General practice is recognised as the first port of call for most patients in the Australian healthcare system with GPs performing a gatekeeper role. There are more than 17,000 vocationally registered general practitioners in Australia and about 1,500 registrars currently training 1 or one GP per 974 persons. Almost all of us (82%) attend a GP at least once during any given year. GPs provide by...

This article describes positive outcomes in culture, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, employee engagement, and clinical quality as a result of using shared governance, specifically unit practice councils (UPC) or staff councils, to implement Relationship-Based Care (RBC).

Teachers in General Practice until the final year of the undergraduate curriculum.1,2 For these reasons it is worthwhile to review the present teaching arrangements and to examine whether or not there is any evidence that University of Bristol students are at a disadvantage in their learning opportunities. Since 1971, the General Practice teaching has taken place during a 9-week 'Medicine in the

General Practice in Australia 2000 retains most of the format of its predecessor, but many of the chapters have additional (as well as updated) information. There are some entirely new chapters on topics not covered at all (or only in passing) in the first edition. There is also a minor change of style: the Department says that it allowed authors “... more freedom to explore contentious issues ...

READING and, with the help of colleagues, 'field-testing' this manual at various times throughout the Christmas season, I was struck with how sihiilar the editors' problem is with that of the housewife. The latter has to recycle traditional dishes in a fresh manner just as the editors of this manual attempt to rearrange material that has appeared elsewhere often by the same publisher and invari...

We present in this paper the first example of chaotic evolutionary dynamics in biology. We consider a Lotka-Volterra tritrophic food chain composed of a resource, its consumer, and a predator species, each characterized by a single adaptive phenotypic trait, and we show that for suitable modeling and parameter choices the evolutionary trajectories approach a strange attractor in the three-dimen...

For organisms involved in specialized ecological interactions, the potential exists to have congruent evolutionary histories, such that diversification within one lineage of organisms parallels diversification within another. This model of shared evolutionary history has most often been explored in a bitrophic context, particularly with plants and specialized herbivorous insects, though also wi...