Family practice, like other fields of medicine involving daily direct contact with patients, is rewarding but can lead to burnout. Ideas about burnout have evolved through time and the concepts and terms used have become more refined, and more commonly agreed. Earlier publications were mostly descriptive but later ones have begun to look into possible interventions to combat burnout. Validated scales are increasingly being used as outcome measures of the intervention strategies, some in randomised control trials which have contributed to the evidence base. This paper is an evidence-based review of the definition, causes, and interventions published in current literature indexed in PUBMED.

The aim of vaccination is immunisation of the child against diseases to prevent mortality and morbidity from specific infections. Adequate immunization coverage is the prerequisite for creating herd immunity. The maintenance of these levels of population immunity requires continuous vigilance and changes to immunisation schedule in response to changing circumstances. Changes have been made over the years to optimise the immunisation of poliomyelitis, measles, mumps, rubella, and varicella. The introduction of hemophilus influenza type B vaccine and pneumococcal vaccine has reduced the incidence of these infections. Vaccination against human papillomavirus infection is being expanded to protect against cervical neoplasia in females and also anal intraepithelial neoplasia in both genders. Childhood exanthems due to viral and bacterial infections, as well as immunological causes continue to be important and the ability to recognise them is necessary.