In the current era of health care reform, our predominantly clinician-centered approaches stand in the way of real system transformation. What could happen if clinicians instead incorporated their patients story into their appraisal and treatment planning? This document examines such an approach. In order to look more closely at how this could be accomplished in a contemporary primary care clinic, a small test of change was undertaken. Nurses were trained in patient-centered narrative interviewing in order to gather information typically difficult to obtain using a standard medical...