Delayed Diagnosis of Basal Cell Carcinoma Following Post-Traumatic Skin Lesion: A Case Report

Basal cell carcinoma (BCC) is the most common skin cancer, progressing slowly with low metastatic potential but significant local tissue destruction. Timely diagnosis is essential, but patients often delay care when chronic lesions are attributed to trauma or considered benign. Older adults, particularly those who avoided healthcare during the COVID-19 pandemic, may present with advanced…

How to develop leadership skills in future general practitioners? A proposal from French general practitioners.

“Leadership” skills first appear in the French professional framework for general practice (GP) in 2025. Leadership already exists in the Canadian physician competency framework ‘CanMEDS’ and has many definitions in the literature. The need for training in “distributed leadership” for postgraduate students or residents in GP has been identified in several recent studies.A workshop will…

Atypical Presentation of Acute Coronary Syndrome in a Primary Care Setting: A Diagnostic Challenge

Acute coronary syndrome(ACS) classically manifests with chest pain; however, up to one-third of patients present with atypical symptoms such as isolated back pain, nausea, fatigue, or diaphoresis. These presentations pose a significant diagnostic challenge in primary care, where rapid identification and referral are critical to prevent morbidity and mortality. This case illustrates how clinical vigilance,…

Point-of-care ultrasound in General Practice. New European Training Guidelines. How do we implement them? And can we?

How to teach general practitioners point-of-care ultrasound (POCUS) and what scanning modalities to include in a curriculum have been a subject of on-going discussion. Recently new guidelines on how to teach POCUS in general practices has been published by the European Federation of Ultrasound in Medicine and Biology (EFSUMB). The newly formed European Family Medicine…

A Lump On The Run – Can We Spot A Sarcoma In The Jungle?

Sarcoma of any variety is notorious for slow and delayed diagnosis.  A missed sarcoma is a patient and GP nightmare. The UK, despite a national effort for earlier diagnosis of cancer, compares dismally with similar European countries. How can the UK improve? Will a new UK Referral Pathway help?A new UK Sarcoma Referral Pathway has…

Equity and Inequity in WONCA Europe Conferences: A Cross-Sectional Analysis of Scientific Themes, 2008–2024

Primary care operates closest to communities and plays a critical role not only in service delivery but also in shaping research priorities. Abstracts presented at international conferences offer insight into thematic trends, emerging needs, and knowledge gaps in general practice. WONCA Europe Conferences are a key source for understanding how primary care communities approach equity,…

the role of primary care physicians in humanitarian aid to disaster zones

Primary care (PC) physicians are uniquely positioned to respond to acute community health needs during disasters. Hurricane XXX struck XXX, causing widespread infrastructure damage, displacement, and disruption of essential services. A small multidisciplinary medical team was deployed to support affected communities. This presentation describes the experience of a family-medicine–led mission, highlighting the role of PC…

Diagnostic Challenges and Comprehensive Management of Pulmonary Disease Caused by Mycobacterium avium Complex in an Immunocompetent Patient

Pulmonary disease caused by Mycobacterium avium complex (MAC) represents an increasing complication in patients with bronchiectasis. Its diagnosis requires clinical, radiological, and microbiological integration, posing a challenge for Primary Care (PC) in differentiating between colonization and active infection.A 74-year-old man, non-smoker, with a 25-year history of thoracic trauma resulting in residual bronchiectasis. In 2017, he had pneumonia…

Extreme Diet–Related Syncope in a Young Adult: The Diagnostic Value of Comprehensive Nutritional Assessment in Primary Care

Extremely restrictive diets among young adults—often influenced by social media—can cause acute metabolic instability. Symptoms may appear nonspecific, and individuals may attend routine visits rather than present with clear complaints. In primary care, detailed nutritional history is essential to identify high-risk dietary patterns and prevent serious outcomes. Lifestyle-focused assessment helps contextualize subtle presentations and supports…

Recurrent Herpes-Associated Erythema Multiforme: Diagnostic Challenges in Primary Care

Erythema multiforme (EM) is an acute,immune-mediated skin reaction most frequently associated with herpes simplex virus (HSV) infection or, less commonly,with medications. Its polymorphic presentation, characterized by erythematous or vesiculobullous lesions, often leads to diagnostic confusion in primary care,particularly when mimicking drug eruptions or fungal infections. This case highlights the importance of clinical reasoning and multidisciplinary…