African Family Medicine
General Practice, connected across Africa.
Primary54 brings contextual clinical learning, professional portfolios and peer discussion into one platform for Family Medicine residents, physicians, faculty and training programmes.
Patient-identifying information must never be entered on Primary54.
The breathless patient at a district hospital
Acute and emergency care · 45 min · 1.5 CPD
Portfolio · 18.5 CPD credits this year
4 verified assessments · 12 teaching hours
Persistent hypoxia after a caesarean section
Verified registrar · Botswana · 7 replies · faculty reviewed
Grand round: Maternal collapse — the first ten minutes
Sample event · time shown in your time zone
Africa network · Ethiopia, Botswana, Kenya, South Africa
Verified clinicians, faculty and training programmes
Illustrative view of the signed-in application. Sample clinical content is educational and requires faculty review before accreditation.

Learn
Case-based CME written for the setting you work in, with the distinction between ideal care and available care made explicit.
Document
A portfolio that belongs to you: CPD credits, assessments, teaching, quality improvement and reflection — portable between institutions.
Discuss
Structured clinical reasoning with verified colleagues, after a mandatory privacy review. No public likes, no performance.
Connect
Mentorship with clear boundaries, multicentre research collaboration and a professional community across the continent.
Who Primary54 is for
Residents and registrars
Learning, assessments and a portfolio that follows you through training.
Family physicians
CPD that fits the clinic, and colleagues who understand district practice.
Faculty and supervisors
Review evidence, complete assessments and teach beyond your own institution.
Training programmes
Cohorts, assigned CME, portfolio verification and aggregated learning gaps.
Professional societies
Accredited CME, national events, member verification and country rooms.
Learning
Clinical learning for African primary-care settings.
Every module works through a real clinical decision sequence: what you would do with full resources, what is possible at district level, when to stabilise and refer, and how to keep the patient safe in between.
See the learning approach- The breathless patient at a district hospital
- Severe pre-eclampsia: stabilise, refer, prepare
- Fever in a child where malaria is endemic
- Hypertension, CKD and the patient we keep losing
- Palliative care without specialist services
- Trauma when advanced imaging is unavailable
Community
Discuss difficult cases with verified colleagues.
Structured case rooms ask for the clinical question, the setting, the resources available and the uncertainty you are left with. Replies are classified by the kind of contribution they make, and faculty review the answers that matter.
Patient-identifying information is prohibited. Every case passes a privacy review before publication.
How discussion worksPortfolio
Keep one portable record of your professional development.
One record of everything you have earned and done, exportable whenever you need it.
- CPD credits
- Competencies
- Teaching hours
- Case contributions
- Quality improvement
- Research
- Supervisor feedback
Tools for universities, residency programmes and professional societies.
- Accredited CME
- Cohorts
- Portfolio verification
- Grand rounds
- Learning gaps
- Opportunities
- Faculty development
- National communities
Pilot
Primary54 is being prepared for an initial pilot in Ethiopia, Botswana, Kenya and South Africa.
Ethiopia
ETH
Teaching-hospital and health-centre training
Botswana
BWA
District-led family medicine practice
Kenya
KEN
County hospitals and growing residency intake
South Africa
ZAF
Established registrar and CPD structures
No organisation is listed as an official partner. Any organisations named during the pilot are prospective pilot collaborators only.