How we train future clinicians has the potential to radically and sustainably improve healthcare for everyone. Current medical education has an overt biomedical focus that does not engage enough on wider social determinants of health. This contributes to a clinical culture with rising healthcare costs from polypharmacy and excessive testing, screening, and inappropriate specialist referrals.1 In order to create a health service that is fit for the future, the future health workforce must also be educated on principles of disease prevention, health creation, and patient-partnered biopsychosocial approaches to wellbeing. We need a healthcare workforce that sees individuals dealing with their illnesses within their wider socioeconomic, sociocultural, and environmental contexts. There is clear evidence that taking a holistic approach to healthcare makes economic sense, promotes population wellbeing, and relieves pressure on the healthcare system.23 As a group of students and early career p

### What you need to know A 12 year old boy presented with a history of recurrent frank haematuria. He reported three or four episodes in the past three months, with each episode quickly fading after a couple of days. On detailed questioning, he revealed that, during each episode, he experienced transient mild dysuria, urinary frequency, urgency, and central abdominal discomfort. Abdominal examination revealed no tenderness, his foreskin was retractable, and no meatal inflammation or excoriation was visible. In clinic his urine looked clear yellow with no visible blood. Urine dipstick revealed 3+of blood. Visible haematuria (macroscopic) is visible bloody discoloration of urine. With easy availability of urine dipstick tests, the incidental discovery of persistent (defined as more than 6 months) non-visible haematuria (microscopic haematuria or NVH) may also occur. Visible haematuria is rare, and its incidence is unknown, whereas non-visible haematuria has been found in up to 5% of sch