TY - JOUR T1 - Outside the Box JF - British Journal of General Practice JO - Br J Gen Pract SP - 369 LP - 369 DO - 10.3399/bjgp13X669257 VL - 63 IS - 612 AU - Trisha Greenhalgh Y1 - 2013/07/01 UR - http://bjgp.org/content/63/612/369.abstract N2 - I did my GP trainee placement in 1989. When I started, we were using fountain pens on Lloyd George cards. By the time I left, there was a hard disc and printer on every consulting room desk and we were just discovering the model-reality gap between the structured data fields on the software and the messy reality of real-world illness and its treatment.1One particularly dramatic change was in repeat prescribing. In the pre-computer days, the doctors all gathered round a table in the conservatory after morning surgery for coffee and cake. In the middle of the table were several boxes of patient notes, each with a handwritten prescription affixed to it with a rubber band. We worked through them, initiating … ER -