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When put like that Mat, I think I see the point a little more clearly. I always assumed that A/E was a (safe) environment - if you've got the middle grades on tap - for juniors to learn the bread and butter of medical practice - the decision making process. House Jobs, I don't get the sense are addressing this anymore. Who decides who is and is not a "primary care" problem? Who decides when a problem just isn't a problem? I would say a switched on nurse but I'm sure there are others who would disagree. For the record I dont agree with A/E units employing GPs to do only GP work. The SHO's need this kind of training more than ever I think. Iain __________________________________________________ Do You Yahoo!? Yahoo! GeoCities - quick and easy web site hosting, just $8.95/month. http://geocities.yahoo.com/ps/info1