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The main part of the locums, 71%, were fully trained GPs, and 20% had not yet acquired any specialty. Electronic patient records (EPR), with a search-term-based structure and possibilities for data retrieval, offer opportunities to study clinical data registered  in daily practise.17 EPRs are currently used by almost all GPs in Sweden, providing clinical data that are useful for research. Primary care accounts for the majority of outpatient antibiotic prescribing. Large differences in antibiotic prescribing patterns have been observed between GPs,18 but the causes for these differences are not fully understood. Smaller US studies have found that residents follow guidelines better  than do their supervisors,19 and that the longer the education proceeds, the more the training physicians assume the prescribing patterns of their supervisors.20 To our knowledge, there are no studies published on variations in authentic prescription patterns between [http://www.selleckchem.com/products/BEZ235.html Dactolisib cost] different categories of physicians in primary care. The objective of this study was to study how the prescription patterns concerning lower respiratory tract infections (LRTIs) differ between interns, residents, younger GPs, older GPs and locums. Material and methods J?nk?ping County is 1 of 20 counties in Sweden. In November 2010, the population of the county was 336?527, served by 53 primary healthcare centres (PHCCs) and three out-of-hours units. All healthcare units in J?nk?ping County used the same electronic medical record system (Cambio Cosmic). More than 95% of all consultations were labelled with an International Classification of Diseases (ICD) 10 diagnostic code. The following data were retrieved from all consultations in primary care with an infection diagnosis: date of consultation, age, gender, diagnosis, any prescribed antibiotic (ATC code), name of physician and PHCC. The study period covered 2?years, from 1 November 2010 to 31 October 2012. Individual diagnoses  were analysed based on the diagnostic codes in the material. We chose to analyse the following diagnostic areas: RTIs, acute bronchitis (in patients younger than 50?years) and pneumonia. The age limit for acute bronchitis was set because it was not clear which treatment was recommended for the elderly in previous national guidelines. To reduce disturbance of varying diagnostic labelling between physicians, we also studied LRTIs overall by aggregating the diagnoses acute bronchitis, pneumonia and cough. Prescribing physicians were divided into five different groups: interns, resident doctors, younger GPs, older GPs and locums. The employment status, age and gender were obtained from the J?nk?ping county council personnel department and the principal for the interns. The categorisation between older and younger GPs was based on the median age for the GPs: 53?years.