1 Amsterdam University medical centers, location VUmc, Department of General practice and elderly care medicine, Amsterdam, the Netherlands.
2 School of Health Professions Education (SHE), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, the Netherlands.
The authors propose the concept of orphaned competencies, those that are good for clinical education, but often are not taken up by good clinical educators. Prolonged direct observation is promoted as a way forward.