience in the catchment area of the Murchison River in the midwest of Western Australia. The Murchison, once a gold mining centre, now has a population of about 2500...

The opinions expressed by correspondents in this column are in no way endorsed by either the Editors or The Royal Australian College of General Practitioners