Community
Discuss difficult cases with verified colleagues.
Discuss difficult presentations with colleagues who understand the realities of African primary care.
Structured, not social
Cases are published through a structured composer: clinical question, setting, resource level, age range, presentation, examination, what was available, what was already done, and the remaining uncertainty. Replies are classified by the kind of contribution they make, and there are no public likes.
Patient privacy is a precondition
A privacy review runs before any case is published. Patient names, hospital numbers, exact dates, faces, recognisable images, addresses and telephone numbers are prohibited. Automated checks flag likely identifiers to help you edit — they cannot guarantee anonymisation, and the responsibility remains with the author.
Rooms
Clinical rooms cover acute care, maternal health, child health, HIV and tuberculosis, noncommunicable diseases, mental health, palliative care, community-oriented primary care, rural medicine, medical education, POCUS and quality improvement. Country, institution, cohort and society rooms sit alongside them.
Clinical safety
Primary54 discussions support professional learning and peer reasoning. They do not replace local clinical responsibility, emergency escalation, institutional policy or specialist consultation.