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The old adage that an alcoholic is someone who drinks more than their doctor always brings a smile. It also reveals a deeper truth. What is ‘normal drinking’ depends on the environment you were raised in and your current social, emotional and employment context. Doctors have an increased lifetime...

Tudor Hart’s Inverse Care Law1 classically described the inequity in medical service access in South Wales. From his primary care perspective, the availability of good medical care varied inversely with the need and the population served. In Australia, future funding for primary care research...

‘Mr Jones has a high cardiovascular disease (CVD) risk based on the online calculator you used a few months ago. You now have a CVD risk calculator embedded in your desktop clinical information system, which surprisingly calculates that Mr Jones is now ‘low risk’. Even with risk assessment...

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

Case studyA man, 35 years of age, with an unremarkable past medical history, attended after developing purplish nodules on the left arm. The nodules were in a linear distribution and had developed during recent months after a minor initial injury. The nodules were moderately painful, but it was...

In 1992, the Journal of the American Medical Association published a paper launching a new paradigm for lifelong learning in medical practice – evidence based medicine (EBM).1 Twenty years later EBM is known well beyond the field of clinical practice and has become an integral part of medical...

It is nearly a decade since the World Health Organization declared violence to be a major public health problem, yet for many of us violence remains someone else's territory – an issue for lawyers, police and government – not something for general practices or primary care providers to grapple...

The problem of violence directed toward general practitioners and their practice staff is acknowledged worldwide. In Australia, the tragic 2006 murder of a Melbourne GP while practising in her surgery highlighted the seriousness of the issue.

‘Our bodies are a temporary arrangement. But at its core the business of medicine struggles against this basic fact. Healing begins when we can’t fix what is broken’.