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Competence in general practice means more than diagnosis—it means knowing which tests actually matter for your situation and which ones your medical aid will reimburse, understanding the difference between what sounds urgent and what genuinely is, and having networks that work. Riverside Cottage Clinic's strength lies in recognising when a patient needs referral to a specialist and having those relationships solid enough that your GP's letter gets you a reasonable appointment wait, not weeks of delays. A good GP also manages preventive care: reading your blood pressure trends over years, catching thyroid dysfunction before it becomes symptomatic, and flagging when your cholesterol pattern suggests intervention rather than just diet talk. In Cape Town especially, where patient records sometimes scatter across different practices and medical aid schemes, a doctor who maintains clear documentation and knows your full medication list prevents the duplicate testing and drug interactions that waste money and cause actual harm.