{'fraction_non_alphanumeric': 0.015728476821192054, 'fraction_numerical': 0.0033112582781456954, 'mean_word_length': 5.231958762886598, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
General practice in the 1990s: a personal view on future developments.

Introduction FOR many general practitioners the recent period of unprecedented change has resulted in more work, more pressure and more uncertainty about the future. Recently, a survey reported that four out of five doctors thought deficiencies in their training and continuing medical education had contributed to their difficulties by not preparing them adequately for their changing role. ' Yet continual change has become part of modern health care. A key question, therefore, is how we can anticipate and influence change rather than react reluctantly to it. This paper has three objectives: to raise awareness about changes in general practice expected within the next decade; to consider their impact on our responsibilities as doctors; and to examine the consequences for our education. These are all issues which individual practices and medical teachers will want to consider in their strategic planning. Doctors who are sure of their subject are more likely to handle change well and indeed lead it; conversely, doctors who have been inappropriately trained for their responsibilities will become stressed and may lose heart.