Dr Barry Richard Paulse

What separates a competent GP from one who simply fills prescriptions comes down to listening, diagnostic thinking, and knowing when referral is necessary. A good practitioner in Cape Town maintains HPCSA registration and stays current with treatment guidelines, doesn't over-investigate minor complaints, and avoids reflexive antibiotic prescribing. They understand medical aid codes and won't order unnecessary tests that your scheme won't cover — or at least warn you upfront. They manage chronic diseases like hypertension and diabetes with repeat scripts and regular monitoring, catch medication interactions before they become problems, and remember their patients' histories rather than starting fresh each visit. Experience shows in handling occupational health certificates correctly, understanding disability evaluation, and knowing which local specialists are genuinely skilled. The ability to communicate clearly with patients about what's actually wrong — and what isn't — separates confidence from competence.