There is a new face in town! Regular recipients and readers of the Hong Kong Practitioner might be wondering if a different journal had landed on their desks when the July issue of the Hong Kong Practitioner arrived. Again, for this issue, we have adopted a slightly modified look for the front cover of the Journal. Besides the changes in colour and design, you may have noticed that there is a new council-approved logo to celebrate the twenty-fifth anniversary of the Hong Kong College of Family Physicians.

It has been a while since we have modified the general format and also the front cover of our Journal. In fact, one might ask, "why make any change if things have been working well?" My reply is that the changes are not just skin-deep and it has been happening all along. If you cast your memory back to the February issue of the Journal, you would notice the editorial by Dr David Owens announcing the Journal has been put online and the e-journal is on the front page of the College website. This has been a very successful move enabling a lot of flexibility for readers in accessing current issues of the journal, and previous ones if so desired. Linkage to external articles and other journals is also a special feature of the new online format allowing easy referencing. All these new features have been very well received.

As an evergrowing discipline, our Journal is also in need of new blood. This year, we have included new members into the Editorial Board. The new-comers act as fresh pairs of eyes and provide new perspectives and new ideas. As a College publication, it is also high time that a readers' survey be conducted in order to better serve the Members and Fellows of the College. This survey to be conducted shortly will aim at gathering your opinions and suggestions about your Journal so that your ideas could be discussed when further changes are planned.

So much about changes, but something we hope would never change. That is our commitment to quality publishing to facilitate the development of Family Medicine/General Practice in Hong Kong and the region. In this issue of the Journal, an article by Freeman and Sweeney explored the reasons behind the non-implementation of evidence-based medicine by general practitioners in the United Kingdom using a qualitative study approach. Despite there are practice differences between Hong Kong and the United Kingdom, this makes worthwhile reading. Not only does it explore the underlying reasons for non-implementation, it also highlights the methodology of qualitative research. The update articles in this issue continue to serve as reminders on issues relevant to clinical practice, including aspiration pneumonia in the elderly, Dengue Fever, and neurological sequelae of acute otitis media in a child.