RT Journal Article SR Electronic T1 Changing direction in general practice JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 140 OP 142 DO 10.1136/jme.3.3.140 VO 3 IS 3 YR 1977 UL http://jme.bmj.com/content/3/3/140.abstract AB This case conference steps aside from the usual pattern to examine the arguments of a general practitioner, Dr Brian Fisher, who wishes to change the style of his practice but is concerned about the consequent problems he can foresee. He discussed his ideas with a local health visitor and a number of neighbouring general practitioners. Those participating were Mrs Sylvia Prentice, health visitor, and Dr Brian Fisher, Dr John Hitchens, Dr Raymond Pietroni and Dr L A Rubens. Dr Roger Higgs, organiser of the case conference series, was in the chair.