The febrile child is a very common presentation in general practice, but can be highly challenging for many reasons – parental distress, uncertainty, potential for serious illness and rapid deterioration, and a need to minimise investigation. Registrars have generally seen a lot of acute presentations of febrile children in ED, but assessment and management is different in the GP setting. It is vital that supervisors are confident that registrars are competent in managing the febrile child.