Transient ischaemic attacks (TIAs) are uncommon presentations in general practice and can be difficult to diagnose. However, it is essential that registrars are competent in the assessment of symptoms consistent with a TIA, as early intervention is critical to reduce the risk of stroke. Stroke affects 50,000 Australian’s each year, 30% of whom are under 60 years of age. Evidence suggests adherence to guidelines for management of TIA is poor.