We welcome the attention to psychiatric training for future GPs, that seems important when there is still no requirement for trainees to undertake these placements. However, we are concerned that the advice by Burkes et al focuses too much on the minutiae and risks missing the real skills that they may need for a career in general practice. These include: To understand that the specific health needs of those with severe and enduring mental illness. This group has poor health outcomes exacerbated by lifestyle choices and the same medication that contributes to the improvement in their mental health.2 There is a need to develop ways to tackle this major issue by working in partnership with secondary mental health care.
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