A sustainable vision for general practice: Addressing the challenges

Abstract

The systemic problems and challenges of general practice within the health system require systemic solutions. Noting the complex adaptive natureof health, illness and disease, and its distribution within communities and general practice work, this article suggests a model for general practice thatallows the full scope of practice to bedeveloped while creating seamlessly integrated general practice colleges that support general practitioners on their journey to 'mastery' in their chosen discipline. The authors discuss the complex dynamics underpinning knowledge and skills development throughout doctors' careers, and the need for policy makers toevaluate health improvement andresourcing based on their interdependencies with all societal activity. To succeed, the profession would have to adopt the principles that form the foundation of generalism and complex adaptive organisations to strengthen its ability to successfully interact with all itsstakeholders.