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one BMJ Making a Difference topic, I was particularly interested.This was followed by a keynote by Anne Rogers on the expert patient. She introduced some new concepts like the "flat pack" patient where everything neatly fits together and the "surveillance society" where testing is all important.This neatly fitted with Paul Glasziou who asked how often we should test cholesterol to evaluate change bearing in mind biological variability and measurement error after about three years.On a lighter note, when a mobile phone rang during an important talk by an elegant and respected speaker, we all mentally tut tutted. But, could only smile when the phone was traced to her own handbag left with her colleagues 10 rows back.As the shop window for primary care research in these islands, this meeting was a little disappointing. Many were preliminary, incomplete studies or work in progress, the themes felt tired with few really new ideas. I struggled to see the relevance of many of the presentations to real patients.The strongest message came from Mary Robinson, former President of Ireland and Human Rights Commissioner at the UN. The daughter of two GPs, she challenged us all to think of human rights and social responsibility. And, she said, her early grounding in the importance of human rights was in seeing how her father cared for his patients young and old. A timely reminder.Domnhall must have chosen his SAPC sessions injudiciously if he failed to find many talks and workshops presenting new ideas at SAPC in Galway. It is inevitable that some presentations, particularly in parallel and poster