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The work of an academic general practitioner encompasses a range of roles and activities and given the diversity there always seems to be more to do. Each day (or at least most days) on the drive to southwest Sydney, I eschew the chatter of breakfast radio announcers to think about the issues and tasks for the day ahead. Despite this attempt at prioritisation and time management on most occasions having dealt with the most pressing or important of the flurry of email correspondence and spent some time interacting with staff and patients, at least half the list of tasks remains at 6 pm. The decision then, is how much later to stay.