Should we assess clinical performance in single patient encounters or consistent behaviors of clinical performance over a series of encounters? A qualitative exploration of narrative trainee profiles

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Practice points

Observing clinical performance over a series of encounters: Potentially adds valuable and meaningful information in the appreciation of the ability to integrate and adapt knowledge and skills Provides insight in the flexibility to adjust behavior to the specific context of each individual encounter Reveals narrative profiles for doctor–patient interaction and medical expertise describing medical trainees’ clinical performance

Figure 1. Conceptual framework of dimensions classifying recurrent behavioral patterns in trainee performance.

Figure 2. Narrative profiles describing stereotypical clinical performance by GP trainees.