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General practice in a town like Stellenbosch involves understanding how local life actually works. Winter rainfall brings seasonal respiratory issues; the wine industry brings occupational health screening; student and permanent populations have different healthcare rhythms. A practice managing eFiling with SARS, handling SACS occupational health certificates, processing claims through Medihelp and Discovery, and maintaining digital X-ray systems has to coordinate across multiple systems simultaneously. Chronic script management—for blood pressure, diabetes, cholesterol—requires consistency and reliable repeat dispensing. Emergency cases need same-day assessment. That coordination, systems thinking, and follow-through separates a practice that's just seeing patients from one that's actually managing population health.